Factors that affect patient safety Flashcards
What are the factors that affect patient safety
Age and dev Life style Mobility and health status Sensory-perceptual alterations Cognitive awareness Emotional state Ability to communicate Safety Awareness Environmental Factors Occupational safety
When assessing a client for risk of injury, nurses do what steps
note pertinent indicators on the H&P
use specific risk assessment tools
evaluate the clients home environment
Alarms should be
checked for functionality at the beginning of every shift
What are some common diagnostic label for safety issues
Risk for falls, infection, impaired skin integrity
What are some examples of common desired outcomes for preventing injury
describe methods to prevent specific hazards
Report use of safety measures (eg fire safety measures and smoke detector maintenance)
Nursing interventions for client safety should be usually directed towards helping the client
identify environmental hazards
Demonstrate safety practices
Experience a decrease in frequency and severity of injury
Demonstrate safe child rearing or life style practices
What are some common accidents for newborns and infants
burns choking poisoning automobile crashes falls
What are some common accidents for toddlers
same as infants
What are some common accidents for preschoolers
same as infants
What are some common accidents for school aged children
For fatalities in order of most to least common motor vehicle accidents drownings fires firearms For injuries sports and activity related
What are some common accidents for adolescents
For fatalies
suicide and homicide
For injuries
sports related
What are some common accidents for young adults
motor vehicle crashes
outdoor activites
sunburns
suicide
What are some common accidents for middle age adults
occupational injuries falls burns motor vehicle crashes poisonings drownings
What are some common accidents for elderly
driving at night
Injury during ADL’s
firearms for failing memories
forgetting to turn off stove or put out cigarrette
what are the key risk factors that affect suicide rates in older adults
gender
living in rural communities
depression
social isolation
what are the risk factors for falls
poor vision cognitive dysfunction impaired gait/balance difficulty walking due to low extremity dysfunction diff getting in and out of bed or chair orthostatic hypoT urinary freq weakness effects of current meds
When should you assess a client for fall risk
on admin
changes in mental or physical status
on transfer
before discharge
What is a test that can be used to assess fall risk
Timed Up and Go test (TUG test)
What is a recommendation given to health organzations as a proactive approach to reducing falls
scheduled rounding
Who can do the scheduled rounding
nurses
UAP
What are some universal fall precautions that providers can use to prevent falls
familiarize the client with environment
Have the client teach back how to use the call light
keep call light within reach
provide non-slip well fitting shoes
Keep their personal possesions within reach
keep area uncluttered
use night lights
keep beds low to the ground with brakes locked
