324 Safety, Legal & Ethics Flashcards
what entities exist for the purpose of ensuring and enhancing pt safety?
TJC, ISMP, CMS, AHRQ, QSEN
The Joint Commission (TJC) does what?
Is a regulatory body for hospital and health care agency accreditation
The Quality and Safety Education for Nurses (QSEN) is what?
A project that prepares nurses for the future with the knowledge, skills and attitudes necessary to continuously improve the quality and safety of the health care systems within which they work
the National Center for Health Statistics (NCHS) does what?
tracks statistics of health and categorizes injuries as intentional or unintentional
the Agency for Healthcare Research and Quality (AHRQ) does what?
identifies elements that are essential key features represented in a culture safety
how often does TJC reevaluate patient safety goals?
every 12 months
what are common sources that contain lead?
homes built before 1978, water pipes that contain lead, older toys or jewelry, ceramic dishes, candies imported from other countries, stained glass and air/soil near airports
poisoning symptoms can resemble symptoms of which other disorders?
brain attack, seizure, alcohol intoxication, hypoglycemia and delirium
using the QSEN competencies as a framework, nurses are accountable for:
delivery of patient-center care, engagement in teamwork and collaboration, implementation of evidence based practice, engagement in the quality improvement process, informatics, safety
what are common conditions that place patients at higher risk for falls?
incontinence, unsteady gait, cognitive changes, visual or hearing difficulties
what are common environmental conditions that place patients at higher risk for falls?
use of medical equipment (IVs/IV poles, tubes, drains), wet floors, clutter
What are the 7 factors evaluated in the Johns Hopkins Fall Risk Assessment (JHRAT)?
age, fall hx, elimination / bowel & bladder concerns, medications, pt care equipment that tethers, mobility, cognition
what are the three different levels of risk in the JHRAT?
low (score of 0-5), moderate (6-13), and high risk (+13)
where can the JHRAT be used?
homes or acute care environment
what are the 6 weighted fall risk items that the Morse Fall Scale (MFS) assesses?
hx of falls, existence of secondary diagnosis, use of ambulatory aids, receiving IV therapy or the presence of heparin lock, gait/transferring (normal, weak, impaired), mental status
what are the 3 different risk levels of the MFS?
low risk (<25), moderate risk (25-45), high risk (>45)
where is the MFS used?
acute and long term care, nationally and internationally
what are the 8 risk factors used in the Hendrich II fall risk model?
confusion/disorientation/impulsivity, symptomatic depression, altered elimination, dizziness/vertigo, male gender, any administered anti-epileptics, any administered benzodiazepines, “get up & go test” aka rising from a chair
how is the Hendrich II model scored
an item is assigned a 0 if it does not apply to the pt and if it does it is scored on a weighted scale. If the pt scores 5 or higher, the pt is considered at high risk for falls
where is the hendrich model used?
acute care settings
RACE - R
rescue all patients in immediate danger
RACE - A
activate the manual pull station or fire alarm and call 911