Chapter 16-19 Flashcards
A pts or residents room, also referred to as a ____, will vary in the way it is set up according to the type of facility and the needs of the person
unit
Serves as the central base of operation for the nursing staff
nurses station
Used to store meds and the supplies for administering meds
medication room
Used to store clean and sterile supplies
clean utility room
Where dirty items are handling and stored
soiled utility room
Soiled utility rooms often have a _____, a sink like fixture that flushes like a toilet, used for cleaning bed pans and rinsing soiled linen
hopper
Where snacks and beverage are stored and prepared for pts and residents
nourishment room
The aspects of residents environment is regulated by ____
OBRA
Essential for controlling the spread of infection and odors
cleanliness
Ways to help with minimize ____:
- keep lids down on laundry and waste containers
- empty and clean emesis basins, urinals, bedside commodes, and bedpans
- air freshner
- assist your pt with routine personal care
- pay attention to your personal hygiene
odor
Provides fresh air and keeps air circulating
- carries away odor
- keeping air from becoming stale
- keeps room from getting stuffy
ventilation system
People who are ill, elderly, or relatively inactive may prefer a ____ room temp
warmer
Provides overall illumination _____
Directs bright light toward a specific area ____
general lightning
task lighting
Ways to minimize ____:
- headphones
- answer phone promptly
- report loud equipment
- be aware of your voice volume
noise
_____ commonly referred to as a hospital bed, is used in most health care settings
adjustable bed
The mattress platforms of most adjustable beds have joints at the hip and knees, which allow the mattress to break or bend, these joints are called _____
gatches
Foot of the mattress is raised so that the persons head is lower than her feet
-used for people in shock to get blood flow to the heart
trendelenburgs position
Head of the mattress is raised so the persons head is higher than their feet
-used for spinal cord, back injury, and traction
reverse trendelenburgs position
A _____ is useful for residents who may roll out of bed or get out of bed without calling for assistance
low bed
Fits over the bed or chair and can be raised or lowered as needed
over-bed tables
Used for pts to alert a staff member that they need help
call light
Branch of medicine that specializes in the tx of obesity
bariatrics
The official entry of a person into a health care setting
- time for orientation for new pt and health care team
- can be stressful for both pt and family as they adjust to change
admission
____ for long term care:
- most do not choose to be admitted
- admitted after a crisis
- may require a quick decision when choosing facility
- family may realize no longer able to provide care
- physically, emotionally, and financially draining
- feeling of guilt from family
concerns
The ____ process
- orders are written by the doctor
- the admissions coordinator or admission nurse helps the person to complete an admission sheet
- person is escorted to their room
- nurses complete the nursing hx
- nursing assistant takes vital signs and helping the person to become oriented to the room
admission
Gathers information about the person such as, name, address, date of birth, social security number, gender, insurance and employment information, and advanced directive information
admission sheet
Making a new pt feel _____:
- prepare room before arrival
- greet person warmly and introduce yourself
- help person settle into new home
- practice good communication skills
welcome
Gathers information about a persons preference, abilities, disabilities, and habits
nursing history
Document that list and briefly describes all the residents personal belongings
resident inventory sheet
A _____ occurs whenever a pt is moved within or between health care settings:
- from one room to another
- one unit to another
- one health care facility to another
- can be necessary due to changes in persons medical condition
transfer
A _____ must be safe
- pt and belongings must be treated with respect
- nurse is usually responsible for reporting information to accepting RN
- if going to a long term facility, you may report personal care information to the receiving nursing assistant
transfer
_____ is the official release of the person from a health care facility back home
discharge
When a person leaves health care setting without a doctors order, the person is said to leave _____
against medical advice (AMA)
Used by the members of the health care team to help prepare a pt or resident to leave the facility
- the process that helps identify the needs of a person after his discharge and makes arrangements for meeting these needs
- begun at the time of admission
discharge planning
The _____ responsibilities during discharge:
- helping pt pack personal items
- having the person ready to leave on time
- assisting person out of the facility
nursing assistant
- promote comfort and well-being of pt
- important for infection control
- helps with skin breakdown and pressure ulcer formation
- a neat well-made bed is a sign of capable,competent care by the facility
bedmaking
Think layer of padding that is placed on the mattress to help make the bed more comfortable for the pts and to protect the mattress from moisture and soiling
mattress pads
Small, flat sheet that is placed over the middle of the bottom sheet covering the area of the bed from above the persons shoulders to below the buttocks
draw sheets
A draw sheet that is used to help lift or reposition a person in bed
lift sheet
A square of quilted absorbent fabric backed with waterproof material
- approximately 3 ft by 3 feet
- it can be disposable or laundered
- used for pts that are incontinent or have draining wounds
- sometimes this is the only thing that needs to be changed
bed protector
Lightweight cotton blanket or flannel sheet that is used provide modesty and warmth during a bed bath
bath blanket
Placed on top of the regular mattress to help prevent skin breakdown for pts that stay in bed for a long period of time
-some can be filled with air or water
pressure relieving mattress