CNA Safety and Emergency Procedures 1

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When caring for a resident who is hemorrhaging, you should

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When providing emergency care for a hemorrhage, immediately call for help. If gloves are available, put them on before applying pressure to the area that is bleeding. Proceed to maintain direct and firm pressure on the wound with your palm pressing on a bandage, gauze, or clean cloth. Continue the pressue, adding layers of bandages as needed, until help arrives.

When a seizure occurs, what should you do?

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When a client has a seizure, first prevent injury. Ease the client to the floor and place them on their side. Clear the area of any objects that could cause an injury. Put something soft, such as a pillow or folded blanket, under their head. Loosen their collar and remove eyeglasses. Always time the seizure and call 911 if it lasts longer than 5 minutes.

Mrs. Jones has been throwing up for several days, unable to eat or drink. You find her in bed. She is pale, lethargic, and her eyes are dull. She is likely suffering from

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Water makes up about 90% of blood. During an illness, replacing fluids lost by vomiting and diarrhea is extremely important to prevent dehydration. Severe dehydration can cause a drop in the blood volume, causing very low blood pressure.. The result is hypovolemic (low volume) shock, a medical emergency.

Your home health client is diabetic. When you go to his home, you find him weak and lethargic, but able to follow commands. He is unable to tell you when he last ate or took his insulin. You should do what first?

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When a client with diabetes is sleepy and difficult to arouse, immediately check their blood sugar level with their glucometer. A result of lower than 70 mg/dl or higher than 200 mg/dl are medical emergencies and require prompt treatment. Every home health client has a plan and supplies for very low or very high blood glucose levels. If in doubt, contact emergency medical services.

A patient chokes while eating and is unable to cough or speak. The first thing the nurse aide should do is

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A quick back slap can be tried, but if the food does not immediately dislodge, the nurse aide must quickly move to start abdominal thrusts. Abdominal thrusts (the Heimlich maneuver) is the best response to choking. Calling for assistance as you prepare to do abdominal thrusts will alert others of the emergency. Performing abdominal thrusts involves standing behind the client and using hands to exert upward pressure on the bottom of the diaphragm.

While helping an 86 year-old male resident get ready for bed, he tells you that he is tired of living and has been saving his pain pills. What should you do?

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Studies show that depression is a common cause for suicide in the elderly. White males, age 85 years and older, are at the highest risk for suicide. Never dismiss a threat of suicide. Always notify your supervisor, so the resident can be evalutated and treated.

If a home care client burns his hand, you should

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If a client has a minor burn, soak the burn in cool water for 5 minutes. This will relieve the pain and reduce any swelling. Gently dry the area and apply aloe vera cream or an antibiotic ointment. Place a dry gauze dressing on the burn. If the burn area is large, or if blisters develop, seek medical attention.

The nurse aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurse aide should do is

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When encountering any type of emergency situation, such as finding a client on the floor or an unconcious client, always call for help first. Others can clear the area, phone for an ambulance, assist with CPR, help move or transfer the client, or document the events.

What is the CNA's responsibility after calling a Code Blue?

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As a CNA, you must call for help, get the patient into a flat position, and begin CPR. When the Code Blue team arrives, allow them to take over. Be available for any requests, such as documenting the code, getting equipment, keeping the area clear, taking blood to the lab, or making phone cals.

You arrive at the client’s home for care. She shows you a burn on her arm. It is blistered and client is complaining of severe pain. You should

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A burn that develops blisters can be serious and should be evaluated if it covers a large area of more than 3 inches (7.6 cm). The client's skin may appear red, white, or splotchy, with swelling. The client will also complain of severe pain. Do not break blisters. Call a supervisor for assistance.

An elderly resident has a advance health directive that includes a DNR (Do Not Resuscitate) order. You enter their room and find them not breathing. What do you do?

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An advance directive states what a person wishes at the end of life. It is a legal and binding document that avoids any confusion for medical professionals and the person's family. If a person does not want to be resuscitated, the CNA should honor the resident's wish. Quietly notify the nurse when the resident passes away.

A resident with an obstructed airway

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Choking occurs when food or an object is stuck in the trachea (windpipe or airway). A person who is choking cannot breathe or speak. They will automatically grasp their throat. Quick action is required. The Heimlich maneuver (abdominal thrusts) is used to dislodge the object. Do NOT perform the maneuver if the person is coughing forcefully and able to speak.

You walk into the dining room. The conscious resident has his hands to his throat and is making no sounds. The first thing you will do is...

