AGE CHILDREN AND THE ELDERLY NEED TO BE PROTECTED FROM INJURY PHYSICAL CHANGES OF AGING PUT OLDER PERSONS AT RISK OF ACCIDENTS MOVEMENTS ARE SLOWER AND LESS STEADY. BALANCE IS AFFECTED. HAVE DECREASED STRENGTH DECREASED SENSITIVITY TO HEAT AND COLD POOR VISION AND HEARING DECREASED MENTAL AWARENESS CONFUSED PATIENTS MAY PLACE THEMSELVES IN DANGER BECAUSE THEIR JUDGEMENT IS IMPAIRED A PERSON IN A COMA ( UNCONSCIOUS ) IS TOTALLY HELPLESS AND DEPENDENT ON OTHERS FOR SAFETY IMPAIRED VISION MAY NOT BE ABLE TO SEE THINGS IN THEIR WAY. MAY BE ACCIDENTALLY POISONED IMPAIRED HEARING MAY NOT HEAR WARNING SINALS OR FIRE ALARMS IMPAIRED SMELL AND TOUCH MAY NOT DETECT SMOKE OR GAS ODORS DECREASED SENSITIVITY TO HEAT AND COLD IMPAIRED MOBILITY SOME DISEASES AND INJURIES AFFECT MOBILITY PERSON MAY BE AWARE OF DANGER BUT UNABLE TO MOVE TO SAFETY MEDICATIONS MEDICATIONS MAY CAUSE WEAKNESS, DIZZINESS, OR CONFUSION MEDICATIONS USED TO INDUCE URINATION OR DEFECATION MAY CAUSE THE PATIENT TO FALL WHILE HURRYING TO THE TOLIET STAFF NEGLIGENCE FAILURE TO CLEAN UP A SPILL INCORRECT MOVING AND LIFTING TECHNIQUES IMPROPER USE OF RESTRAINTS NOT ANSWERING CALL LIGHTS PROMPTLY THE MOST FREQUENT ACCIDENT IN A HEALTH FACILITY IS A FALL AND THE MOST COMMON CAUSE OF A FALL IS WET, SLIPPERY FLOORS. IDENTIFY THE PATIENT BY CHECKING THE ID BRACLET BEFORE YOU GIVE CARE THE BRACLET HAS THE PERSON’S NAME, ROOM AND BED NUMBER, BIRTH DATE, AGE, AND OTHER IDENTIFYING INFORMATION ALWAYS ANSWER CALL LIGHTS PROMPTLY SIDE RAILS HELP PREVENT THE PATIENT FROM FALLING OUT OF BED HELP WITH ELIMINATION NEEDS USE CORRECT PROCEDURES AND EQUIPMENT FOR TRANSFERS GRAB BARS IN SHOWERS AND BATHROOMS KEEP BED IN LOWEST HORIZONTAL POSITION BED RAILS ARE USED ACCORDING TO THE CARE PLAN CRUTCHES, CANES, AND WALKERS HAVE NON-SKID TIPS WHEEL LOCKS ON BEDS AND WHEELCHAIRS NON-SKID FOOTWEAR USED WHEN UP RESPOND PROMPTLY TO BED AND CHAIR ALARMS MOST FALLS OCCUR IN THE EVENING A HISTORY OF FALLS INCREASES THE RISK OF FALLING AGAIN FALLS ARE ALSO LIKELY TO OCCUR AT SHIFT CHANGE THE NURSE AND THE CARE PLAN WILL TELL YOU WHEN TO RAISE THE BED RAILS BED RAILS PREVENT THE PERSON FROM GETTING OUT OF BED – ARE CONSIDERED RESTRAINTS THE PERSON MUST GIVE CONSENT FOR BED RAILS TO BE USED RESTRAINTS MUST HAVE A DOCTORS ORDER YOU MAY LOWER THE RAILS TO GIVE CARE, BUT RAISE THEM BEFORE YOU LEAVE THE BEDSIDE ALWAYS LOWER THE BED TO THE LOWEST POSITION WHEN FINISHED GIVING CARE HAND RAILS ARE PLACED IN HALLWAYS TO HELP SUPPORT PERSONS WHO ARE WEAK OR UNSTEADY GRAB BARS ARE IN BATHROOMS AND IN SHOWER AND TUB ROOMS LOCK WHEELS ON BED WHEN GIVING BESIDE CARE OR WHEN TRANSFERRING TO AND FROM BED WHEELCHAIR AND STRETCHER WHEELS ARE LOCKED DURING TRANSFERS ACCIDENTS ARE RECORDED ON A SPECIAL FORM CALLED AN INCIDENT REPORT. SMOKE ONLY IN SMOKING AREA DO NOT LEAVE SMOKING MATERIAL AT BEDSIDE