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Understand safety and
emergency care skills
within the nurse aide
range of function.
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
3.02 Nursing Fundamentals 7243 1
Nurse aide students must
hold current certification in
HEALTHCARE PROVIDER
BASIC LIFE SUPPORT and
be assessed for skill
retention prior to clinical!
REQUIREMENT:
3.02 Nursing Fundamentals 7243 2
1 OUNCE
PREVENTION
1 POUND
CURE
PREVENTION
3.02 Nursing Fundamentals 7243 3
The
Bottom
Line
Prevention, Prevention, Prevention,
Prevention, Prevention, Prevention,
Prevention, Prevention, Prevention.
3.02 Nursing Fundamentals 7243 4
National Patient Safety Goals
for Long Term Care:
1. Identify residents correctly
2. Use medicines safely
3. Prevent Infection
4. Check residents medications
5. Prevent residents from falling
6. Prevent bed sores
 NPSG impacted greatly by Nurse Aide Work
3.02 Nursing Fundamentals 7243 5
National Patient Safety Goals for Long 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.
3.02 Nursing Fundamentals 7243 6
National Patient Safety Goals for Long Term Care:
Identify residents
correctly NPSG.01.01.01
 Provide care to right
resident
 Use identification bracelets
 Ask resident to state name
3.02 Nursing Fundamentals 7243 7
National Patient Safety Goals for Long 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
3.02 Nursing Fundamentals 7243 8
National Patient Safety Goals for Long 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.
3.02 Nursing Fundamentals 7243 9
National Patient Safety Goals for Long 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.
3.02 Nursing Fundamentals 7243 10
Greater
Risk of
Falls
• Age related factors
• Awareness of
surroundings
• Decreased Vision
• Hearing Impaired
• Decreased ability to
smell
• Decreased sensitivity to
touch
• Immobility
• Medications
3.02 Nursing Fundamentals 7243 11
Report observations to
supervisor that lead
you to believe a
resident is prone to
falling
Preventing Falls
3.02 Nursing Fundamentals 7243 12
Fallsaccount for 70%
of accidents in healthcare facilities
For Your Information
3.02 Nursing Fundamentals 7243 13
Answer call signals promptly
Keep frequently used articles
within reach of resident
Preventing Falls
3.02 Nursing Fundamentals 7243 14
Lock brakes on movable
equipment
–wheel chairs
–stretchers and mechanical
lifts
–beds
–commodes
Preventing Falls
3.02 Nursing Fundamentals 7243 15
Properly position
residents in:
–bed
–wheel chair
Preventing Falls
3.02 Nursing Fundamentals 7243 16
OBSERVE NO LIFT OR
LIMITED LIFT POLICIES
TO PREVENT FALLS AND
INJURY TO RESIDENT
AND NURSE AIDE
Preventing Falls
3.02 Nursing Fundamentals 7243 17
Report any facility structure hazard
immediately that could lead to falls
– frayed carpeting
– loose or broken side rails
– lights that don’t work
Preventing Falls
3.02 Nursing Fundamentals 7243 18
National Patient Safety Goals for Long 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
3.02 Nursing Fundamentals 7243 19
GENERAL
SAFETY
RULES
3.02 Nursing Fundamentals 7243 20
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
3.02 Nursing Fundamentals 7243 21
GENERAL SAFETY RULES
Keep halls and
stairs free of
obstacles
Check labels on all
containers prior to
using contents
Wipe up spilled
liquids immediately3.02 Nursing Fundamentals 7243 22
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
3.02 Nursing Fundamentals 7243 23
GENERAL SAFETY RULES
TAG and TAKE OUT
OF SERVICE!!!!
Report broken or
malfunctioning
equipment
immediately
3.02 Nursing Fundamentals 7243 24
GENERAL SAFETY RULES
Check linen for
personal items
contained in folds
prior to sending to the
laundry
Report unsafe
conditions
immediately
3.02 Nursing Fundamentals 7243 25
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
3.02 Nursing Fundamentals 7243 26
FACTORSTHATINCREASETHE
RESIDENT’SRISKOFINJURY
Age related
Decreased
strength
Slower movement
Difficulty
maintaining
balance
Tremors that may
affect balance
3.02 Nursing Fundamentals 7243 27
FACTORSTHATINCREASETHE
RESIDENT’SRISKOFINJURY
Awareness of
surroundings
Some totally
unaware
unconscious
coma
Some suffer from
dementia
confused
disoriented
3.02 Nursing Fundamentals 7243 28
FACTORSTHATINCREASETHE
RESIDENT’SRISKOFINJURY
Decreased vision
Difficulty seeing
objects
In danger of
falling or
tripping
Difficulty reading
labels or
containers
3.02 Nursing Fundamentals 7243 29
FACTORSTHATINCREASETHE
RESIDENT’SRISKOFINJURY
Hearing impaired
– May not hear
warning
signals or
alarms
– May not hear
approaching
equipment
3.02 Nursing Fundamentals 7243 30
FACTORSTHATINCREASETHE
RESIDENT’SRISKOFINJURY
Smell and touch
Reduced smell
unaware of
smoke or gas
fumes
Decreased
sensitivity to
heat and cold
easily burned
3.02 Nursing Fundamentals 7243 31
FACTORSTHATINCREASETHE
RESIDENT’SRISKOFINJURY
Inability to
move
independently
Crippling
diseases
Arthritis
Paralysis
3.02 Nursing Fundamentals 7243 32
FACTORSTHATINCREASETHE
RESIDENT’SRISKOFINJURY
Medications can:
Affect balance
Reduce awareness
Cause confusion or
disorientation
Cause drowsiness
Affect coordination
Make fearful and
uncooperative
3.02 Nursing Fundamentals 7243 33
PREVENTING BURNS
Burns are the
second most
common hazard
to residents
3.02 Nursing Fundamentals 7243 34
Preventing Burns
• Check water
temperature in
bath or shower
with bath
thermometer or
with your hand
3.02 Nursing Fundamentals 7243 35
Preventing Burns
Water temperature
should be NO
HOTTER than
105
degrees F
3.02 Nursing Fundamentals 7243 36
Preventing Burns
• Resident must
verify that the
temperature of
the water is
comfortable or
not.
