Infection Control
PPE stands for
what is "personal protective equipment"
Name 3 interventions that can be used to prevent pressure areas for residents who are unable to independently reposition self?
Wedges
Pillows
Rolled up blankets
Chair cushions
Pressure relieving boots
Pressure relieving mattress
Repositioning
What should you do when a medication is unavailable?
Check the cart thoroughly .. check treatment cart and overflow cabinet in case it was misplaced
. If unavailable, call pharmacy.
Document about medication not being available and make sure to inform oncoming nurse to follow up
What should be done prior to entering a resident's room
Knock & wait for a few seconds for response, then introduce yourself
The #1 way to prevent the spread of germs
What is hand washing/hand hygiene
describe a stage 1 pressure sore
A stage 1 pressure sore is a reddened area of skin that appears discolored and does not turn white when pressed (blanch),
What kind of medications cannot be crushed?
- Examples include Protonix (pantoprazole).
You notice that during meals, resident is coughing a lot after he/she drinks fluids. What do you do next?
Notify nurse,
Nurse can give okay to offer thickened liquids and remove regular liquids.
Nurse to assess vitals and lung sounds. If aspiration is believed to have occurred, monitor Spo2 and temp ( Spo2 lowers and temp rises - indicates aspiration pneumonia)
NUrse will Notify PCP and document
request speech therapy consult
When do you DOF PPE?
Prior to leaving isolation room.
Name 4 bony prominences where a pressure wounds can develop?
Elbows
Back of head
Shoulders
Heels
Knees
Coccyx
Sacrum
Hips
Ankles
What meds are you supposed to re-order from pharmacy that does not come on our routine 28 day cycle?
Liquid medications, insulins, inhalers, scheduled IMs, eye gtts, narcotics, nasal sprays, nebulizer treatments.
Your getting a resident up from bed and upon standing she complained of dizziness, what do you do next?
Sit resident back down and notify nurse
RCS are able to take vitals **
What PPE is needed for contact precautions
Gown and gloves
This ADL should be offered every morning and at bedtime
What is oral hygiene/brushing teeth ?
WHAT ARE 4 SIGNS/SYMPTOMS OF HYPOGLYCEMIA (low blood sugar)?
You notice resident is starting to decline in ADL's such as being able to mostly assist with dressing himself and now he need more assistance. My gait has become more unsteady. What do you do next?
Notify nurse !!
Nurse - Assesses resident - pain related?
Notify PCP and request PT/OT evaluation
(RCS can ask for pt/ot anytime they see a decline on chat
Goal is to keep residents at baseline and independent for as long as they can be and put programs in place if need be.
_____ precautions are used for all residents whenever care is given.
What are Standard Precautions?
The pt's head is lower than their feet, they are in what position?
What is Trendelenberg
Name a short-acting insulin
What is regular insulin (Humulin R / Novolin R)?
Resident should be receiving a meal 15-30 mins after insulin
Resident fell and hit his head. What do you do next?
RCS would notify nurse - DO NOT MOVE RESIDENT AFTER A FALL WITHOUT NURSE APPROVAL
Nurse to assess resident , complete vitals and call 911