Understand safety and emergency care skills within the nurse aide range of function.

1. Unit A Nurse Aide Workplace Fundamentals Essential Standard NA3.00 Understand infection control, safety and emergency skills within the nurse aide scope of practice. Indicator 3.02 Understand nurse aide’s safety and emergency care skills within the nurse aide range of function Understand safety and emergency care skills within the nurse aide range of function. Nursing Fundamentals 7243

2. REQUIREMENT: Nurse aide students must hold current certification in HEALTHCARE PROVIDER BASIC LIFE SUPPORT and be assessed for skill retention prior to clinical! Nursing Fundamentals 7243

3. PREVENTION 1 POUND CURE 1 OUNCE PREVENTION Nursing Fundamentals 7243

4. The Bottom Line Prevention, Prevention, Prevention, Prevention, Prevention, Prevention, Prevention, Prevention, Prevention. Nursing Fundamentals 7243

5. National Patient Safety Goals forLong Term Care: Identify residents correctly Use medicines safely Prevent Infection Check residents medications Prevent residents from falling Prevent bed sores NPSG impacted greatly by Nurse Aide Work Nursing Fundamentals 7243

6. National Patient Safety Goals forLong Term Care: Identify residents correctly NPSG.01.01.01 Use at least two ways to identify residents. For example, use the resident’s name and date of birth or last four digits of SS number. Nursing Fundamentals 7243

7. Doe, Jane XXXXXXXXXXX XX XXXXXX National Patient Safety Goals forLong Term Care: Identify residents correctly NPSG.01.01.01 • Provide care to right resident • Use identification bracelets • Ask resident to state name Nursing Fundamentals 7243

8. National Patient Safety Goals forLong Term Care: Identify residents correctly NPSG.01.01.01 • Use I.D. systems that involve photographs • Realize that care to wrong resident can threaten life Nursing Fundamentals 7243

9. National Patient Safety Goals forLong Term Care: Prevent Infection NPSG.07.01.01 • Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or World Health Organization. Nursing Fundamentals 7243

10. National Patient Safety Goals forLong Term Care: Prevent residents from falling NPSG.09.02.01 Find out which residents are most likely to fall. For example, is the resident taking any medications that might make them weak, dizzy, or sleepy? Take action to prevent falls for these residents. Nursing Fundamentals 7243

11. Age related factors • Awareness of surroundings • Decreased Vision • Hearing Impaired • Decreased ability to smell • Decreased sensitivity to touch • Immobility • Medications Greater Risk of Falls Nursing Fundamentals 7243

12. Preventing Falls Report observations to supervisor that lead you to believe a resident is prone to falling Nursing Fundamentals 7243

13. For Your Information Fallsaccount for 70% of accidents in healthcare facilities Nursing Fundamentals 7243

14. Preventing Falls Answer call signals promptly Keep frequently used articles within reach of resident Nursing Fundamentals 7243

15. Preventing Falls Lock brakes on movable equipment • wheel chairs • stretchers and mechanical lifts • beds • commodes Nursing Fundamentals 7243

16. Preventing Falls Properly position residents in: • bed • wheel chair Nursing Fundamentals 7243

17. Preventing Falls OBSERVE NO LIFT OR LIMITED LIFT POLICIES TO PREVENT FALLS AND INJURY TO RESIDENT AND NURSE AIDE Nursing Fundamentals 7243

18. Preventing Falls Report any facility structure hazard immediately that could lead to falls • frayed carpeting • loose or broken side rails • lights that don’t work Nursing Fundamentals 7243

19. National Patient Safety Goals forLong Term Care: Prevent bed sores NPSG.14.01.01 • Find out which residents are most likely to have bed sores. Take action to prevent bed sores in these residents. • Bed sores will be discussed in Indicator 5.02 Nursing Fundamentals 7243

20. GENERAL SAFETY RULES Nursing Fundamentals 7243

21. GENERAL SAFETY RULES Walk in halls and on stairs - never run Keep to the right-hand side of the hall Approach swinging doors with caution Use handrails going up and down stairs Nursing Fundamentals 7243

22. GENERAL SAFETY RULES Keep halls and stairs free of obstacles Check labels on all containers prior to using contents Wipe up spilled liquids immediately Nursing Fundamentals 7243

23. GENERAL SAFETY RULES Pick up litter and place it in the proper container Follow instructions of your supervisor for resident care Report injuries promptly Never use damaged or frayed electrical cords Nursing Fundamentals 7243

