Test Two Flashcards
What is SDS and what is the purpose?
Safety data sheet provides comprehensive information about a chemical substance or product, including its hazards, safe handling procedures, and emergency measures.
The purpose is to ensure safe handling, use, storage, and disposal of chemicals in the workplace to protect workers’ health and the environment.
What information is on SDS?
Includes chemical composition, physical properties, health hazards, first aid measures, handling and storage guidelines, and emergency procedures.
OSHA
Occupational Safety and Health Administration
Ensures workplace safety by setting and enforcing standards to protect workers’ health.
Incident
Unexpected event requiring immediate attention, such as accidents or injuries.
How to transfer a person with paralysis/weakness on one side?
Use a transfer belt to assist with standing and moving safely. -walk and support weaker side
Bed rails
Used on beds to prevent falls and provide support. Must be used according to facility guidelines.
transfer/gait belt
Aids in safely moving or walking patients by providing stability and support around the waist.
Chemical restraint
Using medication to control behavior or movement.
Physical restraint
Using devices to restrict movement, like bed rails or belts.
Freedom of movement
The right to move freely within a space.
Immunity
Body’s ability to resist infections.
Asepsis
Keeping environments sterile to prevent infection.
Infection Control
Measures to prevent infections in healthcare settings.
Supine
Lying flat on the back.
Prone
Lying face down.
Lateral
Lying on one side.
Semi- Fowler’s
Head of the bed raised 30-45 degrees.
Fowler’s
Head of the bed raised 45-60 degrees.
High Fowler’s
Head of the bed raised 60-90 degrees.
contractures
Contractures are the shortening and hardening of muscles, tendons, or other tissues, leading to joint stiffness and decreased range of motion.
What can cause contractures?
caused by any prolonged immobility or lack of movement, as well as neurological conditions, orthopedic issues, burns, trauma, or improper positioning.
How can you prevent contracture?
Prevent contractures by exercising joints regularly, positioning properly, encouraging movement, maintaining skin health, and educating caregivers and residents.
Abduction
Moving a limb away from the body’s midline.
Adduction
Bringing a limb toward the body’s midline.
Flexion
Bending a joint to decrease the angle between bones.
ROM
(Range of Motion)The extent of movement possible at a joint.
Trochanter Roll
Preventing hip rotation with a specialized device.
AMB
(Ambulation) Walking or moving independently.
Relieving choking
Perform the Heimlich maneuver by thrusting upward above the navel to relieve choking.
Wheelchair safety
Ensure wheelchairs are safe and in good condition, lock brakes when stationary, and safely transfer residents in and out using proper techniques.
Using a fire extinguisher
Using a fire extinguisher involves following the PASS technique:
1. Pull the pin.
2. Aim the nozzle at the base of the fire.
3. Squeeze the handle to discharge the extinguishing agent.
4. Sweep from side to side until the fire is out.
Factors that increase the risk for falls
Risk factors for falls in long-term care include age, mobility issues, environmental hazards, medication side effects, cognitive impairment, muscle weakness, history of falls, foot problems, incontinence, and improper use of assistive devices.
Safety measures to prevent falls
Ensure safe environment, assess fall risk, use proper walking aids, monitor medications, educate staff/residents
Transfer/gait belt
Assistive belt for safe patient transfers and walking support.
Applying transfer/gait belt
Securely place the transfer/gait belt around the patient’s waist, fasten the buckle, and adjust for a comfortable fit.
Helping the falling person
- Stay calm.
- Call for help.
- Assess the situation.
- Reassure the person.
- Check for injuries.
- Use a transfer/gait belt for lifting.
- Report and document the incident.
Alternatives to restraints
- Regular monitoring and supervision
- Creating a safe environment
- Engaging residents in activities
- Using personalized care plans tailored to individual needs
Why use restraints alternatives?
to prevent injuries and falls while upholding the person’s right to be restraint free.
Standard Precautions
Standard Precautions are basic infection prevention measures used in healthcare to minimize the spread of infections.
What is included in PPE?
PPE includes gloves, gowns, masks, and eye protection used to protect healthcare workers from infectious agents.
Gloving: when to use gloves and when should you change your gloves?
Use gloves when handling bodily fluids, blood, mucous membranes, non-intact skin, or contaminated equipment. Change them between tasks and when they are soiled or torn to prevent spreading contaminants.
Rules of body mechanics
Practice safe lifting techniques by keeping your feet apart for stability, bending your knees to lift, and using your leg muscles rather than your back. Keep objects close to your body and avoid twisting. If something is heavy or awkward, get help or use equipment to assist you.