DO NOT ALLOW PERSON TO SMOKE IN BED DO NOT ALLOW PERSON TO SMOKE NEAR OXYGEN SUPERVISE HEATING PAD USE MEASURE BATH WATER TEMPERATURE MAY BE CAUSED BY CONFUSION OR POOR VISION WHEN READING LABELS CLEANING AGENTS AND HAZARDOUS MATERIALS SHOULD BE KEPT IN LOCKED CABINETS KEEP PERSONAL CARE ITEMS (SHAMPOO, MOUTHWASH, DEODORANT) AWAY FROM CONFUSED RESIDENTS CUT FOOD INTO SMALL PIECES MAKE SURE DENTURES ARE IN PLACE. REPORT LOOSE FITTING DENTURES REPORT PERSONS WITH SWALLOWING DIFFICULTIES DO NOT GIVE FLUIDS TO PERSONS WITH FEEDING TUBES POSITION THE PERSON PROPERLY IN BED USE RESTRAINTS AND SIDE RAILS CORRECTLY DO NOT USE EQUIPMENT WITH FRAYED CORDS DO NOT OVERLOAD ELECTRICAL OUTLETS FOLLOW MANUFACTURER’S INSTRUCTIONS DO NOT USE UNFAMILIAR ITEMS WITHOUT TRAINING USE ITEM ONLY FOR ITS INTENDED PURPOSE REPORT BROKEN OR DAMAGED ITEMS TURN OFF EQUIPMENT BEFORE UNPLUGGING IT ALWAYS PLACE THE PATIENT’S FEET ON THE FOOTPLATES ALWAYS LOCK THE WHEELS WHEN TRANSFERRING CLEAN THE WHEELCHAIR ON A REGULAR BASIS MOVE THE FRONT RIGGING OUT OF THE WAY WHEN TRANSFERRING BACK DOWN A RAMP WITH A WHEELCHAIR BACK INTO THE ELEVATOR SO THE PATIENT FACES THE FRONT IT TAKES TWO WORKERS TO SAFELY TRANSFER A PERSON ON A STRETCHER FASTEN THE SAFETY STRAPS WHEN A PERSON IS ON A STRETCHER ALWAYS RAISE THE SIDERAILS ON THE STRETCHER MAKE SURE THE PERSON’S ARMS AND HANDS ARE INSIDE THE RAIL PUSH THE STRETCHER FEET FIRST ONE PERSON STANDS AT THE HEAD AND ONE AT THE FOOT NEVER LEAVE THE PERSON UNATTENDED TRANSFER THE PATIENT FEET FIRST DOWN A RAMP ENTER THE ELEVATOR HEAD FIRST THE FALLING PATIENT A HAZARDOUS SUBSTANCE IS ANY CHEMICAL IN THE WORKPLACE THAT CAN CAUSE HARM HAZARDOUS SUBSTANCES MUST HAVE WARNING LABELS MATERIAL SAFETY DATA SHEETS (MSDS) AN INFORMATION SHEET ABOUT THE HAZARDOUS CHEMICAL EXAMPLES OF FIRE HAZARDS FIND THE SAFETY HAZARDS THREE THINGS ARE NEEDED FOR A FIRE A SPARK OR FLAME A MATERIAL THAT WILL BURN OXYGEN YOUR FIRST RESPONSIBILITY IS TO REMOVE ALL PATIENTS WHO ARE IN IMMEDIATE DANGER. CLOSE ALL DOORS AND CLEAR THE HALLWAY OF EQUIPMENT DO NOT USE THE ELEVATOR IN A FIRE KNOW WHERE THE EXITS ARE LOCATED TYPE A – IS USED ON PAPER, WOOD, OR TRASH CAN FIRES TYPE B – IS USED ON FLAMING LIQUIDS, SUCH AS OIL OR GREASE TYPE C – IS USED FOR ELECTRICAL FIRES TYPE ABC – IS USED FOR ALL KINDS OF FIRES AND IS THE MOST COMMON TYPE FOUND IN HEALTH CARE FACILITIES TO USE A FIRE EXTINGUISHER P- PULL THE SAFETY PIN A- AIM THE EXTINGUISHER TOWARD THE BASE OF THE FIRE S -SQUEEZE DOWN ON THE HANDLE S- USE A SWEEPING MOTION OVER THE BASE OF THE FIRE ONE PERSON – ONE RESCUER TWO RESCUER TECHNIQUE VIOLENT ACTS DIRECTED TOWARD PERSONS AT WORK TO DEAL WITH AGGRESIVE PERSONS STAND AWAY FROM THE PERSON STAND CLOSE TO THE DOOR KEEP YOUR HANDS FREE STAY CALM DO NOT TOUCH THE PERSON LEAVE THE ROOM AS SOON AS YOU CAN TELL THE NURSE OR SECURITY OFFICER