Infections
What is the number one thing we can do to prevent infections from spreading?
Wash your hands
If you find a resident that has fallen what should you do?
Press the red nurses button to get help. Press the code blue if found and not breathing. Do not move the resident until the nurse has fully assessed.
What does ADL stand for and what does it include?
hygiene (bathing, dressing, grooming, and oral care); mobility (transfer and ambulation, including walking); elimination (toileting); d. dining (meals and snacks); and, communication (speech, language, and any functional communication systems).
Where Can medications not be given?
When a resident is using the restroom, during cares, while they are in an activity.
State Surveyor approaches you and asks you a questions you are unsure of. How will you respond?
Remain calm and if you are unsure of a question, they ask you. Respond with I am unsure but let me find the answer for you and ask your charge nurse. Do your job to the best of your abilities. Answer questions in as few words as possible.
When should you offer resident hand hygiene
What are ways to prevent a skin tear?
Lotion at least twice daily
Make sure you do not have anything on your wrists or fingers that possibly could bump them and cause a skin tear.
When boosting use two people to boost them up this will also prevent shearing on buttocks.
Pat skin to dry instead of rubbing.
You are going to reposition a resident and resident wants to stand up. You notice she is stronger then she has been in the past. Normally this resident takes 2 assist. You are having a busy morning and need to get all your residents up in the next 15min. What is your plan of action?
Follow care plan of 2 assist. Talk with your charge about the possibility of this resident being a 1 assist.
When do we disinfect surfaces?
Where can we find the policies and procedures and emergency preparedness binder?
Emergency preparedness binder and Policies and procedures behind nurses station.
When should gloves be used?
When cleaning any surface.
How quickly can a pressure ulcer form and what are ways to prevent them?
Prevention: Hydration, good nutrition and, repositioning.
Where do you find the Care plans?
In point click care
A resident reports to you that they feel like they have been abused. The CNA you are working with states that this is just how they always are. What is your first step?
Let charge nurse know who then will report to administration so investigation can begin.
What are the red outlets for?
Power Outage
What are ways to prevent Urinary Tract infections in elderly?
Wiping front to back.
Hand Hygiene
Hydration
Frequent toileting checks
If a resident begins showing mental confusion, impaired judgement, and balance problems, which of the following possible causal factors should be considered first?
A. conflict with roommate
B. malnutrition
C. adverse drug reaction
D. a foot injury
C. adverse drug reaction
specialized eating utensils and equipment; b. safety devices for the bathroom (grab bars, toilet risers, bedside commodes, etc.); and c. mobility devices (wheelchairs, walkers and canes).
(Can also be things such as magnifying glass, glasses and contacts) These are also considered assistive devices.
What are enhanced Barrier Precautions?
When should they be used?
Enhanced Barrier Precautions are:
a. Gloves and gown are applied prior to performing the high contact resident care activity (as opposed to before entering the room).
b. Personal protective equipment (PPE) is changed before caring for another resident. Face protection to be used if there is also a risk of splash or spray. So when emptying a catheter or doing a dressing change.
What temperature does the fridge need to be at or below and how frequently does it need checked?
Fridge at or below 41 degrees
Every Shift
Freezer 0 or below
When should you use soap and water instead of alcohol hand sanitizer?
Staff wash hands with soap and water when their hands are visibly soiled (e.g., blood, body fluids), or after caring for a resident with known or suspected C. difficile infection.
What type of medications are linked to an increased risk of falls and fractures due to their affect on coordination, concentration and balance?
Sedative-hypnotic medications (benzodiazepines found to have significant association with falls)
The term for inability to use a utensil due to loss of ability to coordinate learned movement is?
A. Amnesia
B. Agnosia
C. Aphasia
D. Apraxia
D. Apraxia
What does facility temp need to range between?
71 degrees to 81 degrees
What does RACE stand for?
Rescue
Alarm
Confine
Evacuate or extinguish