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

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

3. Comfort
Temperature and Ventilation
Odors
Noise
Lighting

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

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

6. 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

7. 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

8. 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

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

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

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

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

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

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

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

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

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

18. 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

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

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

21. Other Equipment TV
Radio
Clocks
Pictures
Helps resident feel at home

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

23. 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

24. Review
What temperature range is required by OBRA for residents?

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

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

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

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

29. Review
Signal lights are answered
___________________.
promptly

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

31. Review
The curtain provides auditory privacy.
True or False

32. Review
Soft and dim lighting is relaxing.
True or False

33. 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

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

35. Questions??