Card Set Information
Assisted living residencies
for people needing help with daily activities in a home like setting
Skilled nursing facilities
rehab, recreation, dietary, medical and recovery time
focuses on comfort for those with 6 months or less to live.
increases memory loss and confusion
provides safety from wandering
Who comprises the health team?
nursing supervisors/nurse managers
Licensed practical nurse
provides nursing care and meds
assesses, diagnoses, plans, implements, and evaluates. Teaches the person and family how to improve health and independence
persons who live at a long term care facilities or only stay in short term facilities for a while
Long term facilities
persons who cannot care for themselves at home, but do not need hospital care
Short term facility residents
people who need to recover from illness, surgery, fractures and usually go back home.
a short term facility that gives a caregiver at home rest or relief from the day to day challenges of taking care of someone
those with birth defects and childhood injuries and diseases that cause disabilities
Director of nursing
responsible for the entire nursing staff and the care given
Who are part of the nursing team?
for those 65 years and older and or those younger with disabilities
for people with low income and or children and some older, blind and disabled.
Who controls the policies in a healthcare agency?
Board of directors
Who is responsible for the entire nursing staff and safe nursing care?
The director of nursing
The nursing assistant's role is to?
perform delegated tasks
Nursing tasks are delegated according to a person's needs and staff member abilities. The nursing care pattern is called?
A service team member asks you some question. You should?
Give honest and complete answers and if you don't know, refer them to the RN
Define involuntary seclusion
separating a patient form others against their will or keeping them contained in a certain area
Someone who supports or promotes the needs and interests of another person. Acts on behalf of the patient
Define OBRA (Omnibus Budget Reconciliation Act of 1987)
A federal law that plays as a patients advocate and insures that the rules are being followed
The states determination of an employee who has abused, neglected, mistreated, or wrongfully used a person money or property.
Who has the authority to order a restraint on a patient?
It is not used for the convenience of the nursing team.
To resolve a conflict with a
co-worker, you should?
Focus on the facts and specific behaviors
Experiencing one's potential is called?
through creativity, independence, spontaneity, and grasp of the real world.
A person's religion is different from yours. You should do what?
Not force your ideas on the person
A person is angry and demanding. It is important to always?
Treat that person with respect and dignity
For effective verbal communication do...
Ask one question at a time
speak clearly and slowly
repeat information as needed
What communication technique will give you yes and no answers?
A person is in a coma. This means that the person...
Cannot respond to others
You should always assume that a person who is comatose can hear and understand you.
Aging is considered to be
a normal process
Statements about changes in the respiratory system is...
Respiratory muscles are weaken
coughing may be more difficult
respiratory infections and diseases can threaten the persons life
Respiratory system changes occur with aging. What are helpful?
Because of the changes in the urinary system, older person
urinate more often
The following measure promote sexuality
knocking before you enter a room
What will cause suffocation?
using bed rails correctly
reporting a person unattended in the bathtub
reporting loose teeth
positioning the person in bed properly
What is the most cause of choking?
a large, poorly chewed pieced of meat
A patient is choking. The person is conscious and can cough. Which action is needed?
Encourage the person to cough forcefully
You need to empty a person's ashtray. Which is correct?
You need to empty a person's ashtray. Which is correct?
The ashtray is emptied into a metal container partially filled with sand and or water.
Before using a fire extinguisher, you must first.
remove the safety pin
Natural disasters include the following
A flood warning was issued for your area. You are at work. What should you do?
Follow the agency's disaster plan
Which is not a role in risk management?
giving baths and taking vital signs
You break a person's eyeglasses. What should you do?
you need to complete an incident report
A serious risk from bed rails is...
A resident does not use bed rails. To give care, you need to raise the bed and ...
ask a co-worker for help
What is the purpose of hand rails?
They give support when walking
You need to transfer a patient using a transfer belt? How do you apply the belt?
The belt is applied over clothing
You are assisting a resident to the bathroom. The person starts to fall. What should you do?
Ease the person to the floor.
ad lib means
H or HR means
intake and output
twice a day
three times a day
nothing by mouth
by mouth or orally
range of motion
at once, or immediatley
urinary tract infection
four times a day
every other day
Centers for medicare & Medicaid services
Define Physical restraint
restricts freedom of movement or normal access to one's movement
Define Chemical restraints
any drug used for discipline
Functional nursing is?
A nursing care pattern focusing on tasks and jobs
An RN is responsible for the person's total care. This is called
Services moved from department to the bedside is called?
Patient focused care
A transfer belt is?
Used to transfer a patient who is unsteady or disabled
A gait belt is?
Used to help a patient walk that is unsteady or disableds
Centers for Medicare and Medicaid Services
What is one of the CMS rules pertaining to patients?
The rules protect the patients rights and safety like restraint use
When are restraints used?
Only when necessary to treat medical symptoms and then they are removed.
Can anyone use restraints on a patient?
No, only when approved by a medical physician.
Can an RN use restraints?
Yes, but only in an emergency. No doctor's order is required.
What are leather restraints?
applied to the wrists and ankles. Are used in extreme agitation and combativeness
What a re mitt restraints?
Used on the hands and prevent finger use. Allow hand, wrist, and arm movement
What are belt restraints?
Used when injuries from falls are risks or for positioning during a medical treatment. Only allows a patient to turn in bed.
Centers for Disease Control and Prevention
Hepatitis B virus
Methicillin-resistant Staphylococcus aureus
Occupational Safety and Health Administration
Severe Acute respiratory syndrome
Multidrug-resistant organisms are organisms that can resist the effects of antibiotics
Where is MRSA usually found?
