Safety and Body Mechanics Chapter 6
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Questions and Answers

Why do elderly have more safety concerns than younger people?

Elderly people have more safety concerns due to dementia, confusion, illness/diseases, disability, diminished sense, medications, pain, lack of consciousness, depression, drowsiness, etc.

What is the key to safety in facilities?

Prevention is the key to safety.

Generally speaking, in what position should a bed be left after a nursing assistant has finished giving care?

Lowest position.

If a resident starts to fall after standing up, the nursing assistant should?

<p>Use her body to slide the resident to the floor.</p> Signup and view all the answers

Which of the following should always be locked before giving care?

<p>Bed wheels</p> Signup and view all the answers

Those at greatest risk for burns are?

<p>People who have a loss of sensation.</p> Signup and view all the answers

Scalds are burns caused by?

<p>Hot liquids.</p> Signup and view all the answers

How long does it take for a serious burn to occur with a liquid at a temperature of 140 F?

<p>5 seconds or less.</p> Signup and view all the answers

How should the nursing assistant check the temperature of the hot water?

<p>Use a water thermometer.</p> Signup and view all the answers

What should a nursing assistant do if an appliance has a frayed cord or looks unsafe?

<p>The NA should report it immediately and remove it from the area.</p> Signup and view all the answers

When serving hot liquids to residents, the nursing assistant should?

<p>Pour hot drinks away from the resident.</p> Signup and view all the answers

What can happen if a nursing assistant does not identify a resident before mealtimes or giving care?

<p>It can cause serious problems, even death.</p> Signup and view all the answers

How should a nursing assistant identify a resident before placing a meal tray?

<p>Check the diet card against the resident's identification. Call the resident by name.</p> Signup and view all the answers

Choking can occur while swallowing medication.

<p>True</p> Signup and view all the answers

People who are weak may choke on their own saliva.

<p>True</p> Signup and view all the answers

To avoid choking, residents should eat in a semi-reclined position.

<p>False</p> Signup and view all the answers

Liquids thickened to the consistency of honey are easier to swallow.

<p>True</p> Signup and view all the answers

List five items in a facility that can cause poisoning.

<p>Cleaners, paints, medication, toiletries, glue.</p> Signup and view all the answers

Cuts most often occur in a person's bedroom.

<p>False</p> Signup and view all the answers

Scissors should be put away immediately after use.

<p>True</p> Signup and view all the answers

The correct way to move a wheelchair is for a nursing assistant to push it forward rather than pull it.

<p>True</p> Signup and view all the answers

Residents in wheelchairs should be facing the back of the elevator when riding elevators.

<p>False</p> Signup and view all the answers

Oxygen therapy is prescribed by a doctor.

<p>True</p> Signup and view all the answers

Nursing assistants are usually responsible for adjusting oxygen settings for residents.

<p>False</p> Signup and view all the answers

Oxygen supports combustion; this means it makes other things burn.

<p>True</p> Signup and view all the answers

A flammable liquid like alcohol is fine to have in a room when oxygen is used, as long as it is covered.

<p>False</p> Signup and view all the answers

Smoking is allowed near where oxygen is stored as long as the oxygen is not in use.

<p>False</p> Signup and view all the answers

Oxygen should be turned off in the event of a fire.

<p>True</p> Signup and view all the answers

Nursing assistants should check the skin around the oxygen masks and tubing for irritation.

<p>True</p> Signup and view all the answers

If a resident has skin irritation around a nasal cannula, the NA can use Vaseline to soften the skin.

<p>False</p> Signup and view all the answers

Which of the following is included on the Safety Data Sheet (SDS)?

<p>Chemical ingredients and dangers.</p> Signup and view all the answers

Employers must?

<p>Have an SDS for every chemical used.</p> Signup and view all the answers

The purpose of restraints is to?

<p>Restrict voluntary movement or behavior.</p> Signup and view all the answers

An example of physical restraint is?

