220-safety & security

Question 1

what does QSEN mean?

Answer 1

Quality safety education of nurses

Question 2

what does IOM mean?

Answer 2

intuition of medicine

Question 3

what does TJC mean?

Answer 3

The joint commission

Question 4

healthcare failures that lead to laps in safety?

Answer 4

failure to recognize
failure to plan
failure to rescue

Question 5

QSEN competencies

Answer 5

patient centered care
teamwork and collaboration
evidence based practice
quality improvement
safety
informatics

Question 6

QSEN defines safety as

Answer 6

minimizing risk of harm to patient and providers though both system effectiveness and Individual performance

Question 7

fire safety

Answer 7

r-rescue
a-activate
c-confine
e-evacuate

Question 8

what are the big 3 safety errors?

Answer 8

medication
falls
impair use of restraints

Question 9

types od medications erros

Answer 9

omission
communication
commission

Question 10

omission erros

Answer 10

drug not prescribed
drug not dispensed
drug not administered
drug not taken

Question 11

communication erros

Answer 11

vague instructions

Question 12

commission errors

Answer 12

wrong dose or drug prescribed
wrong drug or dose dispensed
wrong drug administered
wrong patient
frequentcy timing or duration of the drug is incorrect
wrong route
allergic reaction
drug interaction

Question 13

are females or males more likely to fall?

Answer 13

females

Question 14

what age do falls increase?

Answer 14

65 and older

Question 15

outcomes for 75yr old with fall

Answer 15

4-5x more likely to be admitted to ECF and 50% will die within a year.

Question 16

fall risk factors

Answer 16

> 65 years Old
History of Falls
Cognitive Impairment
Altered gait
Medications
Incontinence
Unsafe Environment
Sensory Deficits
Orthostatic Hypotension
Depression
Assistive Devices
Confusion or disorientation
New Environment

Question 17

what is a restraint?

Answer 17

any involuntary method chemical or physical of restricting an Individuals freedom of movement, physical activity or normal access to the body

Question 18

why do we use restraints?

Answer 18

ensure physical safely of staff and patient
prevent interruption of therapy
prevent the confused or combative patient from removing life support or unsafe mobility

Question 19

what are the hazard of four bed rails?

Answer 19

Impaired Circulation
Altered skin integrity
Altered Nutrition and Hydration
Aspiration/difficulty breathing
Incontinence
Increased possibility of serious injury due to fall
Depression
Anxiety
Death

Question 20

care of patient in restraints

Answer 20

visual check- 2 hours
ROM- 2 hours
circulation-2 hours
fluid/elimination- 2 hours
signs od discomfort- 2 hours
food- 4 hours

Question 21

care of violent patient is restraints

Answer 21

visual check- 15 mins
ROM- 15 mins
circulation- 15 mins
fluid/elimination- 2 hours
signs of discomfort- 4 hours