Module 1 Flashcards

Safety

1
Q

Patient Safety Incident ( Adverse Event )

A

An event or circumstance that could have or did result in unnecessary harm to a patient.

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2
Q

Harmful Incident

A

Incidences that caused a patient harm

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3
Q

Near Miss Incident

A

Incident that could have happened but is caught before you do the action

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4
Q

No - Harm Incident

A

An Incident that reached the patient but no discernible harm resulted.

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5
Q

Patient and Provider Factors

A

Characteristics of patients such as weightage, mood, needs, fatigue, stress etc.

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6
Q

Task Factors

A

Characteristics of the tasks that health care providers must perform. These can include workflow, time pressure and workload

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7
Q

Environmental Factors

A

Are the features of the work environment.

  • Lighting, noise, physical space and layout.
  • Reduces the risk of illness or injury.
  • Increases a patients sense of well being
  • Physical hazards can put the patient at risk for injury or death, its also a major cause of disability.
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8
Q

Incident Report

A

A confidential Document that is filled out and completely describes whenever a patient is involved in an incident on the premises of a health care organization.

  • Reporting helps the organization recognize trends and helps prevent similar incidences in the future.
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9
Q

Environmental Risks to Staff and patient

A

Chemicals

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10
Q

Infection and Prevention Control

A

Controlling the spread of disease and infection by the consistent use of routine practices such as safety measures using PPE, and hand hygiene.

  • Germs
  • Burn Out
  • Colds
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11
Q

Violence Towards Staff

A
  • Directed at nurses from patients or patients family members
  • Form of threats, intimidation, and physical behaviours
  • Factors include: Insufficient staffing levels, violation of patients personal space due to lack of privacy, and provision of care that requires close physical contact.
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12
Q

Patient Safety

A
Specific Risks to patients include
- Falls
- Procedure related accidents
- equipment related accidents.
 Care received that avoids harmful effects or outcomes
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13
Q

Falls

A
  • Account for 90% of all reported incidences in hospitals
  • Age, history of falls, balance, mobility problems, sensory impairment, use of medications and some medical diagnostic categories are all factors.
  • Usually in relation to a patients attempt to get out of bed.
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14
Q

Procedure Related Incidences

A

Are those that happen during therapy
- Medication and fluid administration errors
- improper application of external devices
- improper performance of procedures
-

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15
Q

Walk into a Patients room what is the first thing you do?

A

Assess !!

  • Patient
  • Safety
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16
Q

Changes Associated with Aging that increase the Risk of Accidents.

A
  • Musculoskeletal Changes
  • Nervous System Changes
  • Sensory Changes
  • Genitourinary Changes
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17
Q

Musculoskeletal Changes in Aging

A
  • Muscle strength and Function decrease
  • Joints become less mobile
  • Bones are more brittle due to osteoporosis
  • Postural changes
  • Range of motion becomes limited.
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18
Q

Nervous System Changes in aging

A
  • Voluntary or automatic reflexes begin to slow to some extent
  • the ability to respond to multiple stimuli decreases
  • sensitivity to touch decreases
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19
Q

Sensory Changes in aging

A
  • Peripheral vision and lens accommodation decreases
  • Lens may form opacity ( cataracts)
  • Stimuli threshold for light touch and pain increase
  • transmission of hot and cold impulses is delayed
  • Hearing is impaired due to high-frequency tones becoming less perceptible.
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20
Q

Safety Assessment

A
  • Possible Threats to the patients safety, including the patients immediate environment as well as individual risk factors.
  • Health History
  • Patients Home Environment
  • Health Care Environment
  • Risk for Falls
  • Risk for Medical Errors
  • Patient Expectations
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21
Q

Health History Safety Assessment

A

Gathering data about a patients health history will help determine if there is an underlying condition that exists that could pose a threat to the patients safety.

  • Assessing patients gait or muscle strength
  • Coordination, balance and vision
  • Exposure to any environmental hazards
  • any medications or undergoing procedures that may pose a risk.
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22
Q

Patients Home Environment Safety Assessment

A

Key areas to inspect during an in home safety Assessment:

  • Bathroom
  • Kitchen
  • Any Area with Stairs
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23
Q

Health Care environment safety Assessment

A
  • Any hazards within the immediate care environment ?
  • any equipment or furniture pose a hazard to a patient that is ambulating
  • Can the patient reach items on the bed side table
  • Does the patient need help ambulating ?
  • Is the patient aware of any activity restrictions?
  • Does the patient know how to use the call bell ?
24
Q

Risk for Falls Safety Assessment

A

Use a “ Fall Assessment Tool”

  • Patients should be assessed for fall risk during admission
  • And another assessment must be done if the patient falls to prevent future falls.
  • Patients who have fallen once are at a much greater risk for falling again.
25
Q

