The Person's Unit
bariatric beds
a wide framed bed with a weight capacity from 500-1000 lbs, may have a chair sitting position, front & side egress positions, power transport to move the bed, a pressure relief surface to prevent pressure ulcers, a trapeze, a built in scale,
identify the persons at risk for entrapment in the hospital bed system
are older, are frail, are confused & disoriented, are restless, have uncontrolled body movements, have poor muscle control, are small in size, are restrained
bed entrapment zones: zone 6
between the end of the rail & the side edge of the headboard or foot board
bed entrapment zones: zone 7
between the head or foot board & the mattress end
bed entrapment zones: zone 3
between the rail & the mattress
bed entrapment zones: zone 5
between the split bed rails
bed entrapment zones: zone 4
between the top of the compressed mattress & the bottom of the rail, at the end of the rail
bed entrapment zones: zone 2
between the top of the compressed mattress & the bottom of the rail, between the supports
CMS
centers for medicare & medicaid services
how does lighting affect comfort?
comfortable lighting lessens glares, lets the person control intensity, location, & direction of light, lets visually impaired persons maintain or increase independent functioning
when trying to prevent odors whats one thing you wont have to do?
dispose of ostomy products at the end of your shift
what are some ways to reduce odors & noise?
empty, clean & disinfect bed pans, urinals, commodes, & kidney basins promptly, check incontinent persons often, clean persons promptly; a comfortable sound level does not interfere w/ a person's hearing, promotes privacy when privacy is desired, allows person to take part in social activities, & control voice, handle equipment carefully etc.
what are the basic bed positions?
flat, fowler's position, high-fowler's position, semi-fowler's position, trendelenburg's position, reverse trendelenburg's position.
how do you protect the person from drafts?
have them wear the correct clothing/enough clothing offer lap robes to those sitting (lap robes cover legs), provide enough blankets for warmth, cover them with bath blankets when giving care, move them away from drafty areas
full visual privacy
having the means to be completely free from public view while in bed.
where is the bedpan supposed to be stored?
in bedside stand
High-Fowler's position
is a semi-sitting position. the head of the bed is raised 60 to 90 degrees.
Fowler's position
is a semi-sitting position. the head of the bed is raised between 45 & 60 degrees
how do you use the over bed table?
it is moved over the bed by sliding the base under the bed. can be raised or lowered for sitting in chair etc.,
what are the room temps required by OBRA & the CMS?
room teps should be between 71 & 81 degrees fahrenheit
how do you use the bedside stand?
the bedside stand is next to the bed. it is used to store personal items & personal care equipment. it has a top drawer & a lower cabinet with shelves or just drawers etc.
Reverse-trendelenburg's position
the head of the bed is raised & the foot of the bed is lowered. a doctor orders this position.
Trendelenburg's position
the head of the bed is raised & the foot of the bed is lowered. a doctor orders this position.
Semi-Fowler's position
the head of the bed is raised 30 degrees. some agencies define semi-Fowler's position as when the head of the bed is raised 30 degrees & the knee portion is raised 15 degrees
how do you use privacy curtains ?
the persons unit has a privacy curtain that extends around the bed. the curtain is pulled around the bed to provide privacy for the person. always pull the privacy curtain before giving care.
how is the bathroom equipped for the persons use?
they have grab bars, have higher seats for easier wheelchair transfers, everything is in easy reach, signal light next to the toilet
bed entrapment zones: zone 1
within the rail