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As a Nurse assistant you should
Alleviate a patient’s and their family anxiety and fear
To protect a patient’s or resident’s possessions you must
Create an inventory sheet
When new patients arrive they may
Become anxious and car fear nursing staff
If a patient wishes to transfer they must
Be related to a patients condition, may be requested by the patient
When a patient leaves against medical advice
AMA (have the patient sign any paperwork stating they wish to leave the faculty and they understand possible complications)
Alignment
Have the patient help you by bending their knees and having them PRepush at the same time when you are moving them in bed
Pressure ulcer
a localized injury to the skin and/or underlying tissue that occurs when pressure is applied to the skin for an extended period
There are 4 stages of ulcers
Be sure to identify any sore’ this can help prevent further damage
To prevent a pressure ulcer you should
Patients position should be changed at least every 2 hours
When you are postioning a patient on their side
You should place the patients leg closest to you over the opposite leg
Dangling (feet and leg over side)
Complain of vertigo if done too fast
A correctly made bed will
Provide comfort and protection for patients confined to bed for long periods
When transferring a patient in a wheelchair
Lock wheels and footrest have to be in upward postion
Mechanical lifts are
Special devices used to move or transfer a patient; they have a capacity
Closed bed
Bed that is made following the discharge of a patient
Halitosis
Bad breath
Shampooing must be
Approved by a physician
When you are assigned a patient you are
Responsible for their care/ safety from the time of admission until their discharge from the facility
I/O
A record of how much fluid is taken in and eliminated by a patient often helps a physician provide care to the patient
Emesis
Anything that is vomited is measured and recorded
Urination is
30 ml per hour (Know how to collect a 24 hour urine collection)
Wipe from front to back applies to
Females
The external condom catheter should be
Replaced every 24 hours and check for any skin irritation
If a patient had an indwelling catheter in place for a time
A bladder training program may be instituted before the catheter is removed
Clean catch (midstream) specimen
Sterile urine specimen container
Physical restraints include protective devices such as
straps, belts, jackets/vest , chair hand mitts
Protective gear should only be used to
Protect patients from harming themselves when alternatives have not worked
When restraints are going to be used you must
Explain to the patient why they are being restrained
You must
Frequently check patients under restraint
When changing a petients gown
You should be cautious of their IV
Wound vac
Medical device that applies negative pressure to a recently closed surgical incision or ones that were left open due to excessive edema or drainage wound to promote healing and prevent infections
Post mortem care
Care given to the body immediately after death
The patients rights will
Continue to apply after death
Keep a patient at fowlers position (following death)
30 degrees to prevent discoloration of the head and neck
When a patient has passed away they’re valuables and belongings are removed unless
The family has request them to be left on them