Class 11 Health Care Chapter 3 Role of General Duty Assistant for Inpatient Care

Class 11 Health Care Chapter 3 Role of General Duty Assistant for Inpatient Care Solutions English Medium, AHSEC Class 11 Elective Health Care Question Answer, Class 11 Health Care Chapter 3 Role of General Duty Assistant for Inpatient Care Question Answer to each chapter is provided in the list so that you can easily browse throughout different chapter Class 11 Health Care Chapter 3 Role of General Duty Assistant for Inpatient Care English Medium Solutions and select needs one.

Class 11 Health Care Chapter 3 Role of General Duty Assistant for Inpatient Care

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Also, you can read the SCERT book online in these sections Solutions by Expert Teachers as per SCERT (CBSE) Book guidelines. SEBA Class 11 Elective Health Care Chapter 3 Role of General Duty Assistant for Inpatient Care Question Answer. These solutions are part of SCERT All Subject Solutions. Here we have given Class 11 Health Care Chapter 3 Role of General Duty Assistant for Inpatient Care Solutions for All Chapter, You can practice these here.

Role of General Duty Assistant for Inpatient Care

Chapter – 3

A. Fill in the Blanks:

1. _____________ of a patient means allowing her/him to stay in a hospital for observation, investigation and treatment of a disease.

Ans: Admission of a patient means allowing her/him to stay in a hospital for observation, investigation and treatment of a disease.

2. _____________ admission means a patient requires immediate treatment.

Ans: Emergency admission means a patient requires immediate treatment.

3. Patients, who are brought to a hospital by ambulance, are taken to the ward on a ______________.

Ans: Patients, who are brought to a hospital by ambulance, are taken to the ward on a stretcher.

4. A female patient must never be left alone with a ______________ attendant.

Ans: A female patient must never be left alone with a male attendant.

5. ____________ admission means that the patient is admitted for investigations and planned treatment and surgery.

Ans: Routine admission means that the patient is admitted for investigations and planned treatment and surgery.

6. After the completion of admission procedures, the General Duty Assistant must explain the hospital ____________, ____________ and routine to the patient and her/his relatives.

Ans: After the completion of admission procedures, the General Duty Assistant must explain the hospital policies, procedures and routine to the patient and her/his relatives.

B. Multiple Choice Questions:

1. How frequently should a GDA take rounds in order to reduce the frequency of call lights?

(a) 6 hourly.

(b) 4 hourly.

(c) 2 hourly.

(d) Hourly.

Ans: (d) Hourly.

2. The main reason for patients to use call light frequently is ______________.

(a) To report pain.

(b) To report about unusual monitor noises.

(c) To seek assistance in using toilets.

(d) All of the above.

Ans: (d) All of the above.

3. The colour code for medical emergency transportation during cardiac arrest is ____________.

(a) Red.

(b) White.

(c) Green.

(d) None of the above.

Ans: (a) Red.

C. Short Answer Questions:

1. Describe the responsibilities of a General Duty Assistant in admitting a patient in a hospital?

Ans: The GDA receives the patient at the hospital, greets them and helps them settle down. He/she helps complete the admission process and shows the patient or their family where to go. The GDA explains the hospital facilities and general rules to the patient/family. He/she assists the nurse in preparing the patient for examination and in taking and recording vital signs if instructed. The GDA make sure that the patient is comfortable during the admission process.

2. List the common medical examinations performed while admitting a patient.

Ans: The common medical examinations performed while admitting a patient are:

(i) A detailed social and medical history of the patient is recorded by the physician.

(ii) The patient’s temperature, pulse, respiration, and blood pressure are measured.

(iii) A thorough head-to-toe physical examination is performed to detect abnormalities.

(iv) Diagnostic investigations such as X-rays and laboratory tests are conducted.

(v) Internal organ function may be assessed using tools like a stethoscope or ophthalmoscope.

3. What are the equipment needed for transporting a patient?

Ans: The equipment needed for transporting a patient depends on the patient’s condition and the level of mobility required.

Common equipment includes:

(i) Wheelchair: Used for patients who can sit but are unable to walk long distances.