This is a
little to
warm!
3.02 Nursing Fundamentals 7243 37
Preventing Burns
• Report areas
where water
temperature
seems too hot
• Monitor
smoking
practices
3.02 Nursing Fundamentals 7243 38
Preventing Burns
When bathing the resident or
providing a soak,
1) ASK THE RESIDENT TO
FEEL THE WATER
2) AND VERIFY THAT THE
TEMPERATURE OF THE WATER
IS COMFORTABLE TO THEM
3.02 Nursing Fundamentals 7243 39
Preventing Burns
• Provide assistance at
mealtime to prevent
spilling hot liquids
• Use facility equipment
according to written
policies
3.02 Nursing Fundamentals 7243 40
Preventing Burns
• Monitor use of
electrical
appliances used by
resident
• Avoid overexposure
to sunlight
3.02 Nursing Fundamentals 7243 41
3.02 Nursing Fundamentals 7243 42
PREVENT
POISONING
Preventing Poisoning
• Store toxins in locked cabinets
• Store toxins away from resident
areas
• Never leave toxic products where
they might be ingested
3.02 Nursing Fundamentals 7243 43
Preventing Poisoning
• Have identifying labels on all
containers
• Never use unlabeled substance
3.02 Nursing Fundamentals 7243 44
Preventing Choking
• Encourage residents to
use their dentures when
eating
• Assist to cut food into
small pieces
• Report difficulty in
swallowing
3.02 Nursing Fundamentals 7243 45
Be certain the HOB is
elevated before attempting
to feed a resident!
Prevent Choking
3.02 Nursing Fundamentals 7243 46
Preventing Choking
Residents with feeding tubes
usually have the HOB
elevated 30-45 degrees.
3.02 Nursing Fundamentals 7243 47
Be certain the resident
has swallowed
before continuing to feed.
Prevent Choking
3.02 Nursing Fundamentals 7243 48
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.
3.02 Nursing Fundamentals 7243 49
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
3.02 Nursing Fundamentals 7243 50
Preventing Spread of Microorganisms
Follow Standard
Precautions and
Transmission
Based Precautions.
Wash hands
before and
after care
3.02 Nursing Fundamentals 7243 51
Preventing Other Injuries
• Move equipment around corners
with caution
• Be careful of residents’ feet,
hands, arms, and elbows when
transporting residents in
wheelchairs
3.02 Nursing Fundamentals 7243 52
Preventing Other Injuries
• Monitor residents who
wander away
• Follow instructions when
providing care
• Keep bed in lowest position
except when giving bedside
care
3.02 Nursing Fundamentals 7243 53
Preventing Other Injuries
• Use night lights in rooms
• Have residents wear
shoes/slippers with non-
skid soles
• Check crutches, canes and
walkers for non-skid tips
3.02 Nursing Fundamentals 7243 54
Preventing Other Injuries
• Keep call signal within
easy reach
• Report immediately any
observations indicating
resident is a danger to
himself or others.
3.02 Nursing Fundamentals 7243 55
BODY
MECHANICS
3.02 Nursing Fundamentals 7243 56
For Your Information
There is intentional repeat of some HSII course
content in Nursing Fundamentals.
Academic and skill competence must be
maintained at a very high level for direct
resident care.
Repeating course content distributes learning
over time and increases long term memory.
3.02 Nursing Fundamentals 7243 57
Body Mechanics
• Body mechanics: the
coordination of body
alignment, balance and
movement
• Job requirements for nurse
aides include lifting,
moving and transferring
resident and lifting, moving
and carrying objects
3.02 Nursing Fundamentals 7243 58
Body Mechanics
• Purpose of Good Body Mechanics
–Maximize strength
–Minimize fatigue
–Avoid muscle strain
and injury
–Assure personal and
resident safety
3.02 Nursing Fundamentals 7243 59
Body Mechanics
• Never bend over from waist
to pick up object
• Lift firmly and smoothly
• Keep object close to body
• Keep back straight
3.02 Nursing Fundamentals 7243 60
Body Mechanics
• Bend at hips and knees
and get close to object
prior to lifting
• Grip objects firmly with
both hands
• Lift by pushing up with
strong leg muscles
3.02 Nursing Fundamentals 7243 61
Body Mechanics
• Get help if object or
resident appears too heavy
• Keep feet apart to provide
wide base of support
• Pivot or turn with feet
3.02 Nursing Fundamentals 7243 62
Body Mechanics
• Use short steps to turn
• Turn entire body without
twisting back and neck
• Pull or push when
possible instead of lifting
• Use body weight to help
push or pull
3.02 Nursing Fundamentals 7243 63
Body Mechanics
• When reaching for
an object,
evaluate distance
• Face in direction
you are working
to prevent
twisting
3.02 Nursing Fundamentals 7243 64
Body Mechanics
• Adjust beds to
waist level when
giving resident
care
• Be sure body is in
good alignment at
all times
3.02 Nursing Fundamentals 7243 65
FIRE
SAFETY
3.02 Nursing Fundamentals 7243 66
For Your Information
There is intentional repeat of some HSII course
content in Nursing Fundamentals.
Academic and skill competence must be
maintained at a very high level for direct
resident care.
Repeating course content distributes learning
over time and increases long term memory.