<p>Raised side rails on a bed.</p> Signup and view all the answers

A chemical restraint is?

<p>Medication used to control behavior.</p> Signup and view all the answers

What is one reason restraints are too expensive?

<p>They were abused by caregivers.</p> Signup and view all the answers

A restraint can be used?

<p>When a doctor has ordered its use.</p> Signup and view all the answers

Reduced blood?

<p>Circulation.</p> Signup and view all the answers

Stress on the?

<p>Heart.</p> Signup and view all the answers

Muscle?

<p>Atrophy.</p> Signup and view all the answers

______ injuries.

<p>Pressure.</p> Signup and view all the answers

Risk of ______.

<p>Suffocation.</p> Signup and view all the answers

Poor ______.

<p>Appetite.</p> Signup and view all the answers

______ disorders.

<p>Sleep.</p> Signup and view all the answers

Loss of ______ and loss of ______.

<p>Dignity, independence.</p> Signup and view all the answers

Severe ______.

<p>Injury.</p> Signup and view all the answers

Restraint-free care means that?

<p>Restraints are never used for any reason.</p> Signup and view all the answers

Restraint alternatives are?

<p>Measures used in place of a restraint.</p> Signup and view all the answers

List three alternative actions that help reduce the need for a restraint.

<p>Ambulate the resident when he is restless, improve safety measures to prevent accidents and falls, improve lighting.</p> Signup and view all the answers

Fifteen?

<p>The minimum number of minutes at which a resident in a physical restraint must be checked.</p> Signup and view all the answers

Call light?

<p>Device that must be placed within a resident's reach when the resident is restrained.</p> Signup and view all the answers

Flat?

<p>Position in which the hand should be placed between the resident and the restraint to ensure that the device fits properly and is comfortable.</p> Signup and view all the answers

Blue?

<p>One color that may indicate skin irritation caused by a restraint.</p> Signup and view all the answers

Doctor's order?

<p>Before a restraint is applied, the nursing assistant must make sure there is one of these.</p> Signup and view all the answers

Alignment?

<p>The line through your body.</p> Signup and view all the answers

Base of support?

<p>The area on which an object rests.</p> Signup and view all the answers

Center of gravity?

<p>The point around which an object's weight is evenly distributed.</p> Signup and view all the answers

Fulcrum?

<p>The fixed point around which a lever pivots.</p> Signup and view all the answers

Lever?

<p>A rigid bar that is free to move around a fixed point.</p> Signup and view all the answers

Nursing assistants are at risk for back injuries and strain.

<p>True</p> Signup and view all the answers

Using proper body mechanics can help save energy and prevent injury.

<p>True</p> Signup and view all the answers

When lifting an object, it is safer to hold it far away from the body.

<p>False</p> Signup and view all the answers

Feet should be pointed toward the object that a person is lifting.

<p>True</p> Signup and view all the answers

Keeping the feet close together gives the body the best base of support and keeps a person more stable.

<p>False</p> Signup and view all the answers

A high center of gravity gives a more stable base of support.

<p>False</p> Signup and view all the answers

Knees should be bent when lifting an object.

<p>True</p> Signup and view all the answers

Nursing assistants should avoid ______ at the waist when moving an object; their feet should always ______ toward what they are lifting or moving.

<p>Twisting, point.</p> Signup and view all the answers

When lifting a heavy object from the floor, feet should be spread _____ apart. Knees should be ______.

<p>Shoulder-width, bent.</p> Signup and view all the answers

If a resident falls, the nursing assistant should not try to catch her; instead she should help the resident to the ______.

<p>Floor.</p> Signup and view all the answers

Bending from the ______ should be avoided.

<p>Waist.</p> Signup and view all the answers

A bed should be adjusted to a safe working level, which is usually ______ high.

<p>Waist.</p> Signup and view all the answers

A nursing assistant should _____ or slide objects rather than lift them.

<p>Push.</p> Signup and view all the answers

A nursing assistant should get ______ when possible for lifting or helping residents.

