Altered Safety- Chap 17 Flashcards
Altered Safety Examples
MVA
Falls
Poisoning
Drowning
Asphyxiation
Fire/ Guns
Electrocution
Resp Diseases
1 Cause of accident, injury or death in older adults
FALLS
Risk factors for falls
Cognition
Unsteay gait/balaance
Mobility
Chronic Pain
Medication Side Effects
Gout
Fear of Falling
What makes radiation exposure significant?
Time- More time you’re exposed, more destructive it is to body
Distance- Closer you are, more destructive
Intensity
The less independence a pt possess…
the more @ risk they are for altered saftey.
Nurse is responsible for detecting what about a patients safety during assessment?
Where pt is a victim of abuse/ neglect.
Nurse able to tell via interviewing, observation of pt appearance and actions
Nurse most report to Adult Protective services
When assessing neurological system
Look for:
Confusion
Pain
LOC
Nurses are responsible for identifying safety issues w/ patient and educate pts. T or F
True
WHy should nurse orient pt to their surroundings at all times?
Hospital is an unfamilar place to most patients
Restraints are a LAST resort. T or F
True
Options other than use of restraints
Patient sitter
Place pt next to nursing station
Bed Alarm
Bed Low and Locked
Place mats on floor
Restraints do NOT require MD order. T or F
FALSE. Restraints require MD order. MD must see pt within 1 hr of restrain order
Restraint orders can expire, and must be ordered every 24 hrs. T or F
True
How often do resttaints require observation?
Q15 mins
Q2- Briefly needs to come off
4 point restraints require
Is a restraint the reuires MD
A 1:1 siitting
