NOTE: Nail care for clients with diabetes should be performed by a Registered Nurse (RN).

1. Gather Supplies: Basin, warm water, soap, lotion, two washcloths, one towel, barrier, gloves, manicure stick, emery board, nail clipper, and linen bag or hamper
2. Routine Pre-Procedure Steps:
   • Knock on the resident’s door.
   • Perform hand hygiene.
   • Maintain respectful, courteous, and professional communication at all times.
   • Introduce yourself and identify the resident.
   • Provide for privacy.
   • Explain the procedure to the resident.
3. Procedure Steps:
   • Put on gloves.
   • Fill the basin with warm water and place it on a flat surface with a barrier underneath. Have the resident check the water temperature by placing their hand in the basin or putting a wet washcloth on the back of their hand.
   • Have the resident perform hand hygiene with sanitizer.
   • Immerse the client’s hands in warm water for 5 to 20 minutes.
   • Place their hand on a barrier.
   • Using a manicure stick, clean underneath each nail, wiping any debris on the barrier after each nail.
   • If necessary, trim nails using a clipper. Sanitize the clipper prior to and after use.
   • Using an emery board, file each nail from the outside of the nail towards the middle of the nail.
   • Check each nail for snags and file until smooth.
   • Rinse the hand in water, return to the barrier, and dry.
   • Repeat the procedure for the second hand.
   • Offer lotion. If applying lotion, wear gloves.
   • Rub the lotion gently into the skin if requested.
   • Wipe off any excess lotion with a dry towel.
   • While wearing gloves, empty the equipment.
   • Rinse the equipment.
   • Dry the basin.
   • Return the equipment to storage.
   • Dispose of soiled linen in a designated laundry hamper.
   • Remove the gloves, turning them inside out.
4. Post-Procedure Steps:
   • Perform hand hygiene.
   • Check for resident comfort and ask if anything else is needed.
   • Ensure the bed is low and locked. Check the brakes.
   • Place the call light or signaling device within reach of the resident.
   • Open the door and privacy curtain.
   • Perform hand hygiene
   • Document and report any skin or nail issues or changes noted with the resident.