What are the precautions to prevent a resident from falling?Learn the answer to this CNA question. Show
What are the precautions to prevent a resident from falling?1. Assess the needs of the resident. 2. If the resident is identified as "risk for falls," a sign should be placed so all staff knows to be alert for extra precautions. 3. While the resident is in bed, the bed should be kept in the lowest position, with side rails up. 4. Before standing, allow the resident to sit or dangle at the edge of the bed to prevent dizziness. 5. The resident should wear rubber-soled shoes or socks with grippers. 6. The floor should be free from small rugs, puddles, or items that could cause the resident to trip. 7. During standing or transferring, brakes on the bed and wheelchair must be locked. Related Questions Pass the CNA Exam, GuaranteedYour entire career may be on the line. Don't risk wasting time and money on a repeat exam if you fail. With CNA Premium, you'll be over-prepared, so the official exam will seem easy. The process of exchanging information with others by sending and receiving messages Communicating involving the use of spoken or written words or sounds Communicating without using words The different groups of people with varied backgrounds and experiences who live together in the world A system of learned behaviors, practiced by a group of people, that are considered to be the tradition of that people and are passed on from one generation to the next Phrases that are used over and over again and do not really mean anything Information based on what a person sees, hears, touches, or smells Objective information/Signs Information that a person cannot or did not observe, but is based on something reported to the person that may or may not be true Subjective information/Symptoms The inability to control the bladder or bowel's Skin that is blue or gray An accident, problem, or unexpected event during the course of care that is not part of the normal routine in a healthcare facility An accident or incident that results in great physical or psychological injury or death A loss of function or ability The ability to see objects in the distance better then objects near by The ability to see things near but not far A condition that occurs when blood supply to part of the brain is blocked or a blood vessel leaks or ruptures within the brain Cerebrovascular accident/stroke/CVA Paralysis on one side of the body Weakness on one side of the body Slurred speech or and an ability to speak Inability to understand spoken or written words Laughing or crying without any reason or when it's inappropriate Violet or hostile behavior Guidelines: careful documentation Document care – Think before documenting – be brief and clear Use facts, not opinions Sign full name and title date Guidelines: incident reporting Tell what happened – time and the mental and physical condition of the person Tell how the person tolerated the incident – his reaction State the facts; do not give opinions Do not write anything in the incident report on the medical record Describe the action taken to give care Include suggestions for change Guidelines: telephone communication When making a call, follow the steps: Always identify yourself before asking to speak to someone never ask who is this when someone is calling After identifying – ask for a person with whom you need to speak Person available – identify self again; state why you are calling Person not available – ask to leave a message Leave a brief clear message – name facilities name phone number and brief description of why you call Be polite – thank person who takes message When answering calls, follow the steps: Always identify facilities name, your name and your position Place call her on hold – if you need to find the person the collar wishes to speak with Call are leaving message – write down and repeat Thank the person for calling and say goodbye Guidelines: hearing impairment Make sure resident is wearing it and turned on Reduce or remove noise – close doors if needed Get residents attention before speaking Speak clearly slowly and in good lighting directly face the person Do not shout or mouth the words in exaggerated way Pitch of voice– Low Resident may read lips – no chewing gum or eating while speaking Resident here's better out of one ear – speak and stand on that side Use short sentences and simple words Repeat what you have said using different words Use picture cards or notepad Some have speech problems and difficult to understand Dash asked to repeat or write down Be understanding and supportive – hearing to Decline normal for age Guidelines: vision impairment Eyeglasses -clean and being worn and fit well Contact lenses – leave care to resident Knock on door and identify self– Let resident know when leaving Proper lighting in room – face resident when speaking Entering new room with resident – orient him or her to where things are Always explain what you were doing while caring for resident – give specific directions Imaginary clock – guide to explain position of objects Personal items or furniture – do not change the position Call light– Tell resident where it is Doors – completely open or completely closed Walking – walk slightly ahead of resident and let resident touch arm Encourage the use of other senses Use large clocks, clocks that chime and radios to help keep track of time Resident guide dog-do not play with, distract, or feed it Guidelines: communication and stroke Questions and directions – simple Ask yes or no question Agree on signals Listen attentively – give time to respond Resident can write – pencil and paper Use weaker or involved to referred to side with paralysis or weakness Call light – within reach Verbal and nonverbal communication – express your positive attitude Aid communication –Use communication boards or special cards Guidelines: combative behavior Never hit back – block physical blows or step out of the way Allow resident time to calm down Insured the resident is safe and give him or her space – at least arm's-length away Remain calm – lower tone voice Be flexible and patient Stay neutral – no responding to verbal attacks or argue or accuse Gestures– No frightening or startling Consider what provoked the resident Report inappropriate behavior to nurse Guidelines angry behavior Stay calm Do not argue or respond to verbal attacks Empathize with resident Try to find out what caused the anger Treat resident with dignity and respect Answer call lights promptly Stay at a safe distance if resident becomes combative Briefly describe three steps in the communication process. First step – sender sends a message Second step – receiver receives message Third step-provides feedback by restating message or responding Give one example of nonverbal communication. Tone- How a person says something Body language Facial expressions Posture What is some positive responses to cultural diversity? acceptance and knowledge Why should "why" questions be avoided when talking with residence? It makes people feel defensive and you may receive an angry response If a resident speaks a different language than the nursing assistant does, what can the nursing assistant do? Speak slowly and clearly What is one way to provide feedback while listening? Focusing on the person sending message and giving feedback by showing acknowledgment, What can silence or pauses help a resident do? Encourages the other person to gather their thoughts and compose messages What is one reason that