Chapter 10 Flashcards
Safe environment ?
-This implies freedom from injury with a focus on preventing falls, electrical injuries, fires , burns, and poisoning
-The nurse must be aware of potential safety problems and must know how to report and respond when safety is threatened
-The responsibility for providing and maintaining a safe environment involves the patient, visitors, and members of the health care team
-Both protection and education are primary nursing responsibilities
The majority of patient falls occur during ?
-transfer either to a bedside commode or to a wheelchair
-High risk patients (A fall risk assessment is necessary upon admission or if there is a change in condition)
Infant and Children?
-Ensuring the safety of the environment of infants and children requires protection of the child and education of the parents
-Accidents involving children are largely preventable, but parents and caregivers need to be aware of specific dangers at each stage of growth and development
The Joint Commission defines a sentinel event as?
“any unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof”
Falls ?
-are common problem in the health care facilities
- gait belts are an effective way to help patient ambulated safely
The use of anesthesia , sedatives or narcotics increases the risk of ?
falling , as does an unstable gait or a problem with balance
Correct technique in the use of the gait belt is as follows?
1.The health care worker should be able to fit two fingers between the gait belt and the patient’s waist .
- Walk to the side of the patient , grasping the gait belt toward the patient’s back . The other hand may either support the patient’s
- Have patient support by leaning on or holding your arm .
- Walk slightly behind the patient for better support.
- Walk with your knees and hips flexed
- After ambulation , loosen or remove the gait belt.
- Document procedure .
Correct placement of the SRD ?-
-Observation for constriction of circulation , skin integrity and adequate breathing
-When and how to change position and provide range-of-motion exercises, skin care, toileting, and opportunities for socialization
Older adults ?
-Changes associated with aging significantly affect the ability of older adults to protect themselves from injury
-Unsteadiness in gait causes falls(feeling of almost falling, or the result of bumping into things)
-Vision changes may affect the ability to see the height of stairs -
Vertigo may occur due to disease and/or medications
SRDS?
Safety reminder devices
A safety reminder device (SRD ) is defined ?
as any of the numerous devices used to immobilize a patient or part of the patient’s body , such as arms or hands
SRDS what ?
-Numerous devices used to immobilize a patient or part of the patient’s body
-Many facilities have adopted a restraint-free environment
-Long-term care setting is the permanent home for many residents and maintaining safety and dignity is important
Disadvantages of SRD use?
The use of increased restlessness, disorientation, agitation, anxiety, and a feeling of powerlessness, dehydration,
-Patients often pull against STD causing skin and circulation problem
Certain patient populations , such as the disoriented patient , are more likely to need SRDS why ?
-inform bed or chair alarms
-patient who at risk for elopement (leaving the hospital without permission)
-are used primarily in the mental health setting to protect the patient and the staff from harm,
Restraint -free environment SRDs?
-Focus should be to try alternative strategies before turning to use of SRDS
-Used mostly for patient safety May be used to safeguard the continuity of treatment (i.e., removing tube feedings or drainage tubes )
-Family teaching is important in understanding reason for SRD use
-see the medication patient is receiving therapeutic effects (treatment disease
