Emergency ProceduresEmergency ProceduresTerminologyTerminology
Abbreviation for oxygenAbbreviation for oxygen
Agitation Agitation
Cardiac arrestCardiac arrest
CyanosisCyanosis
Diabetic ComaDiabetic Coma
DiaphoresisDiaphoresis
Disaster PlanDisaster Plan
Terminology #2Terminology #2DyspneaDyspneaEmergencyEmergencyEmergency codesEmergency codesEscape routesEscape routesFire planFire planFire pull boxFire pull boxHead injuryHead injuryHeimlich maneuverHeimlich maneuver
Terminology #3Terminology #3HemorrhageHemorrhageInsulin shockInsulin shockMittensMittensOxygen precautionsOxygen precautionsPallorPallorPostural supportsPostural supportsFalse imprisonmentFalse imprisonmentRespiratory distressRespiratory distress
Terminology #4Terminology #4
Respiratory arrestRespiratory arrest
Soft restraintsSoft restraints
StatStat
Universal safety signsUniversal safety signs
Universal choking signUniversal choking sign
UnconsciousnessUnconsciousness
AspirateAspirate
General Measures of safe General Measures of safe environmentenvironment
Wipe up spillsWipe up spills
Never run in hallsNever run in halls
Use contents of containers Use contents of containers with proper labelswith proper labels
Identify wet floorsIdentify wet floors
Tag and report broken Tag and report broken equipmentequipment
Report unsafe situationsReport unsafe situations
General Measures of Safe General Measures of Safe Environment #2Environment #2
Use 3-pronged plugsUse 3-pronged plugs
Check wrist band before any taskCheck wrist band before any task
Use side rails when appropriateUse side rails when appropriate
Resident to use handrails when Resident to use handrails when unstableunstable
Resident to wear non-skid footwear Resident to wear non-skid footwear when ambulatorywhen ambulatory
Lock wheelchair when transferingLock wheelchair when transfering
General Measures of Safe General Measures of Safe Environment #3Environment #3
Place signal light within reachPlace signal light within reach
Answer call lights promptlyAnswer call lights promptly
Use night lightsUse night lights
Refuse to do any task you don’t Refuse to do any task you don’t know how to doknow how to do
Know proper operation of Know proper operation of equipmentequipment
Keep bed in lowest positionKeep bed in lowest position
Oxygen Therapy Safety RulesOxygen Therapy Safety Rules
Oxygen is abbreviated O2Oxygen is abbreviated O2
Oxygen is a colorless, odorless, Oxygen is a colorless, odorless, tasteless gas essential for respirationtasteless gas essential for respiration
Some residents need supplemental Some residents need supplemental O2O2
Oxygen is supplied in portable tanks Oxygen is supplied in portable tanks or through wall outletsor through wall outlets
O2 increases risk of fireO2 increases risk of fire
Oxygen Therapy Safety Rules #2Oxygen Therapy Safety Rules #2Safety PrecautionsSafety Precautions
Place a “no smoking – oxygen in use” Place a “no smoking – oxygen in use” sign on room door and over bedsign on room door and over bed
Smoking is NEVER allowed either by Smoking is NEVER allowed either by resident or visitorresident or visitor
Keep O2 tubing open and free of Keep O2 tubing open and free of kinkskinks
Oxygen Therapy Safety Rules #3Oxygen Therapy Safety Rules #3Types of OTypes of O22 Equipment Equipment
Portable tanksPortable tanks
Wall outletsWall outlets
Resident equipmentResident equipment
Oxygen Therapy Safety Rules #4 Oxygen Therapy Safety Rules #4 Nursing Care Nursing Care
Make sure resident wears mask or Make sure resident wears mask or cannula at all timescannula at all timesMake sure O2 is turned off if not in Make sure O2 is turned off if not in use use Maintain water level in humidifier to Maintain water level in humidifier to reduce dryness reduce dryness Check for redness over top of ears Check for redness over top of ears where tubing rests and at nasal where tubing rests and at nasal passagespassages
Postural SupportsPostural Supports
Protective devices used to prevent Protective devices used to prevent the resident from harming self or the resident from harming self or othersothers
Used to prevent residents from:Used to prevent residents from:– Falling out of bed/chairFalling out of bed/chair– Crawling over side rails or end of bedCrawling over side rails or end of bed– Interfering with therapyInterfering with therapy– Hurting themselves or othersHurting themselves or others
Postural Supports #2 -TypesPostural Supports #2 -Types
Vest or jacket deviceVest or jacket device
Wrist or ankle deviceWrist or ankle device
Hand mitt deviceHand mitt device
Elbow support deviceElbow support device
Postural Supports #3 Postural Supports #3 Precautions when applying Precautions when applying
postural support devicespostural support devices
Place resident in good body Place resident in good body alignmentalignmentPad bony prominencesPad bony prominencesUse “quick release” bow-tie knotsUse “quick release” bow-tie knotsAllow some slack for movementAllow some slack for movementCheck for “2 finger” amount of space Check for “2 finger” amount of space
Postural Supports #4Postural Supports #4Check circulation frequentlyCheck circulation frequently
Tie support to movable part of bed frameTie support to movable part of bed frame
Remove support and reposition resident Remove support and reposition resident every 2 hoursevery 2 hours
Offer fluids frequentlyOffer fluids frequently
Offer bedpan or urinal on regular basisOffer bedpan or urinal on regular basis
Apply vest restraint with open area of vest Apply vest restraint with open area of vest on the fronton the front
Postural Supports #5 Postural Supports #5 Legal implications Legal implications
Must have a doctor’s orderMust have a doctor’s order
Resident rightsResident rights