24. GENERAL SAFETY RULES • TAG and TAKE OUT OF SERVICE!!!! • Report broken or malfunctioning equipment immediately Nursing Fundamentals 7243

25. GENERAL SAFETY RULES Check linen for personal items contained in folds prior to sending to the laundry Report unsafe conditions immediately Nursing Fundamentals 7243

26. GENERAL SAFETY RULES Ask for an explanation of things you don’t understand Elevate side rails for residents at risk of falling, per facility policy Nursing Fundamentals 7243

27. Factors That Increase The Resident’s Risk Of Injury • Age related • Decreased strength • Slower movement • Difficulty maintaining balance • Tremors that may affect balance Nursing Fundamentals 7243

28. Factors That Increase The Resident’s Risk Of Injury • Awareness of surroundings • Some totally unaware • unconscious • coma • Some suffer from dementia • confused • disoriented Nursing Fundamentals 7243

29. Factors That Increase The Resident’s Risk Of Injury • Decreased vision • Difficulty seeing objects • In danger of falling or tripping • Difficulty reading labels or containers Nursing Fundamentals 7243

30. Factors That Increase The Resident’s Risk Of Injury • Hearing impaired • May not hear warning signals or alarms • May not hear approaching equipment Nursing Fundamentals 7243

31. Factors That Increase The Resident’s Risk Of Injury • Smell and touch • Reduced smell unaware of smoke or gas fumes • Decreased sensitivity to heat and coldeasily burned Nursing Fundamentals 7243

32. Factors That Increase The Resident’s Risk Of Injury • Inability to move independently • Crippling diseases • Arthritis • Paralysis Nursing Fundamentals 7243

33. Factors That Increase The Resident’s Risk Of Injury • Medications can: • Affect balance • Reduce awareness • Cause confusion or disorientation • Cause drowsiness • Affect coordination • Make fearful and uncooperative Nursing Fundamentals 7243

34. PREVENTING BURNS Burns are the second most common hazard to residents Nursing Fundamentals 7243

35. Preventing Burns • Check water temperature in bath or shower with bath thermometer or with your hand Nursing Fundamentals 7243

36. Preventing Burns Water temperature should be NOHOTTER than 105 degrees F Nursing Fundamentals 7243

37. Preventing Burns This is a little to warm! • Resident must verifythat the temperature of the water is comfortable or not. Nursing Fundamentals 7243

38. Preventing Burns • Report areas where water temperature seems too hot • Monitor smoking practices Nursing Fundamentals 7243

39. Preventing Burns When bathing the resident or providing a soak, • ASK THE RESIDENT TO FEEL THE WATER • ANDVERIFY THAT THE TEMPERATURE OF THE WATER IS COMFORTABLE TO THEM Nursing Fundamentals 7243

40. Preventing Burns • Provide assistance at mealtime to prevent spilling hot liquids • Use facility equipment according to written policies Nursing Fundamentals 7243

41. Preventing Burns • Monitor use of electrical appliances used by resident • Avoid overexposure to sunlight Nursing Fundamentals 7243

42. PREVENT POISONING Nursing Fundamentals 7243

43. Preventing Poisoning • Store toxins in locked cabinets • Store toxins away from resident areas • Never leave toxic products where they might be ingested Nursing Fundamentals 7243

44. SOAP Preventing Poisoning • Have identifying labels on all containers • Never use unlabeled substance Nursing Fundamentals 7243

45. Preventing Choking • Encourage residents to use their dentures when eating • Assist to cut food into small pieces • Report difficulty in swallowing Nursing Fundamentals 7243

46. Prevent Choking Be certain the HOB is elevated before attempting to feed a resident! Nursing Fundamentals 7243

47. Preventing Choking Residents with feeding tubesusually have the HOB elevated 30-45 degrees. Nursing Fundamentals 7243

48. Prevent Choking Be certain the resident has swallowed before continuing to feed. Nursing Fundamentals 7243

49. Preventing Choking Residents with feeding tubes should never have the bed flat for extended periods of time. Follow instructions regarding residents’ position to prevent residents from aspirating. Nursing Fundamentals 7243

50. Preventing Suffocation • Never leave unattended in bathtub • Immediately transport from areas where smoke or gas fumes are noticed • Properly apply and check vest and safety belt restraints Nursing Fundamentals 7243