3.02 Nursing Fundamentals 7243 67
Fire Safety
Everyone is responsible for
preventing fires
If fire occurs, know what to do
3.02 Nursing Fundamentals 7243 68
Fire Safety
• Major fire hazards
–faulty electrical
equipment and wiring
–overloaded electrical
circuits
–plugs not properly
grounded
–clutter - paper/rags
3.02 Nursing Fundamentals 7243 69
Fire Safety
• Major fire hazards (continued)
–unsafe practices when
oxygen is in use
–smoking
–spontaneous combustible
materials
3.02 Nursing Fundamentals 7243 70
Fire Safety
• Elements necessary to
start fire
–fuel - material that
will burn
–heat - flame or spark
–oxygen
3.02 Nursing Fundamentals 7243 71
Fire Safety
• Fire safety activities
– Locate and learn
•escape routes and fire escapes
•use of all fire control equipment
–fire doors
–sprinkler system controls
–fire extinguishers
•fire drill procedures
3.02 Nursing Fundamentals 7243 72
Fire Safety
• Fire Safety Activities
– Be aware of all fire
hazards and report
them immediately
3.02 Nursing Fundamentals 7243 73
Fire Safety
• Watch for frayed
electrical wires
• Never overload circuits
• Use three-prong
grounded plugs
• Never use extension
cords
• Control clutter
3.02 Nursing Fundamentals 7243 74
Fire Safety
• Dispose of rags properly
• Empty ashtrays in metal
containers
• Empty wastebaskets in
proper receptacles
• Report odors of smoke
or burning
• Keep fire exits clear
3.02 Nursing Fundamentals 7243 75
Fire Safety
• Control smoking practices:
– limit to specific areas
– never allow smoking in
bed
– have large ashtrays
available
3.02 Nursing Fundamentals 7243 76
Fire Safety
• Control smoking practices:
– observe use of
matches/lighters
– directly supervise
residents when
smoking, as necessary
3.02 Nursing Fundamentals 7243 77
In Event Of Fire
Stay calmas you
RACE
3.02 Nursing Fundamentals 7243 78
R A C E
Remove residents from
IMMEDIATE DANGER;
otherwise, DEFEND IN PLACE
3.02 Nursing Fundamentals 7243 79
R A C E
Activate the ALARM
3.02 Nursing Fundamentals 7243 80
R A C E
Confine the fire
Close all windows and
doors
Choke off oxygen
3.02 Nursing Fundamentals 7243 81
R A C E
Extinguish if you can
Empty the extinguisher
3.02 Nursing Fundamentals 7243 82
Use of Fire Extinguisher
• Carry upright then PASS
• Pull the safety pin
• Aim at the base of the fire
• Squeeze handle down
• Spray in a sweeping motion at base
of fire
FIRE
3.02 Nursing Fundamentals 7243 83
R A C E R
Relocate residents per
evacuation policy if
directed to do so.
Some agencies teach RACE plus
an addition “R”
3.02 Nursing Fundamentals 7243 84
R A C E R2
Remember these
important Guidelines:
G Shut off air conditioning
G Shut off oxygen
G Shut off lights
G Never use elevators
3.02 Nursing Fundamentals 7243 85
OXYGEN
SAFETY
3.02 Nursing Fundamentals 7243 86
Oxygen Precautions
• Oxygen precautions
– Never have open flames
or smoking in area
– Remove flammable
liquids from area
– Do not use electrical
equipment in area
3.02 Nursing Fundamentals 7243 87
Oxygen Precautions
• Oxygen precautions
– Post “Oxygen in Use”
sign
– Remove cigarettes and
matches from room
– Use cotton blankets
and clothing
3.02 Nursing Fundamentals 7243 88
Oxygen Precautions
DO NOT LET THE
RESIDENTS’ NASAL
CANNULA TOUCH THE
FLOOR. Pathogens on the
floor will contaminate the
cannula.
3.02 Nursing Fundamentals 7243 89
DISASTERS /
CATASTROPHES
3.02 Nursing Fundamentals 7243 90
Disaster / Catastrophe Types
• Natural origin
–flood
–earthquake
–hurricane/tornado
3.02 Nursing Fundamentals 7243 91
Disaster / Catastrophe Types
• Human disasters
–airplane/bus/train
accidents
–explosions
–nuclear waste
accident
–blackouts
3.02 Nursing Fundamentals 7243 92
Workplace Violence…
a potential Disaster!
3.02 Nursing Fundamentals 7243 93
Healthcare is impacted
by verbally and
sometimes physically
abusive patients,
families and visitors.
3.02 Nursing Fundamentals 7243 94
 Verbal abuse often goes
unreported and is thought to be
“just part of the job”.
 70% of Nurses are assaulted on
duty during their career.
 The majority of healthcare worker
violence takes place on evening
and night shifts.
OSHA [1996]. Guidelines for preventing workplace violence
for health care and social service workers. Washington, DC:
U.S. Department of Labor,
Workplace Violence… a
potential Disaster!
3.02 Nursing Fundamentals 7243 95
Stop this PowerPoint and
view the PowerPoint
produced by Vanderbilt
University Medical Center.
Then, return to this
PowerPoint.
Disaster Plans
Facilities are required
to have disaster plans
3.02 Nursing Fundamentals 7243 96
Disaster Plans
• Responsibilities in a disaster
–Remove residents from
immediate danger
–Report to facility and follow
directions for your role
–Know your facility’s disaster
plan
–Assist with evacuation
3.02 Nursing Fundamentals 7243 97
Disaster Plans
–Help remove and secure
equipment, supplies, and records
–Think before you act; don’t waste
time
–Remain calm
–Carry out responsibilities in
confident manner
3.02 Nursing Fundamentals 7243 98
MEDICAL
EMERGENCIES
3.02 Nursing Fundamentals 7243 99
The Choking Resident
3.02 Nursing Fundamentals 7243 100
The Choking Resident - Cause
Choking occurs when
the throat is blocked
or closed up and air
cannot get to the
airway.
3.02 Nursing Fundamentals 7243 101
The Choking Resident
Airway may be blocked by:
–Food or liquids (meat
most common food)
–Blood or mucus
–Foreign objects
including the tongue
–Vomitus
3.02 Nursing Fundamentals 7243 102
Treating a Choking Resident
–Stay near
–Encourage coughing - most
effective way to dislodge
obstructions
–Never slap coughing
resident on back: can cause
object to fall lower into
trachea
If victim is coughing, do not intervene:
3.02 Nursing Fundamentals 7243 103
Treating a Choking Resident
Signs of severe foreign body airway
obstruction
–Unable to speak
–No air movement
–Grasping throat -
distress signal
Abdominal thrusts, chest thrusts and back
blows are effective for relieving severe foreign
body airway obstruction.
