Define medical asepsis; surgical asepsis
the act of preforming accurate clean techniques in order to reduce amount of microbes spread from one person to another
requirements of microbes to live and grow
water, nourishment, oxygen, warm environment, darkness
What is a non-pathogen
non-pathogen: microbes that don't cause infection
What is a pathogen
pathogen: harmful microbe
How does a NA demonstrate standard precautions?
hand hygiene
PPE
proper disposal of contaminated supplies
What is the easiest way to prevent infections from spreading?
preforming the right acts of precautions
washing hands
Define Bloodborne Pathogens
diseases that can be spread through the contact of blood
What is proper gloving procedure?
hand hygiene, gloves on, check for tears
What is done if gloves are torn?
if torn take off and try again
Identify basic methods of bedmaking
closed bed (not in use)
open bed (in use)
occupied bed (person in it)
surgical bed (transfer a patient or arrive by ambulance)
care of clean linens
hold linens away from uniform
NEVER shake linens
place on clean surface
care of dirty linens
remove dirty linen one piece at a time
roll each piece away from you
change wet damp or soiled linens right away
role of NA in maintaining a safe environment for patients in falls, skin injury, burns
make sure the patient feels safe
decrease the person risk of accidents and injuries without limiting mobility and independence
What is the MSDS?
Material safety data sheet
tells how to deal with things
What should you do before cleaning up a hazardous substance?
wear the appropriate PPE
RACE
R rescue
A alarm
C confine
E extinguish
PASS
P pull the pin
A aim
S squeeze
S sweep
How can the NA prevent patient falls?
using bed rails, hand rails, and gait belts
keeping halls and rooms clean
If the patient starts to fall what should the NA do?
make sure the patient falls butt first and protect head
What is the responsibility of the NA if an accident or injury occurs?
Report incidents ASAP and make sure resident is safe
What is the purpose of Risk Management Teams?
viewing recent incidents and coming up with solutions
What is an Incident Report?
explains the incident
When is an Incident Report done?
completed ASAP
List the different restraint alternatives
Rolls
Slanted Cushion
One-on-one
15 Min chacks
Pad alarm (bed or chair)
Personal Alarms
How often do we need to check a person with a restraint
15 minute check ins
how often do we need to remove the restraint to provide basic needs?
every two hours or as often as noted in care plan
When do we use a transfer belt or gait belt?
to support patients and residents during trnasfers
reposition persons in chair and wheelchairs
When transferring a patient they always should have a _____ and _____
gait belt and socks or shoes
Which side do you transfer to when someone has an “affected” or weak side when using a cane; a walker
the side without the cane; the weak side
When ambulating a person where does the NA stand?
on the side or the weakest point
What is friction?
rubbing of one surfaces against another
What is shearing?
when the skin sticks to a surface while muscles slide in direction the body is moving
measures to prevent friction and shearing
rolling the person, Using friction-reducing devices
How does body mechanics apply to the NA?
being able to lift something efficiently
List factors that put an aide at risk for back injuries
not using proper body mechanics
lifting heavy objects
Good body mechanics involves
Bend from the knees not the waist
hold items close to body
squat to lift a heavy object
What are the triggers for using a mechanical lift
cannot help themselves, too heavy for staff to transfer
What are the regulations for using a mechanical lift
MUST BE TRAINED, it must work, must be in good repair, must not exceed lift capacity, at least two staff members
Dangling
sitting on the side of the bed
LOGROLLING
turning the person as a unit
NORMAL BODY ALIGNMENT
arms at one's side, palms directed forward, and feet pointed forward and slightly apart
FLOAT HEELS
patients heels should be off bed removing any contact
How often is a patient repositioned?
every two hours
What are the different bed positions?
Fowler’s Position
High Fowler’s Position
Reverse Trendelenburg
Semi-Fowler’s Position
Trendelenburg’s Position
Define the guidelines for ROM
usually done 2 times/day
persons on bedrest need more
Define terminology related to ROM
PASSIVE: Someone moves the joints
ACTIVE: by the person
ACTIVE-PASSIVE: Person exercises with help
CONTRACTURE
decreased motion and stiffness of muscle
ATROPHY
wasting away
FOOT DROP
foot falls down at the ankle
What position should you position the person in when making an occupied bed?
Keep person in good alignment
what can’t you do with spills?
leave them unattended