1. NATURAL DISASTER
PREPAREDNESS
NATCEP Day Nine

2. Objectives



Discuss safety measures to be taken when
there is the threat of a tornado or other
disaster
Discuss resources that are available in LTCFs
in case of power failure
Discuss the NA’s role in a tornado or other
disaster

3. Natural & Man Made
Disasters

Natural
 Tornado
 Earthquake
 Flood

Man Made
 Terrorist-based
 Chemical
spills
 Forest Fires

4. Power Failure

Healthcare Facilities
 Backup
 Assure
generator for essential equipment
plugged into designated outlets with
emergency power
 Typically outlets are red in color

5. Tornado Watch & Warning

Watch
Conditions are favorable – be ready to act!
 Close windows and move objects/beds away from
windows
 Close drapes


Warning
Tornado has been sighted
 Move to safe, designated area



Structural sound
Protect from flying glass
Turning the resident on their side away from window
 Cover with blanket


6. STNA Role




Remain calm
Reassure residents of safety
Follow directions
Emergency Power needs
 Check
status of equipment residents are
dependent on

7. ALTERNATIVE TO
RESTRAINTS AND SAFE
RESTRAINT USE
NATCEP Day Nine

8. Objectives


Identify the alternatives to restraints
Discuss the purpose of restraints





Skill: Applying Vest Restraints in Bed
Identify guidelines to follow in the use of restraints
Describe observations to make on the resident
with restraints
Discuss NA responsibilities when caring for a
resident with physical restraints
Define various types of commonly used restraints
in the LTCF

9. Alternatives to Restraint Use

Social
Diversional Activities
 Visits
 Sitters


Physiological
Pillows and positioning aids
 Back massages
 Exercise programs
 Outdoor times
 Needs meet (fluid/food)


10. Alternatives to Restraint Use

Psychosocial Reinforcement
 Moved
closer to nurse station
 Calendars & Clocks provided to orient
 Pictures of significant others
 Same Staff Assignments
 Promoting jobs & tasks that the resident
enjoys

11. When Does a Situation Require
Restraints?


When the resident’s safety is in jeopardy
LAST Resort when all other
measures/methods have been exhausted

12. Guidelines to Follow When
Applying a Restraint






A restraint can be applied only at the direction of
the nurse.
Always follow manufacturer’s instructions.
Resident should be allowed as much movement
as possible.
Circulation and respiratory function must not be
impaired by the restraint.
Bony prominences under a restraint should be
padded to prevent trauma.
Restraint should be applied so the resident’s
body is in good alignment.

13. Danger Signs – Applied
Incorrectly

Circulation

Color

Lips and/or nails
Cold
 Tingling
 Pain
 Pulses less or absent


Respiratory Status

Color


Lips and/or nails
Difficulty breathing

14. Types of Restraints





Full Bed Rails
Combo of Bed Rails
Trunk Restraint
Limb Restraints
Chairs

15. How Often Should A Restraint
Be Released?


Observe every hour
Release every 2 hours
 Exercise
limbs
 Reposition or ambulate (walk)
 Offer toileting
 Offer fluids/nourishment

16. Laws Governing Restraint
Use

CMS (Centers for Medicare and Medicaid
Services
 Reimbursement

OBRA