3.02 Nursing Fundamentals 7243 104
Treating a Choking Resident
Tilting head back in
unconscious
person may clear
airway since this pulls
tongue forward
3.02 Nursing Fundamentals 7243 105
3.02 Nursing Fundamentals 7243 106
SKILL 3.02A
Foreign Body Airway Obstruction
(FBAO) Relief: Conscious Resident
Training Lab Assignment
Engage in the Skill Acquisition Process for:
Heart Attack - Signs and Symptoms
• Chest discomfort
–pressure, fullness, squeezing, or
pain
–in center of chest behind
breastbone or spread to either
shoulder, neck, jaw, or arm
–usually lasts longer than a few
minutes – comes and goes
3.02 Nursing Fundamentals 7243 107
Heart Attack - Signs and Symptoms
• Fainting
• Sweating
• Nausea
• Shortness of breath
3.02 Nursing Fundamentals 7243 108
Accident/Emergency Scene
• If certified in CPR, offer assistance
• Defer to those with more experience
and training
3.02 Nursing Fundamentals 7243 109
Accident/Emergency Scene
• Seek assistance
–in facility
•use emergency light
•use call signal
•send another resident
for help
•call for help
3.02 Nursing Fundamentals 7243 110
Accident/Emergency Scene
• Seek assistance
–at home or at accident scene
• dial 911 operator or emergency
number
• give location
• give phone number
• relate type of emergency
• give number of people needing help
• relate requested information
3.02 Nursing Fundamentals 7243 111
Cardiopulmonary Resuscitation
• Agencies providing CPR
curriculum:
–American Heart Association
–American Red Cross
3.02 Nursing Fundamentals 7243 112
Cardiopulmonary Resuscitation
• You must be trained to administer
CPR
• Activate the emergency medical
system or your facility’s emergency
plan
3.02 Nursing Fundamentals 7243 113
Cardiopulmonary Resuscitation
• CPR must be started immediately to
be effective
• Follow facility policy for Advanced
Care Directive
3.02 Nursing Fundamentals 7243 114
Cardiopulmonary Resuscitation
• Methods of administering CPR
–one-person CPR
–two-person CPR
3.02 Nursing Fundamentals 7243 115
Convulsive Disorders (Seizures)
• Causes:
–infectious disease
–omitted medication
–head injury
–stroke
–seizure syndrome
3.02 Nursing Fundamentals 7243 116
Convulsive Disorders (Seizures)
• Types
–Partial
–General
•Tonic-clonic (grand
mal)
•Absence (petit mal)
–Unclassified
3.02 Nursing Fundamentals 7243 117
Convulsive Disorders (Seizures)
Take Action
• Summon help
• Stay with resident
3.02 Nursing Fundamentals 7243 118
Convulsive Disorders (Seizures)
Take Action
• Protect from injury
–lower to floor if appropriate
–move objects away that might
cause injury
• Do not restrain or put any object
into mouth
3.02 Nursing Fundamentals 7243 119
Convulsive Disorders (Seizures)
Take Action
• Loosen constricting
clothing (around neck)
• Place pillow under head
and turn face to one side
• Note time and type of
seizure
3.02 Nursing Fundamentals 7243 120
Convulsive Disorders (Seizures)
Take Action
• Provide rest for resident after
seizure
–very tired
–may be confused
–often disoriented
3.02 Nursing Fundamentals 7243 121
Loss of Consciousness – Fainting
•Caused by temporary
reduction of blood to
brain
3.02 Nursing Fundamentals 7243 122
Loss of Consciousness – Fainting
• Early signs and symptoms:
–dizziness
–decreased pulse and BP
–pallor and perspiration
–nausea
–cold skin
–numbness and tingling of extremities
3.02 Nursing Fundamentals 7243 123
Loss of Consciousness – Fainting
Take Action
• Summon help
• Stay with resident
• Have resident sit or lie down
• Loosen tight clothing
• Position head lower than heart
–sitting - head between legs
–lying down - elevate legs
3.02 Nursing Fundamentals 7243 124
Loss of Consciousness – Fainting
Take Action
• Monitor pulse and respirations
• Have resident rest for 5-10
minutes before moving
• Provide blanket if cold
3.02 Nursing Fundamentals 7243 125
SHOCK – Causes
• Severe injury
• Excessive loss of body
fluids
• Pain
• Respiratory and/or cardiac
arrest
• Anxiety
3.02 Nursing Fundamentals 7243 126
• Low or falling blood
pressure
• Weak, rapid pulse
• Cold, moist, pale
skin
• Rapid respirations
3.02 Nursing Fundamentals 7243 127
SHOCK – Signs and Symptoms
SHOCK – Signs and Symptoms
•Thirst
•Restlessness
• Confusion and
loss of
consciousness
3.02 Nursing Fundamentals 7243 128
SHOCK – Take Action
• Summon help
• Stay with resident
• Keep resident lying
down
• Control hemorrhage
• Keep resident warm
3.02 Nursing Fundamentals 7243 129
Hemorrhage
•Types
–Internal
–External
3.02 Nursing Fundamentals 7243 130
Hemorrhage
• Signs and Symptoms
–Internal
• pain
• shock
• vomiting blood
• loss of
consciousness
–External
• can usually be seen
3.02 Nursing Fundamentals 7243 131
Hemorrhage – Take Action
• Internal
–Summon help
–Stay with
resident
–Keep warm,
flat and quiet
until help
arrives
3.02 Nursing Fundamentals 7243 132
Hemorrhage – Take Action
• External
–Summon help
–Stay with resident
–Identify location of bleeding
–Apply continuous, direct
pressure over bleeding
3.02 Nursing Fundamentals 7243 133
Hemorrhage – Take Action
• External
–If bleeding not controlled, apply
pressure over artery above
bleeding site
–If no pain or broken bones,
elevate wounded area above heart
while maintaining pressure
3.02 Nursing Fundamentals 7243 134
Hemorrhage – Take Action
• External
–keep resident
comfortable,
warm and quiet
until help
arrives
3.02 Nursing Fundamentals 7243 135
Reporting Emergencies
• Never panic; remain
calm
–Try few slow deep
breaths
–Observe surroundings
–Assess resources
available
3.02 Nursing Fundamentals 7243 136
Reporting Emergencies
• Evaluate situation
–check victim
–determine safety of
environment
• Call or send for help immediately
• Determine treatment priorities
3.02 Nursing Fundamentals 7243 137
Reporting Emergencies
• Report emergencies accurately
–If help is not available, contact:
•911 or emergency number
•Police
•Fire department
•Telephone operator
•Local EMS
3.02 Nursing Fundamentals 7243 138
Reporting Emergencies
–Name
–Location
–Description
of scene
–Information
about injuries
–Type of help
needed
–Number of people
needing help
•Report emergencies accurately
by stating:
3.02 Nursing Fundamentals 7243 139
Reporting Emergencies
•Know your limitations
•Provide care and reassure victims
•Keep bystanders away from victims
3.02 Nursing Fundamentals 7243 140
Understand safety and emergency
care skills within the nurse aide range
of function.
