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Transcript of Slide 1 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany...
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 1
Textbook For Nursing Assistants
Chapter 13 - The Patient or Resident Environment
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 2
The Patient or Resident Unit
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 3
Patient or resident rooms in a health care facility will vary according to the purpose of the facility and the needs of the person being cared for in the roomA patient room in a hospital is a person’s temporary homeA resident room in a long-term care or assisted-living facility usually becomes a person’s permanent home
Patient or Resident Unit
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 4
Patient rooms in the hospital vary, depending on the needs of the patient
For example:A typical double-occupancy room
A room in the intensive care unit (ICU)
A birthing suite in the maternity ward
A room in the subacute care unit
Hospitals
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 5
Patients staying in double-occupancy rooms are those who are recovering from
An illness
A surgery
Hospital Rooms: Double-Occupancy
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 6
Patients staying in an intensive care unit are those who:
Are very ill
Need special equipment to monitor vital signs such as heart beat, blood pressure
Need special equipment to support their vital functions such as breathing
Hospital Rooms: Intensive Care Unit
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 7
A room where new mothers and babies receive care before, during, and after the birthing process
Very home-like, with curtains, attractive furniture
A special bed designed to make the process of labor and delivery easier
Hospital Rooms: Birthing Suite
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 8
A unit for patients who are not quite well enough to go home, but not quite sick enough to be in a typical hospital room
Designed to be more home-like, and may include:
A common dining room
Activity rooms for the patients
Hospital Rooms: Sub-acute Care Unit
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 9
Provide care for people who are not able to care for themselves independentlyIn most cases, a person moving into a long-term care facility is making a permanent move into what is truly a new homeFor most people, moving into a long-term care facility is very emotionalPeople who are moving into a long-term care facility are allowed to furnish their rooms with one or two favorite pieces of furniture and various personal items to help ease the transition
Long-term Care Facilities
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 10
Each room in a long-term care facility may have A full private bath, consisting of a shower or tub, a toilet, and a sink ORA partial bath, consisting of a toilet and a sink, shared between two rooms ORA communal bath area, designed to accommodate the bathing of several residents at the same time
A bathroom with special modifications, such as handrails and a means of calling for helpCommon rooms to socialize, such as
Dining roomsActivity rooms
A small chapel where religious services are conductedPatios and gardens to allow the residents access to outdoor activities
Long-term Care Facilities
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 11
Residents in an assisted-living facilities are usually independentPrivate apartments consisting of a common area, one or two bedrooms, a bathroom, and possibly even a small kitchen Suites consisting of a private bedroom and bath, with communal dining and activity rooms
Assisted-Living Facilities
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 12
Ensuring Comfort
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 13
The following aspects of the resident’s environment are regulated by OBRA:
The size The lightingThe temperature The measures taken to maintain air qualityThe measures taken to control noiseThe types of furnishings and equipmentEquipment to ensure safety (such as handrails and a call light or intercom system in the bathroom)The minimal amount of personal space for storage of belongings that each resident is entitled to
OBRA Regulations
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 14
Furniture and Equipment
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 15
“Standard” furniture for a patient’s or resident’s room includes:
An adjustable or non-adjustable bed
Chairs
An over-bed table
A storage unit
A call light and intercom system
Privacy curtains and room dividers
Furniture
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 16
Two types of bedsAdjustable bedsElectrically operatedManually operatedHave side rails and casters (wheels)
Regular beds Some assisted-living and long-term care facilities
allow people to bring their own beds from home, if they prefer
Furniture: Beds
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 17
Precautions to be taken when using adjustable beds include the following:
Ensure the safety of electrically operated beds
Fold the cranks down and away under the bed after you are finished using manually operated beds
Use side rails according to your facility’s policies and the person’s individual care plan, as side rails are a form of restraint
Make sure the bed’s wheels are locked
Furniture: Beds
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 18
One or two chairs for the person and visitorsPeople with disabilities require special chairs
Geri-chairsWheelchairsChairs with special lifting devices that help the person to get in and out of the chair easily
A person recovering from hip or spinal surgery may need a chair that has firm upholstery, a straight back, and no armrestsMany residents of long-term care facilities will bring a favorite chair or two from home
Furniture: Chairs
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 19
Used to hold basins and other articles when carrying out personal care for a patient or resident Used as a writing surfaceUsed for eating a meal or snackPlace to keep a water pitcher and other items the person may want close byConsidered a “clean” area, so:
Items placed there should be either sterile or clean Dirty items, such as bedpans or soiled linens, are never placed on the over-bed table
Furniture: Over-Bed Tables
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 20
Bedside tables have drawers or a combination of drawers and closed shelves
Personal care items in top drawer
Basins, bedpans, and other care equipment stored neatly underneath in the lower drawers or shelves
The telephone, a flower arrangement, and other personal items may be placed on top of the bedside table
A closet is provided in the long term care facility
Furniture: Storage Units
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 21
Call light and intercom systems are used for communication
The call light system allows patients or residents to signal that they need help
The intercom system allows members of the health care team to communicate with patients or residents without leaving the nurses’ station
Call Light and Intercom System
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 22
Used to help maintain a resident’s or patient’s privacy when care is being given
Do little to keep voices and other sounds private, so door to room should also be closed
Privacy Curtains and Room Dividers
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 23
Hanging intravenous (IV) poles
Outlets for oxygen and suction devices
Personal protective equipment (PPE) Gloves
Disposal equipment
A wall-mounted sharps disposal box
A wall-mounted box of disposable gloves
Equipment
Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.
Slide 24
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