370 Chapter 16 can be measured using an upright balance or a digital scale for ambulatory residents (Figure 16.29). Chair and wheelchair scales may also be used. A hydraulic digital body lift or sling scale, a scale built into a bed, or a digital scale placed under the bed can be used if a resident is bedridden (Figure 16.30). Weight should be measured at the same time each day. The resident should wear the same or similar clothing each time, and the same scale should be used, if possible. Be sure the resident has urinated before measurement. Always factor in additional items that may add weight, such as shoes, casts, catheters, colostomy bags, or other bodily devices. Weight should be measured in pounds (lbs) or in kilograms (kg), depending on facility policy. DETECTO® www.Detecto.com Figure 16.30 This is an example of a bed scale that can be used to weigh bedridden residents. Upper scale bar (1-pound and ¼ pound increments) Small weight Balance pointer Balance bar Lower scale bar (20-pound increments) Large weight Height joklinghero/Shutterstock.com Figure 16.29 A balance scale is used to measure weight. It can also measure height. Procedure Measuring the Height and Weight of Ambulatory Residents Rationale Height and weight measurements are used to calculate medication dosages and determine nutritional needs. Therefore, nursing assistants must measure and document height and weight accurately and according to facility policy. Preparation 1. Ask the licensed nursing staff how this procedure fits into the plan of care, if there are doctor’s orders for the procedure, if there are any special instructions or precautions, and if the resident can be moved into the positions required for this procedure. 2. Wash your hands or use hand sanitizer before entering the room. 3. Knock before entering the room. 4. Introduce yourself using your full name and title. Explain that you work with the licensed nursing staff and will be providing care. 5. Greet the resident and ask the resident to state his or her full name, if able. Then check the resident’s identification bracelet. 6. Use Mr., Mrs., or Ms. and the last name when conversing. 7. Explain the procedure in simple terms, even if the resident is not able to communicate or is disoriented. Ask permission to perform the procedure. Copyright Goodheart-Willcox Co., Inc.