Rules & Rights
What federal law protects patient privacy in Texas facilities?
HIPAA
When is hand sanitizer NOT enough?
When hands are visibly dirty or with C. diff (use soap & water)
How often should immobile residents be repositioned?
What pulse range should be reported as abnormal?
Below 60 or above 100 (unless otherwise noted)
What must always be locked before a transfer?
Bed or wheelchair
Who do residents or families contact to report concerns about care in Texas nursing homes?
The Long-Term Care Ombudsman
What type of precautions require gown and gloves?
Contact precautions
What is a major risk of not repositioning?
Pressure ulcers (bedsores)
What should you do if vitals are abnormal?
Report to the nurse immediately
What device helps safely assist walking?
Gait belt
A CNA shares patient info with another resident. What is this called?
A HIPAA violation
A resident has diarrhea from C. diff. What special step is required?
Wash hands with soap and water (not just sanitizer)
Which areas are most at risk for pressure sores?
Heels, hips, tailbone, elbows
Why count respirations without telling the patient?
They may change their breathing
Where should the bed be before leaving a resident?
Lowest position
Name one resident right related to dignity
Privacy during care / being treated with respect / making own choices
When must you clean equipment like a blood pressure cuff?
Before and after each patient use
What technique keeps the spine aligned when turning a patient?
Log rolling
A resident’s BP is 180/100. What do you do?
Report immediately (urgent)
What is the first thing to check before transferring a patient?
Their ability to help / care plan
What should you do if you suspect abuse or neglect?
Report immediately to the nurse/supervisor (mandated reporting)
Why should you avoid touching your face with gloves?
It spreads contamination
What should you NEVER do when moving a patient in bed?
Drag them (causes skin breakdown)
What is more important: recording or reporting abnormal vitals?
Reporting first, then documenting
A patient starts falling—what’s the priority?
Protect them and ease to the floor safely