Elopement
The code for wander alarm at entrance of facility.
What is 4444?
A summary of how resident's perform ADLs, their code status, transfers, diet, use of assistive devices, oxygen, & skin care.
What is : Care card
Cognitive Impairment is __________.
a decline in one or more mental abilities, such as memory, language, attention, and problem-solving, which can impact daily functioning.
Which of your team members are qualified to assist in feeding?
*Varies*
Initial step when you are concerned about the whereabouts of a resident.
The first step the charge nurse needs to do.
What is notify nursing staff/walkie for location and Charge nurse to call code bear.
When does a resident's care plan change?
What is: anytime, with any changes in condition
2 Types of cognitive impairments.
What are memory and decision making.
What items should be worn into a room with enhanced barrier precautions?
Gown and gloves.
Risk factors/reasons a resident may wander. (List 3)
What are:
Confusion, alzheimers, dementia, boredom, agitation, depression/missing family, terminal restlessness, UTI, disorientation, unmet needs, unable to verbalize needs, looking for bathroom, looking for food
You observe a transfer with 1x assist with walker, but notice the care card states "Sit-to-Stand". You should___.
What is notify charge nurse
These are causes of impaired cognition.
What are:
Acute: infection, UTI, dehydration, lack of oxygen, reaction to medication, High or low blood sugar, sleep deprivation,
Chronic/Progressive: Dementia, alzheimers, stroke, parkinsons, TBI
* Show Picture *
The following employees are eligible for short pay.
Nobody
Resident has been identified as elopement risk, the next steps would be ______.
Ensure ALL staff is aware and educated on diversion techniques specific to resident.
Nurse to perform proper assessments, receive order for wanderguard, obtain consent from DPOA, place wanderguard on wheelchair or directly on resident (depending on mobility status).
Continue to monitor working status of wander guard and alarm.
Ensure MDS notified to add into careplan.
Explain the procedure of peri care to our resident in 102.
peri and cath care should both be explained.
These are some of our residents that have, or have had, some level of cognitive impairment while residing at Oakridge.
Who Are
EVERYONE
Dress code policy includes ______.
Scrub pants
Scrub top or Oakridge Tshirt
Cleanliness (odor free)
Closed toe, non slip sole shoes
Hairnets (if in Kitchen)
Name tag
Gait belt
Walkie
Problems related to wandering.
What are:
Risk of harm due to impaired safety awareness
Risk of fall/accident
Weather concerns
Unable to provide medical attention (medications, etc)
Unable to provide/receive basic necessities: toilet, food, water
Three other disciplines, other than your own, that would be included, at any capacity, in the care of a resident as it relates to bowel habits.
Provider-additional orders, interventions, further action or treatment
Dietary-Food intake, fluid intake, diet changes
CNA - increased brief changes/bathroom breaks, monitor BM consistency, chart accurately
Nurse- to assess, intervene, communicate concerns, monitor closely
Housekeeping-clean linens/clothes, any additional cleaning=promotes clean environment
Hospice- for additional interventions, assessments
Interventions for those with a cognitive impairment deficit include ___. (5)
Introduction and reason you are there with each rapprochement.
Simple and clear communication.
Allow time for resident to absorb and process before responding.
Explain all procedures and treatments.
Stick to a routine for ADLs
Continuity of care.
Simplify environment and avoid changes.
Provide clock, calendar and familiar photos in room.
minimize stimulation.
Explain the steps when a resident is found on the floor.
Notify charge nurse, await instruction.
Charge nurse to assess, assist to bed/chair, determine if they need to be seen or perform in house first aide.
Complete incident report, and any additional witness statements.
Monitor for any changes in resident condition and report immediately.