<p>Help.</p> Signup and view all the answers

When moving a resident, the nursing assistant and the resident should agree on a ______, such as counting to three so that everyone moves together.

<p>Signal.</p> Signup and view all the answers

What is needed for a fire to occur?

<p>Heat.</p> Signup and view all the answers

Which of the following is appropriate for a nursing assistant to do if a fire occurs?

<p>Check for heat coming from a door before opening it.</p> Signup and view all the answers

Which of the following is considered a potential fire hazard in a facility?

<p>Oxygen use.</p> Signup and view all the answers

PASS is an acronym that stands for:

<p>P: Pull the pin, A: Aim at the base of the fire when spraying, S: Squeeze the handle, S: Sweep back and forth at the base of the fire.</p> Signup and view all the answers

RACE is an acronym that stands for:

<p>R: Remove residents, A: Activate alarm or call 911, C: Contain fire if possible, E: Extinguish, or fire department will extinguish.</p> Signup and view all the answers

Explain the fire safety technique, stop, drop, and roll.

<p>Stop running/Stay still, Drop to the ground, lying down if possible, Roll on the ground to try to extinguish the fire.</p> Signup and view all the answers

Study Notes

Elderly Safety Concerns

  • Increased safety risks for the elderly due to factors such as dementia, confusion, and diminished senses.
  • Illnesses, disabilities, medications, and depression also contribute to heightened safety hazards.

Key Principles of Safety

  • Prevention is fundamental to ensuring safety in facilities.

Bed and Patient Care Positioning

  • After care, a bed should always be left in the lowest position.
  • Bed wheels must be locked before providing care.

Fall Prevention and Response

  • If a resident begins to fall, use body weight to gently slide them to the floor rather than trying to catch them.

Burn and Scald Risks

  • Individuals with loss of sensation are at the highest risk for burns.
  • Scalds specifically result from hot liquids and can cause serious burns within 5 seconds at 140°F.

Checking Water Temperature

  • The temperature of hot water should be assessed using a water thermometer.

Appliance Safety

  • Report any frayed cords or unsafe appliances immediately and remove them from the premises.

Food and Medication Safety

  • Always identify residents before mealtime to prevent serious health risks.
  • Verify resident identities against their diet card and call them by name.

Choking Risks

  • Choking can occur during medication intake or from saliva in weak individuals.
  • Thickened liquids (like honey) are generally easier to swallow, aiding in choking prevention.

Poisoning Hazards

  • Common items that can cause poisoning include cleaners, paints, medications, toiletries, and glue.

Safety Practices

  • Scissors should be stored immediately after use.
  • Wheelchairs should be pushed forward to ensure safety for nursing assistants.

Oxygen Safety

  • Oxygen therapy requires a doctor's prescription and is critical to be managed carefully.
  • Oxygen increases flammability; cannot have flammable materials in the same area.
  • Always turn off oxygen in case of a fire, check for skin irritation around equipment, and do not use Vaseline on irritated areas.

Restraints Usage

  • Restraints should only be used upon a doctor's order and must be applied in a way that ensures the resident's comfort.
  • Physical restraints include raised side rails, while chemical restraints involve medication.

Injury Prevention and Body Mechanics

  • Nursing assistants are particularly vulnerable to back injuries and should practice proper body mechanics to prevent it.
  • Maintain an appropriate alignment, use feet shoulder-width apart when lifting, and always bend knees.

Fire Safety Protocols

  • Heat, fuel, and oxygen are necessary conditions for fire to ignite.
  • In case of a fire, always check for heat from a door before opening and follow RACE and PASS protocols for evacuation and extinguishment, respectively.
  • Fire safety technique: stop, drop, and roll to extinguish flames.

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Description

This quiz covers key concepts related to safety and body mechanics as outlined in Chapter 6. It includes important information regarding the safety concerns of elderly individuals and emphasizes prevention as a critical factor in maintaining safety within facilities. Test your knowledge and understanding of these essential topics!

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