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Falling
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When encountering a combative resident who is also a fall risk, it’s crucial for the co-worker to take immediate action to ensure the resident’s safety and well-being. Here are the steps your co-worker should follow:
Assess the Situation:
The co-worker should approach the resident’s room calmly and assess the situation. Observing the resident’s behavior and understanding their intent is essential.
If the resident is attempting to get out of bed, the co-worker should evaluate whether this action poses an immediate risk of falling.
Prioritize Safety:
The resident’s safety is the top priority. The co-worker should prevent the resident from falling or injuring themselves.
If the resident is at risk of falling, the co-worker should gently guide them back to bed or assist them in a safe transfer.
Call for Assistance:
The co-worker should call for additional help. They can alert other CNAs or nursing staff to assist in managing the situation.
Teamwork is crucial here—promptly involving others ensures a coordinated effort to address the resident’s needs.
Use De-escalation Techniques:
If the resident is agitated or combative, the co-worker should use de-escalation techniques. These may include:
Speaking in a calm and reassuring tone.
Acknowledging the resident’s feelings and concerns.
Offering alternatives (e.g., “Let’s stay in bed for now; we’ll address your needs together”).
Avoiding confrontation or forceful actions.
Monitor Safety Concerns:
The co-worker must monitor the following safety concerns:
Fall Risk: Ensure the resident remains in a safe position. Use bedrails if necessary.
Agitation or Aggression: Be prepared for any sudden changes in behavior.
Environmental Hazards: Check for obstacles or tripping hazards in the room.
Medical Conditions: Consider any underlying conditions that may contribute to the resident’s behavior (e.g., pain, confusion).
Teamwork and Communication:
The co-worker should communicate with other staff members, including the assigned CNA (you) and the nursing team.
Teamwork involves:
Collaboration: Working together to address the resident’s needs.
Sharing Information: Informing others about the situation and any interventions taken.
Supporting Each Other: Offering assistance and encouragement during challenging moments.
Remember, teamwork ensures better outcomes for both residents and staff. By collaborating effectively, the co-worker can provide optimal care and maintain a safe environment for the combative resident.
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