Section 1, Unit 4
Emergency Measures
General Measures
O Stay with the resident and call for help
O Be sure the * is notified
O Do not move the resident unless there is immediate
O
O
O
O
danger.
Remain calm and reassure the resident.
Start emergency measures that you are * while
waiting for help to arrive according to facility policy.
Know the facility procedures and phone numbers for
reporting emergencies.
Know where emergency equipment and supplies are
located.
Procedural Guideline #1 –
Fainting and Falls
A. Purpose
*.
1.
B. Emergency Guidelines
Stay with resident and call for help. Be sure nurse is
notified.
2. Lower the resident's * to increase blood supply to
brain:
1.
a.
b.
If resident is standing, assist to lie down or to sit in
chair.
If resident is sitting, assist to lie down or assist to bend
forward and put head down between knees if able.
Procedural Guideline #1 –
Fainting and Falls
C.
How to Assist a Resident After Fainting/Falling
1.
2.
3.
4.
Stay with resident and call for help. Be sure * is notified.
Wear gloves and follow Standard Precautions (Procedural
Guideline #7) if contact with blood or body fluids is likely.
Keep the resident as *. Do not attempt to move the resident
or to straighten the injured area.
Do not attempt to move the resident until the nurse
examines the resident, assesses the risk of fracture, and
gives instructions.
a.
b.
5.
Then, follow the directions of the nurse for moving the resident.
Check vital signs and provide other care as requested by nurse.
* . Wait until the nurse arrives.
Procedural Guideline #1 –
Fainting and Falls
D.
Observe For and Report to Nurse:
1.
2.
3.
4.
5.
6.
*.
Cause of the fall such as wet floors, ill-fitting shoes or
condition of resident. (Do not speculate on the cause of the
fall. Report only what you know to be a fact).
Measures taken to break the fall and assist the resident.
* to the fall.
Additional information needed by the nurse to complete the
incident report.
Other *.
a.
Examples: siderails, alarms, signal/call light, bed low
Procedural Guideline #2 –
Seizures
Purpose: *.
B. Emergency Guidelines
A.
1.
2.
3.
4.
Stay with the resident and call for help; *. Be sure the nurse
is notified.
Wear gloves and follow Standard Precautions (Procedural
Guideline #7) if contact with blood or body fluids is likely.
If the resident is in bed, * if present, turn head to side or
place in side-lying position and remove pillow.
If the resident is out of bed, gently lower the resident to
floor, turn head to side or place in side-lying position to open
airway and promote drainage of secretions, and *, padding
or hold head in your lap.
Procedural Guideline #2 –
Seizures (cont.)
B.
Emergency Guidelines (cont.)
Move hard objects out of the way as appropriate, or pad
around the bed and/or objects that might cause injury
during seizure.
6. * by asking onlookers to leave and closing doors and/or
curtains.
7. Do not attempt to restrain the resident.
8. Do not attempt to place any object into the resident’s mouth
during seizure.
9. When the seizure passes, leave the resident in a position of
comfort and safety with * within easy reach and lower bed.
10. If used, remove and discard gloves following facility policy.
Wash hands.
5.
Procedural Guideline #2 –
Seizures (cont.)
C.
Observe For and Report to Nurse:
1.
2.
3.
4.
5.
6.
Changes in the resident * such as visual or auditory aura,
confusion, staggering or behavioral changes.
Time the seizure started and stopped and duration of the
seizure.
Description of body parts involved and * of convulsive
movements.
Presence of an aura, incontinence, unconsciousness, eyes
rolled upward, frothing of the mouth, biting of the tongue or
*.
Condition of the resident after seizure such as
disorientation or sleepiness.
Other significant observations.
Procedural Guideline #3 –
Clearing the Obstructed Airway
A. Purpose: To clear the obstructed airway of adults
using the Heimlich Maneuver.
B. Guidelines and Precautions
Choking is a true * that requires immediate action.
2. Choking is the sign of airway obstruction. The universal
distress signal for choking is *.
3. Choking usually occurs when eating large and poorly
chewed pieces of meat or other foods. Associated
factors are *, laughing and talking while eating. The
airway can also be obstructed by blood, vomitus,
foreign bodies, or the tongue.
