MNA Mosby’s Long Term Care Assistant Chapter 18 The Resident’s Unit

The Resident Unit Resident room should be treated like person’s home Unit should be as personal and homelike as possible

Comfort Temperature and Ventilation Odors Noise Lighting

Temperature and Ventilation Comfort Temperature and Ventilation Most people are comfortable in room set at 68-74 F Too cold for elderly OBRA requires 71 –81 F

Temperature and Ventilation Comfort Temperature and Ventilation Provide lap robes Provide extra blankets Move from drafty areas Provide adequate clothing

Comfort Odors Unpleasant Check incontinent residents often Change and dispose of soiled linens Keep laundry containers closed Use room deodorizer prn Provide good personal hygiene

Comfort Noise Drapes, carpet, acoustical tiles all reduce noise Use of plastic items Staff should control voices Handle equipment carefully Answer telephones, signal lights quickly

Lighting Comfort Good lighting needed for safety and comfort Bright is cheerful Dim is relaxing Persons c poor vision need bright light Adjust for resident’s comfort

Room Furniture and Equipment Bed Overbed table Bedside cabinet Chairs Privacy curtain Personal care items Call light Bathroom Closets and drawers

Room Furniture and Equipment Bed Electric or manual Raised to good working height to give care Lowest horizontal position at all other times

Bed Positions Fowlers - HOB  Semi Fowlers - HOB  slightly Trendelenberg – HOB  FOB  Reverse Trendelenberg – HOB  FOB 

Bed Positions Trendelenberg Reverse Trendelenberg Both require a Dr.’s Order

Room Furniture and Equipment Overbed table Used for meals, writing, reading. Can be used as clean work surface for nurse

Room Furniture and Equipment Bedside cabinet Used to store personal items and personal care items Water pitcher Wash basin Emesis basin

Room Furniture and Equipment Chairs OBRA requires at least one chair for personal or visitor use. Safety requirements

Room Furniture and Equipment Privacy Curtains Visual privacy OBRA requirement They do not block sound

Room Furniture and Equipment Personal care items Hygiene Elimination Washbasin Emesis basin Bedpan Urinal Water pitcher

Room Furniture and Equipment Call system Allows resident to signal for help Must always be within reach Place on strong side Remind resident to use call light Answer promptly

Room Furniture and Equipment Bathroom May share Hand rails Raised toilet seats Signal light – answer quickly

Room Furniture and Equipment Closets OBRA requires each resident to have a closet and drawer space Personal property Permission for inspection Report hoarding

Other Equipment TV Radio Clocks Pictures Helps resident feel at home

Rooms Private Semi Private Wards Resident must respect room mate’s privacy

General Rules Overbed table in reach Call lite, TV, phone in reach Adjust lighting, temperature for resident’s comfort Empty wastebasket prn Respect resident's belongings Straighten prn

Review What temperature range is required by OBRA for residents? 71 - 81

Review Beds are raised horizontally when the resident is assisted to the chair ? True False

Review What position…………The HOB is raised 45 degrees ? Semi fowlers

Review What position…………The FOB is raised, the HOB is lowered ? trendelenberg

Bedside cabinet Review The bedpan and urinal can be stored in the _______________. Bedside cabinet

Review Signal lights are answered ___________________. promptly

Review The resident's unit is considered private True or False

Review The curtain provides auditory privacy. True or False

Review Soft and dim lighting is relaxing. True or False

Review Bedrails are used A. Whenever you think they are needed Whenever the HOB is raised To prevent falls According to the resident’s care plan

Review In a semiprivate room, residents can place item or sit on either side of the room . True or False

Questions??