1. Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 16 The Resident’s Unit

2. Slide 2 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  A resident unit is the personal space, furniture, and equipment provided for the person by the nursing center.  The person’s room or area of the room is private. It is treated like the person’s home. It is treated like the person’s home.

3. Slide 3 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  COMFORT  Temperature and ventilation Most healthy people are comfortable when the temperature is 68  F to 74  F. Most healthy people are comfortable when the temperature is 68  F to 74  F. Older and chronically ill persons may need higher temperatures. Older and chronically ill persons may need higher temperatures. OBRA requires that nursing centers maintain a temperature range of 71  F to 81  F. OBRA requires that nursing centers maintain a temperature range of 71  F to 81  F.

4. Slide 4 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  To protect persons from drafts: Make sure they wear the correct clothing. Make sure they wear the correct clothing. Make sure they wear enough clothing. Make sure they wear enough clothing. Offer lap robes to those in chairs and wheelchairs. Offer lap robes to those in chairs and wheelchairs. Provide enough blankets for warmth. Provide enough blankets for warmth. Cover them with bath blankets when giving care. Cover them with bath blankets when giving care. Move them from drafty areas. Move them from drafty areas.  Good nursing care, ventilation, and housekeeping practices help prevent odors.  Smoke odors present special problems.

5. Slide 5 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  If you smoke: Follow the center’s policy. Follow the center’s policy. Practice hand washing after handling smoking materials and before giving care. Practice hand washing after handling smoking materials and before giving care. Give careful attention to your uniforms, hair, and breath. Give careful attention to your uniforms, hair, and breath.

6. Slide 6 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  To decrease noise: Control your voice. Control your voice. Handle equipment carefully. Handle equipment carefully. Keep equipment in good working order. Keep equipment in good working order. Answer phones, signal lights, and intercoms promptly. Answer phones, signal lights, and intercoms promptly.  Good lighting is needed for safety and comfort. Adjust lighting to meet the person’s changing needs. Adjust lighting to meet the person’s changing needs. Always keep light controls within the person’s reach. Always keep light controls within the person’s reach.

7. Slide 7 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  ROOM FURNITURE AND EQUIPMENT  The bed Beds have electrical or manual controls. Beds have electrical or manual controls. Beds are raised horizontally to give care. Beds are raised horizontally to give care. The lowest horizontal position lets the person get out of bed with ease. The lowest horizontal position lets the person get out of bed with ease. The head of the bed is flat or raised varying degrees. The head of the bed is flat or raised varying degrees.

8. Slide 8 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  The five basic bed positions are: Flat Flat Fowler’s position (a semi-sitting position) Fowler’s position (a semi-sitting position) Semi-Fowler’s position Semi-Fowler’s position Trendelenburg’s position Trendelenburg’s position  A doctor orders this position. Reverse Trendelenburg’s position Reverse Trendelenburg’s position  This position requires a doctor’s order.

9. Slide 9 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  The FDA defines the hospital bed system as the bed frame and its parts. The mattress The mattress Bed rails Bed rails Head and foot boards Head and foot boards Bed attachments Bed attachments  The person can get caught, trapped, or entangled in spaces created by: Bed rails Bed rails The mattress The mattress The bed frame The bed frame The head and foot boards The head and foot boards

10. Slide 10 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  Persons at greatest risk of entrapment include persons who: Are older Are older Are frail Are frail Are confused or disoriented Are confused or disoriented Are restless Are restless Have uncontrolled body movements Have uncontrolled body movements Have poor muscle control Have poor muscle control Are small in size Are small in size Are restrained Are restrained

11. Slide 11 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  Hospital bed systems have seven entrapment zones. Zone 1: Within the bed rail Zone 1: Within the bed rail Zone 2: Between the top of the compressed mattress and the bottom of the bed rail and between the rail supports Zone 2: Between the top of the compressed mattress and the bottom of the bed rail and between the rail supports Zone 3: Between the bed rail and the mattress Zone 3: Between the bed rail and the mattress Zone 4: Between the top of the compressed mattress and the bottom of the bed rail and at the end of the bed rail Zone 4: Between the top of the compressed mattress and the bottom of the bed rail and at the end of the bed rail Zone 5: Between the split bed rails Zone 5: Between the split bed rails Zone 6: Between the end of the bed rail and the side edge of the headboard or footboard Zone 6: Between the end of the bed rail and the side edge of the headboard or footboard Zone 7: Between the headboard or footboard and the end of the mattress Zone 7: Between the headboard or footboard and the end of the mattress

12. Slide 12 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  The overbed table is: Placed over the bed by sliding the base under the bed Placed over the bed by sliding the base under the bed Raised or lowered for the person in bed or in a chair Raised or lowered for the person in bed or in a chair Used for meals, writing, reading, and other activities Used for meals, writing, reading, and other activities  The bedside stand is: Next to the bed Next to the bed Used to store personal items and personal care equipment Used to store personal items and personal care equipment  The resident’s unit has at least one chair for personal and visitor use. It must be comfortable and sturdy. It must be comfortable and sturdy. It must not move or tip during transfers. It must not move or tip during transfers. The person should be able to get in and out of the chair with ease. The person should be able to get in and out of the chair with ease.

13. Slide 13 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  Each person has the right to full visual privacy. Full visual privacy means that a person has a means to be completely free from public view while in bed. Full visual privacy means that a person has a means to be completely free from public view while in bed. Always pull the privacy curtain completely around the bed before giving care. Always pull the privacy curtain completely around the bed before giving care.  The call system lets the person signal for help. When using an intercom, remember confidentiality. When using an intercom, remember confidentiality. Some people cannot use signal lights. Some people cannot use signal lights.  Check the care plan for special communication measures.  Check these persons often.

14. Slide 14 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. To promote safety, you must: To promote safety, you must:  Keep the signal light within the person’s reach.  Place the signal light on the person’s strong side.  Remind the person to signal when help is needed.  Answer signal lights promptly.  Answer bathroom and shower or tub room signal lights at once.  The bathroom A toilet, sink, call system, and mirror are standard equipment. A toilet, sink, call system, and mirror are standard equipment. Grab bars are by the toilet for the person’s safety. Grab bars are by the toilet for the person’s safety. Some bathrooms have raised toilet seats. Some bathrooms have raised toilet seats. Towel racks, toilet paper, soap, paper towel dispenser, and the wastebasket are placed within easy reach of the person. Towel racks, toilet paper, soap, paper towel dispenser, and the wastebasket are placed within easy reach of the person.

15. Slide 15 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  Each person is provided with closet and drawer space. The closet space must have shelves and a clothes rack. The closet space must have shelves and a clothes rack. The person must have free access to the closet and its contents. The person must have free access to the closet and its contents. Items in closets and drawers are the person’s private property. Items in closets and drawers are the person’s private property.

16. Slide 16 Copyright © 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.  QUALITY OF LIFE  It is important to make the person’s unit as home- like as possible.  Personal choice is always allowed in arranging items.  The health team must help the person feel safe, secure, and comfortable.