A staph infection found in the nose and skin
What are the effects of MRSA?
Can cause pneumonia and serious wound and bloodstream infections
What is VRE and where is it usually found?
A bacterium normally found in the intestines and feces
How can VRE be transmitted to others?
VRE is a MDROs organism that is Transmitted to others by contaminated hands, toilet seats, care equipment, and other items that the hands touch.
An infection found in a body part is called?
a local infection
An infection involved in the whole body is called an?
Healthcare associated infection
The act of being free of disease-producing microbes
the absence of all microbes "good and bad"
Personal Protective Equipment
What are biohazard waste
items contaminated with blood, body fluids, secretions.
double bagging is needed if the outside of the bag is wet soiled, or contaminated.
What are blood borne pathogens?
pathogens that are spread through blood and other potentially infectious materials (OPIM) like HIV and HBV.
What is HBV and how does one get it?
It is a Hepatitis B liver disease spread the blood and sexual contact
What are your strongest and largest muscles?
shoulders, arms, hips, and thighs
making a job fit your work styles for safety related to MSD's
Musculo-skeletal disorder involved injuries to injuries and disorders
What are the OSHA's risk factors for MSD
Force in physical efforts
A semi-fitting sitting position is called?
Fowlers (45 and 60 degrees).
Used on people with heart and respiratory disorders
What is a back lying position called?
A supine position
What is the position called where a person lies on the abdomen with the head turned to one side and or the feet hanging off the bed and the arms are positioned next to the hands?
What is the position called when a person lies on one side or the other and the upper leg is in front of the lower leg and one arm is under the other?
What is the position where a person lies on the left side with one arm at one side, the other bent at the elbow next to the head, and the right leg is bent?
What is the chair position?
Where a person sits upright with their feet flat on the floor and their tail bone sits at the back rest of the chair.
Can a pillow be used in the chair position?
Only when the pt is not restrained
Define a transfer
how a person moved to and from surfaces
Levels of dependence in a persons mobility
Level 4 total dependence
Level 3 Extensive assistance
Level 2 limited assistance
Level 1 Supervision
Level O independent
What is level 4 total dependence entail?
A person who cannot assist in being transferred and needs mechanical lift
What is the level 3 extensive assistance entail?
The person can bear some weight, sit up with help, and may be able to pivot to transfer
What does the level 2 limited assistance entail?
The person is highly involved in the moving or transfer procedure
What does level 1 supervision entail?
the staff will need to look after, encourage or remind the person what to do
What does level 0 independent entail?
The person walks without help
What is friction?
the rubbing of 1 surface against another when moved tin bed, the persons skin rubs against the sheet.
What happens when friction and shearing occur?
both cause infection and pressure ulcers
What is shearing?
the skins sticks to a surface while muscles slide in the direction the body is moving
How doe you reduce friction and shearing?
Roll the person
use friction-reducing devices like a lift sheet
large waterproof pads and
How many staff members does it take to help you move a person in bed who weighs less than 200 pounds or more than 200 lbs?
2 or 3 and a friction-reducing device (less than)
3 staff members and a friction reducing sheet for (more than 200lbs)
Why do you move a person up in bed?
for good alignment and comfort
How is a draw sheet used?
it is held near the shoulders and hips
What is it called when you turn a person on their side to prevent complications from bed rest?
What is log rolling and how is it done?
turning a person as a unit, in alignment, with 1 motion.
It is done by placing a pillow between a persons legs. The you use a reducing sheet or water proof pad to roll the person in your direction with help.
Patients who feel dizzy, or faint when getting out of bed too fast do what and why?
Sit on the side of the bed and dangle their legs. They do this to stimulates circulation in their legs along with coughing and taking deep breaths.
What do you do if the person feels dizziness and fainting occurs?
Lay the person down
Arranging a room to allow enough space in moving a person from beds, commodes, shower, toilets and wheelchairs is what?
A transfer using a belt
What are transfer belts used for?
to support patients during transfers
re-position persons in chairs and wheelchairs
When using a chair or wheelchair to transfer a patient, what side of the body should you use to get a patient out of bed?
The strong side.
ex. If the left side of the body is weak and the right side is strong, get the person out on the right side.
What body part do you use to block a person with a weak leg or foot?
The knee and foot of one leg to block the persons weak leg or foot. place your other leg slightly behind you, but be sure to straddle both of your legs around the persons knees
What temperature does the CMS require that nursing homes maintain temperature and why?
71 to 81F, because older or ill patients need higher temps for comfort
According to the CMS, comfortable sound levels in a nursing home does what?
Does not interfere with a persons hearing
promotes privacy when privacy is desired
allows the person to take part in activities
Some healthcare sounds may disturb some
To give a patient care. Do you raise or lower the bed and to what angle?
You raise the bed horizontally and to your level.
What are the 6 basic bed positions?
Fowlers (between 45 and 6o degrees)
High fowlers (between 60 and 90 degrees)
Semi fowlers (head is raised to 30 degree)
Trendelenburgs (the foot of the bed is raised and the head is at a natural position) by doctors orders only
Reverse Trendelenburgs (head is raised and foot is lowered slightly)
Bedside pans. What goes in the drawers?
Top- small items like, money, eyeglasses and books
Middle-wash basin and personal care items and emesis basin for oral hygiene items
bottom drawer-bed pan, urinals, toilet paper