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CNA Safety

QuestionAnswer
What is the most common complication of immobility? Pressure Ulcers (Bed Sores)
How do you prevent pressure ulcers? Reposition resident every two hours
Define Shearing and what it affects: When forces moving in opposite directions are applied to tissues inside the body.
What does friction do to the resident? Causes rug burn
What causes shearing and friction? pulling a person across sheets.
What can reduce shearing and friction? Don't pull or drag. Lift and roll. Ask for help.
What should you always check after positioning a person? Check for proper body alignment. (Going to the end of the bed and seeing if the body is straight)
When would we log roll a patient? To avoid twisting a body that has had back surgery or that has an injury to the neck or spine.
Define Lithotomy: Half bed
What do you check before helping a resident out of bed? Make sure the bed is locked and lowered to a proper height.
Why do we dangle the residents feet? To avoid dizziness and equalizes blood pressure.
Do you stand on the residents weak or strong side when ambulating? The weak side and slightly behind them just in case they begin to fall.
When do you use mechanical lifting? For patients who are too heavy or can't bear their own weight.
What does the acronym "RACE" stand for? R-Remove/Rescue A- Alert/ Alarm C-Contain E- Extinguish and Evacuate
What are the best ways to use good body mechanics? Do not twist or lift with back. Squat and use your legs. Keep the thing you're lifting close to your body.
What to do when a resident begins to fall: hold close to your body, yell for help, keep it controlled, use gait belt for support.
Define Hemiplegia: Usually from a CVA, the L or R side of the body.
Define Paraplegia: 2 legs paralyzed, usually from a spinal cord injury.
Define Quadriplegia: All four limbs are paralyzed.
What is the #1 risk of injury in health care? Falling
What is the #2 cause of injury in health care? Burns
What are ways to prevent falling? BRP, non-skid footwear, no trip hazards, keep Walker close to where the residents can reach it.
What are ways to prevent burns? Use bath thermometer, warn residents about hot liquids.
What is the ideal temperature for showers or baths? 105 degrees.
What are reasons to use restraints? -They are a risk to themselves -When pulling out medical devices -They are a risk to others.
Who has to order the restraint? The doctor.
When do we use a restraint? When it is a last resort.
What are the rules for using a restraint? Use a slip knot, tie to bed frame and not the side rail, make sure its snug but not too tight.
How often do you check residents using a restraint? Every 15 minutes
How often do you take it off? Every 2 hours for 10 minutes.
Where do you put pillows on someone in a supine position? Under the weak arm (if there is one) and under the calves to create floating heels.
Where do you put pillows on someone who is in a prone position? The pillow under the head is optional, but there has to be a pillow under the hips and on the shins to create floating toes.
Where do you put pillows in lateral position? In between the legs, in-between their arms to hug, and behind their back (optional sometimes).
What does the fowler's position help with? Aspirations, when tube feeding, eating thick liquids, and SOB.
What is High Fowlers for? Grooming and eating. (Not comfortable to stay in.)
When do you use Sims? And what side must it be on? When performing an enema. And on the Left side.
Where do the pillows go in the Sims position? Under the bent leg, on the bent arm, and under the head.
When do you use Trendelenberg? When patients BP is going down or they are going into shock.
What can a patient on a clear liquid diet have? Water, jello, juice, soda, broth.
How do you help someone eat who is blind or visually impaired? Describe the food on the tray like a clock face.
Are clear diets short term or long term? Short term
What are aspirations? When food/fluid goes into the lungs instead of the stomach.
Examples of 8 oz containers: Milk carton, mug, bowl, large cup.
Example of 4 oz container: Small cup
Example of 12 oz container: Soda Can
When assisting a resident on bringing them to a wheelchair, which leg leads? The strong one!
What is the “gentleman” and “lady” technique? when a resident is blind, you hold out an arm and the resident grabs the back of your elbow. talk. Use descriptive words and make sure they feel as safe as possible
Created by: geilmree000
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