Podcast
Questions and Answers
What does 'entrapment' refer to in a healthcare setting?
What does 'entrapment' refer to in a healthcare setting?
- Method for cleaning
- Having full visual privacy
- Getting caught in furniture (correct)
- Having a semi-sitting position
What position involves raising the head of the bed 45 to 60 degrees?
What position involves raising the head of the bed 45 to 60 degrees?
Fowler's position
What is meant by 'full visual privacy'?
What is meant by 'full visual privacy'?
Having the means to be completely free from public view while in bed.
What is high-Fowler's position?
What is high-Fowler's position?
What does the hospital bed system consist of?
What does the hospital bed system consist of?
What is the meaning of 'person's unit'?
What is the meaning of 'person's unit'?
What is reverse Trendelenburg's position characterized by?
What is reverse Trendelenburg's position characterized by?
What is semi-Fowler's position?
What is semi-Fowler's position?
What does Trendelenburg's position involve?
What does Trendelenburg's position involve?
What are the three things the person's unit is designed to provide?
What are the three things the person's unit is designed to provide?
What should you keep the person's unit?
What should you keep the person's unit?
Most people are comfortable with a room temperature between ______ and ______ degrees Fahrenheit.
Most people are comfortable with a room temperature between ______ and ______ degrees Fahrenheit.
Persons who are older or ill may need ____________ temperatures for comfort.
Persons who are older or ill may need ____________ temperatures for comfort.
List the three good practices for preventing odors.
List the three good practices for preventing odors.
What is a comfortable sound level according to CMS?
What is a comfortable sound level according to CMS?
List four practices to decrease noise levels.
List four practices to decrease noise levels.
List the two aging-related reasons why older persons are more sensitive to cold.
List the two aging-related reasons why older persons are more sensitive to cold.
For persons with dementia, ___________ is adjusted to help control agitated and aggressive behaviors.
For persons with dementia, ___________ is adjusted to help control agitated and aggressive behaviors.
What does comfortable lighting do according to the CMS?
What does comfortable lighting do according to the CMS?
For persons with poor vision, bright light is most important at ______________ and ___________________.
For persons with poor vision, bright light is most important at ______________ and ___________________.
What position of bed cranks poses safety hazards?
What position of bed cranks poses safety hazards?
When may beds be locked?
When may beds be locked?
What is the common bed position for sleeping used after spinal cord injury or surgery?
What is the common bed position for sleeping used after spinal cord injury or surgery?
List the two bed positions that must be ordered by a doctor.
List the two bed positions that must be ordered by a doctor.
What bed position is most likely to prevent sliding down?
What bed position is most likely to prevent sliding down?
How can you prevent entrapment in cribs?
How can you prevent entrapment in cribs?
Hospital systems have ___ entrapment zones.
Hospital systems have ___ entrapment zones.
List persons that are at greater risk for entrapment.
List persons that are at greater risk for entrapment.
Define entrapment zone 1.
Define entrapment zone 1.
Define entrapment zone 2.
Define entrapment zone 2.
Define entrapment zone 3.
Define entrapment zone 3.
Define entrapment zone 4.
Define entrapment zone 4.
Define entrapment zone 5.
Define entrapment zone 5.
Define entrapment zone 6.
Define entrapment zone 6.
Define entrapments zone 7.
Define entrapments zone 7.
What does 'egress' mean?
What does 'egress' mean?
List items you NEVER place on an over bed table or bedside stand.
List items you NEVER place on an over bed table or bedside stand.
A person's unit will have at least ____ chair(s).
A person's unit will have at least ____ chair(s).
In regards to privacy curtains, what must you always do before giving care?
In regards to privacy curtains, what must you always do before giving care?
Where should the call light always be kept?
Where should the call light always be kept?
List the general rules for call system safety.
List the general rules for call system safety.
Staff can inspect a person's closet or drawers if hoarding is suspected.
Staff can inspect a person's closet or drawers if hoarding is suspected.
You do NOT need the person's permission to open or search closets or drawers.
You do NOT need the person's permission to open or search closets or drawers.
When inspecting a person's closet, what must be present?
When inspecting a person's closet, what must be present?
When helping the person choose the best places for items, ensure their choices are...
When helping the person choose the best places for items, ensure their choices are...
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Study Notes
Entrapment and Bed Positions
- Entrapment: Refers to getting caught or trapped in spaces created by bed components (rails, mattress, frames).
- Fowler's Position: Semi-sitting position with the head of the bed raised between 45 to 60 degrees.
- High-Fowler's Position: Bed angle raised to 60-90 degrees for improved sitting posture.
- Semi-Fowler's Position: Bed angled at 30 degrees, with an option to raise knee portion 15 degrees.
- Reverse Trendelenburg's Position: Head of the bed raised while the foot end is lowered.
- Trendelenburg's Position: Foot of the bed is raised while the head end is lowered; requires doctor's order.
- Flat Position: Common sleeping position, used after certain medical procedures like spinal cord surgeries.
Safety and Comfort in the Person's Unit
- Person's Unit: Consists of personal space, furniture, and equipment to ensure comfort, safety, and privacy for the individual.
- Cleanliness: It’s essential to maintain a clean, neat, andSafe environment within the person's unit.
- Ideal Room Temperature: Comfort achieved between 68 to 74 degrees Fahrenheit; older or ill individuals may require higher temperatures.
Noise and Lighting Management
- Managing Odors: Good nursing care, proper ventilation, and housekeeping practices are vital for odor control.
- Sound Level: Comfortable sounds that do not interfere with hearing, allowing privacy and social interaction.
- Reducing Noise: Involves careful handling of equipment, controlling voices, and responding promptly to calls.
- Lighting for Dementia Patients: Adjusted lighting to minimize agitation and aggression; comfortable lighting lessens glare and improves independence for visually impaired persons.
Entrapment Risks and Zones
- Entrapment Risk Factors: Older, frail, confused, restless individuals with poor muscle control or who are restrained are at greater risk.
- Entrapment Zones in Hospital Beds: Seven specific zones where entrapment can occur, including spaces within rails and around mattress edges.
Accessibility and Safety Protocols
- Egress: Defined as the action of going out or leaving.
- Over-Bed Table Restrictions: Bedpans, urinals, and soiled linens must never be placed on overbed tables.
- Privacy Measures: Always pull privacy curtains completely around the bed before providing care.
- Call Light Protocol: Keep call lights within reach and on the strong side; respond promptly to all call signals.
Personal Belonging Inspection
- Inspection Protocol: Staff can inspect a person's closet with the individual present and a witness for transparency.
- Choice and Safety: Assist individuals in organizing their belongings in a way that ensures safety and respects their rights.
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