Chapter 28 Safety Flashcards
Most common patient inherent accident
Seizure
Accidents other than falls in which a patient is the primary reason for the accident
Patient inherent accidents
Name intrinsic factors
Previous history of falling Age 65 or over Reduced vision Lower limb weakness Balance problems Urinary incontinence Frequency Need for assisted toileting Use of walking aids Confusion Agitation Effects of mess
Extrinsic factors
Within the hospital environment
Signs patient is fearful of falling
Worry during walking
Sweating or shaking while walking
Clutching people or objects while walking
Reluctance to change position or walk
Get up and go test
Stands up from arm chair Stands still for a moment Walks 10 feet in a line Turns around Walks back to chair Turns around sits down
Completes task in 10 seconds
Abnormal response is more than 20 seconds
Refrigerate food at
40 degrees or 4 C
What is speak up campaign
Offers tips and actions to help people reduce risk of falling whether at home or in medical facility
Red bands
Allergies
Yellow
Fall risk
Purple band
Dnr status
What serious complications can occur with the use of physical restraints
Pressure ulcers Pneumonia Constipation Incontinence Strangulation
What are some alternatives to using restraints
Low beds
Electronic beds
Chair Alarms
What is the time limit for restraints
Four hours for adults
Two hours for ages 9 -17
One hour for children under 9
Orders for restraints may be renewed for a maximum of
24 or 48 consecutive hours
24