(ii) Scoop Stretchers: These can be split into two parts to lift a patient gently without too much movement, useful for patients with possible spinal injuries.

(iii) Spine board: Used for trauma patients to prevent movement of the spine.

(iv) Ambulance stretcher: A special stretcher used in ambulances to carry patients during emergencies.

(v) Slide sheets or roller boards: Used to safely move patients from a bed to a stretcher or trolley.

(vi) Bariatric stretchers: Strong and wide stretchers made for overweight or obese patients.

A. Fill in the Blanks:

1. _____________ is a term used in health care to refer to daily self-care activities.

Ans: Activities of Daily Living is a term used in health care to refer to daily self-care activities.

2. ADL is an indication of _____________ status of a person.

Ans: ADL is an indication of functional status of a person.

B. Multiple Choice Questions:

1. Daily care activities of a patient that need an assistant include ____________.

(a) Bathing and showering.

(b) Bowel and bladder management.

(c) Dressing.

(d) All of the above.

Ans: (d) All of the above.

2. The environment around a patient needs to be ___________.

(a) Hostile.

(b) Relaxed and friendly.

(c) Suspicious.

(d) All of the above.

Ans: (b) Relaxed and friendly.

3. Is personal grooming of a patient an essential indicator of health?

(a) Yes.

(b) No.

(c) Do Not know.

(d) Not at all.

Ans: (a) Yes.

4. Measures that need to be adopted while assisting a patient during toileting includes ____________.

(a) Watch out for accidents.

(b) Report incontinence.

(c) Provide grab rails and toilet seats.

(d) All of the above.

Ans: (d) All of the above.

5. Supervising a patient while taking medicines prevent _____________.

(a) Over dosage.

(b) Forgetfulness in taking medicines.

(c) The patient from taking the exact dosage.

(d) Both a and b.

Ans: (d) Both a and b.

C. Short Answer Questions:

1. List any five daily activities of a patient.

Ans: The five daily activities of a patient are: feeding, bathing, dressing, grooming, and homemaking.

2. What basic care is to be provided to a patient while feeding her/him.

Ans: The basic care that is to be provided to a patient while feeding her/him are:  

(i) The diet for every patient in a hospital must be planned according to her/his needs, metabolic changes, food habits and socio-economic status.

(ii) Wash the patient’s hands or ask her/him to wash one’s hands and face before and after meals. Give time for mouth care.

(iii) Ask the patient if s/he would like to use the bathroom or bed pan before eating.

(iv) Food and water must be served at the correct temperature as per the safety standards.

(v) Create a pleasant environment for the patient before serving the food. The patient’s room must be well-ventilated during meals.

(vi) The patient must not be disturbed by treatments, dressings, visitors and doctor rounds during the meal time.

(vii)  Dressings, treatments and measurement of vital parameters may be avoided or finished at least one hour before the meal is served.

(viii) Strong emotions of fear, worry, anger, depression, homesickness, pain, etc., interfere with digestion by inhibiting the flow of saliva, gastric and intestinal juices. Eating must be postponed till the patient’s strong emotion of excitement subsides.

(ix) The patient must be placed in a comfortable position in bed or out of bed before s/he starts eating.

A. Multiple Choice Questions:

1. The purpose of bed making is to ______________.

(a) Enhance luxury.

(b) Increase money generation.

(c) Improve the comfort of a patient, hygiene and neat appearance.

(d) All of the above.

Ans: (c) Improve the comfort of a patient, hygiene and neat appearance.

2. The basic principle to be considered while making bed is to ____________.

(a) Prevent sources for microorganisms.

(b) Provide a safe and comfortable bed.

(c) Good body mechanism.

(d) All of the above.

Ans: (d) All of the above.

3. The articles needed for complete change of linen are _____________.

(a) Mattress cover and two sheets.

(b) Draw sheet and pillow cover.

(c) Counterpane.

(d) All of the above.

Ans: (d) All of the above.

B. Short Answer Questions:

1. What is the purpose of bed making?

Ans: The purpose of bed making are as follows:

(i) To ensure comfort and rest to patients.

