Clients should be given the opportunity to provide a return demonstration of

Clients should be given the opportunity to provide a

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at home. Clients should be given the opportunity to provide a return demonstration of these procedures to validate learning. Medication regimen instructions for home, including adverse effects and actions to take to minimize them. Precautions to take when performing procedures or administering medications. Indications of medication adverse effects or medical complications that the client should report to the provider. Names and numbers of providers and community services the client or family can contact. Plans for follow - up care and therapies 4. Mobility and immobility: Verifying prescription for cold therapy For patients with inflammation injuries, cold packs are contraindicated if they have type 1 diabetes, because of the impaired circulation from neuropathy. Asses neuromuscular status, monitor blood glucose levels, and administer pain meds. 5. Facility protocols: Developing an emergency preparedness plan with the community is essential in a disaster and requires: *Community wide Community: a family disaster plan should include: what do in an evacuation Plan for family pets Red tag: EMERGENT *immediate threat to life: do not delay tx. Life threatening: critical ill Luz 9/2/18
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[Type here] planning for emergencies and hazards that may affect the local area. *coordination between community emergency system and health care facilities. *developing a local emergency, communication plans/ or network *identification of potential emergency public shelters where to meet in case of emergency. *Airway, Immediate attention, Shock. Yellow tag: URGENT *major injuries that require treatment: can delay tx 1-2 hrs. *needs tx within 30 mins, open fracture Green tag: NONURGENT *minor injuries that do not require immediate tx., can delay tx 2-4 hrs. *Walking wounded, tx can be delayed more than 2 hr, closed fracture, Contusion Black Tag: EXPECTED *expected and allowed to die: prepare for the morgue *Profound hemorrhage, cardiac arrest, 6. Client safety: Guidelines for use of mechanical restraints use seclusion/restraints for the shortest duration and only if less restrictive means were unsuccessful - they can cause complications or death - provider must conduct a face-to-face assessment within 1 hour of application - prescription must include type, reason, location, duration, and warranting behavior - 4 hours = adults, 2hours = 9-17, 1 hours = -9 -- all with a max of 24 hours - explain reason/use to family and patient - consent form - assess q2 and check vitals, offer food/fluid, toilet, ROM - pad bony prominences - use quick-release knot - must fit 2 fingers between body and restraint - conduct eval and regularly determine if the restraint use needs to continue or if it can be stopped Document - events or behaviors warranting restraint use - alternative actions taken prior - time of application
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  • Fall '19
  • Intracranial pressure, Cerebrospinal fluid, cerebral blood flow, Luz 9/2/18

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