Safety : Info from Mosby's Canadian Textbook for the Support Worker - E-Book – Sheila A. Sorrentino, Leighann Remmert, Mary J. Wilk, Rosemary Newmaster

Question 1

Medication that is ordered by a doctor and given to a client to control unsafe, undesirable, or bizarre behaviour or movement. A chemical restraint is not given to cure a person’s medical condition but merely to control behavioural symptoms.

Answer 1

chemical restraints

Question 2

Barriers, furniture, or devices that prevent a client from having free movement.

Answer 2

environmental restraints

Question 3

Any substance that presents a physical hazard or a health hazard in the workplace.

Answer 3

hazardous material

Question 4

A report submitted whenever an accident, error, or unexpected problem arises in the workplace. Also known as an occurrence report

Answer 4

incident report

Question 5

Federal and provincial laws designed to protect employees from injuries and accidents in the workplace; these laws outline the rights and responsibilities of employers, supervisors, and workers.

Answer 5

OH&S (occupational health and safety) legislation

Question 6

Garments or devices used to restrict movement of the whole body or parts of the body.

Answer 6

physical restraints

Question 7

Any device, garment, barrier, furniture, or medication that limits or restricts freedom of movement or access to one’s body.

Answer 7

restraint

Restraints must be contained in the client’s care plan and are to be used only as a last resort.

Question 8

Occurs when breathing stops due to lack of oxygen.

Answer 8

suffocation

Question 9

A national system that provides safety information about hazardous materials; includes labelling, material safety data sheets (MSDS), and employee education.

Answer 9

Workplace Hazardous Materials Information System (WHMIS)

Question 10

Any physical assault or threatening behaviour that occurs in a work setting that is directed toward clients, members of the health care team, or both.

Answer 10

workplace violence

Question 11

Falls are the most common cause of accidental injuries in all settings, and children and older adults are at greatest risk.
T or F

Answer 11

True

Question 12

Falls also are more likely during shift change

T or F

Answer 12

True

Question 13

Few falls occur in bedrooms and on stairs

T or F

Answer 13

False

• Since most falls occur in bedrooms, bathrooms, and on stairs,

Question 14

Keep beds in the lowest position at all times.

T or F

Answer 14

False

Keep beds in the lowest position, except when giving bedside care.

Question 15

The client is observed at least every 30 minutes or more often, as required by the care plan. Restraints can be dangerous, and injuries and deaths can occur from improper use and poor observation.
T or F

Answer 15

False

at least every 15 minutes

Question 16

If mitt restraints are applied, you should be able to slide one or two fingers under the restraint.
T or F

Answer 16

True

Question 17

Remove the restraint and reposition the client every hour.

T or F

Answer 17

False

every 2 hours.

Question 18

—barriers, furniture, or devices that prevent free movement, restraints are near the body, but not directly attached to it. They confine the client to a specific place such as a bed, chair, or room.

Answer 18

Environmental restraints

Question 19

—garments or devices used to restrict movement of the whole body or parts of the body. They are attached to a body part or go around the client’s waist and wheelchair

Answer 19

Physical restraints

Question 20

Who is at greatest risk of injury with bed rails? Clients at greatest risk are those who are:

Answer 20

• Confused or disoriented
• Restrained
• Small
• Have poor muscle control or tend to have seizures

Question 21

If you suspect poisoning:

Answer 21

Contact the emergency medical services (EMS) for your area by dialing 9-1-1 on the telephone. The emergency medical services (EMS) operator will give you clear instructions.
• Gather any empty pill bottles or other evidence of poisoning to determine what has been ingested and how much.
• Stay with your client. Be sure to remain calm.

Question 22

Most burn injuries occur in the home.

T or F

Answer 22

True

Question 23

For chemical burns

Answer 23

carefully and quickly brush off any loose chemical powder with a cloth. Flush the area with large amounts of cool water (such as in a shower) for 15 to 20 minutes. Carefully remove contaminated clothing while flushing the area.

