Chapter 7 Review

Define "restraint."

A physical or chemical way to restrict voluntary movement or behavior

List ten examples of restraint alternatives.

Answer the call lights immediately, take the resident on a walk, encourage independence with all tasks, get the resident involved in activities, offer backrubs, offer snacks or drinks, decrease the noise level, use soothing music, get the family involved, and improve lighting to prevent falls and other accidents.

What should be disposed of in a bio-hazard container or bag?

Anything contaminated with infectious waste.

When a resident is restrained, how often does he or she require care?

At least q2h and the restraint should be released for at least 15 minutes.

Why was restraint use restricted?

Because they were often overused and led to abuse.

When lifting, is it better to bend at the waist or at the knees?

Bend at the knees

Define "body mechanics."

Body mechanics is the way the parts of the body work together when a person moves.

List 12 complications of restraint use.

Bruises and cuts, pressure ulcers, pneumonia, reduced blood circulation, stress on the heart, risk of suffocation, loss of dignity, muscle atrophy, loss of independence, stress and anxiety, severe injury, and even death.

If a fire has started, what should the nursing assistant do before opening a closed door?

Check it for heat.

Should objects be held close to the body or away from the body when lifting or carrying them?

Close to the body because a person's center of gravity is towards the center of their body.

List each of the six common resident accidents in facilities and list two ways to prevent each one.

Falls- Wipe up spills immediately and get help when moving a resident Failure to Identify a Resident- Call the resident by name and if there is no wrist band, you can always ask a nurse Burns/ Scalds- Pour hot liquids away from residents and check water temperature before giving a bath or shower Poisoning- Check dates of food and check bedside table for drawers for food that has been hoarded and is spoiled Choking- Assist the patient with feeding them slowly and cut food into small pieces Cuts and other Injuries- Do not leave any sharp objects out and move slowly when approaching doors.

What three things need to be present for a fire to occur?

Heat, fuel, and O2

List two general safety steps to protect residents in a facility.

Keep valuable personal items at home and as the nurse to lock up the patient's valuable items.

Should restraint be tied to side rails?

No

When can a restraint be applied?

Only after everything else has been rules out and only with a doctor's order.

How can a nursing assistant check to make sure that a restraint is not too tight?

Place her hand in a flat position between the patient and the restraint. The restraint is too tight the NA's hand cannot fit between the two.

List four guidelines for working safely around oxygen.

Post "No Smoking" and "Oxygen in Use" signs, remove fire hazards from the room, do not allow candles, lighters, or matches around oxygen, and learn how to turn oxygen off in case of a fire.

Identify what the acronyms "RACE" and "PASS" stand for.

Remove pts from danger Activate alarm Contain the fire Extinguish the fire Pull the pin Aim at the base of fire Squeeze the handle Sweep back and forth at base of fire

What does a "restraint-free" environment mean?

Restraints are not kept or used for any reason

How should legs be positioned when standing to give a better base of support?

Shoulder-width apart

In what position should a resident be placed for eating?

Sitting up straight regardless of whether or not the patient is in a bed or a chair

What is the important information the MSDS provides about chemicals?

The ingredients of the product, the dangers that the product has, protective items to wear when using the chemical, the correct method of cleaning up and using a chemical, the emergency response actions to be taken, and the safe handling procedures to use for the product.

List six signs to report to a nurse about an IV.

The tubing is disconnected, blood appears in the tubing, the IV fluid in the bag or container is gone or almost gone, the IV pump is beeping, the pt pulls out or attempts to pull out the IV, and if the needle or catheter has fallen out or moves out of the vein.