Day 2

Question 1

Advanced Directive

Answer 1

Written statements from the patient with their wishes regarding their medical care; typically unresponsive

Question 2

Code level

Answer 2

Assists the provider in the situation when you are legally dead; does not matter until you are dead

Question 3

Code 1 (full code)

Answer 3

full response, CPR, AED, 911

Question 4

Code 2 (dnr)

Answer 4

we do nothing, leave them alone

Question 5

What are the most common accidents in Long Term?

Answer 5

Falls, poisoning, suffocation

Question 6

FALL RESPONSE

Answer 6

1: stay with resident
2: get the nurse w/call light, walkie, or emergency cord
3: prevent further injury - do not move the patient until the nurse assesses
4: complete incident report

Question 7

Falls

Answer 7

Most common accident in LTC; unintentional movement from one surface to another; does not mean you end up on the floor

Question 8

How to prevent falls?

Answer 8

call light in reach, prompt response, correct equipment (walker, cane, etc.), bed lowest position, clear walkways, FOLLOW THE TOILET SCHEDULE

Question 9

Poisoning

Answer 9

When a substance interferes with normal body function, toxic or harmful; most common with Alzheimer’s and Dementia patients, most common with chemicals

Question 10

Poisoning Response

Answer 10

1: stay with resident
2: get nurse
3: prevent further injury - remove chemicals
4: call poison control/ fill out incident report

Question 11

Poisoning Prevention

Answer 11

lock up chemicals or keep them out of reach

Question 12

Suffocation

Answer 12

interruption of respirations; can’t breath, medical emergency, 2-3 minutes

Question 13

Suffocation prevention

Answer 13

cutting up food, using correct food, follow careplan, use correct equipment (heavier silverware for RA), monitor Mealtime

Question 14

Aspiration

Answer 14

a foreign object entering the trachea or lungs (anything other than air); more common than suffocation, can lead to infection, YOU CAN HEAR THEM COUGH IF THEY ARE ASPIRATING

Question 15

Incident Report

Answer 15

report used to try and prevent an incident from happening again. It should be filled out even if there isn’t an injury

Question 16

OSHA

Answer 16

Government Agency that is concerned with the Health and Safety of the WORKER; on the job injuries (most common is back); if injured, file a staff incident report

Question 17

First Aid

Answer 17

care given during an emergency or trauma until full medical treatment is available; a CNA’s job is to stay with the resident, prevent further injury and get the nurse

Question 18

Trauma

Answer 18

body wound or shock produced by SUDDEN PHYSICAL injury as from violence or accident

Question 19

Assess

Answer 19

evaluation of a resident’s condition; use your sense to identify the problem

Question 20

Hemorrhage

Answer 20

profuse bleeding, DON’T USE A TOURNIQUET UNLESS TRAINED

Question 21

How to help with hemorrhage

Answer 21

apply direct pressure for as long as needed (best way), PUT ON GLOVES FIRST, elevate above the heart

Question 22

CPR

Answer 22

Cardio Pulmonary Resuscitation

Question 23

Cerebral Vascular Accident (CVA)

Answer 23

Worst stroke, facial drooping, slurred speech, one sided weakness, medical emergency

Question 24

F.A.S.T.

Answer 24

Face: Facial Drooping - ask them to smile
Arm: arm weakness, ask them to raise
Speech: slurred speech
T: time to call 911, last known well or last time they were “normal”

Question 25

Seizure

Answer 25

uncontrolled convulsions of the body; brain and muscle, typically not a medical emergency unless they last more than a minute

Question 26

What to do for a Seizure

Answer 26

stay with resident, get the nurse, prevent further injury (maybe a pillow or something to help not hit the head); most last less than 30 seconds

Question 27

RACE/ fire response

Answer 27

R: rescue the resident A: pull the fire alarm C: contain the fire (close all fire doors) E: Extinguish or Evacuate

Question 28

weighing resident

Answer 28

weigh them at the same time of day, in similar clothing and on the same scale, typically once a week

Question 29

How is weighing different for heart failure?

Answer 29

heart failure, weight is a vital sign, get their weight every day

Question 30

Anti-Embolism Stockings

Answer 30

TED Socks, Elastic Stockings, Compression Garments; used to promote circulation and prevent blood clots, hand wash each night and hang to dry; DO NOT USE WASHING MACHINE