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Study Guide-Unit 2 Nurse Aid
Unit 2 Nurse Aid Study Guide Question
Terms in this set (35)
Define Medical and Surgical Asepsis
Medical: removes or destroys MOST microbes (clean technique)
Surgical: the practices used to remove all microbes (sterile technique)
Define micro-organism and requirements of microbes to live and grow
a small living thing seen only with a microscope
Requirements: need water, nourishment, oxygen, a warm environment, and darkness
What is a pathogen and a non-pathogen?
Pathogen: a harmful microbe that can cause infection
Non-Pathogen: microbe that usually doesn't cause an infection
How does NA demonstrate standard precautions?
Hand Hygiene- hand washing or alcohol rug
Person Protective Equipment- gloves, gowns, masks, goggles/eye protection
Proper disposal of contaminated supplies, needles, and sharps
Are used for all person WHENEVER care is given
What is the easiest way to prevent infections from spreading?
washing hand with warm water and soap
Define Bloodborne Pathogens
pathogens present in human blood that can cause disease in humans. They include HBV and HIV
What is proper gloving procedure? What is done if gloves are torn?
1st- Practice hand hygiene
2nd- pick up glove at the cuff with your thumb and index and middle fingers. slide your fingers and hand into glove
3rd- reach under the cuff of the other glove with your fingers
4th- pull on the second glove
5th- adjust each glove for comfort
6th- slide your fingers under the the cuff to pull the up
If gloves are torn then take them off, practice hand hygiene and get a new pair
Identify basic methods of bed making and care of clean and dirty linens
Closed bed: when residents and home care for patients who are up for most or all day.
Open bed: for a newly admitted person arriving in a wheelchair.
Occupies bed: when the person stays in bed.
Never shake linens
Never put clean or dirty linens on the floor.
Collect enough linens.
Do not bring unneeded linens to a person's room.
Discuss the role of NA in maintaining a safe environment for patients in falls, skin injury, burns
Preventing Falls: use bed rails, handrails
Skin injury: Use friction-reducing devices, roll the person
Burns: Watch them, do not leave them alone
What is the MSDS?
It stands for Material Safety Data Sheet; Tells us how to handle and clean up chemicals used in the facility
What should you do before cleaning up a hazardous substance?
Call for help, clean up spill, dispose of the substance
Describe fire safety in the healthcare agency: RACE, PASS
P: pull the safety pin
A: aim low
S: squeeze the lever
S: sweep back and forth
How can the NA prevent patient falls?
Make sure they have all their basic needs met so that they don't need to get up
If the patient starts to fall what should the NA do?
Call for help, Let them fall if anything help support their head
What is the responsibility of the NA if an accident or injury occurs?
Telling the nurse right away, and write an incident report
What is the purpose of Risk Management Teams?
Identifying and controlling risks and safety hazards affecting the agency
What is an Incident Report? When is it done?
Incident Report: a report that is reviewed by the risk management team
It is done whenever an accident has happened
List the different restraint alternatives
How often do we need to check a person with a restraint and how often do we need to remove the restraint to provide basic needs?
Observe the patient every 15 minuets.
Remove the restraint every 2 hours
When do we use a transfer belt or gait belt?
When you are transfer a person to a wheelchair or when you are lifting a person
When transferring a patient they always should have a _______ and _________
gait belt , nonskid shoes
Which side do you transfer to when someone has an "affected" or weak side when using a cane; a walker
You transfer to their strong side
When ambulating a person where does the NA stand?
The NA stands next to the person making sure that they don't fall
What is friction and shearing?...and measures to prevent each?
Friction: the rubbing of one surface against another
Shearing: when skin sticks to a surface while muscles slide in the direction the body is moving
To prevent: Roll the person, use a draw sheet as a reducing device
How does body mechanics apply to the NA? What position is the bed in for good body mechanics?
Body mechanics are using the body is an efficient and careful way. Good body mechanics reduce the risk of injury
List factors that put an aide at risk for back injuries
-Pain when trying to assume normal pressure.
-Pain when standing or rising from a seated position.
-reaching while lifting.
-Poor posture when sitting or standing.
Good body mechanics involves
Having good posture, balance, and using your strongest and largest muscles for work
What are the triggers and regulations for using a mechanical lift
You must be trained in its use.
It must work.
The sling, straps, hooks, and chains must be in good repair.
The persons weight must not exceed the lifts capacity.
At least 2 staff members are needed.
Always follow the manufacturers' instructions.
Define terms: Dangling, Positioning, Float Heels, Logrolling, and Normal Body Alignment
Dangling: when the residents or patients sit on the side of the bed
Positioning: regular position changes and good alignment promote comfort and well-being
Float Heels : When lying in supine position, the ankle rests on a pillow and the heel of the foot floats and dangles
Logrolling: turning the person as a unit, in alignment, in one motion
Normal Body Alignment: the way the head, trunk, arms, and legs align, with one another. Lets the body move and function with strength and efficiency
How often is a patient repositioned?
Every 2 hours
What are the different bed positions?
Fowlers position: semi-sitting position head of the bed is raised 45-60 degrees
Supine position: back-lying position
Prone position: the position that lies on the abdomen with the head turned to one side
Lateral Position: side- lying position the person lies on one side or the other
Sims Position: left side-lying position
Define the guidelines for ROM
Done at least 2 times a day
Bathing, hair care, eating, reaching, dressing, and undressing, and walking all involve joint movements.
Define terminology related to ROM (eg passive, active, and active-passive)
Active: are done by the person
Passive: you move the joints through their range of motion
Active- Passive: the person does the excercises with some help
Define: contracture, atrophy, foot drop
Contracture: decreased motion and stiffness of a joint caused by shortening of a muscle.
Atrophy: the decrease in size or wasting way of tissue
Footdrop: when the foot falls down at the ankle; permanent plantar flexion
What position should you position the person in when making an occupied bed?
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