Lecture B

Change positions slowly, dangle at bedside, count to 3, explain to patient, bed in lowest position, position any equipment on the same side of bed patient is

Nurses assesses patient's ability to ambulate. Patient may need motivation. OOB,BR, BRP, BSC

Need a physician orderCheck and release every 2 hoursCheck skinGoal is for patient to remain free from injury

Tool for assessing fall risk

use positioning devices-wedges, pillows, special mattresseshead, shoulder, sacrum, buttock, heels,ear, elbow, hip, ankle

Bed in lowest positionCall bell in reachID patient with armband and sign on doorReduce environmental hazardsBelongings within reachHourly checks

Padding on side rails/floorSuction availableProtect from injuryDo not put anything in patient's mouthTime and observe event to document accuratelyPlace in side-lying position after seizure is over if possible

Rescue patient in immediate dangerActivate fire alarmContain fire by closing door and windows, Oxygen off, place wet towels along base of doorsEvacuate other patients

Turn off electrical source before coming in contact with patient

SDS sheets safety data sheetInformation about the potential hazard when handling the chemicalCheck for eye stations

Bend at knees, tighten stomach muscles to protect back. Feet 10-12 inches apart.Get close to patientAvoid twisting

AtelectasisHypostatic pneumoniaThrombus formationConstipationContracturesDecubitus formationUTI/Kidney stones

Turn patient every 2 hoursKeep skin dry and cleanAdequate nutrition and fluid intakeROM exercisesCough/turn deep breatheUse SCD

Encourage good postureReposition every 2 hoursSupport normal body curvesSupport joints will pillows/other itemsProtect bony prominences

Ears, elbows, heels, ankles, hip, shoulders