Risk For Medical Errors

A
  • Over Work
  • Fatigue
  • Stressful Conditions
26
Q

Emergency Response Codes:

Code Blue
Code Red
Code White
Code Purple
Code Yellow
Code Black
Code Grey
Code Green
Code Brown
Code Orange
A

Code Blue: Cardiac Arrest, Medical emergency

Code Red: Fire
Code White: Violence/Aggression
Code Purple: Hostage
Code Yellow: Missing Person
Code Black: Bomb threat
Code Grey: Shelter in Place
Code: Green: Evacuation
Code Brown: Chemical Spill
Code Orange: Mass Causality Incident
27
Q

WHMIS

A

Workplace Hazardous Materials information System

A Hazardous material is any material that could cause physical or medical problems.

Consists of 3 main Elements:

1) Worker Education Programs
2) Cautionary Labeling of products
3) Provision of Material Safety Data Sheets ( MSDS )

28
Q

MSDS

A

Material Safety Data Sheets

  • Usually Located in a BIG YELLOW binder
  • Detailed information about hazardous material
  • Precautions for safe handling
  • Steps incase chemical is released
29
Q

Waste Disposal and Hazards

A

Needles in Sharps container

Heavily fluid soaked material in the biohazardous bin

30
Q

Patient Identification Safety

A
  • Use 2 forms of patient identification

- Arm band or medical record number, spelling of last name and birth date.

31
Q

N.O.D

A

Name: Gabriela
Occupation: Your Nurse
Duty: I am here too……

32
Q

R.A.C.E

R.E.A.C.T

A

Incase of Fire

Rescue patients in immediate danger
Alarm Bell must be pulled
Contain fire
Extinguish the fire/ Evacuate.

Remove those in immediate danger
Ensure all doors are closed
Activate the fire alarm
Call 911
Try to extinguish the fire
33
Q

Bed Side Safety Requirements

A
  • Bed Brakes MUST be on
  • Top two side rails up @ minimum one side rail must be up, bottom two side rails are considered restraints.
  • Bed Height: In lowest position when not working with Patient. Waist height when working with patient. With two people the bed height must be at the waist of the tallest person
  • Call Bell MUST be in reach of patient
  • Fall Mats: If needed for high risk fall patients.
34
Q

P.A.S.S

A
Fire Extinguisher
Pull pin
Aim at base of fire
Squeeze trigger
Sweep Base of fire
35
Q

Restraint

A
  • Physical, Chemical or Environmental means of controlling an individuals actions or behaviours.
  • Should always be last resort
  • Must explain restraint to patient and family members.
36
Q

Least Restraint Approach

A
  • Ensures that all alternative means of restraints have been exhausted before moving onto restraints.
  • Form of restrain used addresses the patients needs in the least restrictive way.
37
Q

Ethical Principles of Restraints

A

Autonomy
Non-Malefience
Beneficence

38
Q

Autonomy

A

The individuals right to participate in decisions regarding their own care

39
Q

Non-Maleficicence

A

The Obligation to do no harm and protect others from harm

40
Q

Beneficence

A

The obligation to benefit others

41
Q

Medication Administration “RIGHTS”

A
Right Patient
Right Medication
Right Dose
Right Route
Right Time/Frequency
Right Reason
Right Documentation
Right to Refuse
Right to Patient Education
Right to Evaluation
42
Q

Organizational Factors

A

Structures, Cultural, policy related characteristics in the healthcare setting.

43
Q

Patient Centered Care

A

Care received that is responsible and respectful to the patients needs

44
Q

Equitable

A

Care Received that is Efficient

45
Q

Efficiency

A

Care received that is efficient

46
Q

Effectiveness

A

Care received that achieves the expected outcomes

47
Q

Accessibility

A

The right care received at the right time in the right setting and by the right health care worker.

48
Q

Environmental Safety

A

Practices of policies and procedures that ensure an environment is safe to provide care in

49
Q

Risks for : Infants / Toddlers / Preschoolers

A

Must be protected from accidental poisoning

50
Q

Risks for : School Aged Children

A

The begin to explore their environment more

51
Q

Risks for : Adolescents

A

Factors outside of home.

Suicide is the number one killer besides car accidents

52
Q

Risks for : Adults

A

Postpartum depression, stress, poor nutrition

53
Q

Risks for : Older Persons

A

Risk of falls from physiological changes.

54
Q

Health Promotion

A

Process of allowing people to gain control over and to improve their health.

55
Q

4 Medication Checks

A
  • Recheck medication to Dr order
  • Medication to the MAR
  • Medication Label to the MAR
  • Medication to the MAR to the Patient.