cna m4

OBRA temperature range

71°

Comfortable temperature for most people

68°

Why older/ill persons need warmer temps

They are more sensitive to cold and drafts

Ways to reduce drafts

Proper clothing, blankets, robes, move away from drafty areas

Common odor sources

Urine, bowel movements, wounds, vomit, body odor, smoke

Odor prevention

Good hygiene, ventilation, housekeeping, handwashing after smoking

Smoking odor problem

Odors cling to clothes, hair, and breath

Noise control methods

Quiet voice, gentle equipment use, maintain equipment, answer calls promptly

Importance of lighting

Prevents falls and improves visibility

Items in the person’s unit

Bed, bedside stand, overbed table, chair, closet/drawer, privacy curtain

Overbed table

Used only for clean and sterile items

Privacy curtain

Provides visual privacy

Bedside stand contents

Bedpan, urinal, wash basin, kidney basin, soap dish, water pitcher, cup

Closet/drawer permission

Required to protect privacy

Purpose of call system

Allows resident to signal for help

Why call light stays within reach

Ensures resident can ask for help safely

Why bathroom call lights are urgent

High fall risk

Linen change schedule

1

When linens must be changed

When wet, damp, soiled, or wrinkled

Linen handling rules

Hold away from uniform, never shake, never place on floor

Draw sheet

Sheet for positioning or mattress protection

Closed bed

Bed not in use; prepared for a new resident

Open bed

Bed with linens folded back for use

Occupied bed

Bed made with the person in it

Surgical bed

Bed prepared for stretcher transfer

Fowler’s position

Head of bed at 45

High Fowler’s

Head of bed at 60

Semi-Fowler’s

Head of bed at 30°

Trendelenburg

Head lowered, feet raised

Reverse Trendelenburg

Head raised, feet lowered

Entrapment

Being caught between bed parts

Admission

Official entry into a healthcare setting

Admission information

Name, birth date, doctor’s name, insurance numbers, religion

CNA tasks during admission

Vital signs, height/weight, belongings list, labeling valuables, orientation

When height/weight are measured

At admission and periodically

Clothing for weighing

Same/similar clothing, no footwear

Before weighing

Have resident void; zero the scale

Care planning process

Assessment, diagnosis, goal, implementation, evaluation

CNA role in care planning

Gathering assessment data

Reasons for room transfer

Condition change, resident request, roommate issues, care needs

CNA role during transfer

Assist, reassure, communicate, introduce staff

Discharge

Official departure from healthcare

Health team duties at discharge

Teaching, home care arrangements, equipment setup, follow-up

Belongings at discharge

Must be bagged and all items sent with patient