Fall Prevention
A resident falls while toileting. The call light was on but not answered. What two things went wrong here
Lack of timely response and failure to follow toileting plan or safety precautions
A normally alert resident is drowsy and confused. Whats your first action?
Notify nurse- possible acute conditions change
Nurses to assess futher
What builds trust most among cowrokers during stressful shifts?
Follow through when you say you'll help- or communicate if you can't and respectful communication
What does the Kardex help staff quickly identify?
Key care needs- transfer status, mobility, toileting, diet restrictions, and any precations
Why is it important for ALL team members to know which residents are fall risks- even if not assigned to them?
So everyone can take action to prevent falls (repsond to alarms, help in hallway, answer call lights, alert others)
What subtle signs may indicate a UTI in non-verbal residents?
Increased restlessness, refusal to eat, or sudden behavior changes
A team member is short with others abd seens bured out. Whats a professional responce?
Privately check in and offer support or notify leadership if safety is affected
When should staff re-check a Kardex?
A CNA finds a resident walking without their walker. They haven't been assessed for new mobility. What should the CNA do first- and why?
Stop the resident safetly, notify the nurse. New mobility changes may indicate condition change or missed care plan update
Who do you notify first when you observe a change of condition?
Charge Nurse, Nurse managers
Why is it critical that all staff- CNA, nurse, housekeeper- communicate what the observe about residents?
Everyone may witness signs of distress, risk, or condition changes other miss
Whats the team's responsibility if a Kardex instruction sems unclear or incorrect?
Communicate with the nurse/ RCM to clarify and update to prevent errors
A new med is prescribed. What one fall-related side effect to monitor for?
Fever and increased heart rate
A new team member is struggling. What should you do?
Offer help, model good practices, and notify supervisor if needed
You observe your co worker assisting a resdient with a a 1-person transfer, but the kardex says the resident requires a 2-person transfer. What should the nurse do, why is it criticak to act?
The nurse should immediately correct the CNA, explain the safety risks, and ensure the care plan is followed. Its critical to prevent injury to residents and staff and to maintain compliance with care directives
A CNA finds a resident on the floor but no one saw it happen. What steps should you follow?
Call Glow worm, stay with the resident, notify the nurse, don't move them, nurse to assess and complete fall worksheet. Statements needed from all staff members present
A CNA reports that a resident hasn't eaten in two days, but thers no documentation. What does this mean for the team- and what should happen next?
It signals a breakdown in teamwork and communication; immediate documentation abs nurse/MD notification is required
You're the nurse on duty and notice that a CNA has been repeatedly skipping vital tasks like toileting residents and charting care. How should you address this while maintaining team accountability and resident safety?
Speak with the CNA privately to address the concerns directly and professionally. Remind them of their responsibilities, document the conversation if needed, and report ongoing issues to supervisor. Always prioritize resident care and support accountability
You're the CNA and the Kardex says a resident is a "1-person transfer", but during care, you notice thery're much weaker and unstable today. What should you do, and why is it important not to folllow the kardex
Stop and ask for assistance, then report the change to the nurse immediately. The kardex may not reflect real-time changes, and following it without using good judgment can lead to injuries.