Understand nurse aide’s role in creating a safe

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Description: Understand nurse aides role in creating a safe and clean environment that fosters resident independence, contentment and self-esteem. Unit B Resident Care Skills Essential Standard NA5.00 Understand nurse aides role in providing

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slide1. Understand nurse aide’s role in creating a safe and clean environment that fosters resident independence, contentment and self-esteem. Unit B
Resident Care Skills
Essential Standard NA5.00
Understand nurse aide’s role in providing residents’ hygiene, grooming, skin care, and living environment needs.
Indicator 5.03
Understand nurse aide’s role in creating a safe and clean environment that fosters resident independence, contentment and self-esteem. 1 5.03 Nursing Fundamentals 7243<br>
slide2. 2 5.03 Nursing Fundamentals 7243 Surroundings that are pleasant and contain personal possessions add to the residents’ comfort and sense of well-being. 5.03 Introduction<br>
slide3. 3 5.03 Nursing Fundamentals 7243 The nurse aide’s job is to keep the resident’s unit safe and clean and to create an environment that fosters independence, contentment and self-esteem. 5.03 Introduction<br>
slide4. 4 5.03 Nursing Fundamentals 7243 This indicator reviews:
environmental control,
the resident’s room,
cleaning the unit,
and bedmaking. 5.03 Introduction<br>
slide5. 5 5.03 Nursing Fundamentals 7243 Older people often chilly
Sweaters, lap robes and shawls provide warmth
Drapes, shades and screens used to block drafts
Extra blankets used when sleeping Environmental Control - Temperature<br>
slide6. 6 5.03 Nursing Fundamentals 7243 Environmental Control – Preventing Odors Good ventilation helps to control odors
Wastes should be removed and discarded as soon as possible
Good personal hygiene practices<br>
slide7. 7 5.03 Nursing Fundamentals 7243 Environmental Control – Prevent Noise Pollution Residents easily disturbed by unfamiliar noises
Staff should avoid loud laughter and loud talking.<br>
slide8. 8 5.03 Nursing Fundamentals 7243 Environmental Control – Safe/Comfortable Lighting Adjust to meet needs
Use shades and drapes to control bright, natural light
Provide adequate light for reading
Control glare and shadowed areas if possible<br>
slide9. 9 5.03 Nursing Fundamentals 7243 Environmental Control – Keeping Floors Maintained Clean, but not slippery from wax
Clear of clutter and spills
No throw rugs
In good repair<br>
slide10. 10 5.03 Nursing Fundamentals 7243 Environmental Control – Maintaining Cleanliness Remove meal trays and dishes after use
Remove crumbs and clean eating areas after use
Removing dirt and dust controlled by housekeeping
Waste containers emptied promptly<br>
slide11. 11 5.03 Nursing Fundamentals 7243 Environmental Control – Controlling Pest Remove open food left in units that will attract ants and roaches, as well as microorganisms
Family and visitors should consult with charge nurse before bringing in food for residents
Ensure proper disposal of food and waste materials<br>
slide12. 12 5.03 Nursing Fundamentals 7243 Environmental Control – Faulty Equipment and Unsafe Conditions Spilled fluids - wiped up immediately
Frayed electrical cords – unplug and remove
Defective outlets – report immediately and do not use
Malfunctioning equipment – remove and do not use<br>
slide13. 13 5.03 Nursing Fundamentals 7243 Environmental Control – Faulty Equipment and Unsafe Conditions Broken glass - clean up immediately
Beds or wheelchairs that won’t lock - remove and do not use
Faulty toilets - report<br>
slide14. 14 5.03 Nursing Fundamentals 7243 Environmental Control – Faulty Equipment and Unsafe Conditions Leaks in bathrooms – wipe up and report
Burned out light bulbs - report
Faulty call signals – replace immediately
Defective furniture – remove if possible and report<br>
slide15. 15 5.03 Nursing Fundamentals 7243 Environmental Control – Faulty Equipment and Unsafe Conditions Structure problems - alert resident to danger and report to supervisor immediately:
loose floor tiles frayed or loose carpet 
loose fixtures and hand rails<br>
slide16. 16 5.03 Nursing Fundamentals 7243 Environmental Control – Faulty Equipment and Unsafe Conditions Structure problems - alert resident to danger and report to supervisor immediately:
doors that stick or don’t latch properly 
damaged paint or wallpaper<br>
slide17. Environmental control Have we got it? Let’s check and see Stick diagnostics Student Name A Student Name B Nursing Fundamentals 7243 17 5.03<br>
slide18. 18 5.03 Nursing Fundamentals 7243 The Resident’s Room - Furniture Note: The student needs to be aware that each facility has different equipment and room set-ups.
Safety features in the resident’s room, furniture, and equipment is of paramount importance.<br>
slide19. 19 BED
electric or manual controls (gatch)
side rails (if used)
positions bed can be in other than flat:
Fowlers
Semi-Fowlers
Trendelenburg
Wheels that lock 5.03 Nursing Fundamentals 7243 The Resident’s Room - Furniture<br>
slide20. 20 OVER-BED TABLE
Adjusts to various heights
used for eating, writing, and other activities
may contain storage area for personal grooming articles
may by used by nursing team as work area 5.03 Nursing Fundamentals 7243 The Resident’s Room - Furniture<br>
slide21. 21 BEDSIDE STAND 5.03 Nursing Fundamentals 7243 The Resident’s Room - Furniture storage area for personal belongings and personal care items
drawer on top
cabinet with shelf below drawer<br>
slide22. 22 BEDSIDE STAND CONTAINS
urinal/bedpan and covers
wash basin
emesis basin
soap dish and soap
bath blanket
toilet paper
personal hygiene items 5.03 Nursing Fundamentals 7243 The Resident’s Room - Furniture<br>
slide23. 23 BEDSIDE STAND TOP 5.03 Nursing Fundamentals 7243 The Resident’s Room - Furniture Top used for various items:
telephone
tissues
flowers
cards
other items as resident desires<br>
slide24. 24 CHAIRS 5.03 Nursing Fundamentals 7243 The Resident’s Room - Furniture upholstered with arms
straight-backed with no arms<br>
slide25. 25 PRIVACY CURTAINS 5.03 Nursing Fundamentals 7243 The Resident’s Room - Furniture provide privacy
cubicle curtain between beds in semi-private rooms
privacy always provided when care given<br>
slide26. 26 Personal care items

