Chapter 13: Workplace Safety
what are the ABCs of good body mechanics?
A- Alignment
B- Balance
C- Coordinated body movement
Describe how you would move a patient up in the bed
what is entrapment?
a person becomes trapped in the side rail or between the side rail and the mattress
Describe how or why this could happen.
a person in the supine position is laying on their
back
What is it called if the person is laying on their abdomen?
what neurological disorder is characterized by chronic seizure activity?
epilepsy
the official entry of a person into a health care setting is called
an admission
what is the most common work-related injury in the nursing field
back injury
vest restraints are applied so that the flaps are crossed where?
across the person's chest
Name another type of restraint
what is it called when a joint is held in one position for too long, and the tendons shorten?
a contracture
What can we do to prevent it?
what do motor nerves do?
carry information "inside out" from the brain down the spinal cord and out to the muscles and organs of the body, allow the brain to control voluntary muscle movement
What do sensory nerves do?
whenever a patient or resident is moved within or between health care settings is it called
a transfer
Describe how you would physically transfer a patient from one place to another. OOB
if you accidentally knock over a water pitcher in a patient's room, what should you do first?
wipe up spill immediately
the type of restraint where medication is used to alter a person's mood or behavior
chemical restraint
Name a reason why restraints might be used.
in Fowler's position, the head of the bed is elevated how many degrees?
45 degrees
semi-Fowler's?
high Fowler's?
any condition that temporarily decreased blood flow to the brain can cause what to occur?
transient ischemic attack (TIA)
TIA can be a warning sign for what?
when does discharge planning begin?
at time of admission
what does the fire response RACE stand for?
R- Rescue
A- Alarm
C- Contain the fire
E- Extinguish or Evacuate
What does PASS stand for?
how often should restraints be removed?
every 2 hours for 10 minutes
What are we doing for the patient during that time?
what is a mechanical lift used for?
to move people who are heavy or weak, helping nursing assistants carry out duties without injuring themselves
Name one.
what is the largest part of the brain?
cerebrum
What does the cerebrum do?
name something as a nursing assistant you can do to help a new patient or resident feel welcome when being admitted to the facility
prepare the room in advance, greet the person warmly, introduce yourself, help them settle in or give a "tour"
when lifting, which muscles should you be using?
large muscles in your hips, buttocks, and thighs
Name a musculoskeletal injury that can occur if you don't do this.
name 2 alternatives to restraints that should be attempted before a person is placed in restraints
provide a safe and secure environment, provide attention to the person's physical needs, provide reassurance or companionship, get help from family, less restrictive methods such as pressure-sensitive alarms or wander guard
if a person cannot change position themselves, how often should the nursing assistant assist with repositioning?
every 2 hours
What kind of patient would need this?
in reference to the effects of Parkinson disease, what does TRAP stand for?
T- tremor
R- rigidity
A- akinesia
P- postural instability
what does AMA stand for?
Against Medical Advice