Transcript FALL

AGE
 CHILDREN AND THE ELDERLY NEED TO BE
PROTECTED FROM INJURY
 PHYSICAL CHANGES OF AGING PUT
OLDER PERSONS AT RISK OF ACCIDENTS
 MOVEMENTS ARE SLOWER AND LESS
STEADY. BALANCE IS AFFECTED.
 HAVE DECREASED STRENGTH
 DECREASED SENSITIVITY TO HEAT
AND COLD
 POOR VISION AND HEARING
DECREASED MENTAL AWARENESS
 CONFUSED PATIENTS MAY PLACE
THEMSELVES IN DANGER BECAUSE THEIR
JUDGEMENT IS IMPAIRED
 A PERSON IN A COMA ( UNCONSCIOUS ) IS
TOTALLY HELPLESS AND DEPENDENT ON
OTHERS FOR SAFETY
IMPAIRED VISION
 MAY NOT BE ABLE TO SEE THINGS IN THEIR WAY. MAY
BE ACCIDENTALLY POISONED
IMPAIRED HEARING
 MAY NOT HEAR WARNING SINALS OR FIRE ALARMS
IMPAIRED SMELL AND TOUCH
 MAY NOT DETECT SMOKE OR GAS ODORS
 DECREASED SENSITIVITY TO HEAT AND COLD
IMPAIRED MOBILITY
 SOME DISEASES AND INJURIES AFFECT MOBILITY
 PERSON MAY BE AWARE OF DANGER BUT UNABLE TO
MOVE TO SAFETY
MEDICATIONS
 MEDICATIONS MAY CAUSE WEAKNESS,
DIZZINESS, OR CONFUSION
 MEDICATIONS USED TO INDUCE
URINATION OR DEFECATION MAY CAUSE
THE PATIENT TO FALL WHILE HURRYING
TO THE TOLIET
STAFF NEGLIGENCE
 FAILURE TO CLEAN UP A SPILL
 INCORRECT MOVING AND LIFTING
TECHNIQUES
 IMPROPER USE OF RESTRAINTS
 NOT ANSWERING CALL LIGHTS PROMPTLY
THE MOST
FREQUENT
ACCIDENT IN A
HEALTH FACILITY
IS A FALL AND
THE MOST
COMMON CAUSE
OF A FALL IS WET,
SLIPPERY
FLOORS.
IDENTIFY THE PATIENT BY CHECKING THE ID
BRACLET BEFORE YOU GIVE CARE
THE BRACLET HAS THE PERSON’S NAME, ROOM AND BED
NUMBER, BIRTH DATE, AGE, AND OTHER IDENTIFYING
INFORMATION
ALWAYS ANSWER CALL
LIGHTS PROMPTLY
SIDE RAILS HELP PREVENT
THE PATIENT FROM
FALLING OUT OF BED
 HELP WITH ELIMINATION NEEDS
 USE CORRECT PROCEDURES AND EQUIPMENT FOR
TRANSFERS
 GRAB BARS IN SHOWERS AND BATHROOMS
 KEEP BED IN LOWEST HORIZONTAL POSITION
 BED RAILS ARE USED ACCORDING TO THE CARE PLAN
 CRUTCHES, CANES, AND WALKERS HAVE NON-SKID
TIPS
 WHEEL LOCKS ON BEDS AND WHEELCHAIRS
 NON-SKID FOOTWEAR USED WHEN UP
 RESPOND PROMPTLY TO BED AND CHAIR ALARMS
 MOST FALLS OCCUR IN THE EVENING
 A HISTORY OF FALLS INCREASES THE RISK OF
FALLING AGAIN
 FALLS ARE ALSO LIKELY TO OCCUR AT SHIFT CHANGE
THE NURSE AND THE CARE PLAN WILL TELL YOU WHEN
TO RAISE THE BED RAILS
BED RAILS PREVENT THE PERSON FROM GETTING OUT OF
BED – ARE CONSIDERED RESTRAINTS
THE PERSON MUST GIVE CONSENT FOR BED RAILS TO BE
USED
RESTRAINTS MUST HAVE A DOCTORS ORDER
YOU MAY LOWER THE RAILS TO GIVE CARE, BUT RAISE
THEM BEFORE YOU LEAVE THE BEDSIDE
ALWAYS LOWER THE BED TO THE LOWEST POSITION
WHEN FINISHED GIVING CARE
HAND RAILS ARE PLACED IN HALLWAYS TO HELP
SUPPORT PERSONS WHO ARE WEAK OR UNSTEADY
GRAB BARS ARE IN BATHROOMS AND IN SHOWER AND
TUB ROOMS
LOCK WHEELS ON BED WHEN GIVING BESIDE CARE OR
WHEN TRANSFERRING TO AND FROM BED
WHEELCHAIR AND STRETCHER WHEELS ARE LOCKED
DURING TRANSFERS
ACCIDENTS ARE
RECORDED ON A
SPECIAL FORM
CALLED AN
INCIDENT REPORT.
