1. Safety Measures Section I – Unit 3

2. Who’s concern is safety?

3. Safety is Everyone’s Concern! ●The elderly may not realize that some activities are harmful to them. ●The most common cause of accidents for LTC residents is falls. ●Communicate with residents about safety. ●The resident has a right to a safe environment. ●“Think Safety First”

4. Physical Changes in the Elderly ●Decreased vision ●Impaired hearing ●Tremors or shaking ●Dizziness when position is changed ●Slower reflexes ●Mental changes such as confusion ●Weakness due to illness or injury

5. Providing a Safe Environment VS ● Keep hallways and resident rooms clean, dry, and free of obstacles ● Pick up any objects on the floor ● Wipe spills immediately and place a wet floor sign

6. Providing a Safe Environment ● Keep beds in prescribed position and wheels locked ● Follow facility policy for use of side rails ● Maintain adequate lighting ● Instruct residents to use handrails ● Set brakes on wheelchairs during transfers or when parking the chair

7. Providing a Safe Environment Report all equipment not in proper working order and use it according to facility policy and manufacturer’s directions Properly transport residents and/or equipment Check soiled linen for sharp or misplaced articles Keep all chemicals in locked area legibly labeled and in their original container Keep hazardous materials, sharp objects, and paints away from confused residents

8. Providing a Safe Environment Ensure proper footwear is worn by staff and residents Provide call signals and remind residents to call for help Always identify residents before beginning care Follow recommended safety precautions for all procedures Report any changes in condition, such as loss of appetite Keep residents’ preferred belongings within easy reach Avoid the use of clothing that could cause residents to trip Use shower chairs for showers.

9. Accident vs Incident An unexpected, undesirable event An occurrence or event that interrupts normal procedures or precipitates a crisis Must know your role in recognizing and reporting accidents and incidents

10. Broken Equipment ● Broken or unsafe equipment should be “locked out” ● Report all equipment broken to supervisor (Nurse) ● Tag equipment according to policy ● Hazardous Communication Employee Right to Know – makes employees aware of the proper uses and hazards of chemicals in the workplace

11. Call Signals Ensure all residents have access to a call signal at all times and know how to use it The call signal may be the resident’s only means of getting help in an emergency Know and follow facility policy for using call signals: o All staff are responsible for answering call signals, even if it’s not their assigned resident o Know the various signals for resident rooms, bathrooms, etc. o Know how to turn call signals off/on o Know the timelines for answering call signals o Proper responses when answering call signals

12. Identifying Residents ● Name bands (not common) ● Name on door ● Pictures ● Sensor bracelets for wandering residents

13. Oxygen Safety ● Two types of oxygen delivery ● Know the liter flow ordered by the doctor, monitor liter flow when in the room and notify nurse of incorrect liter flow ● CNA’s CANNOT ADJUST OR APPLY O2!

14. Safety Precautions with Oxygen Post oxygen signs on door, over bed and follow facility policy Check with nurse before using electrical equipment such as razors, fans, radios, televisions Never use flammable liquids such as nail polish remover Be sure that the oxygen cylinder is secure on base and /or chained to a carrier or wall Immediately report smoking/smoking material when oxygen is in use Use only cotton blankets – not wool or synthetic If tank is empty report to nurse

15. Role of the Nurse Aide in Fire Prevention and Safety Fire Prevention Supervise smoking in designated areas/monitor for smoking materials in rooms Allow no open flames near oxygen Report frayed wiring or faulty electrical equipment Report concerns of overloaded electrical outlets

16. Role of the Nurse Aide in Fire Prevention and Safety Fire Emergency Rules Stay calm and do not panic, run, or scream Follow the steps of RACE: R – Remove all residents from the immediate vicinity of the fire A – Activate the alarm system C – Contain the fire and smoke by closing all doors and windows E – Extinguish the fire, if it is small enough to contain

17. Role of the Nurse Aide in Fire Prevention and Safety Remove combustible supplies and equipment from hallways Remember that smoke kills! In a smoke-filled area, stay close to the floor because smoke rises Know facility policy regarding fire emergency rules

18. Role of the Nurse Aide in Natural Disasters Tornado Hurricane Other natural disasters

19. Laws ●The Safe Medical Device Act of 1991-requires that the FDA be notified of any death or serious injury caused by medical devices ●The Texas Concealed Handgun Law – prohibits carrying a concealed weapon in a hospital, nursing home or other health care facility.

20. Laws OSHA is mandated by the government to protect the employee OSHA inspects LTC facilities for compliance with PPE, Material Safety Data Sheets, and TB testing/exposure OSHA also requires each facility to have an eyewash station within a reasonable distance of where hazardous chemicals are used and a total body wash station – facility shower rooms satisfy both requirements Video recorders may be in use – Audio Electronic Monitoring (AEM)