Basic First Aid Emme [Autosaved]


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Basic First Aid

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Basic First Aid Emme [Autosaved]

  1. 1. Basic First Aid Emergency Procedures<br />
  2. 2. Your Nurse Educator<br />
  3. 3. Your Role<br />Recognize signs of sudden illness and trauma<br />React appropriately <br />Remain calm<br />Welfare of the individual is a priority<br />Activate EMS – <br />Perform Basic First Aid <br />
  4. 4. 4 Goals of Basic First Aid<br />1. Keep the person alive<br />2. Prevent condition from getting worse<br />3. Help promote recovery from injury or illness<br />4. Ensure victim receives medical care ASAP<br />
  5. 5. 1. Name and phone number <br />2. Location and number of victims<br />3. Any special circumstances or conditions<br /> “What Happened”<br />4. What is being done for the victim<br />
  6. 6. Always Check The Scene For Safety<br />Check head to toe<br />Assess for breathing and responsiveness<br />Do you ever move a victim?<br />Can some one refuse care?<br />
  7. 7. New Hope Community’s Emergency Procedure<br />1. Safety of the individual<br />2. Assess illness or injury (emergency or non- emergency)<br />3. Call <br />4. “On campus” activate blue light <br />5. The blue light will activate an alarm in neighboring homes that assistance is needed<br />6. “On Campus” notify the “on-call nurse” <br />701- 7758<br />
  8. 8. 7. IRA (off campus) call caseload nurse as soon as possible<br />8. Stay with the person, perform first aid, reassure and comfort.<br />9. Notify Manager as soon as possible.<br />First Aid supplies are available in all programs. Emergency first aid supplies are found in the top of the PPE box <br />
  9. 9. If you are ever in doubt if a<br /> situation is an emergency or not <br />Call <br />
  10. 10. Injuries<br />
  11. 11. Prevent Disease Transmission<br />
  12. 12. Bleeding<br />Minor abrasion<br /><ul><li>Clean area with soap and water
  13. 13. Cover with sterile bandage
  14. 14. Do not applytriple antibiotic ointment
  15. 15. Keep area clean and dry</li></ul>Observe for signs of infection<br /><ul><li>Redness, swelling , tender to touch, drainage
  16. 16. Notify your nurse at the first sign of infection</li></li></ul><li>
  17. 17. Bruise<br />Apply cold 20 minutes on 20 minutes off or as tolerated. <br />Do not apply ice directly to the skin<br />Use cold packs such as a frozen bag of peas or bag of ice. <br />Notify your nurse of the bruise <br />Document <br />Observe <br />
  18. 18. Major Bleeding<br />Place sterile gauze on the wound and apply direct pressure<br />Do not put pressure on an object in the wound<br />Do not put pressure on the scalp if the skull may be injured<br />If needed put another dressing on top of the first dressing keep applying pressure<br />Treat for shock and call <br />
  19. 19. Bleeding Pressure Points<br />If bleeding cannot be stopped <br />apply pressure to the pressure <br />point directly above the wound<br />
  20. 20. Impaled Object<br />Do not remove the object<br />Dress the wound around the object<br />Pad the object in place with large dressings or folded cloths<br />Call do not try to transport the person<br />If the object is in the eye. <br />Cover the good eye<br />Stabilize the head and object in the eye<br />
  21. 21. Amputations<br />Control the bleeding by applying direct pressure<br />If the amputation involves a major artery <br /> apply pressure to pressure <br /> point above the wound<br /> apply a tourniquet if bleeding<br /> cannot be stopped with <br /> pressure to wound and <br /> pressure point<br />
  22. 22. Shock<br />Shock is a life threatening emergency<br />Shock occurs when the circulatory system begins to shut down<br />Blood is not able to reach the vital organs. <br />Always call when shock occurs<br />
  23. 23. Causes of Shock<br />Trauma<br />Severe bleeding<br />Internal bleeding<br />Dehydration<br />Heart failure<br />Serious infection<br />Serious burns<br />Allergic reaction<br />
  24. 24. Symptoms of Shock<br />Anxious, confusion, agitation, restlessness<br />Dizziness ,light-headedness<br />Cool, clammy or sweaty <br />Pale or bluish lips<br />Rapid, shallow breathing<br />Thirst<br />Nausea, vomiting<br />Changing levels of responsiveness<br />
  25. 25. First Aid for Shock<br />Check for life threatening injuries<br />Call <br />If unresponsive and no suspected spinal injuries place person in the recovery position<br />Responsive person position on their back and elevate their legs 8-12 inches (if possible)<br />Loosen any tight clothing<br />Cover with blanket or what ever is available to keep them warm<br />Stay with the person, reassure and comfort<br />
  26. 26.