141
 END 
3.02
3.02 Nursing Fundamentals 7243

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3.02 na role in safety

  • 1. Understand safety and emergency care skills within the nurse aide range of function. 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 3.02 Nursing Fundamentals 7243 1
  • 2. Nurse aide students must hold current certification in HEALTHCARE PROVIDER BASIC LIFE SUPPORT and be assessed for skill retention prior to clinical! REQUIREMENT: 3.02 Nursing Fundamentals 7243 2
  • 4. The Bottom Line Prevention, Prevention, Prevention, Prevention, Prevention, Prevention, Prevention, Prevention, Prevention. 3.02 Nursing Fundamentals 7243 4
  • 5. National Patient Safety Goals for Long Term Care: 1. Identify residents correctly 2. Use medicines safely 3. Prevent Infection 4. Check residents medications 5. Prevent residents from falling 6. Prevent bed sores  NPSG impacted greatly by Nurse Aide Work 3.02 Nursing Fundamentals 7243 5
  • 6. National Patient Safety Goals for Long 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. 3.02 Nursing Fundamentals 7243 6
  • 7. National Patient Safety Goals for Long Term Care: Identify residents correctly NPSG.01.01.01  Provide care to right resident  Use identification bracelets  Ask resident to state name 3.02 Nursing Fundamentals 7243 7
  • 8. National Patient Safety Goals for Long 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 3.02 Nursing Fundamentals 7243 8
  • 9. National Patient Safety Goals for Long 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. 3.02 Nursing Fundamentals 7243 9
  • 10. National Patient Safety Goals for Long 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. 3.02 Nursing Fundamentals 7243 10
  • 11. Greater Risk of Falls • Age related factors • Awareness of surroundings • Decreased Vision • Hearing Impaired • Decreased ability to smell • Decreased sensitivity to touch • Immobility • Medications 3.02 Nursing Fundamentals 7243 11
  • 12. Report observations to supervisor that lead you to believe a resident is prone to falling Preventing Falls 3.02 Nursing Fundamentals 7243 12
  • 13. Fallsaccount for 70% of accidents in healthcare facilities For Your Information 3.02 Nursing Fundamentals 7243 13
  • 14. Answer call signals promptly Keep frequently used articles within reach of resident Preventing Falls 3.02 Nursing Fundamentals 7243 14
  • 15. Lock brakes on movable equipment –wheel chairs –stretchers and mechanical lifts –beds –commodes Preventing Falls 3.02 Nursing Fundamentals 7243 15
  • 16. Properly position residents in: –bed –wheel chair Preventing Falls 3.02 Nursing Fundamentals 7243 16
  • 17. OBSERVE NO LIFT OR LIMITED LIFT POLICIES TO PREVENT FALLS AND INJURY TO RESIDENT AND NURSE AIDE Preventing Falls 3.02 Nursing Fundamentals 7243 17
  • 18. Report any facility structure hazard immediately that could lead to falls – frayed carpeting – loose or broken side rails – lights that don’t work Preventing Falls 3.02 Nursing Fundamentals 7243 18
  • 19. National Patient Safety Goals for Long 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 3.02 Nursing Fundamentals 7243 19
  • 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 3.02 Nursing Fundamentals 7243 21
  • 22. GENERAL SAFETY RULES Keep halls and stairs free of obstacles Check labels on all containers prior to using contents Wipe up spilled liquids immediately3.02 Nursing Fundamentals 7243 22
  • 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 3.02 Nursing Fundamentals 7243 23
  • 24. GENERAL SAFETY RULES TAG and TAKE OUT OF SERVICE!!!! Report broken or malfunctioning equipment immediately 3.02 Nursing Fundamentals 7243 24
  • 25. GENERAL SAFETY RULES Check linen for personal items contained in folds prior to sending to the laundry Report unsafe conditions immediately 3.02 Nursing Fundamentals 7243 25
  • 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 3.02 Nursing Fundamentals 7243 26
  • 28. FACTORSTHATINCREASETHE RESIDENT’SRISKOFINJURY Awareness of surroundings Some totally unaware unconscious coma Some suffer from dementia confused disoriented 3.02 Nursing Fundamentals 7243 28
  • 29. FACTORSTHATINCREASETHE RESIDENT’SRISKOFINJURY Decreased vision Difficulty seeing objects In danger of falling or tripping Difficulty reading labels or containers 3.02 Nursing Fundamentals 7243 29
  • 30. FACTORSTHATINCREASETHE RESIDENT’SRISKOFINJURY Hearing impaired – May not hear warning signals or alarms – May not hear approaching equipment 3.02 Nursing Fundamentals 7243 30
  • 31. FACTORSTHATINCREASETHE RESIDENT’SRISKOFINJURY Smell and touch Reduced smell unaware of smoke or gas fumes Decreased sensitivity to heat and cold easily burned 3.02 Nursing Fundamentals 7243 31
  • 33. FACTORSTHATINCREASETHE RESIDENT’SRISKOFINJURY Medications can: Affect balance Reduce awareness Cause confusion or disorientation Cause drowsiness Affect coordination Make fearful and uncooperative 3.02 Nursing Fundamentals 7243 33
  • 34. PREVENTING BURNS Burns are the second most common hazard to residents 3.02 Nursing Fundamentals 7243 34
  • 35. Preventing Burns • Check water temperature in bath or shower with bath thermometer or with your hand 3.02 Nursing Fundamentals 7243 35
  • 36. Preventing Burns Water temperature should be NO HOTTER than 105 degrees F 3.02 Nursing Fundamentals 7243 36
  • 37. Preventing Burns • Resident must verify that the temperature of the water is comfortable or not. This is a little to warm! 3.02 Nursing Fundamentals 7243 37
  • 38. Preventing Burns • Report areas where water temperature seems too hot • Monitor smoking practices 3.02 Nursing Fundamentals 7243 38
  • 39. Preventing Burns When bathing the resident or providing a soak, 1) ASK THE RESIDENT TO FEEL THE WATER 2) AND VERIFY THAT THE TEMPERATURE OF THE WATER IS COMFORTABLE TO THEM 3.02 Nursing Fundamentals 7243 39
