Chapters 14,15,17,18 Flashcards

1
Q

bed rail

A

restraints on side of bed

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2
Q

hand rail

A

mounted hip high, used 4 support

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3
Q

Grab bar

A

in bathroom, shower, toilet

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4
Q

chem restraint

A

Substance that prohibits movement

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5
Q

freedom of movement

A

change in place or position of the body or any part of body that person is able to control

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6
Q

enabler

A

limits freedom of movement but used to promote independence,comfort and safety.

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7
Q

remove easily

A

method,device to restrain person, can be removed intentionally by the person in the same manner it was applied by staff

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8
Q

if death happenes in a restraint what can happen?

A

investigation w/in 24hrs, w/in one week after restraint was removed

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9
Q

observe someone every _____min and release from restrain every _ hours

A

observe every 15 minutes

remove every 2 hours

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10
Q

Shearing

A

skin sticks,muscle continues moving

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11
Q

CMS stands for

A

centers for medicine/medicade

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12
Q

if a bariatric person begins to fall…

A

, quickly move any items away that could cause injury

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13
Q

bed wheels are locked when

A

giving bed side care,transfers

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14
Q

covienience

A

any action taken to control or manage a person’s behavior that requires less effort by the staff

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15
Q

discipline

A

any atcion taken by the agency to punish, peanalize a patient or resident

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16
Q

research shows that restraints…

A

cause falls

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17
Q

restraints are used…

A

only to treat a medical symptom or for the immediate physical safety of person or others

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18
Q

guidelines about using restraints are part of the resident rights in…

A

OBRA,FDA,CMS,TJC

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19
Q

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?

A

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

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20
Q

when using a vest restraint in bed ties are secured where?

A

the bed frame out of the person’s reach

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21
Q

when checking person in vest restraint report at once if,

A

person isnt breathing or having difficulty breathing

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22
Q

OBRA stands for

A

omnibus budget reconcilation

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23
Q

TJC stands for

A

the joint commision

24
Q

Dorsal recumbent

A

same as back-lying, supine

25
Q

ergonomics

A

science of designing the job to fit the worker

26
Q

Posture

A

body alignment is the way in which the body parts are aligned with one another

27
Q

MSDs stand for

A

musculo-skeletal disorders

28
Q

MSDs happen when…

A

force or repeating an action when moving people

29
Q

resident gets repositioned every__hours

A

2hrs

30
Q

linens need to be clean,dry and wrinkle free to prevent

A

pressure ulcers

31
Q

people with limited range of motion in their necks dont tolerate what position?

A

Prone

32
Q

when positioning a person in supine position, you cross the legs to prevent…

A

heels from rubbing on the sheets

33
Q

when a person cant keep his/her upper body erect in a chair…

A

postural supports help keep them in good body alignment

34
Q

in the chair position, a pillow is NOT used where?

A

behind the back if restraint is present/used

35
Q

instructions to re-position a person are recieved from the _____and the ______

A

instructions to re-position a person are recieved from the NURSE and the care plan

36
Q

bed mobility

A

how a person moves to and from lying position, turns from side to side and re-positions in bed or other furniture

37
Q

functional status

A

person’s ability to perform the activites of daily living

38
Q

if a person with dementia resists being moved you should…

A

proceed slowly in calm voice

39
Q

why are beds raised to move persons in bed

A

reduce bending and reaching for staff

40
Q

you may move a person up in bed alone when

A

the person can assist w/ a trapeeze

41
Q

an assist sheet is used for..

A

person w/ level 4 functional status

42
Q

where is the lift sheet positioned?

A

from head to above the knees or lower

43
Q

a person is moved to the side of the bed before turning b/c…

A

after turning, person lies on the side of the bed

44
Q

when using a draw sheet to transfer, support the…

A

head

45
Q

after the person is turned

A

position in good body alignment

46
Q

when delegated to turn a person, what detail do you not need from the nurse and care plan

A

whether the doc ordered turning

47
Q

what is very important when logrolling

A

keeping spine straight

48
Q

when logrolling place a pillow…

A

in between knees

49
Q

what should you do if a person who’s danging becomes faint or dizzy

A

lay person down and tell nurse

50
Q

what are the 2 reasons that assists are used

A

prevent pain and skin damage

prevent injury to bones, joints, spinal cord

51
Q

friction can be reduced when moving person in bed by

A

rolling person

use friction-reducing devices

52
Q

when moving person in a bed and the person can assist, ask the person to..

A

grasp trapeeze
flex both knees
move on 3

53
Q

what do you need to know before turning someone?

A
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
54
Q

after repositioning person, common place to put a small pillow, where?

A

under hand

55
Q

logrolling is used on…

A

elderly w/ arthritic spines, knees
hip fracture recovery peeps
spinal injury peeps
peeps recovering from spinal injury