  27. 27. Anaphylactic Shock<br />Anaphylactic shock is a life threatening allergic reaction. Call <br />Reaction may occur from bee stings, foods, medicines or other allergies<br />Signs of anaphylactic shock<br />Neck, face, tongue swelling<br /> restlessness, agitation<br />Difficulty breathing, weak fast pulse, low blood pressure<br />
  28. 28. First Aid for Anaphylactic Shock<br />Call <br />If person has an Epi-Pen administer as instructed<br />Stay with person<br />Notify you nurse as soon as possible<br />Maintain breathing (CPR)<br />Monitor vital signs<br />
  29. 29. Nose bleed<br />Have person sit and tilt head slightly forward with mouth open<br />Pinch the nostril together just below the bride of the nose for 10 minutes<br />Ask the person to breath through their mouth and cough, speak, swallow or sniff<br />Seek medical attention if bleeding continues after 2 attempts to control bleeding<br />Take vital signs and notify your nurse<br />
  30. 30. Tooth Knocked Out<br />To control bleeding, fold or roll gauze into a pad and place it over the tooth socket.<br />Have the person bite down on the gauze for pressure for 20-30 minutes<br />Save the tooth, place in a container with milk<br />See a dentist ASAP<br />The tooth may be re-implanted if the person see a dentist as soon as possible.<br />
  31. 31. Burns<br />There are 4 types of burns<br />First degree <br />Second degree<br />Third degree<br />Chemical<br />Electrical<br />
  32. 32.
  33. 33. First degree burn<br />Leading cause ?<br />Signs and symptoms<br />Skin is red, dry and painful<br />May be some swelling<br />Skin is not broken<br />First Aid<br />Stop the burning by removing the heat source<br />Cool the burn with room temperature/tepid water for at least 10minutes<br />Remove clothing or jewelry or restrictive items before the area swells<br />Protect the burn from friction or pressure<br />Apply Aloe gel or pure aloe from the aloe plant<br />Apply aloe liberally and often<br />
  34. 34. Second degree burns<br />Signs and symptoms<br />Skin is swollen and red, may be blotchy or streaked<br />Blisters that maybe weeping clear fluid<br />Signs of significant pain<br />First Aid<br />Stop the burning by removing the heat source<br />Cool the burned area with room temperature water by immersing or cover a large are with wet cloth (but not most of the body) for 10 minutes<br />Removing clothing and jewelry from the area<br />Cover with a sterile dressing loosely no not break the blister<br />Individual needs to see the Healthcare Practitioner with 48 hours.<br />
  35. 35. Third degree burns<br />Signs and symptoms<br />Skin damage, charred, or white leathery skin<br />May have signs and symptoms of shock<br />First Aid<br />Remove heat source<br />Remove clothing and jewelry if possible<br />Carefully cover the burn with sterile dressing <br />Call <br />Monitor vital signs<br />
  36. 36. Chemical burns<br />Signs and symptoms<br />Chemical on the persons skin or clothing<br />Complaints of pain or burning sensation<br />First Aid<br />Rinse liquid chemical or brush dry chemical from the skin for 30 minutes. Use a sink or shower<br />Wear glove and or mask if needed<br />Call for any chemical burn<br />
  37. 37. Electrical burns<br />Always assess the area. Make sure the <br /> “Scene is Safe”<br />When the area is safe assess for live threatening conditions, breathing, cardiac arrest<br />Call <br />
  38. 38. Falls<br />The leading cause of injury at New Hope<br />First Aid<br />Do a head to toe assessment<br />Check for injury, loss of consciousness<br />Notify your nurse or nurse on duty immediately<br />Do not move person if you suspect serious injury<br />Call if you suspect serious injury, person loss consciousness, falling down stairs, fell out of vehicle, or hit their head on a hard surface or object<br />
