Chapters 14,15,17,18 Flashcards
bed rail
restraints on side of bed
hand rail
mounted hip high, used 4 support
Grab bar
in bathroom, shower, toilet
chem restraint
Substance that prohibits movement
freedom of movement
change in place or position of the body or any part of body that person is able to control
enabler
limits freedom of movement but used to promote independence,comfort and safety.
remove easily
method,device to restrain person, can be removed intentionally by the person in the same manner it was applied by staff
if death happenes in a restraint what can happen?
investigation w/in 24hrs, w/in one week after restraint was removed
observe someone every _____min and release from restrain every _ hours
observe every 15 minutes
remove every 2 hours
Shearing
skin sticks,muscle continues moving
CMS stands for
centers for medicine/medicade
if a bariatric person begins to fall…
, quickly move any items away that could cause injury
bed wheels are locked when
giving bed side care,transfers
covienience
any action taken to control or manage a person’s behavior that requires less effort by the staff
discipline
any atcion taken by the agency to punish, peanalize a patient or resident
research shows that restraints…
cause falls
restraints are used…
only to treat a medical symptom or for the immediate physical safety of person or others
guidelines about using restraints are part of the resident rights in…
OBRA,FDA,CMS,TJC
NURSES CAN NOT DECIDE WHEN TO USE RESTRAINTS. But what can happen when unecessry restraints are used, what method is used and what must the restraint do?
unecessary restraint can cause improsionment
the least restrictive to use, and how long to use the restraints
the least restrictive method is used
restraints must protect the person
when using a vest restraint in bed ties are secured where?
the bed frame out of the person’s reach
when checking person in vest restraint report at once if,
person isnt breathing or having difficulty breathing
OBRA stands for
omnibus budget reconcilation
TJC stands for
the joint commision
Dorsal recumbent
same as back-lying, supine
ergonomics
science of designing the job to fit the worker
Posture
body alignment is the way in which the body parts are aligned with one another
MSDs stand for
musculo-skeletal disorders
MSDs happen when…
force or repeating an action when moving people
resident gets repositioned every__hours
2hrs
linens need to be clean,dry and wrinkle free to prevent
pressure ulcers
people with limited range of motion in their necks dont tolerate what position?
Prone
when positioning a person in supine position, you cross the legs to prevent…
heels from rubbing on the sheets
when a person cant keep his/her upper body erect in a chair…
postural supports help keep them in good body alignment
in the chair position, a pillow is NOT used where?
behind the back if restraint is present/used
instructions to re-position a person are recieved from the _____and the ______
instructions to re-position a person are recieved from the NURSE and the care plan
bed mobility
how a person moves to and from lying position, turns from side to side and re-positions in bed or other furniture
functional status
person’s ability to perform the activites of daily living
if a person with dementia resists being moved you should…
proceed slowly in calm voice
why are beds raised to move persons in bed
reduce bending and reaching for staff
you may move a person up in bed alone when
the person can assist w/ a trapeeze
an assist sheet is used for..
person w/ level 4 functional status
where is the lift sheet positioned?
from head to above the knees or lower
a person is moved to the side of the bed before turning b/c…
after turning, person lies on the side of the bed
when using a draw sheet to transfer, support the…
head
after the person is turned
position in good body alignment
when delegated to turn a person, what detail do you not need from the nurse and care plan
whether the doc ordered turning
what is very important when logrolling
keeping spine straight
when logrolling place a pillow…
in between knees
what should you do if a person who’s danging becomes faint or dizzy
lay person down and tell nurse
what are the 2 reasons that assists are used
prevent pain and skin damage
prevent injury to bones, joints, spinal cord
friction can be reduced when moving person in bed by
rolling person
use friction-reducing devices
when moving person in a bed and the person can assist, ask the person to..
grasp trapeeze
flex both knees
move on 3
what do you need to know before turning someone?
dependency level amount of aid needed # of staff needed person comfort level which procedure 2 use assist devices to use supportive devices needed where to place pillows observations to report/record
after repositioning person, common place to put a small pillow, where?
under hand
logrolling is used on…
elderly w/ arthritic spines, knees
hip fracture recovery peeps
spinal injury peeps
peeps recovering from spinal injury
