5.03 ppt safe clean envrionment

Download 5.03 ppt safe clean envrionment

Post on 15-Jul-2015

82 views

Category:

Documents

2 download

Embed Size (px)

TRANSCRIPT

Unit 8 The Residents Environment

Understand nurse aides role in creating a safe and clean environment that fosters resident independence, contentment and self-esteem. Unit B Resident Care SkillsEssential Standard NA5.00 Understand nurse aides role in providing residents hygiene, grooming, skin care, and living environment needs.Indicator 5.03 Understand nurse aides role in creating a safe and clean environment that fosters resident independence, contentment and self-esteem.

15.03Nursing Fundamentals 7243

5.021Promote skin integrity25.03Nursing Fundamentals 7243Surroundings that are pleasant and contain personal possessions add to the residents comfort and sense of well-being.5.03 Introduction35.03Nursing Fundamentals 7243The nurse aides job is to keep the residents unit safe and clean and to create an environment that fosters independence, contentment and self-esteem. 5.03 Introduction45.03Nursing Fundamentals 7243This indicator reviews: environmental control, the residents room, cleaning the unit, and bedmaking.5.03 Introduction55.03Nursing Fundamentals 7243Older people often chilly Sweaters, lap robes and shawls provide warmthDrapes, shades and screens used to block draftsExtra blankets used when sleepingEnvironmental Control - Temperature

65.03Nursing Fundamentals 7243Environmental Control Preventing OdorsGood ventilation helps to control odorsWastes should be removed and discarded as soon as possibleGood personal hygiene practices

75.03Nursing Fundamentals 7243Environmental Control Prevent Noise PollutionResidents easily disturbed by unfamiliar noisesStaff should avoid loud laughter and loud talking.

85.03Nursing Fundamentals 7243Environmental Control Safe/Comfortable LightingAdjust to meet needsUse shades and drapes to control bright, natural lightProvide adequate light for readingControl glare and shadowed areas if possible

95.03Nursing Fundamentals 7243Environmental Control Keeping Floors MaintainedClean, but not slippery from waxClear of clutter and spillsNo throw rugsIn good repair

105.03Nursing Fundamentals 7243Environmental Control Maintaining CleanlinessRemove meal trays and dishes after useRemove crumbs and clean eating areas after useRemoving dirt and dust controlled by housekeepingWaste containers emptied promptly

115.03Nursing Fundamentals 7243Environmental Control Controlling PestRemove open food left in units that will attract ants and roaches, as well as microorganismsFamily and visitors should consult with charge nurse before bringing in food for residentsEnsure proper disposal of food and waste materials

125.03Nursing Fundamentals 7243Environmental Control Faulty Equipment and Unsafe ConditionsSpilled fluids - wiped up immediately Frayed electrical cords unplug and removeDefective outlets report immediately and do not useMalfunctioning equipment remove and do not use

135.03Nursing Fundamentals 7243Environmental Control Faulty Equipment and Unsafe ConditionsBroken glass - clean up immediatelyBeds or wheelchairs that wont lock - remove and do not useFaulty toilets - report

145.03Nursing Fundamentals 7243Environmental Control Faulty Equipment and Unsafe ConditionsLeaks in bathrooms wipe up and report Burned out light bulbs - reportFaulty call signals replace immediatelyDefective furniture remove if possible and report

155.03Nursing Fundamentals 7243Environmental Control Faulty Equipment and Unsafe ConditionsStructure problems - alert resident to danger and report to supervisor immediately:loose floor tilesfrayed or loose carpetloose fixtures and hand rails

165.03Nursing Fundamentals 7243Environmental Control Faulty Equipment and Unsafe ConditionsStructure problems - alert resident to danger and report to supervisor immediately:doors that stick or dont latch properlydamaged paint or wallpaper

Environmental controlHave we got it?Lets check and see

Stick diagnosticsStudent Name AStudent Name BNursing Fundamentals 7243175.036.0117Nutrition and Hydration185.03Nursing Fundamentals 7243The Residents Room - FurnitureNote: The student needs to be aware that each facility has different equipment and room set-ups. Safety features in the residents room, furniture, and equipment is of paramount importance.19BEDelectric or manual controls (gatch)side rails (if used)positions bed can be in other than flat:FowlersSemi-FowlersTrendelenburgWheels that lock

5.03Nursing Fundamentals 7243The Residents Room - Furniture

20OVER-BED TABLEAdjusts to various heightsused for eating, writing, and other activitiesmay contain storage area for personal grooming articlesmay by used by nursing team as work area

5.03Nursing Fundamentals 7243The Residents Room - Furniture

21BEDSIDE STAND5.03Nursing Fundamentals 7243The Residents Room - Furniturestorage area for personal belongings and personal care itemsdrawer on topcabinet with shelf below drawer

