Precautions
What PPE is required for contact precautions
Gloves and gown
While answering a call light, you see another resident attempting to self-transfer without non-skid footwear. What should you prioritize?
The resident attempting to self-transfer.
A surveyor asks you a question, and you don't know the answer
Say you are unsure, but will find out.
You spill your drink on the weights and vitals sheet. Where do you throw it away?
In one of the "to be shredded" cans.
When I was a kid, I had a raccoon as a pet. Who am I?
Brittany
What PPE is required for droplet precautions?
Face mask, gloves, gown, and goggles/face shield
A resident is prone to sliding out of her recliner. Your fellow CNA recommends putting dycem on the recliner to prevent her from doing so. Is this acceptable?
No, the Nurse Case Manager or Charge Nurse must approve of the plan first.
A resident you have a relationship with tells you they accidentally bumped their elbow into the wall, and it started bleeding but stopped shortly after the fact. What are your next steps?
Report the incident to the Charge Nurse.
An unfamiliar visitor asks about a resident's health status. What are your next steps?
Check to see if they are authorized to receive protected health information for that resident.
Anna
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How many types of precautions are there and what are they?
1. Standard precautions
2. EBP
3. Contact precautions
4. Droplet precautions
5. Airborne precautions
A coworker just put a resident to bed and wants to know what position to put the bed in. The resident ambulates with a walker on her but is prone to falling when walking and falling out of bed. What do you do?
Check the resident's care plan/kardex. Do not put the bed in a low position unless the care plan/kardex says otherwise.
You witness a resident hit another resident in the hallway with no one else around. What are your next steps?
1. Ensure the resident who was hit is isolated from the attacking resident and in a safe spot
2. Page the Charge Nurse asap
3. Don't give Cameron a call. That would break HIPAA. Although, he loves a good story.
A transport driver comes to pick up a resident for an appointment and asks you why the resident is attending the appointment. What can you say?
Only what is necessary for transport. Example: "The resident requires a wheelchair and 2 liters of oxygen."
Do not say "He’s going for cancer treatments because his condition is getting worse."
I met my husband playing a video game (Quake 2) online. Who am I?
Vickie
What is the correct order of donning gloves, gown, goggles, and face mask?
A family member comes to you with a complaint that her mom is uncomfortable at night and would like an overlay to be put on the mattress. What are your next steps?
Tell the Charge Nurse or Nurse Case Manager. Do not put an overlay on unless it is in the care plan or on the Kardex.
When should the purple Sani-cloth wipes be used?
To wipe off equipment after use and to wipe off mattresses.
What are some of the consequences for breaking HIPAA?
Could be a suspension or disciplinary action from work, loss of CNA license, or criminal charges and fines depending on the severity of the violation.
I am terrified of all kinds of birds. I wear sunglasses so they don't take my eyes out. Who am I?
Lynzi
You are helping a resident under enhanced barrier precautions get ready for the day and notice a bandage dangling off of her leg. You realize you must have accidentally brushed it with your arm. What are your next steps?
Page the Charge Nurse so the dressing can be changed.
Why are toileting schedules often used as a fall prevention intervention?
To prevent residents from self-transferring to the toilet when they are unsafe to do so.
It is 10pm, and a resident has an open cut and starts bleeding profusely on the hallway floor. What steps do you take to clean it up? What chemicals do you use?
Clean with blood spill kit located in dirty linen (utility) rooms. Then use a mop. Finally, bag the mop and send to laundry.
The shift-to-shift report is being given in the spa room with the door open. A visitor overhears that a resident is going out to an appointment because they continue to decline. The visitor then asks you if that is true. What do you do?
Report the issue to your supervisor immediately and do not confirm nor deny the previous statement overheard by the visitor.
When I was a kid, I was in an outhouse that tipped over (while I was in it). Who am I?