Safe Patient Handling
This number of staff are needed at a minimum to operate a hoyer lift.
What is two?
How often should a 4-eyed skin assessment be completed with the nurse?
On admission within 24 hours and within 4 hours of transfer to the unit
This fall-risk level tool is used for communicating with patients, peers & providers.
What is the TIPS tool?
*Bonus 50 points if you know how often it should be filled out!
This sudden change in mental status that often includes confusion, disorganized thinking, and fluctuating levels of consciousness.
What is delirium?
This is the first thing a CNA should do when witnessing a patient having a seizure.
4 side rails must be up and together for safety on this bed type.
What is an air mattress?
Name at least 5 areas of the body to inspect for potential pressure injuries.
Sacrum, Coccyx, Heels, Elbows, Hips, Back of head, Shoulder blades, Inner knees, Spine, Nose, Ears
For patients with diabetes, RNs need to know the amount of these consumed at each meal.
What are carbs?
These are risk factors for delirium.
Age over 70, infection, impaired sleep-wake cycle, some medications, dehydration or malnutrition
To protect the patient from injury during a seizure in bed, CNAs should lower the head of the bed and do this with the patient’s body.
What is turn the patient on their side and protect their head with pillows or pads?
This equipment can be used by 1 operator to wheel a patient who can stand to the bathroom.
What is a SaraStedy?
This type of cream should be used when patients have fecal incontinence.
Barrier cream/zinc oxide/thick white paste!
*Bonus points: True or False. This cream should be wiped off as much as possible with each incontinence.
Facial expressions, body language (arms crossed, pacing), gestures (pointing, hand rubbing), proximity and tone of voice are this type of communication.
What are non-verbal forms of communication?
Encouraging mobility, hydration, ordering meals, providing stimulation during the day and good sleep hygiene at night, and reordientation to time and place are examples of this type of care.
What is delirium prevention?
You get in report that your patient has a history or seizures or is admitted for Alcohol Withdrawal. When you first round on the patient in the morning you should check to make sure these two items are set up and ready to use in the room.
What are oxygen tubing and suction set up?
A bed indicated for patients with stage 4 pressure injuries.
What is a sand bed (Clinitron Bed; air-fluidized bed; Envella)?
These tools can be ordered by CNAs in the chart for helping reduce pressure and for repositioning.
Foam wedges, heel protector soft boots, wheelchair cushions
You go in to assess vitals on a patient who is not on oxygen. Their oxygen saturation is at 87%. What do you do?
What is: Stay with the patient, call the patient's RN, apply oxygen if directed by RN, recheck the patient's O2 in a few minutes.
CNAs can help identify delirium early by reporting these changes in their patient's condition.
What are behaviors, attention, and alertness?
During and after a seizure, a CNA should perform this activity.
What is monitoring vital signs - especially and oxygen saturation?
What are standing weights?
Your buddy is on their lunch break and their patient rings out to be cleaned up for an incontinence. You notice an open area on their coccyx. What do you do?
The 6 P's of purposeful hourly rounding.
What are: Pain, Potty, Positioning, Personal belongings, Pump, and Promise
Missing these two sensory items can make a patient confused or agitated.
What are glasses and hearing aids?
During a seizure, a care team member should never do these actions, even if they seem like they might help.
What is put something in the patient's mouth, suction during the seizure or restrain the patient?