 SMOKE ONLY IN SMOKING AREA
 DO NOT LEAVE SMOKING MATERIAL AT BEDSIDE
 DO NOT ALLOW PERSON TO SMOKE IN BED
 DO NOT ALLOW PERSON TO SMOKE NEAR OXYGEN
 SUPERVISE HEATING PAD USE
 MEASURE BATH WATER TEMPERATURE
 MAY BE CAUSED BY CONFUSION OR POOR VISION
WHEN READING LABELS
 CLEANING AGENTS AND HAZARDOUS MATERIALS
SHOULD BE KEPT IN LOCKED CABINETS
 KEEP PERSONAL CARE ITEMS (SHAMPOO,
MOUTHWASH, DEODORANT) AWAY FROM CONFUSED
RESIDENTS
 CUT FOOD INTO SMALL PIECES
 MAKE SURE DENTURES ARE IN PLACE. REPORT
LOOSE FITTING DENTURES
 REPORT PERSONS WITH SWALLOWING
DIFFICULTIES
 DO NOT GIVE FLUIDS TO PERSONS WITH FEEDING
TUBES
 POSITION THE PERSON PROPERLY IN BED
 USE RESTRAINTS AND SIDE RAILS CORRECTLY
DO NOT USE EQUIPMENT
WITH FRAYED CORDS
DO NOT OVERLOAD
ELECTRICAL OUTLETS
 FOLLOW MANUFACTURER’S INSTRUCTIONS
 DO NOT USE UNFAMILIAR ITEMS WITHOUT TRAINING
 USE ITEM ONLY FOR ITS INTENDED PURPOSE
 REPORT BROKEN OR DAMAGED ITEMS
 TURN OFF EQUIPMENT BEFORE UNPLUGGING IT
 ALWAYS PLACE THE
PATIENT’S FEET ON THE
FOOTPLATES
ALWAYS LOCK THE WHEELS
WHEN TRANSFERRING
 CLEAN THE WHEELCHAIR ON
A REGULAR BASIS
 MOVE THE FRONT RIGGING
OUT OF THE WAY WHEN
TRANSFERRING
BACK DOWN A RAMP WITH A
WHEELCHAIR
BACK INTO THE
ELEVATOR SO THE
PATIENT FACES THE
FRONT
 IT TAKES TWO WORKERS TO
SAFELY TRANSFER A PERSON ON A
STRETCHER
 FASTEN THE SAFETY STRAPS
WHEN A PERSON IS ON A
STRETCHER
 ALWAYS RAISE THE SIDERAILS
ON THE STRETCHER
 MAKE SURE THE PERSON’S
ARMS AND HANDS ARE INSIDE
THE RAIL
 PUSH THE STRETCHER FEET
FIRST
ONE PERSON STANDS AT THE
HEAD AND ONE AT THE FOOT
 NEVER LEAVE THE PERSON
UNATTENDED
TRANSFER THE PATIENT
FEET FIRST DOWN A RAMP
ENTER THE ELEVATOR
HEAD FIRST
THE FALLING
PATIENT
A HAZARDOUS SUBSTANCE IS ANY CHEMICAL IN THE
WORKPLACE THAT CAN CAUSE HARM
HAZARDOUS SUBSTANCES MUST HAVE WARNING
LABELS
MATERIAL SAFETY DATA SHEETS
(MSDS)
AN INFORMATION SHEET ABOUT THE HAZARDOUS
CHEMICAL
EXAMPLES
OF
FIRE
HAZARDS
FIND
THE
SAFETY
HAZARDS
THREE THINGS ARE NEEDED FOR A FIRE
 A SPARK OR FLAME
 A MATERIAL THAT WILL BURN
 OXYGEN
YOUR FIRST
RESPONSIBILITY IS TO
REMOVE ALL PATIENTS
WHO ARE IN IMMEDIATE
DANGER.
CLOSE ALL DOORS AND
CLEAR THE HALLWAY OF
EQUIPMENT
DO NOT USE THE
ELEVATOR IN A FIRE
KNOW
WHERE
THE
EXITS
ARE
LOCATED
TYPE A – IS USED ON PAPER, WOOD, OR TRASH CAN
FIRES
TYPE B – IS USED ON FLAMING LIQUIDS, SUCH AS OIL
OR GREASE
TYPE C – IS USED FOR ELECTRICAL FIRES
TYPE ABC – IS USED FOR ALL KINDS OF FIRES AND IS
THE MOST COMMON TYPE FOUND IN HEALTH CARE
FACILITIES
TO USE A FIRE EXTINGUISHER
 P- PULL THE SAFETY PIN
 A- AIM THE EXTINGUISHER
TOWARD THE BASE OF THE
FIRE
 S -SQUEEZE DOWN ON THE
HANDLE
 S- USE A SWEEPING MOTION
OVER THE BASE OF THE FIRE
ONE PERSON –
ONE RESCUER
TWO RESCUER TECHNIQUE
VIOLENT ACTS DIRECTED TOWARD
PERSONS AT WORK
TO DEAL WITH AGGRESIVE
PERSONS
 STAND AWAY FROM THE PERSON
 STAND CLOSE TO THE DOOR
 KEEP YOUR HANDS FREE
 STAY CALM
 DO NOT TOUCH THE PERSON
 LEAVE THE ROOM AS SOON AS
YOU CAN
 TELL THE NURSE OR SECURITY
OFFICER