ADL's
After reviewing the care plan you went to Mrs. Gordon's room to help her position in bed. You went in, woke her and provided her a cue to turn to her side. The code is?
What is Supervision? 1/1
According the the care plan, Mrs. Long needs guided maneuvering for positioning her hands on the dining room chair when transferring from the chair to the standing position. At breakfast, you guided Mrs. Longs hands to the arms of the dining room chair so she could push herself up to the standing position. How do you code this transfer?
What is limited assist? 2/2
Mr. Kirkland has refused to toilet twice during your shift. Do you fill out a nurse alert form?
Yes! Refusals of care are one of the reasons to fill out a nurse alert form.
Fill out a Nurse Alert form stating the 10 Metoprolol 25mg tabs remaining.
What do you do when a resident who uses an outside pharmacy gets down to 10 tabs?
Inspect feet daily, looking for open areas, changes in color of skin, changes in nail beds and/or pain. Only the nurse or podiatrist can trim nails.
What should all care team members do when caring for a diabetic residents feet?
After reviewing the care plan you & another CNA enter Mr. Mallow's room. He has slid down in his bed and needs repositioned. He is able to assist by bending his knees and pushing his legs. You and the other CNA need to physically pull him up in bed. How would you code this?
What is extensive assist of two staff? 3/3
According to the care plan, Mr. Austin has Parkinson's and needs weightbearing assist of 2 staff to transfer using the sit/stand lift. During your shift, you and another staff transferred Mr. Austin from his bed to his wheelchair using the sit/stand lift. He was able to hold on to the hand grips during the transfer. What is the appropriate coding for transfers?
What is extensive assist of two staff? 3/3
Ms. Harris has been more active and participated in more social programming in the past few weeks. Do you fill out a nurse alert?
No.
Fill out a Nurse Alert form stating the Medication dosing ordered in the MAR, and the mg of pills you have. Do not give the medication until clarified by the nurse.
What do you do when there is a difference in the medication you have and the order in the MAR? (for example: The orders states Metoprolol 25mg, give one tab by mouth daily. You have Metoprolol 12.5mg tabs.)
Cold and Clammy, slurred speech, dizziness, confusion and/or anxiety.
What are some signs of Hypoglycemia (low blood sugar)?
Mr. Bird favors lying on his right side. An intervention on his care plan to prevent skin breakdown is to rotate from side to back to side approx. every 2 hours. You go to his room and guide his hand to the repositioning bar and he turns to his left side. What do you code for bed mobility?
What is limited assist? 2/2
According to the care plan, Mrs. Davis has right sided weakness due to her recent stroke and needs assist of 2 staff to transfer using the mechanical lift. During your shift, you and another staff transferred Mrs. Davis from her bed to her wheelchair using the mechanical lift. She provided no assistance during the transfer. What is the appropriate coding for transfers?
What is Total dependence of two staff? 4/3
Mrs. Rubble is needing more physical assistance w/transfers the past few days. Do you fill out a Nurse Alert form?
Yes! The nurse will need to assess the resident.
6am-10am.
What is the timeframe I can administer a medication with "AM" as the time to give?
Hot and Dry, excessive thirst, confusion, drowsy, frequent urination. Could be life threatening.
What are some signs and symptoms of Hyperglycemia (high blood sugar)?
Mrs. Cook is on hospice and is at the end of her life. She is unable to assist with any of her adls. Her care plan indicates to physically turn her in bed approx. every 2 hours. You and her daughter go to her room and the 2 of you physically turn her to her right side. How do you code bed mobility?
What is total dependence of one staff? 4/2
During your shift, Mr. Stone needed toileting assist to pull up and zip his pants and handing him a washcloth to wash his hands. How do you code toileting?
What is extensive assist? 3/2
Mrs. Terry was found on the floor during your hourly checks. Do you fill out a Nurse Alert Form?
No! You fill out an Incident Report.
4pm-8pm.
What is the timeframe to give a medication indicated for the "PM" as the time to give?
If the resident is conscious, give a sugar and a protein. Retest the blood sugar level 20 minutes after the resident has eaten, keep them in a common area for observation. Alert the nurse.
What do you do when a diabetic residents blood sugar is low?
To code an ADL as extensive assistance, you must provide weight bearing assistance for the resident. Examples include: lifting the residents hand to place on a repositioning bar, lifting a residents hand to their mouth while eating or lifting a residents legs into bed. True or False
True!
During your shift, Mrs. Jones transferred from her bed to her wheelchair. She needed you to bring the wheelchair next to the bed and remind her to hold on to the chair and for her to position her body slowly. You provided this reminder one time on your shift. How do you code this transfer?
What is supervision?1/1
Resident's name, Date & Time, Vital Signs, What happened and your name.
What is the vital information needed for the Nurse Alert Form?
Insulin and EpiPen.
What are the two injections a CRMA may administer?
Long acting, short acting, intermediate and mixed.
What are the different types of Insulin?