(ii) To give the ward a neat appearance.

(iii) To promote cleanliness.

(iv) To meet the emergency needs of a patient.

(v) To efficiently manage time, material and effort.

(vi) To check for bedsores, oral hygiene and a patient’s ability of self-care.

(vii) To teach the relatives of the patient to care for the sick at home.

2. What are the different types of bed?

Ans: The different types of bed are:

(i) Open bed.

(ii) Closed bed.

(iii) Admission bed.

(iv) Occupied bed.

(v) Cardiac bed.

(vi) Fracture bed.

(vii) Amputation bed.

(viii) Blanket bed.

3. Describe the responsibility of a General Duty Assistant in bed making.

Ans: The responsibility of a General Duty Assistant in bed making are as follows: 

(i) Check the prescription or patient chart for any specific requirement regarding the movement and positioning of the patient.

(ii) Assess if the patient can perform self-care activities.

(iii) Check if there is adequate furniture and linen for the patient’s unit.

(iv) Assess the requirement for the number of clean linen and other bed articles, such as blankets, backrest, etc., needed for the comfort of the patient.

(v) Change the linen.

4. Enumerate the steps involved in making an open bed.

Ans: The steps involved in making an open bed are as follows:

(i) Wash hands.

(ii) Remove the pillow and place it on a chair.

(iii) Remove the top linen.

(iv) Loosen the top linen starting from head end and proceed towards the foot end.

(v) Remove the sheets one-by-one by folding them into one. Bring the lower third over the middle third and fold the upper third over the lower third. Fold at the centre towards you, so that it falls in six. Shake it gently, and place it over the back of the chair if it is to be reused or put it in a laundry bag.

(vi) Remove the bedspread, blanket and top sheet separately, holding the open end towards the floor.

(vii) Fold the draw sheet (small bed sheet placed in the centre of the bed that covers upper back and thighs).

(viii) Bring the opposite end of the bed sheet to the middle of the bed and the near end over it, and thus, fold them into three. Place it over the chair.

(ix) Roll the mackintosh and place it on the chair.

(x) Remove the bottom sheet by folding it into six parts.

(xi) Soiled mattress cover must be removed as soon as possible.

(xii) Change the position of the mattress every 15 days.

(xiii) The mattress is dried with a dry duster.

(xiv) Use an antiseptic lotion to clean the furniture. Dust the clean areas first, and then, the less clean ones.

(xv) Pull the mattress to the top. Put on the mattress cover. If it is loose on the mattress, the excess can be tucked under the mattress.

(xvi) Prepare the base of the bed to a side.

(xvii) When placing the linen on the bed and when tucking it under the mattress, face in the direction of work (patient) and move with work rather than twisting the body and over reaching.

(xviii) While tucking the linen, separate the feet slightly apart (one leg forward and the other backward) and flex the knees instead of the back.

(xix) Accomplish the task with each movement, e.g., when placing the bottom sheet on the bed, begin at the foot end, smooth to the head end, tuck the head end under the mattress, roll the corner and tuck under the side of the mattress as you turn to the foot of the bed.

(xx) Place the bottom sheet on the centre of the mattress, making sure that the central longitudinal crease is in the longitudinal axis of the bed. Unfold it and spread it straight over the mattress, allowing 30−37 cm to tuck under the top of the mattress and leaving just enough at the foot end to tuck in.

(xxi) Place the mackintosh approximately 37 cm from the head end and tuck it along the side.

(xxii) Keep the draw sheet over the mackintosh, keeping it about 25 cm from the top of the mattress.

(xxiii) Return to the side of the bed first made. Place the top sheet with the wrong side out. Unfold it with the top edge even with the top of the mattress.

(xxiv) Spread the blanket over the top sheet 15−20 cm below from the top of the mattress.

(xxv) If a bedspread is used, place it over the blanket with the outer side out.

(xxvi) Make the head end of the linen. Cuff the bedspread under the blanket, and then, bring the top sheet over the spread as second cuff. Make sure that it reaches up to the patient’s chin.