  • 40. Preventing Burns • Provide assistance at mealtime to prevent spilling hot liquids • Use facility equipment according to written policies 3.02 Nursing Fundamentals 7243 40
  • 41. Preventing Burns • Monitor use of electrical appliances used by resident • Avoid overexposure to sunlight 3.02 Nursing Fundamentals 7243 41
  • 42. 3.02 Nursing Fundamentals 7243 42 PREVENT POISONING
  • 43. Preventing Poisoning • Store toxins in locked cabinets • Store toxins away from resident areas • Never leave toxic products where they might be ingested 3.02 Nursing Fundamentals 7243 43
  • 44. Preventing Poisoning • Have identifying labels on all containers • Never use unlabeled substance 3.02 Nursing Fundamentals 7243 44
  • 45. Preventing Choking • Encourage residents to use their dentures when eating • Assist to cut food into small pieces • Report difficulty in swallowing 3.02 Nursing Fundamentals 7243 45
  • 46. Be certain the HOB is elevated before attempting to feed a resident! Prevent Choking 3.02 Nursing Fundamentals 7243 46
  • 47. Preventing Choking Residents with feeding tubes usually have the HOB elevated 30-45 degrees. 3.02 Nursing Fundamentals 7243 47
  • 48. Be certain the resident has swallowed before continuing to feed. Prevent Choking 3.02 Nursing Fundamentals 7243 48
  • 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. 3.02 Nursing Fundamentals 7243 49
  • 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 3.02 Nursing Fundamentals 7243 50
  • 51. Preventing Spread of Microorganisms Follow Standard Precautions and Transmission Based Precautions. Wash hands before and after care 3.02 Nursing Fundamentals 7243 51
  • 52. Preventing Other Injuries • Move equipment around corners with caution • Be careful of residents’ feet, hands, arms, and elbows when transporting residents in wheelchairs 3.02 Nursing Fundamentals 7243 52
  • 53. Preventing Other Injuries • Monitor residents who wander away • Follow instructions when providing care • Keep bed in lowest position except when giving bedside care 3.02 Nursing Fundamentals 7243 53
  • 54. Preventing Other Injuries • Use night lights in rooms • Have residents wear shoes/slippers with non- skid soles • Check crutches, canes and walkers for non-skid tips 3.02 Nursing Fundamentals 7243 54
  • 55. Preventing Other Injuries • Keep call signal within easy reach • Report immediately any observations indicating resident is a danger to himself or others. 3.02 Nursing Fundamentals 7243 55
  • 57. For Your Information There is intentional repeat of some HSII course content in Nursing Fundamentals. Academic and skill competence must be maintained at a very high level for direct resident care. Repeating course content distributes learning over time and increases long term memory. 3.02 Nursing Fundamentals 7243 57
  • 58. Body Mechanics • Body mechanics: the coordination of body alignment, balance and movement • Job requirements for nurse aides include lifting, moving and transferring resident and lifting, moving and carrying objects 3.02 Nursing Fundamentals 7243 58
  • 59. Body Mechanics • Purpose of Good Body Mechanics –Maximize strength –Minimize fatigue –Avoid muscle strain and injury –Assure personal and resident safety 3.02 Nursing Fundamentals 7243 59
  • 60. Body Mechanics • Never bend over from waist to pick up object • Lift firmly and smoothly • Keep object close to body • Keep back straight 3.02 Nursing Fundamentals 7243 60
  • 61. Body Mechanics • Bend at hips and knees and get close to object prior to lifting • Grip objects firmly with both hands • Lift by pushing up with strong leg muscles 3.02 Nursing Fundamentals 7243 61
  • 62. Body Mechanics • Get help if object or resident appears too heavy • Keep feet apart to provide wide base of support • Pivot or turn with feet 3.02 Nursing Fundamentals 7243 62
  • 63. Body Mechanics • Use short steps to turn • Turn entire body without twisting back and neck • Pull or push when possible instead of lifting • Use body weight to help push or pull 3.02 Nursing Fundamentals 7243 63
  • 64. Body Mechanics • When reaching for an object, evaluate distance • Face in direction you are working to prevent twisting 3.02 Nursing Fundamentals 7243 64
  • 65. Body Mechanics • Adjust beds to waist level when giving resident care • Be sure body is in good alignment at all times 3.02 Nursing Fundamentals 7243 65
  • 67. For Your Information There is intentional repeat of some HSII course content in Nursing Fundamentals. Academic and skill competence must be maintained at a very high level for direct resident care. Repeating course content distributes learning over time and increases long term memory. 3.02 Nursing Fundamentals 7243 67
  • 68. Fire Safety Everyone is responsible for preventing fires If fire occurs, know what to do 3.02 Nursing Fundamentals 7243 68
  • 69. Fire Safety • Major fire hazards –faulty electrical equipment and wiring –overloaded electrical circuits –plugs not properly grounded –clutter - paper/rags 3.02 Nursing Fundamentals 7243 69
  • 70. Fire Safety • Major fire hazards (continued) –unsafe practices when oxygen is in use –smoking –spontaneous combustible materials 3.02 Nursing Fundamentals 7243 70
  • 71. Fire Safety • Elements necessary to start fire –fuel - material that will burn –heat - flame or spark –oxygen 3.02 Nursing Fundamentals 7243 71
  • 72. Fire Safety • Fire safety activities – Locate and learn •escape routes and fire escapes •use of all fire control equipment –fire doors –sprinkler system controls –fire extinguishers •fire drill procedures 3.02 Nursing Fundamentals 7243 72
  • 73. Fire Safety • Fire Safety Activities – Be aware of all fire hazards and report them immediately 3.02 Nursing Fundamentals 7243 73
