12 ATI - Client Safety Flashcards
_____ is freedom from injury. Providing for safety and preventing injury are major nursing responsibilities.
safety
Many factors affect the client’s ability to protect himself. Those factors include the client’s age, with the young and old at greater risk, ______, cognitive and sensory awareness, emotional state, ability to communicate, and lifestyle and ______.
mobility
safety awareness
It is the provider’s responsibility to assess, report, and document clients’ allergies and to provide care that avoids exposure to ______.
allergens
Use risk assessment tools to evaluate clients and their ______ for safety.
environment
Encourage clients to _____ and take an active role in their health care and in preventing errors.
speak up
Create a culture of ______ to avoid errors when working in stressful circumstances.
checks and balances
Communicate _____ and plans of care to clients, family, and other staff.
risk factors
Use _____ for responding to dangerous situations.
protocols
Adopt quality care _____ from the National Quality Forum, including “Never Events.”
priorities
Use current evidence to promote a culture of safety, while using the ______ as a guide.
National Patient Safety Goals
Know the facility’s disaster plan, understand the chain of command and roles , and use common _______ when communicating with the team.
terminology
Identify and document incidents and responses according to the facility’s policy. These reports help identify _____, patterns, and the root cause of adverse events.
trends
Know the location of _____ and hazardous chemicals in the environment.
safety data sheets
Use equipment only after adequate instruction and _____.
safety inspection
Older adult clients can be at an increased risk for falls due to _______, impaired mobility and balance, improper use of mobility aids, unsafe clothing, environmental hazards, endurance limitations, and decreased sensory perception.
decreased strength
Other clients at increased risk for falls include those with decreased visual acuity, generalized weakness, urinary frequency, gait, balance problems, and _______.
cognitive dysfunction
Adverse effects of medications can also increase the risk for ____.
falls
Clients are at greater risk for falls when they have more than one ______.
risk factor
Prevention of client falls is a ____ nursing priority. Nurses must evaluate all clients in health care facilities. for risk factors for falls and implement _____ accordingly.
major
preventative measures
______ to prevent falls are essential for settings that provide services to older adult clients.
Programs
Health care facilities must _____ prevent falls, especially because Medicare and Medicaid no longer reimburse for treating injuries resulting from falls.
actively
Complete a _____ for each client at admission and at regular intervals. Individualize the plan for each client according to the results of the ________.
fall risk assessment
fall risk assessment
Be sure the client knows how to use the _____ ( by giving a return demo) that is in reach and to encourage its use.
call light
_____ to call lights in a timely manner.
respond
Use fall risk alerts, such as ____.
color coded wrist bands
Provide regular toileting and _______ of clients who have cognitive impairment.
orientation
Provide adequate _____ to prevent falls.
light
Orient client to the setting to make sure they know how to use all _____ and can locate necessary items to prevent falls.
assistive devices (grab bars)
Place clients at risk for falls near the _____.
nurses station
Provide ____ rounding to prevent falls.
hourly
Make sure bedside tables, overbed tables, and frequent use items (telephone, water, facial tissues) are ______ to prevent falls.
within reach
Keep the bed in the _____ and lock the brakes to prevent falls.
low position
For clients who are sedated, unconscious, or otherwise compromised, keep the ______ to prevent falls.
keep the side rails up
Avoid the use of full side rails for clients who get out of bed or attempt to get out of bed without ______ when trying to prevent falls.
assistance
Provide _____ and nonskid bath mats for use in tubs and showers to prevent falls.
nonskid footwear
Use ____ and additional safety equipment when moving clients to prevent falls.
gait belts
Keep the floor clean, dry, and ______ with a clear path to the bathroom to prevent falls.
free from clutter
Keep assistive devices ____ after validation of safe use (eyeglasses, walkers, transfer devices ) to prevent falls.
nearby
Educate the client and family about safety risks and the plan of care. Clients and family who are aware of risks are more likely to ______.
call for assistance
Lock the wheels on beds, wheelchairs and carts to prevent them from ____ during transfers or stops.
rolling