Preventing work related injuries
Use proper lifting techniques, assistive devices when necessary, maintain good posture, take breaks, wear suitable footwear, follow infection control practices, and stay physically active to prevent work-related injuries as a CNA.
Mechanical lifts: know to use and safety measures
- Training: Get trained on the lift.
- Assess: Check patient and area.
- Prepare: Clear area, check lift.
- Communicate: Talk to patient.
- Teamwork: Work together if needed.
- Safety: Lift properly.
- Document: Write down details.
Slide board know how and when to use
if a person is not able to use their legs to complete a transfer between surfaces or if a standing transfer is not safe to perform
Turning and repositioning the person: how often should repositioning be done and why should you reposition a person?
Every 2 hrs
Prevent ulcers
Prevents contractures
Comfort
Improve skin + blood circulation
Sitting on the side of the bed
DANGLING
Transferring the person
If the resident wants to be transferred or for safety reasons
Ways to promote comfort for a new resident
- Warm Welcome: Greet them warmly and introduce them to staff and residents.
- Orientation: Show them around and explain daily routines.
- Clear Communication: Ensure they understand how to navigate the community and get help.
- Privacy and Respect: Give them space while being available for support.
- Social Engagement: Encourage participation in activities and help them connect with others.
- Comfortable Living: Ensure their room meets their needs and preferences.
- Nutritional Support: Address any dietary requirements promptly.
- Regular Check-ins: Schedule follow-up meetings to ensure their comfort and adjustment.
- Cultural Sensitivity: Respect and accommodate their cultural preferences.
Call Lights: Where should it be placed?
Easy reach areas. Bedside, bathroom, hallways, lounge, wheel chair accessible areas.
Call Lights: When to answer?
15 mins
5- in bathroom
Call Lights: What to do if resident is unable to use a call light?
Still have one available/ check every 2 hrs
Know how to perform Range of Motion
- Position the Resident comfortably.
- Support the Limb at the joint.
- Move Slowly and Gently through the range.
- Observe the Resident for discomfort.
- Repeat Movements 5-10 times.
What is the difference between PROM and AROM?
- PROM (Passive Range of Motion)**: Caregiver moves the joint; resident is passive.
- AROM (Active Range of Motion)**: Resident moves the joint independently.
What should you do if a resident c/o pain while performing ROM exercises?
- Stop Immediately.
- Assess the Pain.
- Communicate with the resident.
- Report to a nurse or healthcare provider.
- Document the incident.
Examples of when to wear gloves
- Contact with blood or body fluids.
- Wound care or dressing changes.
- Handling soiled items.
What is PPE
(Personal Protective Equipment): Gear to protect against health and safety risks, such as gloves, masks, gowns, and eye protection.
2 responsibilities during a fire
Protocol
Evacuate
What do you do before moving out the wheelchair
- Explain the process.
- Lock the wheels.
- Move footrests.
- Assist the resident to the seat edge.
- Apply a gait belt.
- Ensure proper footwear.
- Clear the path.
- Use proper body mechanics.
Atrophy
Decrease in size of a body part due to disuse or disease.
Edema
Swelling from excess fluid in tissues.
Acronym for using fire extinguisher
PASS
Acronym for fire
Race
Rescue- alarm - confine - extinguish
How often to turn unconscious resident
Every 2 hrs
What to do when a resident falls
- Stay calm.
- Don’t move the resident.
- Call for help.
- Check for injuries.
- Report and document the fall.
Let them fall
What does good body mechanics mean
Using your body efficiently to avoid injury:
- Keep a wide base.
- Bend at the knees.
- Keep objects close.
- Avoid twisting.
- Use your legs to lift.
What if someone complains of pain?
Stop and report to nurse
Do you provide a call light if they can’t use it?
Yes
Arthritis
Restricts movement
Joint pain
Inflammation of joints
What to do if you have to move a heavy object
- Assess weight.
- Use equipment if available.
- Ask for help.
- Use proper technique: bend knees, keep back straight.
Rotation
Movement around an axis, like turning your head.
How long do you wash your hands
15-20 seconds
Can we use a germicide to clean a reusable object?
Yes
How to hold onto gatebelt
Under the belt
How to hold onto gatebelt
Underhanded grasp
Where to apply gate belt
Over clothing -waist/under breast
AMB
Ambulate
Msds/sds
- MSDS: Information on hazards and safe handling of chemicals.
- SDS: Updated version of MSDS, with detailed safety information.
Passive range of motion
We move it for them
Active range of motion
They move it theirself
Range of motion
Movement
Call light
15 mins
5 mins- bathroom
2hrs / if they cant
Decubitus ulcer
Pressure sore/ bed sore
Exercise to prevent contractors
Range of motion
If a resident is falling should we try to prevent the fall?
No, both could be injured
