Which skills demonstrated by assistive personnel require immediate follow-up. Select the "3" findings that require immediate follow-up.
AP 1-Quickly pulls fire alarm, then proceeds to remove the client from room. AP 3-Raised bedrails of the bed for client who was reported not alert or oriented, and was sleeping.
AP 2-Verifies with nurse the order in which protective equipment should be removed.
AP 7- While disinfecting portable vital sign monitor wore gloves and washed hand prior to leaving room.
AP 6 - During simulation, which included assisting client into bed, there was no observed handwashing.
AP 5-Following simulation, was unable to identify the locations of alarms on medical surgical unit.
AP 4-Successfully completed skills of simulation including emptying the client's trash can
Correct Answer : A,D,E
Rationale:
A. While pulling the fire alarm is correct, removing the client from the room without following the full RACE sequence (Remove, Alarm, Confine, Extinguish/Evacuate) is incorrect. The immediate safety measures should include ensuring that the alarm is activated before evacuation and confining the fire if possible.
B. Verifying the order of protective equipment removal with the nurse shows a good practice and adherence to proper infection control procedures.
C. Washing hands prior to leaving the room after disinfecting equipment indicates proper infection control practice.
D. Handwashing is a crucial aspect of infection control. Failure to perform hand hygiene during or after patient care increases the risk of infection transmission. Immediate follow-up is needed to ensure that proper hand hygiene practices are adhered to.
E. Knowing the locations of alarms is vital for effective fire safety. Inability to identify these locations indicates a significant gap in preparedness for emergencies. Immediate follow-up is necessary to ensure that staff are familiar with fire safety procedures and equipment locations.
F. Successfully completing the skills in simulation, including emptying the client's trash can, shows adherence to task requirements but is not a critical issue requiring immediate follow-up compared to the other findings.
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Correct Answer is ["B","E","F","I"]
Explanation
Rationale:
A. Typically involved in helping clients with activities of daily living due to physical or cognitive impairments, which is not the primary focus in this scenario.
B. May be involved if there is a need for possible surgical management due to complications or disease progression. Surgical intervention can be necessary for Crohn's disease, particularly if there are abscesses, strictures, or fistulas.
C. While important in general rehabilitation, physical therapy is not specifically indicated in this case unless there are complications affecting physical mobility.
D. While they perform diagnostic imaging, they are not directly involved in the ongoing care plan or treatment decisions.
E. Essential for managing nutritional needs, especially given the client's weight loss and inability to keep food down. A dietitian can help develop a plan to address nutritional deficiencies and manage symptoms through diet.
F. A specialist in gastrointestinal diseases who will likely be a key member of the team for managing and evaluating the client's Crohn's disease, overseeing medical and therapeutic interventions.
G. Generally involved if there are issues with swallowing or speech, which is not indicated here.
H. Though crucial in medication management, their role is more supportive in reviewing medication plans rather than direct patient care involvement in this specific scenario.
I. Important for addressing psychosocial issues, such as the client's frustration and possible depression. They can assist with coping strategies, support services, and facilitating access to community resources.
Correct Answer is D
Explanation
Rationale:
A. Verbally questioning the staff does not effectively assess hands-on competency with the equipment.
B. Reading the procedure and signing a form does not ensure that the staff can actually use the equipment correctly.
C. A written examination tests knowledge but not practical skills.
D. Demonstrating proficiency ensures that staff can correctly operate the equipment in a practical setting, which is the most effective way to evaluate competency.