High-Fowlers
Side-lying
Trendelenburg
Supine
B. Side-lying
Left side of the wheelchair
Right side of the wheelchair
In front of the wheelchair
Behind the wheelchair
Tell the resident that if his or her behavior does not change, you will have the nurse put him or her in restraints.
Talk loudly and use force if necessary to subdue the resident, and then tell the nurse.
Speak quietly and leave the situation if you can and tell the nurse before returning to the resident.
Tell the resident that you do not have time for this behavior and to calm down.
Taste
Smell
Hearing
Sight
Ignore the resident as much as possible.
Tell the resident to begin to live each day to the fullest.
Stay with the resident as much as possible.
Explain to the resident that he or she might not die for a while yet.
Feces
Flatus
Flank
Friction
Nothing by mouth
Only liquids by mouth
Resident may only have ice chips
Resident may have only thickened liquids
Informing the nurse that you are going to the residents room to perform the procedure
Checking the residents identification
Providing privacy
Documenting the procedure
Provide only liquids to the resident.
Allow the resident to sit in any position to eat.
Feed the resident small amounts of food.
Wait to provide oral care until bedtime.
Checking the water temperature before assisting the resident into the shower
Locking the wheels on the shower chair
Leaving the resident unattended in the shower
Promptly drying and covering the resident after the shower is completed
Tachycardia
Hypertension
Bradypnea
Hypotension
Nurse
Social Worker
Nurse Assistant
Physician
88 beats per minute and regular
59 beats per minute and irregular
60 beats per minute and regular
96 beats per minute and regular
Ask another nursing assistant what he or she would do.
Say thank you and take the money.
Refuse to accept the money.
Instruct the family member to give the money to the supervisor.
Pick up the linen, shake it out, and use it.
Place the linen on the bedside chair to use at a later time.
Leave the linen on the floor for housekeeping to pick up.
Place the linen in the hamper because it is soiled.
Wash the beard daily.
Trim the beard daily.
Comb the beard daily.
Wash the beard when it is visibly soiled.
Sitting beside the resident and listening to him or her.
Ignoring the resident and continuing to work.
Laughing at what the resident is saying.
Asking the resident not to talk nonsense.
Changing the residents clothes
Feeding the resident
Performing peri-care
Changing the residents position in the chair
Keep your back and knees straight, and lift using your thigh muscles.
Bend slightly at the waist, keep knees partially flexed, and lift with your legs muscles.
Bend slightly at the waist, keep knees partially flexed, and lift with your back muscles.
Use whatever position and muscles make you feel most comfortable.
Allowing the resident to do as much as possible for himself or herself and then assisting with the rest of the a.m. care
Waiting until the resident is well rested and then offering a.m. care
Providing the resident with the needed materials and then leaving him or her alone to complete the a.m. care without further assistance
Waiting until the resident complains of the need to be cleaned, and then he or she will want to do more for himself or herself
When the pouch is full
Every two hours
Every day with a.m. care
Every shift
Close the residents door.
Wash his or her hands.
Bathe the resident every day.
Clean the residents bathroom after use by visitors.
The nursing assistant places a towel in the sink while cleaning the dentures.
The nursing assistant keeps the dentures in a glass on the sink to soak.
The nursing assistant places the dentures on the bedside table for easy access.
The nursing assistant places the dentures on tissues in the sink while cleaning the dentures.
Tell the resident he or she needs to be quiet because he or she is disturbing the other residents.
Speak to the resident in a calm and comforting manner.
Ask to have your assignment changed.
Report the behavior to the nurse.
Make sure the door is closed to the shower room.
Talk about your weekend activities with the other nursing assistants.
Be sure to call the resident by his or her first name.
Check the water temperature before beginning the shower.
Tell the resident to call the next time he or she has a stool so you can verify what he or she is reporting.
Report what the resident told you to the nurse.
Visualize the rectum to see if any stool is present.
Tell the resident that the stool is probably related to what he or she ate for breakfast.
Report the accident to the resident and the nurse.
Show the resident the dentures and ask him or her what happened to them.
Hide the dentures.
Offer to pay for the broken denture.
Rectal
Axillary
Tympanic
Oral
He or she would like the CNA to stand in front of or behind him or her.
He or she feels steady, or if he or she has any nausea or dizziness.
He or she would like to wear headphones.
The CNA can bring his or her cell phone to answer emails while assisting the resident.
Allow the resident privacy to pray.
Ask the resident to pray silently while you perform the procedure.
Explain to the resident that the procedure needs to be completed now and that praying will need to wait.
Tell the resident you have already prayed for him or her this morning and now it is time to perform the procedure.
Apply tape securely around the mitt restraints to keep them fastened.
Check extremities for circulation, motion, and sensitivity over a 4-hour period.
Document the reason for application of restraints in the chart.
Promote resident comfort throughout the use of restraints.