click below
click below
Normal Size Small Size show me how
CNA Safety
Question | Answer |
---|---|
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 |