Day 2 Key Points

Question 1

incidents

Answer 1

-disrupts the normal routine of the facility

Question 2

accident/incident report

Answer 2

• aka A/I
• completed for any accident/incident
• has to be objective and factual

Question 3

what is the number one way to prevent a fall?

Answer 3

-answer the call light

Question 4

globally harmonized system

Answer 4

• aka GHS

- 9 pictograms to communicate hazards

Question 5

how should you identify residents?

Answer 5

• look for an ID bracelet

- confirm with nurseł

Question 6

OSHA

Answer 6

• employment safety

- healthcare workers have a high risk of injury

Question 7

what do you do when your resident has chest pain?

Answer 7

• notify nurse STAT!
• medication may be given by nurse
• oxygen may be applied by nurse

Question 8

what do you do when your resident is in cardiac arrest?

Answer 8

• Code Blue and call nurse if they’re care plan says to resuscitate
• call nurse regardless so they can ease his suffering is he’s a DNR
• nurse aides return to unit

Question 9

what do you do when your resident is in respiratory distress?

Answer 9

• assist resident into a position that helps them breath

- call for help!

Question 10

what do you do when your resident is fainting?

Answer 10

• stay with resident and call for help
• if vomiting, roll them on their side or turn their head
• monitor level of consciousness

Question 11

what do you do when your resident starts to fall?

Answer 11

• keep your back straight; hold gait belt securely
• pull resident close to your body
• bend at your hips and knees
• guide resident down your leg to the floor and protect their head

Question 12

what do you do when your resident is having a seizure?

Answer 12

• stay with resident and call for help

- move objects out of the way to prevent injury

Question 13

what do you do when your resident has severe bleeding?

Answer 13

• aka hemorrhaging

- wear gloves; apply pressure over the bleeding site

Question 14

what do you do when your resident is losing their level of consciousness?

Answer 14

• check for changes in their recognition and sudden confusion
• stay with resident and call for help
• could be a sign of a stroke

Question 15

what do you do when your resident has aspiration/swallowing problems?

Answer 15

• encourage the resident to cough

- stay with resident and call for help

Question 16

what do you do when your resident has an obstructed airway/choking?

Answer 16

• check for the universal choking sign
• try and perform abdominal thrusts
• if the person can breath, speak, or cough, stand by

Question 17

what do you do when your resident is vomiting?

Answer 17

-turn the resident onto their side or turn their head on its side

Question 18

four P’s of fall prevention

Answer 18

• Position: Ask “are you where you want to be?”
• Person (Potty) Needs? do you need to use the bathroom”
• Pain: Ask “are you uncomfortable?”
• Placement: Are all items within reach?

Question 19

if the resident falls on their bedside what problem could it be?

Answer 19

-orthostatic problem (blood pressure)

Question 20

if the resident falls around 5 feet away from their bed what problem could it be?

Answer 20

-balance/gait problem

Question 21

if the resident falls more than 15 feet away from their bed what problem could it be?

Answer 21

-strength/endurance problem

Question 22

systemic factors that cause falls

Answer 22

• break/meal times
• shift change
• room change
• daily routine

Question 23

internal factors that cause falls

Answer 23

• vital signs and orthostatic problems
• medication
• strength/endurance
• sleep/wake cycle

Question 24

external factors that cause falls

Answer 24

• noise reduction
• decrease stimulation
• intolerable roommates
• soothing sensory stimulation