  39. 39. Bites<br />Human Bites<br />Wash the area with soap and water<br />Notify nursing<br />Exposure incident<br />Insect bites <br />Is individual allergic?<br />Remove stinger (bee)<br />Clean with soap and water<br />Cool compress<br />Apply over the counter insect bite medicine if indicated and instructed by nurse<br />
  40. 40. Animal bite<br />Must be reported and evaluated by either primary care, urgent care, or hospital.<br />Avoid contact with salvia that may be on skin<br />Depending on severity wash with soap and water or cover with sterile dressing and seek medical care immediately<br />
  41. 41. Seizures<br />There are several different types of seizures<br />Know your individual<br />Know what type of seizure/s they have<br />Basic first aid<br />Stay with the person<br />Protect from injury<br />Observe and time<br />Document<br />
  42. 42. Status Epilepticus<br />When does a seizure become an emergency<br />Lasting longer then 5 minute (know your individual)<br />First time seizure<br />Major seizure with a history of mild seizures<br />Cluster seizures<br />Seizure in water, <br />Seizure related to heat or cold <br />Pregnant staff having a seizure<br />Unsure of seizure history<br />
  43. 43. What to do:<br />Stay with the person<br />Send someone to phone 911<br />Protect from injury<br />Observe, time seizure<br />Notify nursing as soon as possible<br />
  44. 44. Signs And Symptoms Of Illness<br />
  45. 45. General signs and symptoms of sudden illness<br />Person feels ill, dizzy, confused, weak<br />Skin color change – pale or flushed<br />Sweating<br />Nausea, vomiting<br /> Not acting right<br />General care for sudden illness<br />Call , notify your nurse as soon as possible<br />Help the person to rest and avoid getting chilled or over heated<br />Reassure the person<br />Do not give food or drink <br />Monitor vital signs<br />
  46. 46. How do you tell if someone is ill if they cannot express themselves verbally<br />Change in behavior<br />Agitated<br />Self injurious<br />Not eating or sleeping<br />Unusually quiet, withdrawn<br />Pale or flushed<br />Confusion<br />Not acting right<br />
  47. 47. Signs of a Heart Attack<br />Chest pain - persistent pain, pressure, or tightness, or ache<br />Pain may go to neck, shoulders, arms and jaw<br />Back pain<br />Shortness of breath<br />Dizziness, lightheadedness <br />Feeling of impending doom<br />Pale skin, sweating<br />Nausea and vomiting<br />
  48. 48. Heart Attack<br />First Aid<br />Call immediately<br />Help the person to rest in a comfortable position<br />Loosen tight clothing<br />Stay with the person reassure <br />Notify your nurse as soon as possible<br />Monitor vital signs<br />
  49. 49. Signs of a Stroke<br />Sudden, severe headache<br />Sudden weakness or numbness of face, arm or leg on one side<br />Dizziness, confusion, difficulty with speech<br />Vision problems<br />Changes in level of responsiveness<br />
  50. 50. Respiratory Distress<br />Person is unable to catch their breath<br />Noisy breathing, wheezing or gurgling<br />Breathing is faster or slower, deeper or shallow<br />Nasal flaring<br /> Appears to be working hard to breath<br />Fear, anxiety<br />Gray blue skin<br />Persistent cough<br />Change in levels of responsiveness<br />
