Nails, Care of (Finger and Toe)

Nails, Care of (Finger and Toe) 

Purpose: 

• To provide cleanliness. 

• To prevent the spread of infection. 

• To prevent skin problems. 

Equipment: 

• Nail clippers. 

• Nail file. 

• Basin with warm water. 

• Nail brush. 

• Towel. 

• Lotion. 

Procedure: 

I. Finger Nail Care: 

• Soak hands for five minutes in a basin of warm water. 

• Scrub nails gently with a brush and remove hands from the basin. 

• Place hands on a towel. Trim and clean nails; file smoothly. 

Note: Fingernails of diabetic residents are to be cut by a licensed nurse. 

• Discard water, clean equipment, and wash your hands. 

II. Toe Nail Care: 

• Obtain clean water and soak the resident’s feet. 

• Scrub nails gently with a brush and remove feet from the basin. 

• Place feet on a clean towel. Trim and clean nails; file smoothly. 

Note: Toenails of diabetic residents are to be cut by a podiatrist or a licensed nurse. 

III. Final Steps: 

• Discard water and clean equipment. 

• Wash your hands thoroughly. 

• Apply lotion to the resident’s hands and feet as needed. 

References: 

• Centers for Medicare & Medicaid Services (CMS), Requirements of Participation for Long-Term Care Facilities. 

• State Operations Manual (SOM), CMS.