T or F: Residents have the right to participate or not in activities
TRUE
What is PPE?
Personal Protective Equipment including gown, gloves, mask, goggles/face shield
How often should you check and change residents or reposition?
AT LEAST every 2hrs
Who in this building can self administer medications?
No one
How do you know what should be completed for a risk event?
RED FOLDERS ON UNIT
T or F: It is okay to leave the privacy curtain open when giving care to a resident when both residents are friends
FALSE, residents always have a right to privacy. Close the curtain, door, etc.
When do you DOF PPE?
Prior to leaving isolation room.
What should STNA's apply to residents after every incontinent episode?
Barrier cream which is left at bedside
What should you do when a medication is unavailable?
Check the other carts in case it was misplaced, pull medication from EDK if available. If unavailable, call pharmacy. Document about medication not being available and update NP/RP of missed dose. If OTC, check central supply.
What does personal care include?
Combing hair, nails, peri care, dressing, trimming facial hair, brushing teeth, etc.
What should be done prior to entering a resident's room?
Knock & wait for a response, then introduce yourself and explain what you will be doing
What do you do with your eyewear after leaving an isolation room?
Disinfect with alcohol or bleach wipe from cleanest to dirtiest.
How do you properly remove a brief?
Tuck the brief, roll and remove. Do not PULL - this creates shearing and causes injury.
What meds are you supposed to re-order from pharmacy that does not come on our routine 28 day cycle?
Liquid medications, insulins, inhalers, scheduled IMs, eye gtts, narcotics, nasal sprays, nebulizer treatments.
How often do foley bags need changed?
WEEKLY
If a resident asks you to stop or complains of pain during care, what should you do?
Stop immediately, never use force with a resident. Notify a nurse for assistance. The nurse can determine if there is a way to complete the task without causing pain, give pain meds, etc.
Where do you find PPE if you need to restock the bins or by the doors?
Central Supply
What interventions can be used to prevent pressure areas for residents who are unable to independently reposition self?
Wedges
Pillows
Rolled up blankets
Chair cushions
Pressure relieving boots
Pressure relieving mattress
Explain the process of med administration
Complete your 6 checks, take medication to resident and witness resident taking medications & swallows. DO NOT LEAVE MEDICATIONS AT BEDSIDE
If a resident has a change in condition, what should you do?
Use your nursing judgment, obtain vital signs, utilize SBAR, contact the NP, follow through with orders in a timely manner.
If a resident raises a concern or complaint, what should you do?
Fill out a concern form and give it to the administrator, DON, ADON, or Social Services. All complaints will be taken seriously and investigated.
Where do you find COVID-19 education?
The cork board in the beauty shop (where you test), also education can be retrieved from ADON or DON
What are the bony prominences where a pressure wound can develop?
Elbows
Back of head
Shoulders
Heels
Knees
Coccyx
Sacrum
Hips
Ankles
What medications cannot be crushed?
Enteric coated meds, medications without a score, capsules, Potassium
What should you do if a suprapubic catheter or a g-tube falls out?
We should have the supplies on hand and you should attempt to re-insert. If unable, call all-stat for placement.