  51. 51. First Aid for Respiratory Distress<br />If the individual is not known to have Chronic Obstructive Pulmonary Disease<br />Have the person rest in a sitting position<br />Stay with the person<br />Reassure the person<br />Call , notify nursing as soon as possible<br />Monitor vital signs <br />Normal breathing rate is 16 -24 breaths per minute <br />
  52. 52. Signs of Diabetes<br />Increase thirst<br />Increase hunger<br />Frequent urination<br />Slow healing sores<br />Frequent infections<br />Urinary tract<br />Cold, bronchitis<br />Yeast infection<br />Fatigue<br />Mood swings<br />Blurred vision <br />Dry flushed skin<br />Tingling of hands or feet<br />Nausea<br />Weight loss<br />Fruity odor to the breath<br />
  53. 53. Signs of Low Blood SugarTreatment<br />Give 15 grams of a rapid acting carbohydrate<br />½ cup juice or reg soda <br />1 cup skim milk <br />2 tsp of sugar<br />3-4 glucose tablets<br />3 tsp glucose gel<br />Wait 10-15 minutes recheck <br />B/S. Repeat above until B/S<br />Reaches 70.<br />Follow with a small meal<br />
  54. 54. Fever/Hyperthermia<br />Signs and symptoms<br />Warm flushed skin<br />Shivering, chills<br />Complaints of body aches<br />Headache<br />Nausea<br />Confusion<br />Elevated temperature greater then 100<br />Treatment<br />Notify nurse immediately<br />Give fluids <br />Tylenol/Motrin per MD order an nurse<br />Tepid compresses on wrist, head, back of neck, under arms<br />Keep warm, but do not over heat or let individual get chilled<br />
  55. 55. Low Body Temperature/Hypothermia<br />Signs and Symptoms<br />Skin cold to touch<br />Pale<br />Lethargic<br />Confused, disorientated<br />Body temp below 96<br />Risk factors for hypothermia<br />Severe illness, aging, <br />medications, exposure to cold<br />environment<br />Treatment<br />Warm individual with blankets<br />Notify nurse immediately<br />Warm fluids to drink<br />Hat and mittens<br />Monitor vital signs<br />If body temp below 93 seek medical attention <br />
  56. 56. Vomiting and Diarrhea<br />Treatment for vomiting<br />Notify your nurse<br />Give small sips often of<br />Flat coke or ginger ale<br />Tea<br />Gatorade<br />Monitor for dehydration<br />Treatment for diarrhea<br />Diarrhea is 3 or more loose watery bowel movements<br />Notify your nurse<br />Give 6-8 ounces of fluid every 3-4 hours<br />Flat coke or ginger ale<br />Tea<br />Gatorade<br />Monitor for dehydration<br />
  57. 57. Dehydration<br />Treatment/Prevention<br />Signs and symptoms/risk factors<br />Dry skin, eyes sunken<br />Tongue, lips dry<br />Decreased urine output, and dark colored urine<br />Fast heartbeat<br />Increased respirations<br />Confusion, disorientation<br />Lethargy<br />Risk factor: vomiting, diarrhea,<br />Poor fluid intake, elderly, <br />diabetes, medicine, inability to<br /> communicate <br />Notify nurse immediately<br />Give small amounts of fluid frequently if no nausea or vomiting<br />Monitor vital signs<br />Document intake and <br /> out put<br />Depending on severity may need medical attention immediately.<br />Prevention: offer fluid throughout the day, (caffeinated beverages do not count as fluid) monitor intake and output of those at risk. <br />
  58. 58. Influenza<br />H1N1 symptoms<br />Rapid in onset 4-6 hours after first symptoms<br />Symptoms are more severe then seasonal flu<br />Fever chills<br />Body aches<br />Cough<br />Sore throat<br />Runny nose<br />Vomiting and diarrhea can occur<br />Seasonal flu symptom<br />Rapid in onset 8-12 hours after first symptoms <br />Fever chills<br />Body aches <br />Cough<br />Runny nose<br />Sore throat<br />Vomiting and diarrhea usually seen in children<br />
  59. 59. Prevent The Spread Of InfluenzaStay Home If You Are SickGet The Flu Vaccine<br />
  60. 60. My Graduation Class<br />