Term
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Definition
| total of all elements and conditions that surround us and influence our development |
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Term
| FACTORS THAT EFFECT OUR ENVIRONMENT |
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Definition
Temperature
Ventilation- continuous fresh air
Humidity- amount of moisture in the air range 30%-40% is normal
Lighting- sunny and cheerful
Odor control
Noise Control
Interior Design
Neatness- straighten
Privacy |
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Term
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Definition
| head up and up behind pt knee about 45 degree for Respiratory diff |
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Term
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Definition
| head up but slightly and knee up slightly |
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Term
| Trendelenburg bed position |
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Definition
| bed flat then head lowered down for blood to travel to the brain |
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Term
| Reverse Trendelburg bed position |
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Definition
| bed flat then feet end all the way loweres |
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Term
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Definition
| Side rails up is a form of imprisonment if pt oriented and can get up should not be up |
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Term
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Definition
1) Always grab all supplies to change the bed- always hold linen away from body (linen
Container outside door to room)
2) Lower side rails and bed to good height for you
3) Wash hands and put gloves on if handling contaminated linen
4) Remove soiled linen and place in appropriate container (make sure right outside door)
5) Make one side of the bed at a time- to minimize the time
6) Miter the corners looks like a envelope
7) Make a toe pleats- to prevent foot flop
8) Doing pillow case do not touch to body grab pillow bottom and case and pill down4 |
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Term
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Definition
Primary concern when taking care of the patient. Think before you do something
Follow standard of care. |
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Term
| Falls- 3 most common factors that predispose a person to falls |
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Definition
are impaired physical,
Altered mental status, ans sensory and or motor deficit |
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Term
| Burns ie smoking rule and fires reg |
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Definition
no smoking to prevent accidental thermal injury and threat of fire
Fire- you must know and be familiar with you institution’s fire regulatiuon |
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Term
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Definition
R= rescue any patients in immediate danger
A= activate the fire alarm system
C= contain the fire by closing doors and any open windows
E = extinguish the flames with appropriate extinguisher |
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Term
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Definition
1) orient patient and family to items in the room
2) assess the patients gait and risk for falling on admission
3) evaluate the patients drug regimen for side effects that increase risk of fall
4) keep bed in low position
5) put mattress onto floor or low platform for high risk for fall if doesn’t ask for help
6) toilet patient on reg schedule to decrease chance’s of falling
7) lock the bed wheels
8) provide night light to aid patient when getting up
9) encourage the use of firm nonskid shoes
10) answer call light quickly so pt trust you
11) tell patient when you will check on them again
12) be sure pt comfrortable and all desired items (call bell) easily reachable
13) encourage use of grab bars in bathroom and tub
14) place your high risk patients in a room close to nurse’s station if possible
to help prevent falls by being able to check more often
15) restrict fluids after 6:00 pm if patient night time frequency to help prevent ups |
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Term
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Definition
| Material Safety Data Sheet ( gives info on biohazard substance stored) |
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Term
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Definition
| - chemical (sedating drugs) or physical restaints |
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Term
| When using restrants you should check how often |
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Definition
check every 15 minutes but undo every 2 hours and document (check for bruising,
Circulation, immobilized joint and replace) |
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Term
| what needs to be documented when using restrant |
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Definition
| Document who orders, time, type of devise applied, time applied, name person applying, Location of devise on body, teaching, consent from family or patient to place them |
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Term
| SIGNS OF CIRCULATION AND NERVE IMPAIRED |
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Definition
| Coolness of skin, change in color, numbness (ask), pain, edema, loss of sensation or movement |
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Term
| Principles used for protective devises |
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Definition
Most be used to protect patient for cont of care not just for the nurse
Use the least amount of physical restraint as possible
For all devises that limit movement must be written order, when no longer need notify dr
Apply devise snuggly but not so tightly as to interfere with circulation
Devise removed and patients position changed every 2 hrs active or passive exercises for joint |
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Term
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Definition
1) belt
2) vest
3) extremity immobilizer
4) mitten or hand mitt |
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