Call signal
to request assistance
bell, light, or intercom system
placed within reach at all times 5.03 Nursing Fundamentals 7243 The Resident’s Room - Furniture<br>
slide27. 27 Bathrooms
contain call signals
contain handrails
Contain towel racks 5.03 Nursing Fundamentals 7243 The Resident’s Room - Bathrooms<br>
slide28. 28 Towel rack:
washcloth
Towel

DO NOT LET RESIDENT PULL ON TOWEL RACK! Must use handrails 5.03 Nursing Fundamentals 7243 The Resident’s Room - Furniture<br>
slide29. 29 Television
Telephone
Wastebasket
Reading lamp
Storage space for clothing 5.03 Nursing Fundamentals 7243 The Resident’s Room - Equipment<br>
slide30. Caring for resident’s room Have we got it? Let’s check and see Stick diagnostics Student Name A Student Name B Nursing Fundamentals 7243 30 5.03<br>
slide31. 31 Don’t rearrange items without permission
Respect private space
Knock on door prior to entering room
Speak prior to opening a drawn curtain 5.03 Nursing Fundamentals 7243 Guidelines For Arrangement Of Unit<br>
slide32. 32 Close curtains to provide privacy when doing a procedure
Assure personal items are convenient to promote independence and safety 5.03 Nursing Fundamentals 7243 Guidelines For Arrangement Of Unit<br>
slide33. 33 Accommodate physical problems by locating equipment on unaffected side
Store clothing and personal belongings in closet and chest of drawers, as directed by resident 5.03 Nursing Fundamentals 7243 Guidelines For Arrangement Of Unit<br>
slide34. 34 Concurrent Cleaning

