STOP, DROP & DON’T FALL
A resident is at high risk for falls after a previous fall. What tool is commonly used to assess this risk in LTC?
What is a fall risk assessment scale (e.g., Morse Fall Scale)?
Most effective method to prevent infection transmission.
What is hand hygiene?
I spy a patient who becomes lightheaded after standing, with a significant drop in blood pressure from sitting to standing. Name this assessment finding.
What is orthostatic hypotension?
A resident with hearing loss keeps saying, “What?” during conversation. Before repeating yourself louder, what is the best therapeutic communication action?
What is move closer, face the resident, and speak clearly at a normal volume?
These two rehabilitation disciplines work together to improve safety, mobility, and independence, but one focuses more on movement and strength while the other focuses on daily function and self-care.
What is physiotherapy (PT) and occupational therapy (OT)?
A resident is placed on thickened liquids. What is the main goal of this intervention?
What is reduce aspiration risk and improve swallowing safety?
Before transferring a resident from bed to chair, a nurse checks that the bed is in the lowest position, wheels are locked, call bell is within reach, and the room is free of hazards like cords, rugs, and poorly placed furniture. What safety process is being used?
What is an environmental scan?
Type of precautions used for all residents regardless of diagnosis
What are standard precautions?
I spy bilateral ankle swelling, and when I apply pressure with my thumb, the indentation remains for several seconds. Name this assessment finding.
What is pitting edema?
A resident with dementia becomes agitated when staff corrects their memory of past events. What communication approach should the nurse use instead?
What is validation therapy (or validation and redirection instead of correcting)?
A resident needs help with bathing, dressing, and toileting. Which team member typically provides this care?
What is a Personal Support Worker (PSW) or Continuing Care Assistant (CCA)?
A resident has dry mucous membranes, dark urine, and dizziness when standing. What condition is most likely present?
What is dehydration?
A resident has fallen in their room. What is the nurse’s FIRST priority action?
What is assess the resident for injury before moving them?
PPE required when providing direct care under contact precautions.
What are gloves and a gown?
I spy a patient who becomes short of breath when lying flat and needs multiple pillows to sleep comfortably. Name this assessment finding.
What is orthopnea?
A resident becomes more confused, restless, and agitated in the late afternoon and evening. What phenomenon does this describe?
What is sundowning?
This interdisciplinary professional is primarily responsible for assessing swallowing function and recommending diet texture modifications in residents with dysphagia.
What is a speech language pathologist (SLP) and dietician?
This condition is characterized by difficulty swallowing due to neurological or structural impairment and significantly increases the risk of aspiration pneumonia.
What is dysphagia?
After ensuring the resident is safe, what is the next immediate nursing action following a fall?
What is assess vital signs and level of consciousness?
Hand hygiene method for C. difficile.
What is soap and water?
Four classic assessment findings associated with COPD?
What is tripod positioning, pursed lip breathing, accessory muscle use, and a barrel chest?
This dementia care philosophy combines communication, emotional understanding, and behavior interpretation to reduce responsive behaviors during care.
What is the Gentle Persuasive Approach (GPA)?
A PSW notices a resident is more confused and less steady on their feet than yesterday. Which team member should this be reported to first?
What is the Registered Nurse (RN)?
A resident develops a new pressure injury and has had poor oral intake for several weeks. What nutritional concern should the nurse recognize?
What is increased protein and calorie needs for wound healing?
After a fall, the nurse completes documentation and completes an incident report. What is the purpose of this report?
What is ensure communication, quality improvement, and prevention of future falls?
Worn during airborne precautions.
What is a fit-tested N95 respirator?
I spy the "three polys" along with unexplained weight loss. Name all four findings that would prompt a nurse to suspect diabetes mellitus.
What is polyuria, polydipsia, polyphagia, and unexplained weight loss?
During handoff, a nurse forgets to mention a key change in a resident’s condition. What structured communication tool helps prevent this?
What is SBAR (Situation, Background, Assessment, Recommendation)?
This type of care model emphasizes shared responsibility among healthcare disciplines to meet the physical, emotional, social, and functional needs of residents.
What is interprofessional team-based care?
A nurse monitors intake and output for a resident. What is the primary purpose of this assessment?
What is evaluate fluid balance in the body?