Unit 4 Flashcards
Body Mechanincs
how parts of body move & work together
Good mechanics
save energy
prevent injury
Alignment
vertical line down center of body
Base of Support
feet
Center of Gravity
where most of weight is concentrated (usually hips)
Raise bed to safe working height Stand close to object Wide base of support Push or slide object rather than lifting Use large muscles (arms, legs, hips) Never twist body while lifting. pivot feet
Do not lift with one hand Hold heavy objects close Don't bend or reach Get help if needed Let resident & coworkers know plan & count to 3 Bend at knees
What makes Risk for Resident
Impaired vision Impaired hearing Dementia Unfamiliar with surroundings Impaired Mobility
Common Accidents in long term care
falls (most often during shift change) failing to identify resident before care is given burns poisoning choking cuts & abrasions
Fall risk because
new environment difficulty walking weakness poor vision confusion medications
Fall prevention
Identify at risk persons & report to nurse Respond to call lights promptly Wipe up spills Remove clutter from walkways Side rails up if ordered Proper fitted clothing & non skid shoes Never leave resident alone in shower or bath Report loose handrails, tiles, carpet immediately Call light in reach Offer bathroom frequently Report lighting problems Eyeglasses on
If resident falls
use body to slide to floor
Don’t try to stop or catch them
5 safeties
Call light in reach Side rails up Bed at lowest Cranks in neutral Lock bed
Restraints
vest, wrist, or ankle
side rails
geriatric chairs (only with tray)
some medications
Guidelines for Restraints
Must have drs order
Cannot be used for discipline or convenience
Only used to prevent harm to self & others AFTER other methods fail
Restrained person needs to be monitored
check every 15 minutes
remove every 2 hours for 15mns for food, toilet, check skin
apply with quick release knot
Restraint alternatives
answer call lights promptly use lap buddies let confused residents wander in secure area frequent bathroom trips use distractions or diversions body alarms door alarms
3 Qualities of Fire
heat (flame)
fuel (object that burns)
oxygen
RACE
R- Rescue
A- Alarm (activate 911)
C- Contain
E- Extinguish
PASS
P- Pull the pin
A- Aim at base of fire
S- Squeeze the handle
S- Sweep back and forth @ base
Responding to medical Emergencies
Know facilities policy
Call for help
Remain calm
Bleeding
put on gloves
hold anything cloth over bleeding site
push hard until help arrives
apply additional pads as necessary (DON’T remove first pad)
Seizures
cannot stop seizure Protect person from injury Call for help Move furniture away from person Don't put anything in persons mouth Note time of beginning & end of seizure
General Safety
Be aware!
Keep doors locked that should be
keep alarms activated
use buddy system when walking to & from parking lots
If confronted by angry visitor or resident
Remain calm
stand between person & door
avoid argument or confrontation
inform nurse ASAP
