RCPs
What is the order of the initial steps?
1. Ask nurse about residents NEEDS, ABILITIES and LIMITATIONS, if necessary.
2. KNOCK and IDENTIFY YOURSELF before entering. WAIT for permission to enter residents room.
3. Greet resident by NAME of preference.
4.Identify yourself by NAME and TITLE.
5. Explain what you will be doing. Encourage resident to help as able.
6. Gather supplies and check equipment.
7. Close curtains, drapes and doors. Keep resident covered, expose only the area of residents body necessary to complete procedure.
8. Wash your hands
9. Wear gloves as indicated by standard Precautions.
10. Use proper body mechanics. raise bed to appropriate height and lower bed rails (if raised)
What do you check for in RCP: pulse and respiration ?
Pulse : Rate, Rhythm, Force
Respiration: Rate, Rhythm, Sound (character)
How do you put on gloves correctly?
1. Wash hands
2. If right handed, slide one glove on left hand. (reverse, if left handed.)
3. With gloved hand, slide opposite hand in the second glove.
4. Interlace fingers to secure gloves for a comfortable fit.
5. Check for tears/holes and replace glove if necessary.
6. If wearing a gown, pull the cuff of the gloves over the sleeves of the gown.
7. Perform procedure.
8. Remove first glove by grasping outer surface of the other glove, just below the cuff and pulling down.
9. Pull glove off so that it is inside out.
10. Hold the removed glove in a ball of the palm or your hand. Do not dangle the glove downward.
11. Place two fingers of ungloved hand under cuff of other glove and pull down so first glove is inside second glove.
12. Dispose of gloves without touching outside of gloves and contaminating hands.
13. Wash hands
How many washcloths and towels are needed for bed bath?
6 washcloths and 4 towels
The resident has the following rights EXCEPT:
A. Use of telephone in privacy
B. Privacy and confidentiality
C. Be free from verbal, sexual, physical, and mental abuse
D. The right to fall
D
When resident falls or faints what do you do?
1. Call for nurse and stay with resident.
2. Check if resident is breathing.
3. Do not move resident. LEAVE in same position until the nurse examines the resident
4. Talk to resident in calm and supportive manner.
5. Apply direct pressure to any bleeding area with a clean piece of linen
6. Take pulse and respiration.
7. Assist nurse as directed. Check resident frequently according to current facility policy. Assist with documentation
What do you check for bedside commode?
Color, odor, amount, and characteristics (COCA). Report any unusual findings of urine or feces
How to put on gown?
1. Wash hands
2. Open gown and hold out in front of you. Let the clean gown unfold without touching any surface
3. Slip your hands and arms through the sleeves and pull the gown on.
4. Tie neck ties in a bow.
5. Overlap back of the gown and tie waist ties.
6. Put on gloves; extend to cover wrist of gown.
7. Perform procedure.
8. Remove gloves.
9. Untie the neck, then waist ties.
10. Pull away from neck and shoulders, touching inside of gown only.
11. Fold gown with clean side out and place in laundry or discard if disposable.
12. Wash hands.
When would you NOT use an electric razor?
Pacemaker, oxygen, water (think P.O.W)
Signs of dehydration include all except
A. Loss of appetite
B. Flushed skin
C. Insomnia
D. Dark colored urine
C
What does the R.A.C.E acronym stand for?
Remove residents from are of immediate danger.
Activate fire alarm.
Close doors and windows to contain fire.
Extinguish fire with fire extinguisher if possible.
(Follow all facility policies)
What do you check for the RCP that involves oral care for alert and oriented resident?
Teeth, mouth, tongue, lips, odor, cracking, sores, bleeding, discoloration, and loose teeth.
How to correctly put mask?
1. Wash hands
2. Place upper edge of the mask over the bridge of your nose and tie the upper ties. If mask has elastic bands, wrap the bands around the back of your head and ensure they are secure.
