Natcep day 9

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Natcep day 9

  1. 1. NATURAL DISASTER PREPAREDNESS NATCEP Day Nine
  2. 2. Objectives    Discuss safety measures to be taken when there is the threat of a tornado or other disaster Discuss resources that are available in LTCFs in case of power failure Discuss the NA’s role in a tornado or other disaster
  3. 3. Natural & Man Made Disasters  Natural  Tornado  Earthquake  Flood  Man Made  Terrorist-based  Chemical spills  Forest Fires
  4. 4. Power Failure  Healthcare Facilities  Backup  Assure generator for essential equipment plugged into designated outlets with emergency power  Typically outlets are red in color
  5. 5. Tornado Watch & Warning  Watch Conditions are favorable – be ready to act!  Close windows and move objects/beds away from windows  Close drapes   Warning Tornado has been sighted  Move to safe, designated area    Structural sound Protect from flying glass Turning the resident on their side away from window  Cover with blanket 
  6. 6. STNA Role     Remain calm Reassure residents of safety Follow directions Emergency Power needs  Check status of equipment residents are dependent on
  7. 7. ALTERNATIVE TO RESTRAINTS AND SAFE RESTRAINT USE NATCEP Day Nine
  8. 8. Objectives   Identify the alternatives to restraints Discuss the purpose of restraints      Skill: Applying Vest Restraints in Bed Identify guidelines to follow in the use of restraints Describe observations to make on the resident with restraints Discuss NA responsibilities when caring for a resident with physical restraints Define various types of commonly used restraints in the LTCF
  9. 9. Alternatives to Restraint Use  Social Diversional Activities  Visits  Sitters   Physiological Pillows and positioning aids  Back massages  Exercise programs  Outdoor times  Needs meet (fluid/food) 
  10. 10. Alternatives to Restraint Use  Psychosocial Reinforcement  Moved closer to nurse station  Calendars & Clocks provided to orient  Pictures of significant others  Same Staff Assignments  Promoting jobs & tasks that the resident enjoys
  11. 11. When Does a Situation Require Restraints?   When the resident’s safety is in jeopardy LAST Resort when all other measures/methods have been exhausted
  12. 12. Guidelines to Follow When Applying a Restraint       A restraint can be applied only at the direction of the nurse. Always follow manufacturer’s instructions. Resident should be allowed as much movement as possible. Circulation and respiratory function must not be impaired by the restraint. Bony prominences under a restraint should be padded to prevent trauma. Restraint should be applied so the resident’s body is in good alignment.
  13. 13. Danger Signs – Applied Incorrectly  Circulation  Color  Lips and/or nails Cold  Tingling  Pain  Pulses less or absent   Respiratory Status  Color   Lips and/or nails Difficulty breathing
  14. 14. Types of Restraints      Full Bed Rails Combo of Bed Rails Trunk Restraint Limb Restraints Chairs
  15. 15. How Often Should A Restraint Be Released?   Observe every hour Release every 2 hours  Exercise limbs  Reposition or ambulate (walk)  Offer toileting  Offer fluids/nourishment
  16. 16. Laws Governing Restraint Use  CMS (Centers for Medicare and Medicaid Services  Reimbursement  OBRA

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