1.
Procedural Guideline #3 – Clearing the
Obstructed Airway (cont.)
B.
Guidelines and Precautions
Measures to help prevent choking:
4.
a.
b.
c.
d.
5.
6.
Assure that meat and other foods are cut into *.
Encourage residents to chew foods slowly and adequately.
Discourage laughing and talking while chewing and swallowing.
Assure residents receive correct diets that contain only allowed
foods. Peanut butter, nuts, popcorn and beans can cause choking
in some residents.
This procedure is limited to use of the * on adults. Specialized
and advanced procedures and training are available from the
American Red Cross and the American Heart Association.
* practice forceful abdominal thrusts on human subjects as
part of training.
Procedural Guideline #3 – Clearing the
Obstructed Airway (cont.)
C.
Determine if resident can *.
Stay with the resident and call for help. Be sure the * is
notified immediately.
Wear gloves and follow Standard Precautions (Procedural
Guideline #7) if contact with blood or body fluid is likely.
Observe the resident for coughing, breathing and speech.
Ask the resident “*?”
1.
2.
3.
a.
b.
If the resident is able to cough, breathe or speak (Partial
Airway Obstruction), stand by and encourage coughing to
clear the airway.
If the resident is unable or becomes unable to cough,
breathe or speak (Complete Airway Obstruction), perform
the Heimlich Maneuver following step D below as
appropriate.
Procedural Guideline #3 – Clearing the
Obstructed Airway (cont.)
D. Perform the Heimlich Maneuver (Abdominal Thrusts)
1. With resident standing or sitting:
a. Stand behind the resident.
b. Wrap your arms around the resident's *.
c. Make a fist and place the thumb-side of the fist at the
midline of the abdomen, just above the navel and well
below the breastbone.
d. Grasp fist with free hand and press * with a quick upward
thrust. Avoid pressure on the ribs and breastbone.
Procedural Guideline #3 – Clearing the
Obstructed Airway (cont.)
D.
Perform the Heimlich Maneuver (Abdominal Thrusts)
With resident lying down:
2.
a.
b.
c.
d.
3.
4.
5.
Place the resident in the * position on the floor.
Kneel down and straddle the residents' hips.
Position the heel of one hand at the midline of abdomen, just
above the navel and well below the breastbone.
Place your free hand over the other hand and press inward
with a *. Avoid pressure on the ribs and breastbone.
Repeat abdominal thrusts (as separate and distinct
movements) until the * (usually 5 to 10 thrusts).
Assist the nurse and/or EMS as appropriate.
If used, remove and discard gloves following facility policy.
Wash hands.
Procedural Guideline #3 – Clearing the
Obstructed Airway (cont.)
E. Observe For and Report to Nurse:
1.
2.
3.
4.
5.
Exact * choking and unconsciousness started and
stopped.
Procedures done and time procedure started and
stopped.
*.
Factors related to cause of choking.
Other significant observations.
Procedural Guideline #3 – Clearing the
Obstructed Airway (cont.)
F.
Measures to be followed for any Resident who has vomiting, bleeding near
the mouth, excess secretions or is unable to swallow:
1.
2.
3.
4.
5.
6.
7.
8.
Notify the nurse immediately if:
a.
Resident is choking or is not able to swallow.
b.
Resident is not able to spit out vomitus, secretions or blood.
Wear gloves and follow Standard Precautions (Procedural Guideline #7) if
contact with blood or body fluids is likely.
Keep the resident's head * as allowed.
Keep the resident turned on his/her side or with head turned well to one
side, if possible, to allow fluids to *.
Provide * for the resident who is vomiting.
Nurse may provide suctioning and/or notify the physician.
Leave the resident in a position of comfort and safety with the call signal
within easy reach.
If used, remove and discard gloves following facility policy. Wash hands.
Procedural Guideline #3 – Clearing the
Obstructed Airway (cont.)
G. Observe For and Report to Nurse:
1. Immediately report difficulty swallowing, bleeding,
vomiting, and choking or aspiration.
2. * discard vomitus or blood until it is seen by the
nurse and a specimen is obtained if needed.
3. Other significant observations.