Basic Care
How high should you raise the bed when providing morning care to your resident?
What is:
To your hip/to the tallest person
Does the client have vision difficulties? How will you assess this without a snellen chart?
Use the surroundings
List two safety considerations while operating the sit/stand lift
One arm (at least) outside harness
Two trained people to operate lifts
Client must be able to bear some weight on feet
What are the four moments of hand hygiene?
What is:
1) Before contact with patient/patient's environment
2) Before clean/aseptic procedure
3) After body fluid exposure
4) After contact with patient/patient's environment
How do you introduce yourself to your client?
Hi, my name is ( ), I am a first year Bachelor of Nursing Student at Lethbridge Polytechnic. I am here to help you today. Is that okay? How do you prefer to be addressed?
What are two interventions for decreasing incontinence?
toileting schedule
toileting with change in behavior
What are the components of neuro vital signs?
Vital signs
Eye opening
Verbal response
Motor response
Level of consciousness
Orientation
Your client walks by shuffling their feet. What aids are required
None
What is the order of donning full PPE?
HH, gown, mask and eye protection, gloves
Who makes up the interprofessional team at Edith Cavell?
Rec therapy
Physicians
Rehab team (physio)
What color product is for moisturizing skin at Edith Cavell?
purple
List two strategies for physical assessment for a resident who has dementia.
Games
Thread assessment into communication
Inability to demonstrate some of tests also provides valuable assessment data
What are some important considerations when utilizing lifts?
-correct size of sling
-resident is safely secured in lift
-effective communication between resident and partner (everyone knows their role)
Your patient has new diarrhea. What steps are needed for infection control
Use soap and water, PPE: gown and gloves, communicate to staff, post signs and position PPE cart
What are the most important elements to communicate to the team when you are going on break or leaving the unit?
Where the resident is
Elimination
Nutrition
Behavior
Skin
Name 3 safety considerations while assisting with a shower. What is a safe water temperature?
Slipper surfaces
Water temperature (38-43 degrees C)
Infection control
How will you assess someone who has had a fall?
Assess pain
Neuro vital signs
Assess for signs of injury
What are some examples of restraints that are used on residents? Why would a resident need a restraint?
1) posey belt, lap belts, trays
2) prevent falls, prevent wandering
What are the considerations for infection control, prior to a head-to-toe assessment?
Hand hygiene, clean equipment with Cavi-wipes. Risk assessment and use additional precautions as needed
What are some communication strategies when you are providing care for a resident who is non-verbal or speaks a different language?
-simple language
-slow your speech
-Use non-verbal communication (gestures, facial expressions, writing it down on a piece of paper/pictures
How can you promote skin integrity?
Repositioning q2h
Hydration
Moisturize
If your resident is demonstrating signs of confusion, disorientation, or a sudden change in behaviour, what may this be an indicator of?
UTI
A new resident has just been admitted. Describe the process for assigning a logo.
Functional assessment algorithm. Assess cognition and strength. Are they able to roll side-to-side, sit unsupported and balanced, extend one leg for 5 seconds? Are they cooperative and predictable?
Gloves, HH, gown, HH, mask and eye protection, HH
You have found an unbroken blister on your resident's heel. How will you communicate this to the nurse, using ISBAR?
Introduce self and name the resident
S: blister found during morning care
B: no previous documentation of this lesion
A: provide full assessment of it
R: recommend offloading pressure and changing shoes