Vital Signs
What are the four vital signs that you must check?
Measuring Body Temperature, Counting Pulse Rate, Counting Respiration Rate and Measuring the Blood Pressure
What are physical and chemical restraints?
Physical: any method, device, material or equipment that restricts a person's freedom of movement
Chemical: are medications used to control a person's mood or behavior
Nothing except report and document any observation of changes or problems with the IV line.
What should you never do when changing the sheets of an occupied bed?
Shake the new sheets, dust will get everywhere into the air.
What is the first thing you should do when meeting a new resident?
Be friendly and introduce yourself by your full name and what your position is, call the resident by their full name till they tell you what they prefer to be called
What is the normal range of the pulse rate of an adult?
60 - 100 beats per minute
What is the name of the equipment or device that promotes a resident's safety, mobility, comfort, independence and mobility?
An enabler
Name two examples of flammable products
Nylon or wool fabrics.
Candles, lighters/matches
Vaseline or Chapstick
Alcohol or nail polish remover
What is a closed bed?
A bed that is completely made that has bedspread and blankets in place, this is made for residents who will be out of their bed for most of the day.
How do you help the resident when they are being transferred?
Help them pack their personal items and let them look around the room to make sure they haven't left anything behind.
12-20 respirations per minute
If it is a last resort and you need to use restraints today, how are you allowed too?
If the doctor signs off that it is needed for the resident.
What is the difference between a straight catheter and an indwelling(Foley) catheter?
A straight catheter is inserted to drain urine from the bladder and removed immediately after the urine is drained.
An indwelling catheter remains inside the bladder for a long period of time even after urine is drained.
How can you avoid pain when making a bed?
Raise the height of the bed to your hips so you don't have to bend over as much.
What does OBRA require that residents know when they are admitted?
They must be told their legal rights and a written copy of their rights
What is the range of the normal blood pressure for an adult? (Both Systolic and Diastolic)
Systolic: 90-119 mm Hg
Diastolic: 60-79 mm Hg
Name one piece of equipment used daily that might be considered a restraint.
Raised Side Bed Rails
Attached Tray Table on Chair
Tightly Tucked Sheets
What should a NA report to the nurse when draining a catheter?
Blood inside the catheter bag, Catheter bag hasn't filled up after a few hours, Catheter bag suddenly is filled completely after being empty for hours, Odor from the catheter, Catheter is not in place and urine leaks from the catheter.
What should you observe if a resident complains of not getting any sleep? (2 observations)
drinking caffeine in the evening, sleeping too much during the day, eating heavy meals late at night, taking new medications or refusing to take ones, using electronics late at night and complaining of pain
If the resident isn't able to tell you their personal preferences and daily routines, who should you ask instead?
Their family
What is the range for the adult vital sign of the oral, axillary, tympanic and temporal artery temperature site?
Oral: 97.6 - 99.6 Fahrenheit or 36.4 - 37.6 Celcius
Axillary: 96.6 - 98.6 Fahrenheit or 35.9 - 37.0 Celsius
Tympanic: 96.6 - 99.7 Fahrenheit or 35.9 - 37.6 Celcius
Temporal Artery: 97.2 - 100.1 Fahrenheit or 36.2 - 37.8 Celsius
If a resident has restraints, what 5 steps must the NA do to make sure the resident is being cared for in the right way?
1. The call light must be placed where the resident can access it
2. Call lights should be answered immediately
3. They must be checked on every 15 minutes
4. The restraints must be released every two hours.
5. Give them their ADL
What should the NA do when a resident has an oxygen mask?
Where do you put your disposable bed protector?
What should you document after the resident have been discharged? (5 things need to be documented)
The resident vital signs at discharge, time of discharge, method of transport, who the resident was and what items the resident took with her.