NATCEP Day Eight
General Safety Practices and
Procedures
Objectives
• Identify safety concerns in LTCFs
• Identify safety precautions that help to prevent
residents from falls
– S...
Objectives
• Demonstrate the steps of the abdominal thrust
procedure (Heimlich maneuver)
– SKILL: Abdominal Thrust on Cons...
Why Safety Precautions?
• Mental Confusion
– Alzheimer’s
• A neurological illness that affects older adults, is the
result...
• Encourage residents to wear shoes or
slippers with non-skid soles.
• Avoid long gowns or robes that may
trip the residen...
• Check with charge nurse before
applying skin lotions, bath oils or
powders.
– Make resident’s skin, equipment and
floors...
• Keep traffic areas clear of objects and
furniture.
• Observe resident frequently.
• Instruct resident to call for assist...
• Encourage resident to wear clean,
appropriate eyewear.
• Always follow plan of care for resident-
specific needs.
• Alwa...
• Lock wheels on bed or wheelchair when
transferring.
• Transport resident in a bed, geriatric chair or
wheelchair careful...
Preventing Burns
• Assist the resident when giving a hot
liquid to drink.
• Check water temperature before
placing under t...
Preventing Burns
• Supervise residents when they smoke.
• Enforce restricted smoking areas for
residents, visitors and sta...
Preventing Choking
• Make sure the resident has received
the accurate and appropriate diet.
• Check with the nurse before ...
Preventing Choking
• Allow time to chew and swallow.
• Check care plan:
– Swallowing or restorative dining program?
– If o...
How To Recognize Choking
Managing Choking
Preventing Poisoning
• Never leave harmful or potentially
harmful substances at the bedside or
in unlocked areas.
• Remove...
Suspect Poisoning?
• Identify the ingested substance, if
possible.
• Notify the charge nurse immediately.
Elopement
• Defined as
– Wandering from a supervised environment
• Always know where the resident is!
• Know facility poli...
Stairwells
• Keep doors to stairwells closed at all
times.
• Know facility policy on stairwell use.
– Know when stairwells...
Two-Person Carries
• Four-Handed Seat
– Carrying conscious & alert victims
moderate distances.
– Victim must be able to
• ...
Two-Person Carries
• Four-Handed Seat
– Position hands as indicted.
– Lower seat and allow victim to sit.
– Lower seat usi...
Two-Person Carries
Two-Person Carries
• Two-Handed Seat
– Carrying victim longer distances.
– This technique can support an
unconscious victi...
Two-Person Carries
• Two-Handed Seat
– Pick up victim by having both rescuers
squat down on either side of victim.
– Reach...
Two-Person Carries
Use of Alarms
• Facility-wide alarms
– Fire
– Tornado
• Personal Protective alarms
• When you hear - ACT!
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Natcep day 8 part one

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Natcep day 8 part one

  1. 1. NATCEP Day Eight General Safety Practices and Procedures
  2. 2. Objectives • Identify safety concerns in LTCFs • Identify safety precautions that help to prevent residents from falls – SKILL: Walking an Unsteady Resident • Identify safety precautions the STNA should know to help prevent resident falls from beds, chairs and wheelchairs • Identify precautions the STNA should take to prevent residents from being burnedIdentify the safety precautions the STNA should take to help prevent the resident from choking
  3. 3. Objectives • Demonstrate the steps of the abdominal thrust procedure (Heimlich maneuver) – SKILL: Abdominal Thrust on Conscious Victim • Identify measures the STNA should take to prevent ingestion of harmful substances • Identify measures the STNA should take if a resident ingests a harmful substance • Identify measures to protect resident from elopement and other potential harm
  4. 4. Why Safety Precautions? • Mental Confusion – Alzheimer’s • A neurological illness that affects older adults, is the result of abnormal changes in brain tissue. Can only be diagnosed by autopsy – Dementia • The loss of cognitive function that interferes with routine personal, social, and occupational activities • Impaired Mobility • Diminished Senses
  5. 5. • Encourage residents to wear shoes or slippers with non-skid soles. • Avoid long gowns or robes that may trip the resident. • Encourage the use of hand rails. • Ensure residents have non-skid tips on canes, walkers and chair legs. Preventing Falls
