Pcc cna-2011 unit 8, cna

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Transcript of Pcc cna-2011 unit 8, cna

  • SafetyUnit 8

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  • Situations or conditions that influence safetyConfusion or forgetfulness resulting in faulty judgment.Impaired mobility due to such conditions as dizziness, tremors, weakness, slowed reflexes or response time.Side effects from medications may include impaired mobility and confusion.

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  • Situations or conditions that influence safety continuedSensory impairmentVision-clarity or field of vision may be diminished(macular degeneration, CVA, or brain injury)Hearing-ability to hear warning sounds.Diminished sense of smell and taste(cannot identify warning odors)

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  • Situations or conditions that influence safety continued..Diminished sense of touch and temperature.Cannot identify warning sensations of pressure, heat or cold

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  • Safety Precautions to prevent resident fallsAmong older adults, fall are the leading cause of injury deaths.ClothingNon-slip soles on residents shoes.Shoe strings tied.Long gowns or robes may cause resident to trip

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  • Preventing FallsIn a residents roomItems that resident uses frequently are kept within reach.Answer call signal promptly. Provide needed assistance to resident before he/she takes unsafe action.Provide a clear walking path through room.Provide adequate light to see where one is walking.

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  • Preventing Falls in res room continuedSpills in any walking area promptly wiped dry.Electrical devices properly used(cords out of walking path, no extension cord, intact electrical cord and outlet)Bed kept in the lowest positionNo throw rugsUse brakes or wheel locks appropriately while transferring resident from one surface to another.

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  • Preventing Falls in HallwayEncourage ambulating residents to use handrails.

    Keep hallways clear of objects.

    Do not store w/c or other items in hallway(Also a fire hazard)

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  • Preventing Falls when ToiletingAssist resident with toileting on a regular basis as needed and according to plan of care.Use of lifts????Get other staff if neededWatch for accidents on the floor and clean if necessary prior to getting resident off of toilet.

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  • Reporting Hazard/Potential HazardsReport to nurse any resident behavior that made him/her at risk for falling.Malfunctioning equipment must be removed from use until safe.Follow facility policies on removing equipment that is not working.

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  • Safety Precautions to prevent resident burnsProvide mealtime assistance to resident as needed to prevent spilling or swallowing foods or liquids that are too hot.Water temperatureCheck water temperature before assisting resident with bath or shower.Report water temperature that seems too hot.

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  • Safety precautions to prevent resident burns continuedMonitor resident during bathing so that they do not change water temperature to an unsafe level.Monitor resident activity when they are in a food preparation area or an area where hot equipment such as steam tables are present.Devices that produce heat or cold should be carefully monitored while in use. Decreased sensory perception may allow tissue damage.

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  • SmokingSome facilities may permitAllowed only in designated smoking areas. (20 feet from main entrance)Provide supervisionResident may wear a protective smoking apron

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  • Safety precautions to prevent electrical injuryReport malfunctioning equipment, faulty plugs or outlets and frayed cords immediately.Follow facility policy for electrical safety.Some require that any electrical device brought in by resident/family must be checked by maintenance before use.NO SPACE HEATERS

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  • Safety precautions for chemicalsAssume that an unlabeled bottle or container contains harmful material. DO NOT USE.Container label will give instructions for safe use of contents.Potentially harmful substances should be kept in locked cabinet when not in use.While being used, the container needs to be under visual control of the staff member.SoapNail polish and removerTopical(skin) medications

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  • Safety precautions for chemicals continuedFacility will keep Material Safety Data Sheets (MSDS) for chemicals in the workplace.MSDS sheets describe safe use and first aid measuresKNOW WHERE THIS MANUAL IS AT!!!!!

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  • Safety precautions for choking Present food and liquids to res in a form that the resident can handle(cut up, chopped, thickened)Observe for symptoms of partial or complete airway obstruction.Use standard procedure for correcting airway obstruction:Resident symptomsRescuer position and actionAfter care

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  • Safety precautions for O2 usePrecautions for O2 safety should be posted outside resident room when O2 is used.Limit any situations that might start a fire because O2 supports combustion.NO SMOKING Check with the nurse before using any electrical equipment while the resident is receiving O2Follow facility policies

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  • O2 safetyObserve O2 flow rate setting, reports to nurse if flow rate is not at ordered rate.COPDSecure O2 tank so that it does not fall.

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  • FiresFollow facilitys emergency plan. Know the plan prior to emergency. Knowledge of the plan is both the responsibility of the employer and employee.

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  • R.A.C.ERESCUE-remove residents who are in immediate danger.ALERT-activate the fire alarm. Let others know about the fire emergency.CONFINE OR CONTAIN- isolate the fire by closing doors and windows.EXTINGUISH/EVACUATE- Attempt to put out the fire if safe to do so. Remove resident to safety as part of facility evacuation plan

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  • Fire Extinguisher - PASSP-pull pinA-aim toward the base of the flameS-squeeze the handle to start the flow of extinguishing material.S-sweep spray from the extinguisher side to side at the base of the fire.

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  • EvacuationEvacuate building if directed to do so.Use residents beds and w/c s if possible.

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  • Use evacuation carries to remove non-mobile resident from a fire area, if other safer means of evacuation are not availableOne person carries, such as blanket drag, hip carry, pack-strap carryTwo person carries, such as chair carry and extremities carryFour person blanket carry.

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  • Severe Weather/TornadosPlan usually includes moving resident to a safe area.The facility will designate an area that is structurally strong.Get away from windows and close blinds.Protect the resident from flying broken glass with blankets.Gather plenty of blankets

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  • Other possible emergenciesFloodChemical spillViolenceProlonged power outageProlonged disruption of water supply

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  • Safety for resident elopement or exitingElopement-resident with impaired decision-making ability, unable to judge own safety needs, leaves a safe area or the facility without staff supervision.Preventing elopementIdentify residents at risk(those not previously identified may still leave)All facility entrances and exits are monitored electronically unless under visual monitoringResident care plan may have specific interventions for wandering behaviors.

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  • Elopement and Exiting continuedDoors may have audible alarms or send a signal to a pager when they are opened.Staff must respond immediately when such an alarm is triggered.An alarm must not be reset until the triggering cause is identified.If resident is missing, follow facilitys emergency plan.

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