Day 2 Flashcards
Advanced Directive
Written statements from the patient with their wishes regarding their medical care; typically unresponsive
Code level
Assists the provider in the situation when you are legally dead; does not matter until you are dead
Code 1 (full code)
full response, CPR, AED, 911
Code 2 (dnr)
we do nothing, leave them alone
What are the most common accidents in Long Term?
Falls, poisoning, suffocation
FALL RESPONSE
1: stay with resident
2: get the nurse w/call light, walkie, or emergency cord
3: prevent further injury - do not move the patient until the nurse assesses
4: complete incident report
Falls
Most common accident in LTC; unintentional movement from one surface to another; does not mean you end up on the floor
How to prevent falls?
call light in reach, prompt response, correct equipment (walker, cane, etc.), bed lowest position, clear walkways, FOLLOW THE TOILET SCHEDULE
Poisoning
When a substance interferes with normal body function, toxic or harmful; most common with Alzheimer’s and Dementia patients, most common with chemicals
Poisoning Response
1: stay with resident
2: get nurse
3: prevent further injury - remove chemicals
4: call poison control/ fill out incident report
Poisoning Prevention
lock up chemicals or keep them out of reach
Suffocation
interruption of respirations; can’t breath, medical emergency, 2-3 minutes
Suffocation prevention
cutting up food, using correct food, follow careplan, use correct equipment (heavier silverware for RA), monitor Mealtime
Aspiration
a foreign object entering the trachea or lungs (anything other than air); more common than suffocation, can lead to infection, YOU CAN HEAR THEM COUGH IF THEY ARE ASPIRATING
Incident Report
report used to try and prevent an incident from happening again. It should be filled out even if there isn’t an injury
OSHA
Government Agency that is concerned with the Health and Safety of the WORKER; on the job injuries (most common is back); if injured, file a staff incident report
First Aid
care given during an emergency or trauma until full medical treatment is available; a CNA’s job is to stay with the resident, prevent further injury and get the nurse
Trauma
body wound or shock produced by SUDDEN PHYSICAL injury as from violence or accident
Assess
evaluation of a resident’s condition; use your sense to identify the problem
Hemorrhage
profuse bleeding, DON’T USE A TOURNIQUET UNLESS TRAINED
How to help with hemorrhage
apply direct pressure for as long as needed (best way), PUT ON GLOVES FIRST, elevate above the heart
CPR
Cardio Pulmonary Resuscitation
Cerebral Vascular Accident (CVA)
Worst stroke, facial drooping, slurred speech, one sided weakness, medical emergency
F.A.S.T.
Face: Facial Drooping - ask them to smile
Arm: arm weakness, ask them to raise
Speech: slurred speech
T: time to call 911, last known well or last time they were “normal”
Seizure
uncontrolled convulsions of the body; brain and muscle, typically not a medical emergency unless they last more than a minute
What to do for a Seizure
stay with resident, get the nurse, prevent further injury (maybe a pillow or something to help not hit the head); most last less than 30 seconds
RACE/ fire response
R: rescue the resident
A: pull the fire alarm
C: contain the fire (close all fire doors)
E: Extinguish or Evacuate
weighing resident
weigh them at the same time of day, in similar clothing and on the same scale, typically once a week
How is weighing different for heart failure?
heart failure, weight is a vital sign, get their weight every day
Anti-Embolism Stockings
TED Socks, Elastic Stockings, Compression Garments; used to promote circulation and prevent blood clots, hand wash each night and hang to dry; DO NOT USE WASHING MACHINE