  • 74. Fire Safety • Watch for frayed electrical wires • Never overload circuits • Use three-prong grounded plugs • Never use extension cords • Control clutter 3.02 Nursing Fundamentals 7243 74
  • 75. Fire Safety • Dispose of rags properly • Empty ashtrays in metal containers • Empty wastebaskets in proper receptacles • Report odors of smoke or burning • Keep fire exits clear 3.02 Nursing Fundamentals 7243 75
  • 76. Fire Safety • Control smoking practices: – limit to specific areas – never allow smoking in bed – have large ashtrays available 3.02 Nursing Fundamentals 7243 76
  • 77. Fire Safety • Control smoking practices: – observe use of matches/lighters – directly supervise residents when smoking, as necessary 3.02 Nursing Fundamentals 7243 77
  • 78. In Event Of Fire Stay calmas you RACE 3.02 Nursing Fundamentals 7243 78
  • 79. R A C E Remove residents from IMMEDIATE DANGER; otherwise, DEFEND IN PLACE 3.02 Nursing Fundamentals 7243 79
  • 80. R A C E Activate the ALARM 3.02 Nursing Fundamentals 7243 80
  • 81. R A C E Confine the fire Close all windows and doors Choke off oxygen 3.02 Nursing Fundamentals 7243 81
  • 82. R A C E Extinguish if you can Empty the extinguisher 3.02 Nursing Fundamentals 7243 82
  • 83. Use of Fire Extinguisher • Carry upright then PASS • Pull the safety pin • Aim at the base of the fire • Squeeze handle down • Spray in a sweeping motion at base of fire FIRE 3.02 Nursing Fundamentals 7243 83
  • 84. R A C E R Relocate residents per evacuation policy if directed to do so. Some agencies teach RACE plus an addition “R” 3.02 Nursing Fundamentals 7243 84
  • 85. R A C E R2 Remember these important Guidelines: G Shut off air conditioning G Shut off oxygen G Shut off lights G Never use elevators 3.02 Nursing Fundamentals 7243 85
  • 87. Oxygen Precautions • Oxygen precautions – Never have open flames or smoking in area – Remove flammable liquids from area – Do not use electrical equipment in area 3.02 Nursing Fundamentals 7243 87
  • 88. Oxygen Precautions • Oxygen precautions – Post “Oxygen in Use” sign – Remove cigarettes and matches from room – Use cotton blankets and clothing 3.02 Nursing Fundamentals 7243 88
  • 89. Oxygen Precautions DO NOT LET THE RESIDENTS’ NASAL CANNULA TOUCH THE FLOOR. Pathogens on the floor will contaminate the cannula. 3.02 Nursing Fundamentals 7243 89
  • 91. Disaster / Catastrophe Types • Natural origin –flood –earthquake –hurricane/tornado 3.02 Nursing Fundamentals 7243 91
  • 92. Disaster / Catastrophe Types • Human disasters –airplane/bus/train accidents –explosions –nuclear waste accident –blackouts 3.02 Nursing Fundamentals 7243 92
  • 93. Workplace Violence… a potential Disaster! 3.02 Nursing Fundamentals 7243 93 Healthcare is impacted by verbally and sometimes physically abusive patients, families and visitors.
  • 94. 3.02 Nursing Fundamentals 7243 94  Verbal abuse often goes unreported and is thought to be “just part of the job”.  70% of Nurses are assaulted on duty during their career.  The majority of healthcare worker violence takes place on evening and night shifts. OSHA [1996]. Guidelines for preventing workplace violence for health care and social service workers. Washington, DC: U.S. Department of Labor,
  • 95. Workplace Violence… a potential Disaster! 3.02 Nursing Fundamentals 7243 95 Stop this PowerPoint and view the PowerPoint produced by Vanderbilt University Medical Center. Then, return to this PowerPoint.
  • 96. Disaster Plans Facilities are required to have disaster plans 3.02 Nursing Fundamentals 7243 96
  • 97. Disaster Plans • Responsibilities in a disaster –Remove residents from immediate danger –Report to facility and follow directions for your role –Know your facility’s disaster plan –Assist with evacuation 3.02 Nursing Fundamentals 7243 97
  • 98. Disaster Plans –Help remove and secure equipment, supplies, and records –Think before you act; don’t waste time –Remain calm –Carry out responsibilities in confident manner 3.02 Nursing Fundamentals 7243 98
  • 100. The Choking Resident 3.02 Nursing Fundamentals 7243 100
  • 101. The Choking Resident - Cause Choking occurs when the throat is blocked or closed up and air cannot get to the airway. 3.02 Nursing Fundamentals 7243 101
  • 102. The Choking Resident Airway may be blocked by: –Food or liquids (meat most common food) –Blood or mucus –Foreign objects including the tongue –Vomitus 3.02 Nursing Fundamentals 7243 102
  • 103. Treating a Choking Resident –Stay near –Encourage coughing - most effective way to dislodge obstructions –Never slap coughing resident on back: can cause object to fall lower into trachea If victim is coughing, do not intervene: 3.02 Nursing Fundamentals 7243 103
  • 104. Treating a Choking Resident Signs of severe foreign body airway obstruction –Unable to speak –No air movement –Grasping throat - distress signal Abdominal thrusts, chest thrusts and back blows are effective for relieving severe foreign body airway obstruction. 3.02 Nursing Fundamentals 7243 104
  • 105. Treating a Choking Resident Tilting head back in unconscious person may clear airway since this pulls tongue forward 3.02 Nursing Fundamentals 7243 105
  • 106. 3.02 Nursing Fundamentals 7243 106 SKILL 3.02A Foreign Body Airway Obstruction (FBAO) Relief: Conscious Resident Training Lab Assignment Engage in the Skill Acquisition Process for:
  • 107. Heart Attack - Signs and Symptoms • Chest discomfort –pressure, fullness, squeezing, or pain –in center of chest behind breastbone or spread to either shoulder, neck, jaw, or arm –usually lasts longer than a few minutes – comes and goes 3.02 Nursing Fundamentals 7243 107
  • 108. Heart Attack - Signs and Symptoms • Fainting • Sweating • Nausea • Shortness of breath 3.02 Nursing Fundamentals 7243 108