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A person who is choking will automatically grab their throat. This is a signal for help. Abdominal thrusts (the Heimlich maneuver) is the best response to choking. Calling for assistance as you prepare to do abdominal thrusts will alert others of the emergency. A quick back slap can be tried, but if the food does not immediately dislodge, the nurse aide must quickly move to start abdominal thrusts. Performing abdominal thrusts involves standing behind the client and using hands to exert upward pressure on the bottom of the diaphragm.

While getting a bed bath, a patient suddenly has a difficult time telling you that he is feeling weak on one side. The CNA should

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Strokes can occur without warning. Remember the acronym "F.A.S.T." to identify early signs: F=Face drooping, A=Arm weakness, S=Speech difficulty, T=Time to call 911. Notify the nurse and call 911. If treatment is given within a short time, recovery is possible for a stroke victim.

The fire alarm has sounded. The nurse aide should FIRST

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The nurse aide should be familiar with all fire safety policies and protocols. When a fire alarm sounds, all staff must respond to keep clients safe. Remember "R.A.C.E." to quickly act. R = Rescue/Remove all people who can not take care of themselves. A = Alarm, if it has not already been done. Pulling the alarm can be done at the same time as rescue. C = Confine/Contain the fire or smoke by closing doors to prevent or slow the spread. Smoke is especially dangerous for everyone. E = Extinguish the fire if possible, using a handheld fire extinguisher. Attempt to extinguish only small fires, as long as you can remain safe and have an escape route.

A resident puts on her call light to let you know that there was bright red blood in her bowel movement. What should you do?

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A sudden appearance of red or blood in a resident's stool should be assessed. Although it could possibly be from diet or a hemorrhoid, it could also be a sign of internal bleeding. Notify the nurse to assess the situation and follow up with the resident's doctor.

A patient asks for an extra pat of butter from an aide who is unfamiliar with her. The aide should

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Every patient has a diet plan that is specific for their medical condition. When working with a new or unfamiliar patient, always check the care plan or orders for the prescribed diet. If an item is not allowed, help the patient understand that there is a reason for the restriction. Ask the nurse to request that the dietician visit the patient to explain the diet.

A patient complains of pain. The CNA should

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As the CNA, your patients will often tell you first about their pain. It is beyond the scope of CNA practice to give a medication, but appropriate to report it to the nurse. The nurse can talk to the patient about the pain and give medication or notify the doctor.

A patient complains of feeling short of breath and nauseated. Her face is rapidly turning red. She tells the nurse aide that she didn’t know there were strawberries in the gelatin she ate. The aide should

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For people with food allergies, even a small amount can trigger a severe reaction, including anaphylactic shock that can lead to death. Even if the person has only had mild reactions in the past, immediately report any of the following: shortness of breath, hives or rashes, swelling of the lips or tongue, dizziness or fainting. This is a true medical emergency. Be prepared to do CPR until help arrives.

How often should a CNA renew their CPR card?

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Although a facility can determine if more frequent certification is necessary, most facilities require that CPR certification be renewed every two years. The American Heart Association and the American Red Cross CPR and First Aid card are valid for two years, For a facility, all employee CPR certifications must be current and on file when the facility is audited for accreditation.

The first aid treatment for hemorrhage is to

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Hemorrhaging (heavy bleeding) should be stopped as soon as possible. Use direct pressure on the wound, with a sterile bandage or clean cloth. Use your palm to press firmly. Maintain pressure by adding more layers of bandages and binding the wound with tape or cloth. Do not remove the bandages if bleeding continues; continue to add layers and keep pressing. Always call for help as you begin first aid.

As you help a resident return to his room after lunch, he seems short of breath. He tells you that his chest hurts. You should

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The CNA should be aware of the signs of possible medical emergencies, but cannot assess or diagnose them. A CNA should notify the nurse of a resident's complaints. Continue to check with a resident after their complaints and report changes to the nurse.

What should you do for a person who has stopped breathing and has no heartbeat?

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In 2010, emergency assistance for a person who is unresponsive, without breathing, changed to "C-A-B." After placing the person on their back, begin with "C"—chest compressions to keep the blood circulating. "A"—As a certified professional, stop after 30 compressions to clear the airway. "B"—two rescue breaths are given between compressions. If possible, call for help before and during the process.

While caring for a resident you hear the fire alarm ring. What should you do first?

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A nurse aide walks into a room and sees that the patient is unconscious. The first thing the aide does is to

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If you find a patient who is unconscious or unresponsive, do NOT immediately begin CPR. First "shake and shout" by calling their name and asking if they can hear you or to open their eyes. If they do not respond, call the Code Team, lower the head of the patient's bed, and begin compressions. Even if they do respond, notify the nurse immediately.

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