Occurs daily
Also called scheduled or routine cleaning 5.03 Nursing Fundamentals 7243 Cleaning the Resident’s Unit<br>
slide35. 35 5.03 Nursing Fundamentals 7243 Care of Bed Linens Changed completely on bath days, usually once or twice weekly, according to facility policy
Pillowcases may be changed more frequently
Soiled linens should be replaced immediately<br>
slide36. 36 5.03 Nursing Fundamentals 7243 Care of Bed Linens Top sheet may be used to replace bottom sheet
Soiled linen folded inward
Do not shake linen.
Soiled linen held away from uniform
Soiled linen placed in covered linen hamper after removal from bed<br>
slide37. 37 5.03 Nursing Fundamentals 7243 Care of Bed Linens Types vary according to facility
Plastic/rubber and cotton draw-sheets may not be required if mattress moisture-proof
Most facilities use fitted-bottom sheets
Drawsheets may be used as lifters when moving residents<br>
slide38. Caring for the unit and linens Have we got it? Let’s check and see Stick diagnostics Student Name A Student Name B Nursing Fundamentals 7243 38 5.03<br>
slide39. 5.03 Nursing Fundamentals 7243 39 Bedmaking<br>
slide40. 40 5.03 Nursing Fundamentals 7243 Bedmaking – General Rules Always use good body mechanics
Follow medical asepsis rules
Wash hands prior to handling clean linen and after handling soiled/dirty linen<br>
slide41. 41 5.03 Nursing Fundamentals 7243 Bedmaking – General Rules Take enough linen to resident’s room
Never shake linen to prevent spread of micro-organisms
Excess linen in room considered contaminated and cannot be used for other residents<br>
slide42. 42 5.03 Nursing Fundamentals 7243 Bedmaking – General Rules Take enough linen to resident’s room
Never shake linen to prevent spread of micro-organisms
Excess linen in room considered contaminated and cannot be used for other residents<br>
slide43. 43 5.03 Nursing Fundamentals 7243 Bedmaking – General Rules Plastic draw sheets should never touch resident’s skin
Tighten loose linens as necessary
Save time and energy by making one side of bed prior to going to other side
Leave unused clean linen in the resident’s room<br>
slide44. 44 5.03 Nursing Fundamentals 7243 Bedmaking – Closed Bed Closed Bed
made after terminal cleaning of unit
remains closed until new admission, then converted to open bed<br>
slide45. 45 5.03 Nursing Fundamentals 7243 Bedmaking – Open Bed unoccupied bed
linens folded back so that resident can get into bed with ease
made when resident will be out of bed for short time<br>
slide46. 46 5.03 Nursing Fundamentals 7243 Bedmaking – Occupied Bed Made with resident in bed
Keep in good body alignment
Be aware of any restrictions in movement due to linen or way bed made
Explain procedure
Ensure safety<br>
slide47. 47 5.03 Nursing Fundamentals 7243 Bedmaking – Occupied Bed Loosen the top bedding at the foot of the bed for a dependent resident to reduce pressure on the toes.<br>
slide48. 5.03 Nursing Fundamentals 7243 48 Related
SKILLS<br>
slide49. 5.03 Nursing Fundamentals 7243 49 SKILL 5.03A
Making a Closed Bed Training Lab Assignment
Engage in the Skill Acquisition Process for:<br>
slide50. 5.03 Nursing Fundamentals 7243 50 SKILL 5.03B
Opening a Closed Bed Training Lab Assignment
Engage in the Skill Acquisition Process for:<br>
slide51. 5.03 Nursing Fundamentals 7243 51 SKILL 5.03C
Making an Occupied Bed Training Lab Assignment
Engage in the Skill Acquisition Process for:<br>
slide52. Understand nurse aide’s role in creating a safe and clean environment that fosters resident independence, contentment and self-esteem. 52  END 
5.03 6.01 Nursing Fundamentals 7243<br>