  6. 6. • Check with charge nurse before applying skin lotions, bath oils or powders. – Make resident’s skin, equipment and floors (such as tubs) slippery • Use assistive devices for residents with limited mobility. – shower chairs – raised toilet seats – grab bars Preventing Falls
  7. 7. • Keep traffic areas clear of objects and furniture. • Observe resident frequently. • Instruct resident to call for assistance using the signaling device. • Answer call lights promptly. Preventing Falls
  8. 8. • Encourage resident to wear clean, appropriate eyewear. • Always follow plan of care for resident- specific needs. • Always follow manufacturer’s instructions & facility policies for use of all equipment. Preventing Falls
  9. 9. • Lock wheels on bed or wheelchair when transferring. • Transport resident in a bed, geriatric chair or wheelchair carefully. – Slowly approach corners with resident facing front (forward) • Use gait (transfer) belt if appropriate. • Place a mattress on the floor per care plan & facility policy. • Use caution with tubing. Preventing Falls from Beds, Chairs or Wheelchairs
  10. 10. Preventing Burns • Assist the resident when giving a hot liquid to drink. • Check water temperature before placing under the shower or in a tub. • Never leave the resident unattended in shower/tub.
  11. 11. Preventing Burns • Supervise residents when they smoke. • Enforce restricted smoking areas for residents, visitors and staff. • Monitor carefully any equipment that produces heat when in use. – May have decreased sensation – May not feel skin is being burned • Be aware of potential hazards – Chemical agents • Secure hazardous materials in locked cabinets
  12. 12. Preventing Choking • Make sure the resident has received the accurate and appropriate diet. • Check with the nurse before changing the diet or offering other foods. • Assure that food is cut or chopped in small enough pieces for the resident to swallow. • Feed the resident slowly, alternating food and liquids.
  13. 13. Preventing Choking • Allow time to chew and swallow. • Check care plan: – Swallowing or restorative dining program? – If on a swallowing program • know program • be trained on the technique required – i.e. modified diet • Stop feeding immediately if any problems arise; notify the nurse.
  14. 14. How To Recognize Choking
  15. 15. Managing Choking
  16. 16. Preventing Poisoning • Never leave harmful or potentially harmful substances at the bedside or in unlocked areas. • Remove Styrofoam and plastic wrap from the trays of confused residents. • Monitor the use and placement of household plants- many are poisonous.
  17. 17. Suspect Poisoning? • Identify the ingested substance, if possible. • Notify the charge nurse immediately.
  18. 18. Elopement • Defined as – Wandering from a supervised environment • Always know where the resident is! • Know facility policies and procedures. • Report immediately when a resident is missing
  19. 19. Stairwells • Keep doors to stairwells closed at all times. • Know facility policy on stairwell use. – Know when stairwells are to be utilized – Follow facility policy regarding helping residents down the stairs – Use a two-person chair-lift to carry resident down the stairs if indicated
  20. 20. Two-Person Carries • Four-Handed Seat – Carrying conscious & alert victims moderate distances. – Victim must be able to • stand unsupported • hold themselves upright during transport.
  21. 21. Two-Person Carries • Four-Handed Seat – Position hands as indicted. – Lower seat and allow victim to sit. – Lower seat using legs, not back. – When victim is in place, stand using legs, keeping back straight.
  22. 22. Two-Person Carries
  23. 23. Two-Person Carries • Two-Handed Seat – Carrying victim longer distances. – This technique can support an unconscious victim.
  24. 24. Two-Person Carries • Two-Handed Seat – Pick up victim by having both rescuers squat down on either side of victim. – Reach under victim's shoulders & under their knees. – Grasp other rescuer's wrists. – From squat, with good lifting technique, stand. – Walk in direction that victim is facing. – Position hands as indicted.
  25. 25. Two-Person Carries
  26. 26. Use of Alarms • Facility-wide alarms – Fire – Tornado • Personal Protective alarms • When you hear - ACT!
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