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ONLINE Sessions are mandatory-you
can be dropped from the class if you do
not attend.
Homework is graded after the due date.
Thanks to those of you who get it in
early.
Quiz Review
• Medicaid-Federal funds managed by each state
AND some disabled people qualify.
• C.N.A. will never obtain written consent
• When do you need to: ask the nurse, consult the
care plan, or act on your own? (can the nurse
choose not to delegate a task to you?)
• Medical Record…Care Plan...Kardex…Flowsheet
• Explain what you are doing-protects YOU
• Function of saliva
• Coma vs Dementia
Review Continued
• What is the difference between the nursing process,
care plan, and the care conference?
• Nursing process-method of planning care
You are an important part of this!
• Care Conference-the meeting where the nursing
process is used and the care plan is made- YOU
CAN ATTEND
• Care Plan -written plan -Done by RN
Why answer the home phone with only your name?
Who can you share information with???
Chapter 11
• There will be about 10 x as many 65-85
years olds by the 2020 census.
• Where do myths about aging come from?
Pg 136 (quality of life, housing, abilities,
activity, sex)
• Geriatrics VS Gerontology
• Housing Options
Chapter 12
• Why would just calling someone by name be an
problem for identifying a resident? (pg 156)
ID bracelet, Photo ID, ID number, Date of birth,
and full name
• MSDS Material Safety Data Sheets (pg 170)
• Oxygen use-Read pg 172 what are the cautions?
• DNR
ALLERGY
FALL RISK (page 180)
• Disasters: evacuation OR shelter in place
Chapter 13
• FALLS-major cause of injuries in elderly, 1/3 fall
each year
• Remember these 3 facts:
• 1. BED RAILS: Used as directed by the nurse
and the care plan. (page 188)
• 2. Bedrail = restraint The person cannot get out
of bed or cannot lower them without help.
• 3. MUST be needed to treat the person’s medical
symptoms-requires a doctors order
• Transfer belts and “helping the falling person”
Bed Rail Rules
When using bedrails during bedside care for a
resident who has bedrails as part of the orders• Lower the rail on the side you are giving care
• Raise it before changing sides
• Always lower the bed and put the rails in the
correct position when you are finished.
• NEVER walk away from the bed with the bed
raised.
Restraints: Are we keeping anyone safer by
restraining them?
What is a chemical restraint? (page 199)
Chapter 15
•CLEAN
•DISINFECTED
•STERILE
Isolation precautions
1. Standard Precautions-pg 223-24
are used JUST IN CASE a disease causing organism is
present and not known-so it is used with everyone. HIV
and Hepatitis B started this.
2.TRANSMISSION BASED precautions
are used when a KNOWN disease causing organism is
present and these added precautions address that
organism and how it is spread. Pg 226
HANDWASHING is still #1 way
to prevent infection…
Infection Control
• Vaccines provide immunity.
So can the disease itself (titers)
• Transmission precautions can result in isolation
for a client-minimize this as possible
• How do Hepatitis and HIV spread?
• Double bagging pg 234
• Broken glass is never cleaned up by hands pg 237
• Sterile Field FIRST then sterile gloves pg 241
Chapters
• 16 Good body alignment at all times
• Define positions: pg 250
• Chair position page 252
• 17 Levels of dependence, types of transfers pg 256
• Transfers, What is friction and shearing? Page 259
• Dangling…what is it and why do we do it? Pg 270
• Strong side, weak side…where does the wheelchair
go? Pg 277
Short chapters:
• 18-The person’s Unit or Room Page 296 What goes
where???
• Who decides?
• 19-Making a bed
• Know the layers of sheets-esp waterproof sheeting pg
•
•
•
•
306
Types of beds and when you make them…pg 304
Carry clean and dirty linen away from your body.
Never shake linen, clean or dirty
Wear gloves and fold dirty linen away from you
Personal Hygiene/Grooming
Oral Care-why for the unconscious
Pg 327…what can go wrong?
Denture care pg 329
Bathing and Massage
Perineal Care-urethra and meatus pg 349-50
Hair
Nail and Foot Care
Clothing-dependent or injured arm pg 372
See you in 3 weeks!
• Quiz # 2 opens at noon on Friday the 19th-
Sunday 21st at midnight.
• Module 3 opens that day too!
• Next online session Tuesday March 1st!
• Please call or email with any questions from the
lessons…watch your emails for reminders and for
any commonly missed ideas before the quiz.
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