Standard Procedure
Before entering a room you must
What is Knock (and identify yourself)
How often should nail care be provided
Every shift and as needed
How should someone be positioned for meals in bed
Upright not slumped over and tray within comfortable reach
Use PPE in an isolation room how many times (NON CRISIS CAPACITY)
What is Once
While you are assisting Mr. A with bathing you notice that he has a small reddened area to his L back side
What is report to Charge Nurse
Urinals/bed side commodes should be checked and emptied when
What is during rounds and PRN
When should a bed bath be given
Provided on any resident who is not receiving a shower on that shift and as needed for incontinent care.
Mechanical Lift Requires how many person assist
What is 2
After removing PPE you must
Wash your hands
Mrs. B has finished ADL care and has cut on the call light for you to assist with clean up of materials. While discarding items you note that resident has "whiskers" and attempts to shave resident to which she replies "No"
What is review profile for facial hair ...if doesnt have one document refusal
Vital signs that are out of range should be
What is reported to Charge Nurse immediately
Perform this prior to starting care, passing trays, visibly soiled and after care has been given
hand hygiene
Resident's linen should be replaced and bed made when?
What is Daily & Q shift PRN when visible soiled
How often should catheter care be provided
Every shift and as needed
While assisting with supervision for the dining room you notice that Mrs. G is not eating. After several attempts of cuing and ultimately attempting to assist with meals resident still refuses meal.
What is Offer resident substitute for meal....if still refuses then Report to Charge Nurse
Turning and repositioning should occur when
What is every 2 hours and PRN
This should be done every shift and after meals
Brushing teeth
Resident's hair should be combed/brushed when
What is daily with bath
Where are staff personal belongings to be stored during the shift
Hanging on the hangers provided in eyewash stations or breakroom lockers
While completing rounds for the shift you knock on the door and identify yourself to enter Mr. T's room. Resident welcomes you in to do care but then becomes combative and verbally abusive
What is remove resident from danger and allow time to calm down
This is required with a resident who has wounds or invasive devices.
Enhanced Barrier Precautions
Where are bedpans and urinals stored and how are they stored when not in use.
in plastic bags labeled and hanging on rails in bathroom or on shelves. Urinals can be where resident prefers but preferably in the bathroom.
Identifiers to direct resident care are located where
Care guides
Before Gowning, Gloving, &/Masking you must
What is wash your hands
Documentation of the care you provide should occur when
What is Point of Care