22BEDSIDE STAND CONTAINSurinal/bedpan and coverswash basinemesis basinsoap dish and soapbath blankettoilet paperpersonal hygiene items

5.03Nursing Fundamentals 7243The Residents Room - Furniture

23BEDSIDE STAND TOP5.03Nursing Fundamentals 7243The Residents Room - FurnitureTop used for various items:telephonetissuesflowerscardsother items as resident desires

24CHAIRS5.03Nursing Fundamentals 7243The Residents Room - Furnitureupholstered with armsstraight-backed with no arms

25PRIVACY CURTAINS5.03Nursing Fundamentals 7243The Residents Room - Furnitureprovide privacycubicle curtain between beds in semi-private roomsprivacy always provided when care given

26Personal care items

Call signalto request assistancebell, light, or intercom systemplaced within reach at all times5.03Nursing Fundamentals 7243The Residents Room - Furniture

27Bathroomscontain call signalscontain handrailsContain towel racks

5.03Nursing Fundamentals 7243The Residents Room - Bathrooms

28Towel rack:washclothTowel

DO NOT LET RESIDENT PULL ON TOWEL RACK! Must use handrails

5.03Nursing Fundamentals 7243The Residents Room - Furniture

29TelevisionTelephoneWastebasketReading lampStorage space for clothing5.03Nursing Fundamentals 7243The Residents Room - Equipment

Caring for residents roomHave we got it?Lets check and see

Stick diagnosticsStudent Name AStudent Name BNursing Fundamentals 7243305.036.0130Nutrition and Hydration31Dont rearrange items without permissionRespect private spaceKnock on door prior to entering roomSpeak prior to opening a drawn curtain

5.03Nursing Fundamentals 7243Guidelines For Arrangement Of Unit

32Close curtains to provide privacy when doing a procedureAssure personal items are convenient to promote independence and safety

5.03Nursing Fundamentals 7243Guidelines For Arrangement Of Unit

33Accommodate physical problems by locating equipment on unaffected sideStore clothing and personal belongings in closet and chest of drawers, as directed by resident

5.03Nursing Fundamentals 7243Guidelines For Arrangement Of Unit

34Concurrent Cleaning

Occurs dailyAlso called scheduled or routine cleaning

5.03Nursing Fundamentals 7243Cleaning the Residents Unit

355.03Nursing Fundamentals 7243Care of Bed LinensChanged completely on bath days, usually once or twice weekly, according to facility policyPillowcases may be changed more frequentlySoiled linens should be replaced immediately

365.03Nursing Fundamentals 7243Care of Bed LinensTop sheet may be used to replace bottom sheetSoiled linen folded inwardDo not shake linen.Soiled linen held away from uniformSoiled linen placed in covered linen hamper after removal from bed

375.03Nursing Fundamentals 7243Care of Bed LinensTypes vary according to facility Plastic/rubber and cotton draw-sheets may not be required if mattress moisture-proofMost facilities use fitted-bottom sheetsDrawsheets may be used as lifters when moving residents

Caring for the unit and linensHave we got it?Lets check and see

Stick diagnosticsStudent Name AStudent Name BNursing Fundamentals 7243385.036.0138Nutrition and Hydration5.03Nursing Fundamentals 724339Bedmaking405.03Nursing Fundamentals 7243Bedmaking General RulesAlways use good body mechanicsFollow medical asepsis rulesWash hands prior to handling clean linen and after handling soiled/dirty linen

415.03Nursing Fundamentals 7243Bedmaking General Rules

Take enough linen to residents roomNever shake linen to prevent spread of micro-organismsExcess linen in room considered contaminated and cannot be used for other residents425.03Nursing Fundamentals 7243Bedmaking General Rules

Take enough linen to residents roomNever shake linen to prevent spread of micro-organismsExcess linen in room considered contaminated and cannot be used for other residents435.03Nursing Fundamentals 7243Bedmaking General Rules

Plastic draw sheets should never touch residents skinTighten loose linens as necessarySave time and energy by making one side of bed prior to going to other sideLeave unused clean linen in the residents room445.03Nursing Fundamentals 7243Bedmaking Closed BedClosed Bedmade after terminal cleaning of unitremains closed until new admission, then converted to open bed

455.03Nursing Fundamentals 7243Bedmaking Open Bedunoccupied bedlinens folded back so that resident can get into bed with easemade when resident will be out of bed for short time

465.03Nursing Fundamentals 7243Bedmaking Occupied BedMade with resident in bedKeep in good body alignmentBe aware of any restrictions in movement due to linen or way bed madeExplain procedureEnsure safety

5.03The Resident's Environment46475.03Nursing Fundamentals 7243Bedmaking Occupied BedLoosen the top bedding at the foot of the bed for a dependent res