Emergency
FALLING/FAINTING
Help them to ground
Call for help
Check for breathing
Don"t move the resident
Assist nurse and check on resident due to facility policy
The #1 way to prevent infection
handwashing
What is NPO
Nothing by mouth
Normal pulse range
60–100 bpm
SEMI-FOWLER’S POSITION
1.Move resident to supine position.
2.Elevate head of bed 30 to 45 degrees
RACE
remove resident ,activate alarm ,contain fire, extinguish fire
What is the PPE order for on and off
put on- gown,mask,glove
take off-glove,gown,mask
Best position to eat
upright
Normal respiration rate
What is 12–20 breaths per minute
ORAL TEMPERATURE
Do not take oral temperature for a resident who is unconscious, uses oxygen, or who is confused/disoriented!
1.Put on disposable sheath and place thermometer under the tongue and to one side, press button to activate the thermometer.
2.Instruct resident to hold thermometer in mouth with lips closed. Assist as necessary
3.Read the temperature reading on the face of the electronic device, remove the thermometer, discard the sheath, and record the reading.
4.. Report unusual reading to nurse
PASS
pull, aim, squeeze, sweep
How long should you wash your hands
20 sec minimum
Why are fluids important
Prevent dehydration
Normal blood pressure
100/60-139/90
ASSIST WITH CANE
1.Check the cane for presence of rubber tip
2.Assist resident to sit on edge of bed.
3.Assist resident to stand on count of three.Allow resident to gain balance. Check for dizziness.
4.Have resident place cane approximately 4 inches to the side of his/her stronger/ unaffected foot. The height of the cane should be level with resident’s hip.
5.Stand to the affected side and slightly behind resident.
6.Have resident move cane forward about 4-6 inches, step forward with weak (affected) leg to a position even with the cane. Then have resident move strong leg forward and beyond the weak leg and cane. Repeat the sequence.
What to report immediately
Changes in patient condition
What is droplet transmission
Infection spread through coughing or sneezing
What is a low-sodium diet
A diet with no added salt
What dose cyanosis look like
bluish or purplish discoloration of the skin, lips, or mucous membranes
RANGE OF MOTION
1.Observe joints for swelling, redness or warmth
2.shoulders, elbows, wrists, thumbs, fingers, hips, knees, ankles and toes 5 times.
How to prevent falls
Low the bed all the way
What are pathogen
Germs that cause disease
What you should check before feeding a patient
diet order
What is edema
Swelling from fluid
INSPECTING SKIN
1. Provide the resident privacy.
2. Check bony areas including ears, shoulder blades, elbows, coccyx, hips, knees, ankles and heels for redness and warmth.
3.Check friction areas including under breasts and arms, between buttocks, groin, thighs, skin folds, contracted areas, and around any tubing for redness, irritation, moisture and odor
4.Undrape resident.
5.Report any unusual findings to the nurse immediately