a nursing assistant should not ignore a resident's request? It is considered a negligent behavior With whom should NAs use medical terminology – care team members or residents and their families? List 10 signs and symptoms that should be reported immediately to the nurse. SHAW ALL FCCT McB Falls Chest pains Sever headaches trouble breathing abnormal pulse, respiration, or blood pressure change in mental status sudden weakness or loss of mobility high fever loss of consciousness change in level of consciousness bleeding change in residence condition bruises, abrasions, or other signs of possible abuse Describe for reasons why careful documentation is important. Guarantee clear and complete communication among all care team members Legal record of every residents treatment Helps protect nursing assistants and there employers from liability by proving what they did Gives an up-to-date record of the status and care of each resident When should care be documented – before or after it is done? Immediately after it is done Convert 10:00 p.m. to military time. Convert 1400 hrs. to regular time. What is considered an incident at a facility? Something that is not part of the normal routine A mistake an care such as Give two reasons why computers maybe used in a facility. What is the purpose of the resident call light or call system? Provides a way for resident to call staff for help When a resident has a hearing impairment on who's face should the light be shining ball communicating – the residents or the nursing assistants? How can a nursing assistant explain the position of objects in front of a visually impaired resident? Use an imaginary clock as a guide How should questions be phrased to a resident who has had a stroke? Phrase questions so they can be answered with a yes or no How should a nursing assistant referred to the weaker side of a resident who has had a stroke? Weaker, involved, affected What should a nursing assistant always do after a resident behaves inappropriately? Report the behavior even if they think it was harmless What should an NA do if resident doesn't hear her, doesn't hear correctly, or doesn't understand? Face resident and speak directly to resident using a low, pleasant, professional tone of voice. What should an NA do if a resident is difficult to understand? Ask resident to repeat or explain and then restate in own words to make sure you understand Should NAs offer opinions or advice? No, out of their scope of practice When communicating with residents, what steps should the NA remember? Always greet using his/her preferred name Identify self Topic being discussed- focus on it Face resident when speaking Giving care- talk with resident Resident speaks- listen and respond Praise and smile often Encourage resident to interact with you and others Be courteous Leaving room- tell resident What are some ways to ensure NAs send and receive clear messages? Be a good listener- allow other person to express ideas completely Provide feedback- acknowledge, ask question, or repeat senders message Bring up topic of concern- non threatening way to let resident decide if they want to discuss it Let some pauses happen- encourages person to gather thoughts and compose messages Tune into other cultures- learn words and expressions Accept resident's religion or lack of- respect resident, do not question their beliefs, and don't discuss your beliefs Understand the importance of touch- ask permission, learn about resident's and adjust needs Ask more- resident reports symptoms, events, or feelings- have them repeat- ask for more info Make sure communication aids clean and good working order What are some ways that could help with communication and developing good relationships? Avoid changing subject resident wants to talk about- Do not ignore residents request- considered negligent behavior; either honor or explain why can't be fulfilled and report Do not talk down to an elderly or disabled Sit or stand near resident who started conversation Lean forward in chair when resident is speaking Talk directly to resident Approach the person who is talking Put self in resident shoes- empathize Sho resident families and friends that you have time for them too- listen, give privacy for visits, ask family questions: great source of infoAfter an oral report, what must an NA do? Document when, why, about what, and to whom the oral report was given What is the key to care planning? What does a medical chart include? Admission, graphic, and flow sheet Medical history Doctor orders Progress and nurses notes Test results What should be filed if a resident falls, nursing assistant makes a mistake in care, NA or resident breaks or damages something, resident or family makes request outside NAs scope of practice, a resident or family makes sexual advances or remarks, or NA injured on job, exposed to blood or bodily fluids? An incident report must be filed What is the most common type of stroke? Ischemic stroke- blood supply is blocked, brain cells begin to die- no oxygen After a resident has a stroke, what might they experience? Hemiplegia Hemiparesis Expressive and/or receptive aphasia Loss of sensation and cognitive abilities and memory Incontinence Confusion Poor judgment One-sided neglect Emotional lability Dysphagia What maybe the cause of combative behavior? Disease affecting brain Frustration Personality A person expresses thoughts, feeling, and beliefs in a direct honest way and involves respect for a persons own needs and feelings and for those of other people A person expresses his thoughts, feelings, and beliefs in a way that humiliates, disgraces, or overpowers the other person and little or no respect is shown for the needs for feelings of others This sheet contains protected health information about the person, such as name address, Social Security number, date of birth, and email address among other items Shows illnesses, immunizations, medications, previous surgeries, family and social history This provides instructions given to other members of the care team This shows updates from all care team members detailing changes or new information in the persons condition This shows blood test, lab results, other tests This shows the person is reported symptoms and actions taken to address them Check off sheets for documenting care; may also be called ADL sheet What should a NA do if a resident is confused?How to support a resident who becomes confused. If the resident was previously alert and suddenly becomes confused, notify the nurse.. Get the resident's attention and introduce yourself.. Provide simple explanations about time and place.. Redirect the resident by finding an activity or getting a snack.. What is one NA responsibility during the admission of a new resident?Pack resident's belongings and involve them in the packing process; introduce residents to all staff members in new area.
What is the primary responsibility of the NA?1. Feed, bathe, and dress patients. Certified nursing assistants help patients with their basic needs. Generally, this means helping them bathe, dress and feed themselves.
Which of the following is an appropriate way for an NA to refer to a resident's weakened side when assisting with dressing?Which of the following is an appropriate way for an NA to refer to a resident's weakened side when assisting with dressing? Involved side.
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When should the NA identify a resident?
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