Unnecessary restraint of resident Unnecessary restraint of resident could constitute false imprisonment could constitute false imprisonment
Postural Supports #6 Postural Supports #6 Psychological implicationsPsychological implications
Explain to resident and family the Explain to resident and family the reason for usereason for use
Provide reassurance and support to Provide reassurance and support to the resident and familythe resident and family
Resident Distress Resident Distress
Exp: heart attack, stroke, fainting Exp: heart attack, stroke, fainting episode, seizures, diabetic coma, episode, seizures, diabetic coma, insulin shock, hemorrhaging…insulin shock, hemorrhaging…
Signs and symptomsSigns and symptoms– Behavioral changesBehavioral changes– Changes in vital signsChanges in vital signs– Loss of consciousnessLoss of consciousness
Resident Distress #2Resident Distress #2
PallorPallor
CyanosisCyanosis
SweatingSweating
Agitation/confusionAgitation/confusion
New pain in chest, abdomen, head or New pain in chest, abdomen, head or extremitiesextremities
Sudden cessation of breathingSudden cessation of breathing
Shortness of breathShortness of breath
BleedingBleeding
Resident Distress #3Resident Distress #3
Immediate interventionsImmediate interventions
– Check resident for ABC’sCheck resident for ABC’s
Open AirwayOpen Airway
Check for BreathingCheck for Breathing
Check CirculationCheck Circulation
Resident Distress #4 ]Resident Distress #4 ]General rules for emergency General rules for emergency
situationssituations
Remain calmRemain calm
Call for help of licensed nurseCall for help of licensed nurse
Remain with residentRemain with resident
Intervene at level of competence as Intervene at level of competence as directed by licensed nursedirected by licensed nurse
Reassure the residentReassure the resident
Keep the resident warmKeep the resident warm
Heimlich ManeuverHeimlich Maneuver
Used to relieve obstructed airwayUsed to relieve obstructed airway
Causes of Airway ObstructionCauses of Airway Obstruction– Foreign bodyForeign body– TongueTongue– Small objectsSmall objects– VomitusVomitus– DenturesDentures
Heimlich Maneuver #2 Heimlich Maneuver #2 Signs of chokingSigns of choking
Respiratory difficultyRespiratory difficulty
High pitched soundsHigh pitched sounds
Inability to speak of coughInability to speak of cough
Universal chocking signUniversal chocking sign
Role During EmergenciesRole During EmergenciesBe preparedBe prepared– Know emergency codesKnow emergency codes– Know fire and disaster plansKnow fire and disaster plans– Know location of fire exit/extinguishersKnow location of fire exit/extinguishers
Call for assistanceCall for assistance
Move resident if in immediate Move resident if in immediate dangerdanger
Role During Emergencies #2Role During Emergencies #2
Remain calmRemain calm
Remain with residentRemain with resident
Keep resident comfortableKeep resident comfortable
Evacuate resident to safety according Evacuate resident to safety according to facility fire and disaster planto facility fire and disaster plan
Role During Emergencies #3 Role During Emergencies #3 R.A.C.E.R.A.C.E.
RemoveRemoveActivateActivateContainContainExtinguishExtinguish
Know and follow specific Know and follow specific facility policiesfacility policies
Ways to help during EmergenciesWays to help during Emergencies
Stay with the residentStay with the resident
Keep resident comfortable and quietKeep resident comfortable and quiet
Know and use facility/hospital codesKnow and use facility/hospital codes
Project confidenceProject confidence
Call for helpCall for help
Use calm voiceUse calm voice
Ways to help during Emergencies Ways to help during Emergencies #2#2
Be sure residents or visitors are Be sure residents or visitors are paying attention when giving paying attention when giving instructionsinstructions
Move families and visitors to a calm Move families and visitors to a calm environment when help arrivesenvironment when help arrives
Keep family and visitors informed of Keep family and visitors informed of resident’s conditionresident’s condition
Common Emergency Codes Common Emergency Codes for facilityfor facility
FireFire
Cardiac arrestCardiac arrest
International hospital codesInternational hospital codes
Disaster codesDisaster codes
Common Emergency Codes #2 Common Emergency Codes #2 Use of emergency call systemUse of emergency call system
Remain calm, do not shout “fire” or Remain calm, do not shout “fire” or “cardiac arrest”“cardiac arrest”
STAT” means respond at once or STAT” means respond at once or immediatelyimmediately
Activate the emergency medical Activate the emergency medical system by calling “911”system by calling “911”
Common Emergency Codes #3Common Emergency Codes #3
Local CodesLocal Codes
– Red = FireRed = Fire– Blue = EmergencyBlue = Emergency– Brown = DisasterBrown = Disaster– Yellow = Security/ManpowerYellow = Security/Manpower– Orange = Hazardous SpillOrange = Hazardous Spill
Major Causes Of FireMajor Causes Of Fire
SmokingSmoking
Sparks from faulty electrical Sparks from faulty electrical equipmentequipment
Heating systemsHeating systems
Spontaneous ignitionSpontaneous ignition
Improper disposal of rubbishImproper disposal of rubbish
Fire PreventionFire PreventionReport frayed electrical cords, smoke Report frayed electrical cords, smoke or burning smellsor burning smellsRefrain from using too many Refrain from using too many electrical devices on one wall socketelectrical devices on one wall socketUse 3-prong grounded plugsUse 3-prong grounded plugsEmpty waste paperEmpty waste paperSupervise residents when smokingSupervise residents when smokingMake sure material in ash trays are Make sure material in ash trays are completely extinguishedcompletely extinguished