Positioning
In this position the resident is lying flat on his back facing the ceiling.
Supine
If a resident has an affected side, which side should a wheelchair be placed on during transfers?
The stronger/unaffected side
What must a resident be able to do to utilize a stand-point lift (stand aid)? 2 things
bear some weight on lower extremities, have arm strength to hold onto the lift.
What instructions should you give to a resident who is using a walker? Be specific and give 3 things
pick up or move walker about 6 inches in front of you
all 4 feet or wheels should be on the floor before walking forward
Do not move the walker again until you have taken steps with both feet and are steady
Never put your feet ahead of the walker
Never let the walker get too far out in front of you
What term means to sit up at the side of the bed with the legs hanging over the side.
Dangle
This is a semi-sitting position of 45-60 degrees
Fowler's
What is a better method of moving an object, if possible, rather than pulling it?
Pushing it
What area of the body is most prone to pressure sores/ulcers.
Boney prominences
What is essential for a resident to be wearing when standing/transferring or ambulating
non-skid footwear
When is a NA finished caring for a resident who is being discharged.
When the vehicle door is closed.
This position has a resident lay on his stomach, a position that is not typically very comfortable for the elderly
Prone
Who is allowed to use a mechanical lift at a care facility?
Those who have been trained (in most cases, individuals under age 18 cannot operate a mechanical lift but may be the second person)
What 2 sets of muscles should be used when a CNA is lifting.
Legs and abdominal muscles
What do you need to ensure before transferring a resident from the bed to the wheelchair? (3 things)
Nonskid footwear
WC locked
Bed locked
Resident is not dizzy or lightheaded
Transfer belt
Footrests removed
WC touching the bed
WC placed or resident's stronger side
What benefit is it to the resident to utilize a commode/toilet over a bedpan?
Bladder empties more efficiently
This position has the upper body sitting nearly straight (usually 90 degrees, but for sure more than 60 degrees)
High Fowler's
Why should a draw sheet (turning sheet, transfer sheet, glide sheet) be used when positioning someone in the bed?
Helps prevent shearing.
How many people are required to safely transfer a resident to a stretcher and why?
3: one on each side and one to either manage the head or the feet (4 is more ideal)
If walking a resident with a cane, who has an affected side, how should he hold the cane (side) and where should the nursing assistant stand?
Hold the cane with the stronger side. NA should stand to the side and slightly behind on the affected side.
Daily Double
If using a slide/transfer board name 2 safety precautions mentioned in the book.
Do not have next to bare skin
Make sure the resident's fingers are not under the transfer board
In this position, the resident is on his left side with his lower arm behind the back and upper arm flexed. The upper knee is flexed, and the lower leg is straight.
Sims'
What is it called when you evaluate whether or not you can move an object/person safely?
Assessing the load
What 4 steps should a NA follow if a resident starts to fall during a transfer or while ambulating?
Widen stance
Bring resident's body close to you
Bend your knees and support the resident as he is lowered to the floor
May drop to the floor with the resident to avoid injury
**Do not try to stop the fall
**Call for help
**Do not try to get the resident up after without a nursing assessing the resident first
What type of assistive device is appropriate for an individual who cannot bear weight or bear limited weight on one leg?
Crutches
How would you turn a patient when the head, back, and legs must be kept in a straight line?
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