(xxvii) Tuck at the foot end altogether or separately and make mitred corners, allowing the sides to hang free or tucked as per the hospital policy.

(xxviii) Put the pillow cover on the pillow and place the pillow at the head end. While putting on the pillow cover, the pillow must not touch the GDA’s uniform.

A. Multiple Choice Questions:

1. What is the role of a General Duty Assistant in transporting a specimen?

(a) Collecting the specimen.

(b) Packaging the specimen.

(c) Labelling the specimen.

(d) None of the above.

Ans: (a) Collecting the specimen.

(b) Packaging the specimen.

(c) Labelling the specimen.

2. In case, a specimen is infectious in nature, then what precaution must be taken?

(a) Label saying ‘Danger of Infection’ must be affixed to the specimen package.

(b) The packaging must be certified and carry the certification number.

(c) Instruction saying ‘Not to be opened if found’ must be affixed to the specimen package.

(d) None of the above.

Ans: (a) Label saying ‘Danger of Infection’ must be affixed to the specimen package.

(c) Instruction saying ‘Not to be opened if found’ must be affixed to the specimen package.

B. Short Answer Questions:

1. Mention the procedures to be followed while transporting specimens.

Ans: Some of the procedures that must be followed for the transportation of specimens are mentioned below. These apply in hospitals and laboratories, as well as, in case of a reference laboratory.

(i) Once a sample is collected, store it as per the standard procedures.

(ii) The primary container must be closed tightly, labeled and placed in a plastic bag. A ‘bio hazard’ label must be affixed on the specimen. ‘Bio hazard’ label indicates a potential danger if the content gets leaked or is opened without protection.

(iii) Seal the plastic bag using a tape or heat sealer. Pins, staples and metal clips must not be used. A separate bag must be used to store each specimen.

(iv) Each specimen must be placed in a leak-proof secondary container with sufficient absorbent material so as to absorb the content in case of a leakage. The secondary container must be disinfected externally.

(v) It is the GDA’s responsibility to ensure the correct designation, packaging, labeling and documentation of all infectious substances and diagnostic specimens.

(vi) Efficient transportation of infectious material requires coordination between the nurse, GDA and lab technician (receiving laboratory). They must ensure that the material is transported safely and arrives on time. Clear and effective communication is important for such coordination between the three parties.

2. Write a short note on the importance of labelling.

Ans: Labelling a specimen is an important step. A specimen container and request form must describe the nature of the specimen, source, and the patient’s full information. It allows the laboratory staff to identify the source quickly in case the specimen and form get separated.

An additional ‘Danger of Infection’ label and request form for known or suspected high-risk pathogens must be attached to the specimen. If staff do not have access to such labels, then the forms and specimens must be clearly identified as ‘bio-hazard’ (the staff may wish to write in red or use a highlighter pen to indicate so).

If the specimen has a ‘bio-hazard’ label, then it is given a special packaging while being transported by rail, ship or air. 

The package must be certified as per the laboratory standards and carry appropriate certification numbers on the tertiary packaging (outermost packaging) along with the following information:

(i) bio-hazard danger or infection symbol.

(ii) Instructions not to be opened, if found.

(iii) Labelling plays an important role in the transportation of a sample to a lab and helps in ensuring the timely delivery of the sample.

A. Multiple Choice Questions:

1. Death can be confirmed when there is cessation of ____________.

(a) Brain function only.

(b) Heart and lung function only.

(c) Kidney function only.

(d) All body functions.

Ans: (d) All body functions.

2. While providing care to a terminally-ill patient, which of the following would be beneficial to support the patient’s spiritual needs?

(a) Do nothing.

(b) Ignore them.

(c) Being too emotional.

(d) Provide support, compassion and love.

Ans: (d) Provide support, compassion and love.

3. For how many hours can a dead body remain in a mortuary?

(a) 24 hours.

(b) 48 hours.

(c) 52 hours.

(d) 72 hours.

Ans: (b) 48 hours.

4. After death, ask relatives of the deceased to collect the ____________ certificate from the authorities.

(a) Birth.

(b) Hospital.

