The number 1 leading cause of injury in a resident is?
It is necessary for all staff to be alert to safety concerns for all residents at all times.
True, including residents that aren’t in your department
What residents are most at risk of injury?
Residents with sensory impairments (vision loss, hearing loss, loss of the sense of touch), are confused or have mental impairments,who are weak or frail, or were recently admitted to the facility
What are 3 safety hazards for residents?
Cluttered hallways, slippery or wet floors, or unlocked cabinets or med carts
How can injuries among residents and staff be prevented?
By following the resident’s care plan, being alert to safety at all times, being competent and performing skills well and only skills you have been taught that are within your scope of practice.
How can NARs be aware to resident safety?
Respond to emergencies stat, answer call lights quickly, lock the breaks on wheelchairs, beds, lifts, and scales, do not leave resident alone/unattended in bathroom, perform skills accurately and only skills you have been taught
What is the number one way to prevent the spread of infection?
Wash hands frequently
PPE is the abbreviation for
personal protective equipment
Examples of PPE are
gloves, masks, gown
How do you keep the clean and dirty items?
Keep clean items with clean items and dirty items with dirty items
The right to know law requires
Health care workers must be informed when they are working with hazardous or infectious materials and the employer must have available infection control measures as needed.
MSDS is the abbreviation for
Materials safety data sheets
MSDS sheets identify
Health hazards of dangerous materials and emergency procedures if exposure occurs
Examples of physical restraints
Geri chair, side rails, hand or mitt restraint, roll belt or vest restraint
When should restraints be used?
ONLY with doctor’s order and ONLY as a last resort
When a restraint is used for a resident what guidelines must be followed and documented?
Instruction of the use of the restraint must be listed on the care plan, release the restraint every 2 hours and perform range of motion exercise, change position and take the resident to the toilet, check the resident every 30 mins
What complications may occur with the use of restraints?
Physical, mental, and psycho-social
What is one way to promote resident safety and help the resident to feel safe and secure?
Answer the resident’s call light promptly
When preparing to leave a resident’s room, what ending step should be performed in order to promote resident safety?
Lower the bed to lowest level, lock bed brakes, and have call light within resident’s reach
What is the procedure that is followed when a fire is discovered?
What does the R in race stand for?
Remove the resident
What does the A in race stand for?
What does the C in race stand for?
Confine the fire
What does the E in race stand for?
Extinguish the fire
What procedure is followed when using a fire extinguisher?
What does the P stand for in pass?
Pull the safety pin
What does the A stand for in pass?
Aim the nozzle at the base of the fire
What does the first S stand for in pass?
squeeze the trigger
What does the second S stand for in pass?
Sweep the nozzle back and forth
What should a NAR do if they find a resident unconscious on the floor?
Stay with the resident, call for help, and do not move the resident
A resident is vomiting, what should the NAR do?
Turn the resident on their side, so they do not choke
Whats the medical term for vomiting?
After washing your hands, then putting on gloves, first aid for a laceration/wound that is bleeding is…
Place a sterile/clean cloth over the area and apply pressure, no peaking for 10 to 15 minutes
What is first aid for a skin burn?
Hold the burned area under cool running water
What is the universal sign for choking?
The victim has a hand or both hands around their throat or neck
What are the first actions you should take when a resident is choking?
Ask if they can speak, observe for signs of darkened skin/ blue color especially around the mouth or nose and for effective coughing, while following resident to the bathroom if necessary.
If all signs are normal while a resident is “choking” what should an NAR do?
Stay with the resident and do not intervene
If the signs are abnormal (they can’t speak, cough, blue hues in skin) while a resident is choking what should the NAR do?
Make a fist and preform abdominal thrusts around the belly button below the rib cage and avoiding the tip of the sternum
For a choking pregnant woman how should the first aid procedure be performed?
Place thumb side of fist against the sternum avoiding the tip of the sternum and the ribs, called chest thrust
What should an NAR do if a resident is having a seizure?
Stay withe the resident, observe, move obstacles out of the way, time the seizure and document
What is the care immediately after a resident has a seizure?
Stay calm and reassuring, protect the resident and allow resident to sleep while checking on the resident frequently
What is the best way to prevent a missing resident?
Avoiding the situation by checking resident whereabouts frequently, at least every two hours
What actions should be taken during severe weather?
Close the window coverings, remove items from window ledge, move residents to safe interior hallway or room, stay calm and reassuring
What special technique is used to help someone who is choking?
Clear the obstructed airway
A transfer belt is used to do what?
Prevent falls or shoulder injuries to the resident, promotes body alignment for the resident, improves body mechanics for the nursing assistant
To use proper body mechanics during a resident transfer, a NAR should?
Stand close to the resident with feet shoulder width apart, with knees bent, back straight and lift with thighs
When making either an occupied or unoccupied bed the NAR should?
Raise the bed to a working level, to prevent bending at the waist then return bed to lowest position when finished for resident safety
T or F: lift sheets should not be used to assist moving a resident up in bed
How many nursing assistants should be there in order to transfer a resident who cannot stand with a mechanical lift?
What are disease producing microorganisms?
germs or pathogens
If linen is contaminated with blood or body fluids the NAR should
Wear gloves when removing the contaminated linens
What is the best disinfectant solution?
1:10 mixture of 10 parts water and 1 part bleach
What is true regarding feeding a resident in the common dinning area?
Food must remain covered when transported from dietary department, The NAR should wash their hands and the resident’s hands before the meal, foods should be served at the proper temp
Are long artificial nails allowed?
Portal of entry
How the pathogen enters the body; mucous membranes such as nose, mouth, eyes, urinary tract or broken skin, or contaminated tubing
Portal of exit
How a pathogen leaves a reservoir; through body secretions or draining wound
Pathogens, such as MRSA, HIV, TB
Source or host where the pathogen can live
Place or person where the pathogen can grow, the person may or may not get ill and may or may not realize the pathogen is in their body
Method of transmission
How the pathogen is spread from person or place to another person
When delivering to all residents it is assumed that every person is potentially infected with an organism that could be transmitted in healthcare setting
What is transmission based precaution?
AKA isolation precautions. Refers to practices used to interrupt the spread of infection in addition to standard precautions based on means of transmission – airborne, contact, or droplet by preventing the spread of disease.
One example of an NAR responsibility when there is a newly transferred or admitted resident to the unit includes
Demonstrating equipment and taking the resident on a tour of the unit
Using muscles of the body correctly to make the best use of strength to lift or move residents or equipement
Chain of infection
The process by which infectious diseases develop and are spread in people
Items or areas considered to have disease causing organisms
Preventing infection by killing most bacteria usually through the use of chlorine (bleach)
Practices that help to prevent the development and spread of disease
Unbroken or undamaged
Procedures used to prevent pathogens from spreading
Practices that prevent harm or injury and responsibility of all staff
Formerly called universal precautions refers to infection prevention practices that apply to all residents, regardless of suspected or confirmed diagnosis or presumed infection status