A patient is able to ambulate in hallway, eat, and bathe without assistance. How would you chart their level of assistance for ADLs?
Independent/Up Ad Lib
Where do you take a temporal temp?
Forehead
Before assisting a patient to stand, what are two things should you check for?
(What is non-skid footwear and bed/chair brakes locked?)
A patient states to the clinical associate. " I no longer want to be alive; I should just jump out the window. What action should the clinical associate take next?
What is stay with the patient and report this information to the nurse.
What do you do before you enter a patient's room?
Wash your hands (and knock!)
Is the clinical associate allowed to use the bladder scanner on a patient that has not voided?
What is no.
If you were to count respirations for 30 seconds, what would you multiply that by?
Name a tool used to assist safe transfers for a patient from bed to chair; in a patient that is able to pull themselves to a stand?
What is? Sara Steady or gait belt.
What are the steps you would take if a patient reports difficulty breathing?
Take VS, check O2 tubing/connection (if on O2), reposition the patient if necessary, alert nurse and communicate abnormal findings.
When is the best time to measure dry weight?
(What is first thing in the morning after voiding?)
What are important things to remember about denture care?
Wash with lukewarm water
Put a towel in the sink
Keep dentures in water in container when not using
*If ill-fitting, tell the nurse
What vital sign requires observing chest movement without alerting the patient?
(What is respiratory rate?)
What device should you always use when transferring a dependent patient with no mobility? (What is a mechanical lift?)
(What is a mechanical lift?)
Where can you find out whether or not a patient should be on oxygen?
In the chart/orders.
(Or from nurse report)
What number should you call for a rapid response?
3333
How often do you reposition a bed-bound patient and why?
Every 2 hours; to prevent pressure wounds
This vital sign is often taken on the radial artery.
(What is the pulse?)
How often do you reposition a bed-bound patient and why?
Every 2 hours; to prevent pressure wounds
A patient on oxygen complains of chapped lips. Is it ok to apply vaseline to the patient's lips? If not, why?
NO. Any petroleum products should be avoided due to their flammable nature.
True or False: More layers are better when it comes to incontinence pads.
False
A patient has left-sided weakness from a stroke. How should he/she be fed?
On the unaffected (right) side of his/her mouth.
What should you do if a patient's pulse is irregular?
(What is report it to the nurse immediately?)
True or False: If you notice a catheter leaking, it can be fixed by applying an incontinent pad to the area.
FALSE. Alert the nurse.
When should the clinical associate document vital signs
(What is immediately after completing them?)
What is the first sign of skin breakdown?
Skin that is pale, white, purple, or red, and non-blanchable.
Communicate this finding to the nurse.