3. Place the lower edge of the mask under your chin and tie the lower ties at the nape of your neck.
4. If the mask has a metal strip in the upper edge, form it to your nose.
5. Perform procedure.
6. If the mask becomes damp or if the procedure takes more than 30 minutes, you must change your mask.
7. If wearing gloves, remove them first.
8. Wash hands
9. Untie each set of ties and discard the mask by touching only the ties. Masks are appropriate for one use only.
10. Wash hands
What is the normal amount of daily fluid intake needed for good fluid balance?
2000-2500 cc's
Exercises done with supportive assistance to move the resident's joints through range of motion when the resident cannot move the joints independently are:
A. Aerobic exercises
B. Active range of motion
C. Sweating to the oldies
D. Passive range of motion
D.
What are the steps for giving a resident a back rub?
1. Do initial steps.
2. Place resident in lateral position with neck/back toward you.
3. Expose back and shoulders.
4. Rub lotion between your hands.
5. Make long, firm strokes along spine from buttocks to shoulders. Make circular strokes down on shoulders, upper arms and back to buttocks.
6. Repeat for at least 3-5 minutes.
7. Gently pat off excess lotion with towel. Cover and position resident as requests.
8. Do final steps.
When inspecting the skin what bony areas should be checked?
Ears, shoulders blades, elbows, coccyx, hips, knees, ankles and heels for redness and warmth.
How to use hand rub?
1. Use a quarter sized amount of the product in a cupped hand and cover all surfaces.
2.Rub hands palm to palm.
3. Right over left dorsum with interlaced fingers and vice versa.
4. palm to palm with fingers interlaced.
5. Back of fingers to opposing palms with fingers interlocked.
6. Rotational rubbing, backwards and forwards, with clasped fingers of right hand in left palm and vice versa.
7. Allows hand to dry. Water less hand rubs must be rubbed for at least 10 seconds or until dry to be effective.
When would a pureed diet be used?
When the individual has extreme problems with chewing/swallowing
The nervous system is composed of
A. Brain, spinal cord and nerves throughout the body
B. Nerves only
C. Vertebra and spinal cord
D. Nerve ending, fibers and proteins
A.
1. Do initial steps.
2. Observe skin prior to applying the stocking for any redness, warmth, swelling, excessive dryness, or open area. Notify nurse if abnormalities present. Continue procedure only if instructed.
3. Apply the hose before resident gets out of bed.
4. Hold heel of stocking and gather the rest in your hand turning hose inside out to mid foot area.
5. Support foot at the heel and slip the front of the stocking over the toes, foot and heel.
6. Pull the stocking up until it is fully extended.
7. Smooth away any wrinkles or twisted area.
8. Remove the hose at least twice daily for skin care unless otherwise instructed by physician.
9. Do final steps
What friction areas do you check for inspecting the skin?
under breast, arms, between buttocks, groin, thighs, skin folds, contracted areas, and around any tubing areas, check for redness, irritation, moisture, and odor.
Proper handwashing is done?
1. Turn on faucet with clean paper towel.
2. Adjust water to acceptable temperature
3. Angle arms down holding hands lower than elbows. Wet hands and wrists.
4. Apply enough soap to cover all hand and wrists surfaces.
5. Rub hands palm to palm
6. Right palm over top left hand with interlaced fingers and vice versa.
7. Palm to palm with fingers interlaced
8. Back of fingers to opposing palms with fingers interlocked.
9. Rotational rubbing, of left thumb clasped in right palm and vice versa
10. Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa. Clean fingernails.
11. Rinse hands with water down from wrists to fingerprints.
12. Dry thoroughly with single use towels
13. Use towel to turn off faucet and discard the towel.
who should you report violation incidents to?
To the charge nurse.
Symptoms of hypoglycemia?
A. Shortness of breath and frequent urination
B. Nausea and vomiting
C. Thirst and fruity odor to breath
D. Cold. clammy, shaking/trembling and vision problems
D