Terminology
MAR stands for?
Medication Administration Record
Your client is stable, you find their Oxygen is running at 3L while it is supposed to be at 2L. What do you do?
Call the Regulated Health Care Provider. Adjusting Oxygen is out of your scope of practice. Oxygen is considered a medication.
You are taking the tympanic temperature of a child. The shape of a child's ear is different from an adult. How to you maneuver the child's ear?
Gently pull the child's ear down and forward and insert the probe.
How many medication rights are there?
10
1.The right medication
2.The right person
3.The right dose
4.The right route
5.The right time
6.The right education
7.The right day
8.The right reason
9.The right expiry date
10.Right documentation
Coughing could be a sign of what?
Aspiration
Active-assistive range of motion
Exercises done by the client with some help from the caregiver.
Under what circumstances would a support worker be able to give a client an injection of insulin?
Only when you have been trained, supervised, and monitored by registered staff
Your client has a temperature of 37.9 What do you do?
That is an elevated temperature, your client has a fever. You report this to the RHP. You can place a cool cloth on your client's forehead and reduce the number of blankets/clothing on your client.
What is important to remember about administering an enema or suppository?
Client must be lying on their left side.
Your client is experiencing Orthopnea, what should you do?
Shortness of breath when lying in a flat or supine potion. You need to sit them up, likely tripod them.
Hypoxia
A deficiency of oxygen in the cells.
What is the HCA role in assisting with Insulin?
The HCA assists only by bringing the insulin to the client and assisting the client to prepare the site for the injection. After the injection, the HCA will ensure that the needle has been disposed of in a biohazard sharps container. HCAs must receive adequate training and supervision from a regulated health-care professional prior to undertaking this activity.
Your client has had a mastectomy. What is important to note about Blood Pressure?
You should not take blood pressure on the same side as the mastectomy.
The expiry date on your client's medication has two different prescribers. What do you do?
Hold the medication and contact the nurse
What are signs of respiratory depression?
Respirations of less than 12 breaths per minute.
Cyanosis
SOB
Dizziness
Anxiety
Shallow or labored breathing
Lethargy
A sudden decrease in blood pressure that occurs when a person stands up from a sitting or lying position.
Orthostatic Hypotension
Some medications are in concentrate form and are mixed with sterile water before use. Is this within your scope of practice?
The mixing of the medication with water is not an HCA job and is outside your roles and responsibilities.
Which acronym would you use to assess pain?
•P (Provoking cause): What factors are causing the pain?
•Q (Quality of pain): Type and intensity of pain using visual tools
•R (Region of pain and if it radiates anywhere): Where is the pain?
•S (Severity of the pain): How uncomfortable a client is feeling?
•T (Timing of the pain): Duration of pain
•U (The client’s understanding of the pain): Does client understand the cause of pain?
•C (Character): Describe the sign or Symptom
•O (Onset): When did it begin
•L (Location): Where is it, does it radiate
•D (Duration): How long does it last, does it recur
•S (Severity): How bad is it, how much does it bother you
•P (Pattern): What makes it better or worse
•A (Associated Factors): What other symptoms occur with it
Your client is on a KNOWN Hazardous medication. What do you do?
Check the care plan, review policy and procedure, ensure you have correct PPE, Disposed of excrement according to agency policy.
Your client is on mechanical ventilation and the alarms are sounding, you find the tube has disconnected. What do you do?
Immediately reconnect the tube and call for the Regulated Health Care Provider. Do not reset the alarms.
True or False
When joining or creating a team, you can choose if its public or private.
True.
Administering a tube feed is a restricted activity for health care aides. If your agency requires you to perform this task, the following steps must be taken:
The client or client’s family must agree to have this task completed by an HCA.
The regulated health-care professional must be willing to supervise the HCA.
The HCA must receive training for administering the tube feed to a specific client.
The client’s condition must be stable and the outcome of the procedure must be predictable.
The HCA must be directly supervised by a regulated health-care professional until he or she is competent in the skill and feels confident in his or her ability.
Indirect supervision must be available at all times.
Any change in the client’s condition must be reported to your supervisor immediately.
The client’s care plan must be followed at all times.
Normal ranges for Pulse, respirations, blood pressure, temperature and SPOA
Pulse: 60 - 100
Respirations: 12 - 20
Blood pressure: 120/80
Temperature: 37 degrees
SPO2: 95 - 100%
What are the 4 client rights?
1. Right to be treated with dignity and respect.
2. Right to privacy and confidentiality.
3. Right to decide.
4. Right to be involved in care decisions.
•Client may be unable to breathe during suctioning
•Hypoxia and life-threatening complications can arise