chap 6 review
When can restraints be used?
1. Only to ensure the physical safety of the resident or other residents 2. When less restrictive interventions are not successful 3. Only on the written order of a health care provider
describe five ways to guard against burns/scalds.
1. always check water temperature with a water thermometer or on your wrist before using 2. report frayed electrical cords or unsafe looking appliances immediately, and do not use them, remove them from the room 3. let residents know you are about to pour or set down a hot liquid 4. make sure residents are sitting down before serving hot drinks 5. if plate warmers or other equipment that produces heat is used, monitor them carefully
list eleven guidelines to prevent falls.
1. clear all walkways of clutter, trash, throw rugs, and cords 2. use rugs with non-slip backing 3. have residents wear non-skid, sturdy shoes. make sure the shoelaces are tied 4. residents should avoid wearing clothing that is too long or drags the floor 5. keep frequently-used personal items close to residents, including the call lights 6. answer call lights right away 7. immediately clean up spills on the floor 8. report loose handrails immediately 9. improve lighting where needed 10. mark uneven flooring or stairs with tape of a contrasting color to indicate a hazard 11. lock wheels before helping residents into or out of wheelchairs
list five reasons elderly people have more safety concerns than there do.
1. dementia 2. confusion 3. illness 4. disability 5. diminished senses
list six things that must be done if a resident is restrained.
1. know your states law and facility rules regarding applying restraints 2. follow manufacturer's instructions when applying restraints 3. make sure the breast and skin are not caught in the restraints 4. place a call light within the residents reach. answer the call light immediately 5. document restraint use according to facility policy 6. check and make sure restraints aren't to tight
what are three guidelines for working safely around oxygen?
1. post no smoking and oxygen in use signs. never allow smoking where oxygen is used or stored 2. do not use an extension cord with an oxygen concentrator 3. do not place electrical cords or oxygen tubing under rigs of furniture
list ten problems associated with restraint use.
1. pressure ulcers 2. pneumonia 3. reduced blood circulation 4. stress on heart 5. incontinent 6. loss of bone mass 7.poor appetite and malnutrition 8. depression and/or withdrawal 9. sleep disorders 10. loss of dignity
identify what are the acronyms PASS and RACE stand for.
Pull the pin Aim at the base Squeeze the handle Sweep back and forth at the base Remove residents from danger Active or call911 Contain the fire of possible Extinguish, or fire department will extinguish
when a task requires bending, which of the following demonstrates proper body mechanics; bending at the knees or bending at the waist?
bending the the knees
what is the name for the point In the body where most weight is concentrated?
center of gravity
If a fire has started, what should the nursing assistant do before opening a closed door?
check to feel if their is any heat coming from the door feel the doorhandle
what type of accident occurs most in long-term care facilities?
falls make up majority of accident
when lifting heavy objects from the floor, how should the feet be places? how should the knees be positioned?
feet should be wide knees should be bent
what three elements are needed for a fire to occur?
heat, fuel, oxygen
in what position should residents eat in to avoid choking?
must be sitti ng upright when eating, whether in a bed or a chair
is it better to push an object or to lift an object?
push an object
what should a nursing assistant always do before giving care of serving meal trays?
residents must be identified
define restraint-free care and restraint alternatives.
restraint-free care means that restraints are not kept or used for any reason. restraint alternatives are any interventions used in place of a restraint or to reduce the need for a restraint.
what is the purpose of the material safety data sheet (MSDS)?
the sheet details the chemical ingredients, chemical dangers, emergency response actions to be taken, and safe handling procedures for the product
What is body mechanics?
the way the parts of the body work together when a person moves