Unit 7 / Unit 3 Chapter 39 Objectives

Front 1

List at least 10 nursing measures that help to prevent accidents in the healthcare facility

Back 1

keep floors dry and clean;
keep halls and client rooms free of obstacles;
double-lock medicine cabinet;
get assistance to move/walk clients;
Use 2 means to identify clients;
Administer meds carefully;
provide adequate lighting;
place client's items (water, call light) within their reach;
raise height of bed to prevent back injury;
raise side rails to prevent falling;
check equipment routinely;
know where fire extinguisher is

Front 2

Identify five potentially hazardous materials in the healthcare facility.

Back 2

oxygen is flammable; poisons such as clorosorb; skin irritant such as hibiciens; biological agents such as blood and body fluids; radiation such as x-ray, chemical agents such as chemo drugs

Front 3

Describe the use of a material safety data sheet (MSDS)

Back 3

A MSDS should be on file for each substance that is hazardous to provide info about the danger and its ingredients. MSDS will give info on protective equipment and what to do if you are injured; appropriate treatment. Kept for 30 years

Front 4

Describe at least five safety tips to consider when using, storing, disposing of, and cleaning up spills of hazardous substances

Back 4

Have phone number for local Poison Control Center; (2) read labels carefully; (3) follow instructions for use, storage (4) NEVER use any substance that is not labeled (5) do not use gasoline indoors; (6) do not mix substances

Front 5

Explain the use of the emergency signal in the client's bathroom

Back 5

In most facilities using the signal in bathrooms causes an additional light to flash or buzzer to sound at the central station. It is available for the client if he has an emergency in bathroom or by staff if an emergencies arises and staff needs help. Staff repond quicker to the emergency signal of the bathroom light.

Front 6

Identify alternate methods of communication when a disruption occurs in telephone services

Back 6

cellular phones ; amateur radio ham operators; television or radio broadcast; runners; computer/e-mail; contacts outside the affected area; pagers; portable radios; police

Front 7

List at least five things to consider when developing a personal emergency preparedness plan.

Back 7

store prescriptions, glasses, dentures in secure place; store one gallon of water per person; plan for prolonged power outages by storing flashlights; put gas in cars; make sure phone is charged; select a friend/relative outside your area to leave messages with

Front 8

Discuss the difference between an internal and an external disaster.

Back 8

internal disaster is where the facility itself is in danger or damaged and function is impaired (fire, storm or biological spill). External disaster occurs outside the facility and affects normal facility operations (floods, hurricanes, air plane crash)

Front 9

Describe actions to take when a bomb threat occurs.

Back 9

Immediately notify supervisor and security personnel. If received over the phone do the following: (1) determine where call is from by checking caller ID; (2) Ask 3 questions and write down answers (a) where is the bomb, exactly (b) what does it look like (c) what will make it explode (d)how can we stop it (e) when will it explode (f) why was it put there (e) who are you... ask this last. ALSO Listen to other cues and note the things you hear such as if voice is loud, speech (fast, slow and slurred), Language (foul, or scientific terms) accent (foreign or local) manner (clam, angry, incoherent) background noise (machines, airplanes) ALSO general guidelines: your responsibility is to report anything unusual, follow guidelines, protect your clients, usually does not have CODE name and not paged overhead, do not use elevators

Front 10

Define triage.

Back 10

Triage is the process of sorting and classifying injured persons to determine priority of needs.

Front 11

List three things to consider when evacuation from a facility or a client's home is necessary.

Back 11

whether to evacuate the entire facility or a portion; how to transport the client whether they can walk or need crutches or wheel chair;
If only a portion of the facility is evacuated clients are moved horizontally; if moved to another level they moved downward first; In any evacuation clients are grouped and must be accounted for; then someone is assigned to check all rooms after an evacuation to make sure everyone has left. Each room is marked withg a dropped pillow or towel to verify it has been searched.

Front 12

List at least three steps to take in the event of an infant abduction.

Back 12

Infants are usually not allowed to be carried by staff, they must be in an infact carrier. If you suspect abduction: (1) give full description of child (2) move the parents to a private area with chaplain or social worker (3) provide info to law personnel such as photo, blood sample, any speical health problems

Front 13

Explain the acronyms RACE and PASS and their relationship to the fire plan.

Back 13

RACE means Rescue, Alarm/Alert, Confine, Extinguish fire and PASS means Pull the pin, Aim, Squeeze and Sweep

Front 14

List four classes of fire extinguishers and their uses.

Back 14

Type A is for water under pressure; Type B is for carbon dioxide; Type C is for dry chemicals; and Type ABC is for graphite