CNA Safety and Emergency Procedures 2

0%

Which sudden sign can indicate a stroke?

Correct! Wrong!

Strokes can happen quickly. The sooner they are recognized and treated, the better the outcome for the patient. Remember "F.A.S.T." to get help: F=Face drooping. Does one side of the person's face droop? Is their smile uneven? A=Arm weakness. Ask them to raise both arms. Does one arm drift downward? S=Speech. Is their speech slurred or hard to understand? Tell them to say, "The sky is blue." Can they do it? T=Time to call 911. If the person has any of these signs, call 911 immediately, even if the signs go away. Note the time so you can tell the doctor what time the symptoms started.

A patient’s call light should always be _______.

Correct! Wrong!

After giving care, or when leaving the patient's room, always ensure that the patient's call signal is within reach. Patents must always have access to caregivers. For safety, bed should be in the lowest position.

Factors that increase a resident's risk of falling include

Correct! Wrong!

As people age, their physical and medical conditions can lead to increased risks for falling. Muscle weakness, especially in the legs, is one of the most important risk factors. Medications, and the side effects, can cause dizziness or confusion. Sensory problems, such as numbness in the feet or foot pain increase the risk of falls. Other risk factors include poor vision, balance problems, and slow reflexes.

Vomiting can be dangerous because of the possibility of

Correct! Wrong!

Vomit is the contents of the stomach. It is very acidic, which can be dangerous to the lungs if it gets inhaled. Usually the cough reflux keeps anything from entering the lungs, but if a patient is weak, sedated, or elderly, the cough reflex may not be effective. If vomit gets aspirated into the lungs, it can cause choking or pneumonia, which are both life-threatening.

The most common cause of accidents in the home results from

Correct! Wrong!

According to the National Safety Council, falls are the number one cause of home accidents. For age 65 and older, falls are the first cause of injury-related deaths, including broken hips. Many falls can be prevented with simple measures, such as removing small rugs and clutter, and wiping up spills.

When a patient who has been dizzy is showering, you should

Correct! Wrong!

Showers and baths present a risk for falls. If there is any doubt about a patient's ability to maintain balance, use a shower chair. Sitting in a chair lets the patient be safe while enjoying the warm spray. Before having the patient sit, make sure the shower chair is clean and sturdy. The patient's feet should be able to touch the floor.

Safety measures to prevent accidental poisoning from medications include

Correct! Wrong!

Accidental poisoning from medications can be prevented, especially among children, who are at the highest risk. Medications are the leading reason for poisoning in children. About 95% of medication-related poisoning among children happens when medication is available and children are unsupervised. All adults are responsible for storing and dispensing medication safely. Always use childproof tops and keep medications in their original containers. Don't take medications in front of children, who like to mimic adults. Never call medicine "candy." When taking medications during the night, turn on the light to ensure the proper drug and dosage is being taken.

If a diabetic resident develops symptoms of increased thirst and urination, blurred vision, weakness, and a fruity-smelling breath, what should the CNA do?

Correct! Wrong!

When a resident with diabetes exhibits signs and symptoms of high blood sugar (hyperglygemia), do not give additional sugar, such as orange juice or candy. Notify the nurse immediately, because the resident needs insulin. If the blood sugar is not lowered, ketoacidois—a serious complication of diabetes—can result. The CNA should be aware of which residents have diabetes, and what to look for regarding reactions.

When evacuating patients during a fire, you should never use the

Correct! Wrong!

Never use an elevator when there is a fire. The fire can destroy the electrical circuits, which could trap you and the patients. Elevator shafts also can act as a chimney, filling quickly with smoke. Also, your exit will be delayed by stopping at every floor, since others will press the button.

While making rounds at 4 am, the nurse aide finds one of the residents unconscious on the floor. What should the nurse aide do first?

Correct! Wrong!

When a patient or resident becomes unconscious, call for help, and then quickly check to see if they are breathing and have a pulse. Try to wake them. If they are unsrepsonseive, not breathing or not breathing normally, start CPR while a co-worker calls 911.

Mr. Francis complains of pain in the left chest area. The first thing you do is _________.

Correct! Wrong!

As a CNA, you may be the first halth care professional to observe or hear a patient's complaint. Always report it immediately to the nurse. Some patients may have nitroglycerin at their bedside, but you cannot administer it. Tell the nurse so they can evalutate the situation.

The best time to prepare for a disaster or emergency is

Correct! Wrong!

