Vital Signs
Diastolic Blood pressure is…
Pressure in the arteries when the heart is at rest
How often should a immobile client be turned?
every 2 hours
Important to ensure this is provided for during care in order to maintain dignity
Privacy
When should a point of care risk assessment be completed? (2)
Before and during care
Pulse found behind the knee is called
Popliteal
Position common for COVID patients
Prone
What areas are washed during a partial bed bath?
- face, axilla, hands, back, perineal area
When is hand sanitizer not appropriate? (2)
- hands are visibly soiled
- C diff
3 symptoms of high blood pressure…
-headache, dizziness, anxiety, nausea, blurred vision
-mildly elevated often has no symptoms which is why we need to check it regularly!
An injury of disorder of muscles, tendons, ligaments, joints, nerves, blood vessels or related soft tissue
Muscoskeletal injury
Three things that should be reported if noticed during care . . .
- reddened area, tears, scrapes, bruises, pain, new incontinence, heavily draining tubes/drains
What do you need to do prior to working with any client? (3)
Introduce yourself, obtain consent, and ID patient
Your patient has tachycardia, their heart rate is said to be…
100 and over
Term used to describe holding a position for a long time
Static posture
After care, prior to leaving clients room, these precautions should be taken… (4)
- Call bell within reach
- Bed in lowest position
-confirm comfort, ask if anything else needed
- wheels locked
- side rails up
4 points for hand hygiene are…
- before initial contact
-before performing procedure
-after care involving risk of exposure to body fluids
-after contact with patient and their environment
5 factors that influence body tempurature
Exercise, illness, age, time of day, meds, emotions, hydration, clothing, environmental temp
Three ways to prevent pressure ulcers…
- reposition often, pressure off of bony prominences, proper mattress, smooth sheets, ensure no objects in bed (caps, coins etc.)
Principles for order of care during a bed bath are… (3)
Far to near
Top to bottom
Clean to dirty
5 steps of donning
1) hand hygiene
2) gown
3)mask
4)eye protection
5) gloves