Patient Identification
What is the purpose of using good body mechanics
Avoid injury by reducing strain on muscles and joints
Your patient is on oxygen. They are complaining of dry lips and ask for some Vaseline. What would your response be?
Vaseline is a petroleum-based product and can be a fire hazard when used in conjunction with oxygen.
Alternatives would be Aloe Vera or water-based products, such as K-Y Jelly
What is the purpose of a fall risk assessment?
When should a fall risk assessment be performed?
Identification of at-risk patients so that appropriate interventions can be implemented
On admission to the facility, following change in condition, after a fall, or when transferred.
Demonstrate proper lifting techniques
Use the stronger leg muscles for lifting
What are the 3 elements required for fire to burn
Fuel
Heat
Oxygen
Your patient is in the ICU after a traumatic accident. They are intubated and have tried to pull out the ET Tube. You have received an order from the provider to apply wrist restraints. What part of the bed should you use to attach the restraint?
Bed frame
Demonstrate proper techniques for reaching
Stand directly in front of and close to the object
Avoid twisting or stretching
Use a stool or ladder for high objects
Maintain good balance and base of support
Before moving the object, be sure it is not too large or heavy
Name the four different types of precautions
Airborne
Droplet
Contact
Standard
What is the most common fire extinguisher used in healthcare? Why?
Multi-class or ABC
This fire extinguisher may be utilized on all classes of fire and takes the guess work out of which one to use on what combustible element
A - ordinary combustibles
B - flammable liquids
C - involving electricity
Your patient is confused and keeps trying to get out of bed. The patient's family has put the side rails up to help keep them in the bed. Is this an appropriate intervention? Why or why not.
Use of bed rails is considered a restraint when used to prevent an ambulatory patient from getting out of bed.
Inappropriate bed rail use has been associated with patient injury and increased fall risk.
Name 3 ways you can prevent patient identification errors
accurate wrist bands, using 2 identifiers, have patients tell their identifiers, not just confirm
Demonstrate correct pivoting technique
Place one foot slightly ahead of the other
Turn both feet at the same time, pivoting on the heel of one foot and the toe of the other
Maintain a good center of gravity
Name the three different types of cleansing agents and in what circumstances you would use them
Soap - non-antimicrobial. Appropriate for routine mechanical cleansing of most transient microorganisms. Scrub for at least 20 seconds
Antimicrobial/antibacterial -Appropriate for setting where the risk for infection is high. Can suppress or kill growth
Alcohol based hand rubs - Appropriate if hands are not visibly soiled. Will decrease bacterial and viral counts
Name 3 electrical safety rules
Visually inspect all equipment for damage before use
Unplug equipment by pulling on the plug, not the cord
Damaged equipment must be removed from service and reported immediately
Keep fluids, chemicals, and heat away from equipment, cords and cables
Do not tough an energized/conductive surface with one hand while touching the patient with another
You have just received a patient from the ER. The have been admitted after a seizure for additional testing. Describe how you would set up the room to improve patient safety.
Bed in low position
Pad the side rails
Make sure there is an oxygen supply with nasal cannula and mask available if needed
Have suction, oral airway and resuscitation bag in a location in the room that is readily available
What are the 5 rights of medication administration
Right patient
Right dose
Right time
Right route
Right medication
Name four problems you can avoid by using good body mechanics
Excessive fatigue
Muscle strains and tears
Skeletal injuries
Injury to the patient
Injury to assisting staff members
Your patient was just diagnosed with Clostridium difficile. What is C. Diff? How would you prevent transmission. What is the preferred substance to clean your hands?
C. diff is a gram + anaerobic, spore-forming organism
Patient would be put on isolation with contact precautions. Gown and gloves.
Wash hands with soap and water
Your patient had pneumonia and will be discharged home with oxygen, which is new for them. Name 3 important concepts you must teach regarding oxygen storage and handling.
Oxygen should be stored upright in a stand or cart to prevent tipping and falling
Store extra or unsecured tanks by placing them flat on the floor
Do not store in unventilated areas like closets or cabinets
Do not store near heat, fireplaces, or in direct sun
Do not store in the trunk of your car. Transport in the car, secured, with window open slightly
Name at least 5 components of a bedside situational assessment
Bed position
Call light
Clutter and hazards
Location of emergency equipment
Location of assistive devices and mobility aids
IV access or tubes
Bedside commode or urinal
Bedside table, telephone, and other personal items