Training and preparation for disasters or emergencies must be done in advance. When an event happens, all staff must be able to respond automatically. Regular training is important to keep everyone current on the procedures.

Your home health client has a very cluttered home and is reluctant to throw away anything. Your main safety goal should be to _________.

Correct! Wrong!

As a home health care provider, your goal is to maintain a safe environment. Assess the area for potential hazards and act to minimize or eliminate them. You are not authorized to remove any items, so move them out of the way. The client's health, safety and well-being are your priorities as a caregiver.

When using a fire extinguisher, the hose is aimed at the _________.

Correct! Wrong!

The Occupational Safety and Health Administration (OSHA) states that the fire extinguisher nozzle should be aimed at the base of the fire. Remember to use the PASS technique: Pull, Aim, Squeeze, Sweep. Your facility will provide training on fire emergencies every year.

What injury are elderly patients at highest risk for?

Correct! Wrong!

Falls are the biggest risk for injury for people over 65. Falling even one time doubles the risk of falling again. One out of five falls results in a serious injury, such as broken bones or head trauma. Even if there is no injury, people can become fearful of falling and reduce their daily activities. Anyone who falls should notify their doctor for an evaluation.

A patient suddenly has shortness of breath, followed by loud gasps for air. After calling for help, what should you do?

Correct! Wrong!

When a client is having difficulty breathing, Fowler's position can provide relief. When sitting in Fowler's position, the client is upright at 90 degrees, allowing the chest to expand as much as possible. Prone (on the abdomen), supine (on the back), and lateral (on the side) are all flat positions, which can make respiratory distress worse.

In the event of a fire in a client’s home, your first action is to _______.

Correct! Wrong!

The nurse aide should be familiar with exits and location of fire extinguishers. If a smoke or fire alarm sounds, your first action is to keep the client safe. Remember "R.A.C.E." to quickly act. R = Rescue/Remove the client. A = Alarm, if the alarm is not connected to the fire department, call 911 to report it. . 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 and the client can remain safe, and have an escape route.

If you see a fire, your first action should be to

Correct! Wrong!

The nurse aide should be familiar with all fire safety policies and protocols. When a fire alarm sounds, all staff must respond to keep patients 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 who is resting in bed suddenly complains of shortness of breath. What should you do?

Correct! Wrong!

When a client is having difficulty breathing, Fowler's position can provide relief. When sitting in Fowler's position, the client is upright at 90 degrees, allowing the chest to expand as much as possible. Prone (on the abdomen), supine (on the back), and lateral (on the side) are all flat positions, which can make respiratory distress worse.

While assisting a resident with walking, the resident becomes faint and begins to fall. The nurse aide should

Correct! Wrong!

If a resident begins to fall while walking or standing, do not try to catch them or prevent the fall. Call for help. Control the fall by easing them to the floor. This prevents injury to both the resident and the nurse aide. It also allows you to protect the resident's head from hitting the floor or an object. Stay with the resident until help arrives.

Most common side effects of medications include

Correct! Wrong!

Most medications pass through the digestive system, so common side effects are the result of being absorbed in the stomach or intestines. Nearly any oral medication can cause nausea or an upset stomach. Diarrhea or constipation are common. Other side effects can be drowsiness or skin rashes.

While giving a bedbath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should ___________.

Correct! Wrong!

An unexpected door alarm could indicate that a resident has eloped and could be in danger. If possible, call for help from a team member. However, the nurse aide should not assume that someone else will follow up with the alarm. Pausing the bath and making sure their resident is safe before checking the door is appropriate.

You must be especially careful about fire if the resident is receiving _______.

Correct! Wrong!

Oxygen "feeds" fires, because fire needs oxygen to continue burning. Normal air has 21% oxygen which can be serious in health care facilities. Areas where residents are on supplemental oxygen have 23.5% oxygen, which increases the intensity of the flames. If possible, turn off the oxygen supply, close windows and doors when evacuating residents.

If a resident is vomiting in bed, position them immediately in the

Correct! Wrong!

Sitting is the best way to prevent aspiration. The contents of the stomach have less of a chance to enter the lungs when a resident is in an upright position.

A resident's call light

Correct! Wrong!

Call lights should be answered promptly by any available staff person. Some facilities have policies regarding how soon a call light must be answered. If a call light is not answered, the patient may try to get out of bed alone, resulting in a fall or injury. Not responding to a call light could be considered neglect.

Comments are closed.

Open