GRAB BAG
A Resident will receive an evaluation from EMT’s if they fall, hit their head and they also ......
What is take anti-coagulation medications.
Take Warfarin is ok.
Bed-bound Resident is on a strict diet for dysphagia (swallowing difficulties). Which of the following items would you question if the kitchen sent it on a room tray?
Regular OJ, mashed potatoes, jello, applesauce.
OJ. Should be thickened liquids on this diet.
What is the best way to ensure you do not pull a Foley catheter out when you’re turning a Resident?
Ensure the catheter is secured to the inner thigh.
Two unmarried residents are cuddling in a common area. You should:
Allow them to enjoy each other’s company. Also notify LN.
You enter a Resident’s room and find them on the floor. What do you do next?
Call for help and remain with the Resident.
Why aren't heated/electric blankets and/or heating pads allowed in the community.
Fragile skin can be burned/cooked, even at low temperatures.
Which of the following may happen when someone has a stroke?
- They urinate themselves
- They may foam at the mouth
- Their eyes may roll back
- One side of the face may droop
Facial Drooping
The care plan for #333 indicates they should be repositioned every 2 hours when in bed. Why?
To prevent skin breakdown
You are asked by #424 to sign their will. You should:
Decline and notify a Manager.
After assisting with toileting, you discover there are no washcloths or wipes in the bathroom. What is the BEST next action?
Use the bathroom call light to ask a team member to bring supplies.
A Resident is warm to the touch. MT takes temperature and it reads 100 degrees F. What should be done first?
Phone the on-call nurse.
You notice a Resident screaming at a Care Partner. What should you do?
Call the MT, LN or manager. (Safety)
You are assisting a Resident who is newly on swallow precautions after a CVA (cerebral vascular accident). Which of the following should be part of the Change of Condition Care Plan?
- Resident should not be left unattended when eating
- Resident should eat alone in their room to provide for a quieter environment
- Resident should be instructed to tip their head back as they swallow
- No additional precautions are needed if the Resident eats only soft foods.
Resident should not be left unattended when eating.
A family member provided AJ with a pornographic magazine. The CP should:
Ask AJ to keep in his room to avoid offending others.
(Memory Care – also advise LN.)
You are assisting a Resident with ambulation. They use a cane for ambulation. How should you assist this Resident?
Walk on the opposite side as the cane.
Family reports that a Resident has not had a bowel movement in over 3 days, you need to…
(MT answer) What is: Check for available PRN bowel meds and advise LN.
(Care Partner answer) What is: Alert MT
You notice that JR, a diabetic, only ate about 25% of his meal. What should you do?
(CPs) Report to MT.
(MTs) Get current BSG, check what/if any insulin was administered when, prior 3 BSGs and advise Delegating Nurse.
True/False: Care Partners don’t need to knock on a Resident’s door before entering if they are responding to a call light.
False. ALL staff must knock before entering a Resident’s room.
Resident CB has returned to the community with daughter after seeing the oncologist. Daughter tells you that CB’s cancer is back, but asks you not tell CB. What do you do?
Encourage the daughter to tell CB, as they have a right to know. THEN – inform the LN.
During an assisted transfer from bed to wheelchair, the Resident suddenly complains of pain. What is your best action?
Stop the transfer and return the Resident to bed. THEN tell the LN.
If someone is on Alert for agitation or behaviors, we should also be charting on…
Interventions tried, especially if medications were given.
#234 is sweating, has a low heart rate, fruity smelling breath and can barely speak to you. What do you do next?
(CP) Radio for MT, stay with Resident.
(MT) obtain a BSG and advise LN.
What is the best way to clean urinary (Foley) catheter tubing?
After cleaning the perineum and upper legs, gently hold the tube in 2 fingers close to the body-entry point, gently clean as you move down/away from the body to the collection bag.
You observe a visitor taking money from a Resident’s wallet. What do you do?
Immediately advise a Manager, LN, etc. Keep an eye on the visitor unless directed otherwise.
A Resident is hitting and kicking you while you and a CP are trying to provide care. What should you do?
The second CP gets the LN.