nurc1001exam2reviewau22 (1).docx

Review general safety practices from lecture and readings. How to prevent falls, burns and choking- when are these events likely to occur? What residents are more likely to fall? Older adults Why are falls so dangerous for the older adult? Could lead to serious injuries or disability, decline i...

Review general safety practices from lecture and readings. How to prevent falls, burns and choking- when are these events likely to occur? What residents are more likely to fall? Older adults Why are falls so dangerous for the older adult? Could lead to serious injuries or disability, decline in function and/or reduced quality of life. Review OSHA policy on hazardous substances. OSHA requires that health care worker understand the risks of these substances and know how to handle them. Example ( written hazcom plan, consistent labeling, safety Data sheets available in workplace, workers trained, updated inventory. What is the aide's responsibility regarding oxygen? adjust setting for liters flow, observes settings for accuracy, be aware of 02 tubing, keep 02 tubing off floor report repair needs to nurse, report any 02 problems to nurse. What types of alarms might be found in a long-term care facility? Fire alarms, Tornado sirens, Elopement code, chair and bed alarms. What are the risks of side rails? When is a side rail a restraint? Review restraints. Review Fire Safety (RACE and PASS) R= rescue residents A= Activate alarms C= confine fire E= Extinguish or Evacuate P=Pull the pin A= aim the nozzle S= squeeze the lever S= sweep side to side Review Tornado Safety: warning/watch, what is the difference? Watch: Conditions are favorable for a tornado Close & remove object from windows, move beds away from window area if possible, close drapes, follow facility policy. Warning: tornado sighted Move residents to safe area, protect resident from flying glass by turning resident in bed away from the window, cover with blanket, follow facility policies. What are the general rules of body mechanics? Using the body in an efficient and careful way Rules- use as many large muscles or groups of large muscles as possible Use both hand to pick up heavy object Keep the load between the knuckles and shoulder height whenever possible. What is the purpose of dangling? Sitting the resident on side of bed to stabilize blood pressure and promote coughing. How is a gait belt applied? Tight Around resident waist. What is a turn pad? What is the difference between friction and shearing? Why should these forces be avoided? Review principles of safe transfers. What are the rules for ambulating a resident? Review different body positions of resident in bed. Supine = flat down Prone= upwards Lateral- side ways Trendelenburg= Reverse Trendelenburg Sim's= Sitting position I chair How can a nurse aide promote resident rights and independence? assistive device, alignment, axilla, stroke, paralysis, hemiplegia, hemiparesis, airway obstruction, impaired mobility, dementia, oriented, stabilize, incontinence, elimination, confusion, ergonomics, elopement, paraplegic, quadriplegic, mechanical lift, affected side, unaffected side, MSDS, OSHA, ODH, MSD body mech residents rights safety issues ambulation devices Musculoskeletal system