Fires 3 things to burn Heat Oxygen Fuel ExtinguisherFire TypeContents Type APaper, Wood, ClothWater Type BFlammable LiquidCarbon Dioxide Type CElectricalDry Chemicals Type ABCEverythingGraphite Rescue patient Alarm Sound Confine Fire Extinguish Pull pin Aim at base Squeeze the handle Sweeping motion
Safety Involves patient, visitors, and members of the health care team. Precautions: Orient pt to environment Adequate lighting Follow facility policies (use of side rails) Beds in low position
Safety Continued Keep cleaning supplies out of reach of children Cover electrical appliances Pot handles turned away from children's reach Carefully monitor the water and don’t leave unattended Keep side rails up to prevent falls.
Body Mechanics Field of physiology that studies muscular actions and the functions of muscles in maintaining the posture of the body. Broad base of support Stance with feet slightly apart
Body Mechanics Continued Purpose: don’t hurt yourself, the client, and it is easier. 8 Rules: Use arms and legs Keep neck, back, pelvis, and feet aligned. Avoid twisting Slide pt toward yourself using pull sheet Set abdominal and gluteal muscles in preparation for move Position self close to pt Flex knees Encourage pt to assist if possible 2 workers lifting together
Hoyer Lift http://www.metacafe.com/watch/yt- EP2myQVns9s/transfer_a_patient_from_bed_to_wheelchair_using_a_hoyer_lift/ http://www.metacafe.com/watch/yt- EP2myQVns9s/transfer_a_patient_from_bed_to_wheelchair_using_a_hoyer_lift/ A Hoyer lift is a device used to transfer pt’s more easily in and out of a bed. You lay a pad under the pt that has places to hook the Hoyer lift to. You then attach the lift to the pad and open the legs for support. All you do is hit a button and make sure the bar doesn’t hurt the pt. You then lower them into the wheel chair and unhook the Hoyer from the pad. You then roll the pad and tuck it between the pt and the wheelchair.
Standard Precautions Hand Washing Side Rails Call light in reach Bed down Mask, gown, gloves, booties (to protect the pt from you or you from the pt)
CPR A=Airway B=Breathing C=Circulation Shake and shout “are you ok?” Early Access Open Airway (head tilt/chin lift) Establish Breathlessness (3-5 seconds) Two Ventilations Establish Circulation (5-10 seconds) Chest Compressions Defibrillation
CPR Continued > 8 is considered adult Child is 1 to puberty Infant is <1 Check pulse at the carotid for adult and child Check pulse at the brachial for an infant Adult: 2 fingers below the xyphoid process use 2 hands Child: 2 fingers below xyphoid process use 1 hand Infant: 1 finger under the nipple line and use 2 fingers
CPR Continues How many seconds between each breath should be given to: Adult: 5 Child: 3 Infant: 3
CPR Continued AdultChildInfant Age>81- Puberty< 1 year PulseCarotid Brachial Position2 hands lower-half of sternum 1 hand lower-half of sternum 2 fingers- 1 finger below nipple line Depth1 ½- 2 inches1/3- ½ depth of chest Rate100 per minute At least 100 per minute Rescue1 breath every 5 seconds 1 breath every 3 seconds Cycle1 man 30:2 2 man 30:22 man 15:2
Terms Pyrexia- elevated temp Febrile- high temp Hyperthermia- high body temp Hypothermia- low body temp Tachycardia- high heart rate (above 100 beats/min) Bradycardia- slower heart beat (less then 60 beats/min) Dysrythmia- irregular pulse Tachypenia- rapid respirations Bradypnea- slow reparations Dyspnea- difficulty breathing Rales- characterized by crackles on inspiration Rhonchi- snoring sound. Expiration Stertorous- heavy snoring sound on inspiration Wheezing- whistling sound on Inspiration/Expiration
Terms Continued Systolic- higher # ventricles contracting Diastolic bottom# resting pressure Hypertension- high BP Hypotension- low BP Syncope- fainting Vertigo- dizzy Epidemiologist- study of epidemic disease Obstetrician- delivers babies Orthopedic- correction of musculoskeletal deformities Radiologist- physician who uses x-rays for diagnosis and treatment Dermatologist- Dr that treats skin disorders Gynecologist-physician that studies the diseases of the female reproductive organs Oncologist- physician who specializes in cancer Podiatrist- foot doctor
Terms Continued Hemorrhage- bleeding that lasts more then a few mins Holism-total pt care (physical, emotional, social, economic and spiritual) Mortality- subject to death Morbidity- being diseased Precipitating factors- occurring suddenly Contraindications- don’t do it Primary illness- most serious illness Acute illness- rapid onset, severe symptoms, and short course Chronic illness-long duration disease showing little change Comatose-in a coma Hematoma- swelling comprised of a mass of blood Lethargic- sleepiness
Terms Continued Otoscope- device to examine the ear Palpitation- feeling (like in BP palpating for the radial artery) Advocacy- pleading for a desired goal Autonomy- self-controlling Congenital disorder- present at birth Ecchymosis- bruise that bleeds under the skin Distal- farthest from the trunk Etiology- study of the causes of a disease Exacerbation- increase the severity of a disease Idiopathic illness- disease w/o recognizable cause Occupational therapist- therapist who works with people who have a chronic disorder caused by an individuals occupation
Terms Continued Orthopnea- sit up to breath Orthostatic hypotension- dizzy when first sitting up from a lying position Pruritus- itching