CNA California Nursing Assistant Certification Module 4 PDF

CNA California Module 4 Nursing Assistant Certification Prevention and Management of...

CNA California Module 4 Nursing Assistant Certification Prevention and Management of Catastrophe and Unusual Occurrences © August Learning Solutions, 2019 CNA California Section 4A Nursing Assistant Certification Emergency © August Learning Solutions, 2019 CNA Emergency California Nursing Assistant Certification Healthcare workers are at risk of injury due to: – Moving and transferring residents – Stress of the healthcare environment – Exposure to pathogens – Exposure to chemicals – Natural and human-made disasters Help keep residents and yourself safe by: – Staying calm – Following facility policies – Having strong communication with residents and coworkers © August Learning Solutions, 2019 CNA California Section 4B Nursing Assistant Certification General Safety Rules © August Learning Solutions, 2019 CNA Safety California Nursing Assistant Certification LTC facilities must have: – Fire safety plans—fire doors, working sprinklers, alarm systems, and evacuation plans – Emergency power plans, most often covered by backup generators – Not having emergency plans in place results in severe penalties © August Learning Solutions, 2019 CNA The Physical Environment California Nursing Assistant Certification LTC facilities must have: – At least one fully equipped common room for dining and activities – Handrails on both sides of hallway – Constant, safe water supply – Pest-control system – Ventilation system via windows, A/C, or both © August Learning Solutions, 2019  Exposure to Bloodborne Pathogens CNA and Chemicals California Nursing Assistant Certification Bloodborne pathogens include: – Blood – Vomit – Saliva – Urine and feces – Vaginal secretions – Wound drainage © August Learning Solutions, 2019  Exposure to Bloodborne Pathogens CNA and Chemicals California Nursing Assistant Certification Protect yourself from bloodborne pathogens by: – Following standard precautions – Using the appropriate PPE – Receiving vaccinations – Ensuring needles are placed in sharps containers promptly – Obeying facility policies if exposure occurs © August Learning Solutions, 2019  Exposure to Bloodborne Pathogens CNA and Chemicals California Nursing Assistant Certification If exposure to a bloodborne pathogen occurs: – Immediately wash area with soap and water – Flush mouth, nose, or eyes with water if they were involved – Report event to supervisor – Obtain medical evaluation promptly – Follow facility protocol regarding documentation – Obtain an HIV test if exposure is due to needlestick injury © August Learning Solutions, 2019  Exposure to Bloodborne Pathogens CNA and Chemicals California Nursing Assistant Certification If a chemical exposure occurs: – Alert supervising nurse immediately – Nurse will follow procedures listed in SDS or directives from poison control center – Nurse may transport the person exposed to hospital for advanced care – If resident is exposed, do not leave him alone until directed by the nurse © August Learning Solutions, 2019  Exposure to Bloodborne Pathogens CNA and Chemicals California Nursing Assistant Certification Safety Data Sheets (SDSs): – Provide detailed information on chemicals used in the facility – Suggest what first aid to use in event of exposure – Give info on how to use, store, and dispose of the product – Must be up-to-date and accessible to staff © August Learning Solutions, 2019 CNA Latex Allergies California ALLERGIC CONTACT DERMATITIS IMMEDIATE HYPERSENSITIVITY REACTION Nursing Assistant Certification Usually seen 6 to 8 hours after contact with Occurs immediately after exposure latex Symptoms may include redness, itching, May be life-threatening blisters, and oozing May lead to secondary infections Symptoms include hives, shortness of breath, and wheezing © August Learning Solutions, 2019 CNA Workplace Violence California RISKS PREVENTION Nursing Assistant Certification Working with volatile or unstable people Remaining alert to potentially dangerous situations Contact with the public Safety devices such as locked doors Late night and early morning shifts Good lighting in facility and parking lots Working in community-based settings Employee assistance plans (EAPs) Therapeutic communication © August Learning Solutions, 2019 CNA Workplace Violence California How to handle workplace violence: Nursing Assistant Certification - Remain calm and use therapeutic communication to calm others - Allow one person to speak at a time - Talk about and acknowledge feelings - Avoid personal attacks - Stick to the facts - Ask person to leave or remove self from abusive situations - Always ensure safety of resident and self - Call authorities if you feel threatened in any way © August Learning Solutions, 2019 CNA Fire Safety California Nursing Assistant Certification Safeguards used to prevent spread of fire: – Metal fire doors separating units – Sprinkler systems – Pull-down fire alarms – Wall-mounted fire extinguishers – Alarms that are coordinated with fire department © August Learning Solutions, 2019 CNA Fire Safety California Nursing Assistant Certification Duties during a fire: Use of fire extinguisher: Rescue or resident Pull the pin Alarm or activate alarm Aim at the base of the fire Confine or contain the Squeeze the handle of fire the extinguisher Extinguish or evacuate Sweep at the base of the fire © August Learning Solutions, 2019 CNA Natural Disasters California Evacuation plans include: Nursing Assistant Certification – Where to evacuate – How to give continuous care without error – How to transport wheelchair- or bed-bound residents – How to maintain communication among residents, family members, and receiving facility Nursing assistant responsibilities during evacuation: – Accompany residents – Backup plan for you and your family – Additional caregiving duties may be necessary – Remain at post © August Learning Solutions, 2019 CNA Bomb Threats California Nursing Assistant Certification When receiving a bomb threat: – Keep caller on phone as long as possible – Gather information regarding bomb – Take note of background noise – Identify caller characteristics – Write down clues – Immediately report threat to supervising nurse © August Learning Solutions, 2019  Roles and Procedures CNA for Certified Nurse Assistants California Nursing Assistant Certification The nursing assistant must: – Follow the chain of command – Complete delegated tasks in a timely manner – Obtain clear instructions – Maintain strong communication with coworkers © August Learning Solutions, 2019 CNA California Individual Room Requirements Nursing Assistant Certification No more than four people in a room At least one window to the outside Minimum of 100 square feet for Floor at or above grade level individual rooms Accessible closet with shelves Clothing racks in the closet Direct access to exit corridor Functioning call-light system Access to toileting facilities Equipped with items needed for care of resident Equipped to ensure full visual privacy Call-light button for each resident At least 80 square feet for each resident in Ceiling-suspended privacy curtains in shared shared rooms rooms © August Learning Solutions, 2019 CNA Noise Control California Nursing Assistant Certification The nursing assistant should: – Encourage visitors to use common room or private area – Limit loud noise during activities and sleeping hours – Anticipate resident needs – Manage resident behavior with redirection or 1:1 – Engage disruptive residents in quiet activities – Use overhead paging only when necessary – Tend to sounding alarms promptly © August Learning Solutions, 2019 CNA Odor Control and Cleanliness California Nursing Assistant Certification The nursing assistant should: – Toilet or tend to incontinent residents at least every 2 hours – Immediately remove used incontinence products from room – Empty and clean commodes promptly – Ensure toilets are clean and flushed – Change soiled clothing and linens promptly – Empty soiled linen hampers and garbage cans when ¾ full – Remember that a clean environment is everyone’s responsibility! © August Learning Solutions, 2019 www.AugustLearningSolutions.com © August Learning Solutions, 2019