Question 24

For electrical burns

Answer 24

secure your safety first. Do not touch the person if he or she is still in contact with the electrical source. Have the power source turned off, or remove the electrical source first. Use an object that does not conduct electricity (rope or wood) to remove the electrical source. Do not apply water on the burn, as water may increase the risk of shock.

Question 25

For heat source burns

Answer 25

stop the burning process. Protect yourself from the source of the burn. Extinguish flames with water, or roll the person in a blanket, coat, sheet, or towel.
Remove burned clothing that is not sticking to the skin. Do not pull at clothing if it is sticking to the burn. Remove any jewellery, tight clothing, or belts before the injured area swells.
• Administer rescue breathing and cardiopulmonary resuscitation (CPR), as needed.
• Cool the burned skin with cool water, not ice. Do not use cold water on large, third-degree burns. Do not immerse the burn in ice water. Cover the burn with a clean, cool, moist compress. (Use a towel, a sheet, or any other clean cloth.) Re-apply the cool compress for up to 20 minutes (for burns on the hands, feet, or face) or up to 1 hour (for second-degree burns). Pat the area dry.
• Loosely cover the burn wounds with a clean, dry covering. Thick, sterile gauze is preferable, but you can use towels, sheets, or any other clean cloth. Tape the covering in place, being careful not to touch the burn with the tape.

Question 26

Turn off electrical items before unplugging them. .

T or F

Answer 26

True

Sparks can occur when electrical items are unplugged while still on

Question 27

The oxygen source should be shut off and removed from the client prior to

Answer 27

shaving the client with an electric shaver, drying a client’s hair with a blow dryer, or using a curling iron on the client’s hair because of the risk of sparks from such equipment.

Question 28

The acronym RACE stands for

Answer 28

R —for Rescue. Rescue people in immediate danger. Move them to a safe place.
A —for Alarm. Sound the nearest fire alarm. Notify the switchboard operator. Or call 9-1-1 if in a client’s home.
C —for Confine. Close doors and windows to confine the fire. Turn off oxygen or electrical equipment in use in the general area of the fire.
E —for Extinguish or Evacuate. Use a fire extinguisher on a small fire that has not spread to a larger area. If the fire cannot be easily extinguished, evacuation will be necessary. Always keep equipment away from all exits.

Question 29

Use the ABCs to remember the types of extinguishers:

Class A:

Answer 29

Ash. Materials that burn and leave ash, such as paper and wood.

Question 30

Use the ABCs to remember the types of extinguishers:

Class B:

Answer 30

Burn/ Boil. Materials that can burn or boil, such as oil and grease.

Question 31

Use the ABCs to remember the types of extinguishers:

Class C:

Answer 31

Class C: Current. Materials that have an electric current, causing electrical fires.

Question 32

PASS means

Answer 32

P—Pull the pin out.
A—Aim at the base of the fire.
S—Squeeze the handle.
S—Sweep from side to side, spraying the contents of the extinguisher.

Question 33

Whenever you finish a procedure and leave the client’s room, make sure the call bell is within the client’s reach.
You must:

Answer 33

• Keep the call bell within the client’s reach in the room, bathroom, and shower or tub room. Even if the client cannot use the call bell, keep it within reach of visitors and staff, as they may need to call for help.
• Place the call bell on the client’s strong (unaffected) side.
• Remind the client to use the call bell when help is needed.
• Answer call bells promptly. The client may have an urgent need to use the bathroom. You can prevent the client’s embarrassment by promptly helping her to the bathroom. A prompt response also helps prevent infection, skin breakdown, pressure ulcers, and falls.

Question 34

MSDS stands for

Answer 34

Material safety data sheets

Question 35

—WHMIS labels provide

Answer 35

the essential information needed to safely handle a controlled product

Question 36

Warning labels provide the following information:

Answer 36

• Product information—the brand, code, or chemical name of the product
• Supplier information—the name and address of the supplier
• Hazard symbols—pictures that show the kind of danger the product presents skin contact may occur.”
• First aid measures—measures that are necessary in case of an accident or emergency
• Reference to the MSDS—statement that tells that an MSDS is available