check the residents ABCs.
ask if the resident can talk.
provide an abdominal thrust.
lower the resident to the floor.
B. ask if the resident can talk.
Dietitian
Social worker
Physical therapist
Activities director
Allow the resident more time to swallow.
Use a straw when giving the resident fluids.
Add a thickening product to the residents fluids.
Stop feeding and ask a nurse to check the resident.
On the floor directly next to the wheelchair, positioned well below the residents bladder
Tucked at the residents side on the seat of the chair to keep the drainage bag level with the residents bladder
Hung from back of the wheelchair so that it is out of the residents view and above the bladder
Attached to the seat of the wheelchair, positioned below the level of the residents bladder
notice if the rhythm of the heart-beat is regular.
ask if the resident takes any heart medication.
consider the time of day when the pulse is taken.
multiply the rate by four if counted for 30 seconds.
Partial assistance with range of motion exercises
Full assistance with the nurse aide taking the joints through exercises
Minimal assistance to just remind the resident when it is time to exercise.
Minimal assistance to provide extremity support while the resident moves joints
Getting linen from a linen cart
Removing soiled linen from a bed
Performing range of motion exercises
Transferring a resident to a shower chair
decide break times with other nurse aides.
review assignments with others to check if residents are divided evenly.
check all assigned residents to see if anyone has immediate needs.
check what the activity department has scheduled for residents during the shift.
Report this to the charge nurse.
Ask if this is a normal pattern for the residents body.
Suggest the resident drink more water and increase foods with fiber.
Check if the resident is getting a medication to help with bowel movements.
place a cool, wet washcloth to the residents forehead.
cover the resident with extra blankets.
record and report the change at the end of the shift.
report the temperature promptly.
check the residents ABCs.
ask if the resident can talk.
provide an abdominal thrust.
lower the resident to the floor.
Turn on the residents television.
Make sure the residents bedpan is within reach.
Place the call light where the resident can reach it.
Say to the resident, Remember that you need help to walk.
The aging process can be reversed with good health care.
Bladder incontinence is a normal part of aging.
Joints tend to be less flexible as a person ages.
Sensitivity to pain increases with age.
Consider if the task can be performed another way.
Provide the care and perform the task as best as possible.
Contact the ombudsmans office since residents rights may be violated.
Refuse to perform the task and explain it is not within the nurse aides role.
take short naps throughout the day.
show signs of Alzheimers at a younger age.
prefer to go to bed earlier in the evening.
become restless and agitated late in the day.
Ask if the resident has been eating salty foods lately.
Elevate the residents legs and check again later.
Report the swelling to the charge nurse.
Avoid bathing the residents lower legs.
Lets go see if Bingo has started yet. You love Bingo.
Remember you are in a nursing home. Your daughter is all grown up.
Do you mean your great-granddaughter? Your daughter just turned 60.
What do you like to do with your daughter when she gets home from school?
Thicken the liquid so it will not spill.
Place a clothing protector on the resident.
Seat the resident with other residents who also spill.
Suggest that the resident might do well with a cup with a lid.
making sure the resident gets a lot of rest.
providing a routine time for the resident to toilet.
giving the resident cereal for breakfast every morning.
keeping a bedpan within reach while the resident is in bed.
The residents shoe-fit
The residents pulse rate
The way the resident walks
The color of the residents toes
does not remember.
should not be restrained.
does not respond to instructions.
should not be resuscitated.
block exit doors.
restrain residents.
place large stop signs on doors.
keep confused residents in their rooms.
Leave the room and close the door to allow privacy.
Consider if this is normal behavior for this couple.
Report the observation to the charge nurse immediately.
Tell the wife that she must leave the facility for the day.
Hang the urinary drainage bag higher than the level of the residents bladder.
Use the measurements on the drainage bag to measure urine output.
Raise the bed to the highest position for better urine drainage.
Wear gloves when emptying the urinary drainage bag.
You do realize that you will look normal when you get your prosthesis?
Do you think you will ever leave your room? It will help you feel better
There is no reason to feel embarrassed about losing your leg?
You used to enjoy activities. Whats keeping you in your room so much?
Clean the catheter, starting at the meatus and moving downward.
Clean the catheter, starting at the end and moving towards the genitalia.
Disconnect the drainage bag from the catheter to empty the bag fully.
Cleanse around the meatus with alcohol swabs, wiping front to back.
control a residents behavior.
protect the resident from injury.
make staff members jobs easier.
decrease how often staff need to check the resident.
Give the resident more time to swallow.
Keep the amount of fluid small by using a spoon to give fluids.
Add thickener to the fluid and see if it helps stop the coughing.
Stop the feeding and report the coughing to the charge nurse right away.
In the morning and at bedtime
At the beginning and near the end of a shift
Whenever the resident is soiled with urine or stool
Every two hours when the nurse aide checks on the resident
call the police immediately.
ask if the nurse is feeling stressed about something.
report the situation to the charge nurses supervisor.
ask if any other staff have ever observed this behavior.
limiting activity by keeping the resident on bedrest.
emptying the urinary drainage bag every two-hours.
keeping the area where the catheter enters the body clean.
toileting the resident every two hours for bladder retraining.