  • 109. Accident/Emergency Scene • If certified in CPR, offer assistance • Defer to those with more experience and training 3.02 Nursing Fundamentals 7243 109
  • 110. Accident/Emergency Scene • Seek assistance –in facility •use emergency light •use call signal •send another resident for help •call for help 3.02 Nursing Fundamentals 7243 110
  • 111. Accident/Emergency Scene • Seek assistance –at home or at accident scene • dial 911 operator or emergency number • give location • give phone number • relate type of emergency • give number of people needing help • relate requested information 3.02 Nursing Fundamentals 7243 111
  • 112. Cardiopulmonary Resuscitation • Agencies providing CPR curriculum: –American Heart Association –American Red Cross 3.02 Nursing Fundamentals 7243 112
  • 113. Cardiopulmonary Resuscitation • You must be trained to administer CPR • Activate the emergency medical system or your facility’s emergency plan 3.02 Nursing Fundamentals 7243 113
  • 114. Cardiopulmonary Resuscitation • CPR must be started immediately to be effective • Follow facility policy for Advanced Care Directive 3.02 Nursing Fundamentals 7243 114
  • 115. Cardiopulmonary Resuscitation • Methods of administering CPR –one-person CPR –two-person CPR 3.02 Nursing Fundamentals 7243 115
  • 116. Convulsive Disorders (Seizures) • Causes: –infectious disease –omitted medication –head injury –stroke –seizure syndrome 3.02 Nursing Fundamentals 7243 116
  • 117. Convulsive Disorders (Seizures) • Types –Partial –General •Tonic-clonic (grand mal) •Absence (petit mal) –Unclassified 3.02 Nursing Fundamentals 7243 117
  • 118. Convulsive Disorders (Seizures) Take Action • Summon help • Stay with resident 3.02 Nursing Fundamentals 7243 118
  • 119. Convulsive Disorders (Seizures) Take Action • Protect from injury –lower to floor if appropriate –move objects away that might cause injury • Do not restrain or put any object into mouth 3.02 Nursing Fundamentals 7243 119
  • 120. Convulsive Disorders (Seizures) Take Action • Loosen constricting clothing (around neck) • Place pillow under head and turn face to one side • Note time and type of seizure 3.02 Nursing Fundamentals 7243 120
  • 121. Convulsive Disorders (Seizures) Take Action • Provide rest for resident after seizure –very tired –may be confused –often disoriented 3.02 Nursing Fundamentals 7243 121
  • 122. Loss of Consciousness – Fainting •Caused by temporary reduction of blood to brain 3.02 Nursing Fundamentals 7243 122
  • 123. Loss of Consciousness – Fainting • Early signs and symptoms: –dizziness –decreased pulse and BP –pallor and perspiration –nausea –cold skin –numbness and tingling of extremities 3.02 Nursing Fundamentals 7243 123
  • 124. Loss of Consciousness – Fainting Take Action • Summon help • Stay with resident • Have resident sit or lie down • Loosen tight clothing • Position head lower than heart –sitting - head between legs –lying down - elevate legs 3.02 Nursing Fundamentals 7243 124
  • 125. Loss of Consciousness – Fainting Take Action • Monitor pulse and respirations • Have resident rest for 5-10 minutes before moving • Provide blanket if cold 3.02 Nursing Fundamentals 7243 125
  • 126. SHOCK – Causes • Severe injury • Excessive loss of body fluids • Pain • Respiratory and/or cardiac arrest • Anxiety 3.02 Nursing Fundamentals 7243 126
  • 127. • Low or falling blood pressure • Weak, rapid pulse • Cold, moist, pale skin • Rapid respirations 3.02 Nursing Fundamentals 7243 127 SHOCK – Signs and Symptoms
  • 128. SHOCK – Signs and Symptoms •Thirst •Restlessness • Confusion and loss of consciousness 3.02 Nursing Fundamentals 7243 128
  • 129. SHOCK – Take Action • Summon help • Stay with resident • Keep resident lying down • Control hemorrhage • Keep resident warm 3.02 Nursing Fundamentals 7243 129
  • 131. Hemorrhage • Signs and Symptoms –Internal • pain • shock • vomiting blood • loss of consciousness –External • can usually be seen 3.02 Nursing Fundamentals 7243 131
  • 132. Hemorrhage – Take Action • Internal –Summon help –Stay with resident –Keep warm, flat and quiet until help arrives 3.02 Nursing Fundamentals 7243 132
  • 133. Hemorrhage – Take Action • External –Summon help –Stay with resident –Identify location of bleeding –Apply continuous, direct pressure over bleeding 3.02 Nursing Fundamentals 7243 133
  • 134. Hemorrhage – Take Action • External –If bleeding not controlled, apply pressure over artery above bleeding site –If no pain or broken bones, elevate wounded area above heart while maintaining pressure 3.02 Nursing Fundamentals 7243 134
  • 135. Hemorrhage – Take Action • External –keep resident comfortable, warm and quiet until help arrives 3.02 Nursing Fundamentals 7243 135
  • 136. Reporting Emergencies • Never panic; remain calm –Try few slow deep breaths –Observe surroundings –Assess resources available 3.02 Nursing Fundamentals 7243 136
  • 137. Reporting Emergencies • Evaluate situation –check victim –determine safety of environment • Call or send for help immediately • Determine treatment priorities 3.02 Nursing Fundamentals 7243 137
  • 138. Reporting Emergencies • Report emergencies accurately –If help is not available, contact: •911 or emergency number •Police •Fire department •Telephone operator •Local EMS 3.02 Nursing Fundamentals 7243 138
  • 139. Reporting Emergencies –Name –Location –Description of scene –Information about injuries –Type of help needed –Number of people needing help •Report emergencies accurately by stating: 3.02 Nursing Fundamentals 7243 139
  • 140. Reporting Emergencies •Know your limitations •Provide care and reassure victims •Keep bystanders away from victims 3.02 Nursing Fundamentals 7243 140
  • 141. Understand safety and emergency care skills within the nurse aide range of function. 141  END  3.02 3.02 Nursing Fundamentals 7243