Regulations & Rights
This approach to care treats the individual as a whole person—focusing on physical, psychological, social, and spiritual needs rather than just a single ailment
What is holistic care
Due to normal age-related changes in the integumentary system, an elderly resident's skin becomes thinner and loses elasticity, placing them at high risk for this physical issue
What are skin tears, punctures, or extreme dryness/itching?
As a person ages, these three bodily changes occur that significantly increase their risk for physical accidents
What are slowed reflexes, weakened muscles, and decreased situational awareness?
These two everyday room hazards frequently cause tripping or bumping accidents if left unaddressed by staff
What are open drawers and floor clutter?
Safety qualifies as a priority in caregiving because, according to Maslow's Hierarchy, it fills both of these types of human needs
What are physical and psychosocial needs?
Under this federal law passed in 1987, nursing assistants must meet minimum training standards and be listed on a state registry
What is OBRA (Omnibus Budget Reconciliation Act)?
To demonstrate active listening and keep communication open, PCTs should avoid using these kinds of questions because they limit dialogue
What are yes/no questions?
Disscussed in the textbook, when a resident has this emotion, their risk of physical injury increases primarily because it causes clouded thinking or impaired judgement
What is agitation/anger
PCTs must immediately clean up or report these environmental hazards because slipping on them poses an accident risk to everyone in the facility
What are liquid spills?
For a resident who has a physical restraint applied, nursing staff must perform visual checks at least every 15 minutes and completely release the restraint for skin care and movement at least this often.
What is every 2 hours?
Name two explicit care tasks that nursing assistants are never legally allowed to perform regardless of facility needs
What are giving medications, inserting/removing body tubes, performing sterile procedures, or taking verbal doctor orders? (Any two listed)
These five core principles—Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation—guide proper task assignment by a nurse
What are the Five Rights of Delegation?
Sensory loss in this specific area makes it difficult for residents to spot physical obstructions in their direct walking path
What is vision loss
Beyond protecting residents, safety protocols implemented by a PCT are designed to protect these three additional groups of people
Who are visitors, coworkers, and the PCTs/NAs themselves?
If a resident who wants to go for a walk presents a potential fall risk, the PCT should take this action instead of stopping them
What is making the walk as safe and risk-free as possible?
On Maslow’s Hierarchy of Needs, this fundamental level sits at the very base of the pyramid as the most essential requirement for human survival
What are physical (or physiological) needs?
When practicing safety in long-term care, care providers must balance accident prevention with this key resident right so mobility is not improperly restricted
What is resident autonomy (or independence/choice)?
To prevent clouding their own perspective and missing resident safety risks, PCTs experiencing agitation or frustration should practice these self-regulation techniques
What are breathing techniques and emotional self-regulation?
When a resident exhibits persistent agitation that could lead to an accident, the PCT must promptly take this action so interventions can be added to the care plan
What is reporting the agitation to the supervising nurse?
This acronym describes what to do if a fire occurs in a healthcare facility
What is RACE - Resuce, Alert, Containe, Extinguish or Evacuate
Under federal standards and Resident Rights, long-term care facilities are required to provide this service if a resident cannot communicate fluently in English
What is a qualified/certified interpreter?
In vulnerable older adults, minor adverse events like a simple slip, burn, or scald can trigger these severe medical outcomes
What are deadly complications or uncontrolled infections?
Give 4 examples of situations that require the use of an incident report
Patient ID, medication errors, falls, burns, delayed care, violation of rights, suicide or self-inflicted injury, lost belongings, elopement...
Before a physical restraint can ever be legally applied to a resident, a facility must obtain this specific item from a healthcare provider.
What is a doctor's (or physician's) order?
This acronym describes how to use a fire extinguisher
What is PASS Pull the Pin, Aim at the base of the fire, Squeeze, Sweep back and forth