(c) Death.

(d) None of the above.

Ans: (c) Death.

B. Short Answer Questions:

1. Enlist the articles needed for dead body care.

Ans: The articles required for caring for a dead body are:

(i) Articles for bed bath and hair care.

(ii) A clean bed sheet.

(iii) Adhesive tape (one roll) and scissors.

(iv) Mouth gag or tongue depressors.

(v) Perineal pads or diapers.

(vi) Patient’s clothes.

(vii) Cotton pads and bandages.

(viii) Big body size double layered polythene bag.

(ix)  Personal protective equipment.

2. What are the signs of clinical death?

Ans: The signs of clinical death are as follows:

(i) Absence of pulse, heartbeat and respiration.

(ii) Pupils of the eye become fixed and non-reactive to light.

(iii) Absence of reflexes.

(iv) Setting of rigor mortis (stiffening of the body after death due to the fixation of muscles) within a few hours.

3. Mention the basic steps for dead body care.

Ans: The steps for caring for a dead body are as follows:

(i) Ascertain that the death is declared and certified by a doctor on duty. Ensure that the necessary forms are filled and signed by the officer or doctor concerned.

(ii) Close the eyes of the dead immediately. Straighten the arms laid on the bed side and the legs too. Any dentures that have been removed are to be replaced and the mouth is to be closed. Support the chin with a jaw bandage. The head is kept elevated on a pillow.

(iii) Keep the body in a normal position. Necessary care must be taken before rigor mortis develops.

(iv) The body must be sent to the mortuary four hours after the death by a bed lift. Enter the death records in the dispatch book, report book and treatment book.

(v) The body must be treated with respect.

(vi) Remove all equipment used for the patient, i.e., Ryle’s tubes, urinary catheter, oxygen catheter, and comfort items such as blankets, drainage tubes and soiled dressings. Adhesive marks are also to be removed.

(vii) Remove all ornaments from the dead body. List the ornaments and hand them over to a relative, and obtain a receipt for the delivery of the same. Any other belongings of the patient, entrusted at the time of admission, must also be checked and handed over to the relative.

(viii) The body is bathed, hair is combed and the person is dressed in clean clothes. Pack the vagina, rectum and nose with gauze or cotton. A perineal pad and diaper is also placed to prevent the discharge of urine or stool.

(ix) Place three identification labels — first on the left wrist, second on the chest, and third over the packed body — with details such as name, gender, age, address, patient record number, ward number, bed number, diagnosis, cause of death, and date and time of death.

(x) Place the deceased’s hands over the chest, and tie the thumbs and wrists together.

(xi) Tie the toes and ankles together.

(xii) Place a clean bed sheet under the body. Fold the top of the sheet over the face and shoulders.

(xiii) Hold the bottom of the sheet over the feet, then cover the body by folding it from the sides and fix it with tapes and bandages.

(xiv) Place the third identification tag over the sheet. Cover it with another clean sheet.

(xv) In medico-legal cases, notify the authorities concerned (CMO). An extra death certificate is to be prepared by the doctor and sent to the mortuary or police inspector on duty.

(xvi) Ensure that all dues are cleared. Send one copy of the death certificate to the mortuary, one to the admission office, and one with the patient’s case sheet (medical history).

(xvii) After the body is removed from the ward, the unit must be treated as one after the discharge of a patient, i.e., fumigation, carbolisation, disinfection, etc., must be carried out.

(xviii) Make a detailed written record of all activities of the patient noted in the nurse’s report book. Record the time when the respiration stopped and death was declared in red ink. Complete the case sheets and make an entry in the dispatch book.

Parimol

Hi! my Name is Parimal Roy. I have completed my Bachelor’s degree in Philosophy (B.A.) from Silapathar General College. Currently, I am working as an HR Manager at Dev Library. It is a website that provides study materials for students from Class 3 to 12, including SCERT and NCERT notes. It also offers resources for BA, B.Com, B.Sc, and Computer Science, along with postgraduate notes. Besides study materials, the website has novels, eBooks, health and finance articles, biographies, quotes, and more.