1. MNA M osby ’ s Long Term Care Assistant Chapter 12 Safety

2. Safety A basic need The goal is to decrease the risk of accidents and injuries without limiting mobility and independence

3. Safe Environment Safe and secure both physically and mentally Risk of accidents are low Temperature and noise level are comfortable Smells are pleasant Enough light to move about safely

4. Accidents and Risk Factors Age Awareness of Surroundings Agitated and aggressive behavior Impaired hearing Impaired smell and touch Impaired mobility Drugs

5. Accidents and Risk Factors Age Older at greater risk: Decreased strength Unsteady Poor balance Poor vision Poor hearing

6. Accidents and Risk Factors Awareness of Surroundings Coma? Cannot respond to surroundings. Dementia – chronic memory loss. Unable to think and reason

7. Accidents and Risk Factors Agitated and aggressive behavior May be caused by pain, confusion, dementia Danger to themselves and others

8. Accidents and Risk Factors Impaired hearing Difficulty hearing instructions and explanations May not hear warning signals or alarms May not hear approaching carts, w/c

9. Accidents and Risk Factors Impaired smell and touch May not detect smoke or gas fumes Burns are a risk May not feel pain or discomfort from a wound

10. Accidents and Risk Factors Impaired mobility May not be able to move away from danger Paralysis: paraplegic - paralysis from waist down Quadriplegic - paralysis from neck down Hemiplegics - paralysis on one side of body

11. Accidents and Risk Factors Drugs Many side effects Loss of balance Drowsiness Confusion

12. Identifying Residents ID bracelets Call resident by name Photographs Ask another care giver

13. Preventing Poisoning Careful storage of hazardous material

14. Preventing Burns Common causes: Smoking Spilled hot liquids electrical items hot bath water

15. Preventing Burns Safety measures: Residents smoke only in smoking areas with supervision Check equipment for frayed cords No space heaters No electric blankets Assist with hot foods or liquids Test bath water

16. Preventing Suffocation Common causes: Choking Drowning Strangulation Electric shock Inhaling gas or smoke

17. Preventing Suffocation Safety measures: Cut food into small bite size pieces Assess for dysphagia Position properly Apply restraints properly Check electrical equipment

18. Heimlich Maneuver CALL FOR HELP. Ask, “ Can you speak? Are you choking?" If the victim can speak, cough, or breathe, DO NOT INTERFERE. If the victim CANNOT speak, cough, or breathe: Ask for permission to assist give subdiaphragmatic abdominal thrusts until the foreign body is expelled or the victim becomes unconscious.

19. Heimlich Maneuver In the case of extreme obesity or late pregnancy victims - give chest thrusts.

20. Preventing Equipment Accidents Safety measures: Do not use unfamiliar equipment Do not try to repair broken items Keep electrical items away from water Turn off equipment before unplugging Turn off equipment when not in use

21. Wheelchair Safety Use brakes Position feet on foot rests Do not let person stand on footrest Keep w/c clean Transport forward Transport backward down ramps

22. Stretcher Safety At least 2 people for transfer Transfer feet first down hall Lock wheels during transfer Safety straps Side rails

23. Hazardous substances Read label 3 times MSDS Material Safety Data Sheets – provides info about substance Employee training

24. Fire Safety Three things needed for a fire: Spark or flame Material that will burn Oxygen

25. Fire Safety Safety Measures for Oxygen Use: No smoking sign Wool blankets and synthetic fabrics removed from room No lit candles No use of electric razors No combustible liquids (nail polish remover, oils, grease.

27. Fire Safety RACERACE escue larm ontain xtinguish or evacuate

28. Fire Safety PASSPASS ULL IM QUEEZE WEEP

29. Fire Safety ABC Can be used on all types of fires

30. Disaster Read the disaster policy and procedures manual.

31. Workplace Violence Assist visitors in a timely manner Vases, pictures, items that can be used as weapons are avoided Visiting hours are enforced Unused doors are locked Place furniture to prevent entrapment Aggressive or agitated person are treated in open areas

32. Reporting Accidents or Errors Accidents involving residents, staff or visitors Broken or lost items Lost money Hazardous substance spills Workplace violence

33. Review There are no safe places only safe people. TrueFalse

34. Review Older persons are more at risk for accidents TrueFalse

35. Review To correctly identify a resident, call him/her by name. TrueFalse

36. Review A paraplegic is paralyzed from the neck down TrueFalse

37. Review Fix broken equipment to prevent electrical accidents. TrueFalse

38. Review MSDS Stands for Material Safety Data Sheets

39. Review Doors are closed during a fire. TrueFalse

40. Review Type of fire extinguisher used on all types of fires? ABC

41. Review Why should you be familiar with your facilities disaster policy? You will not have to read it in the event of a disaster.

42. Review Dementia is a type of paralysis TrueFalse

43. Review When using a stretcher, residents are transferred head first down the hall. TrueFalse

44. Review Always read the label 3 times before use. TrueFalse

45. Questions?