NUR 116 - Safety - Week 5

Question 1

What are the National Patient Safety Goals (NPDGs)?

Answer 1

• Goals that focus on client safety, effective delivery of healthcare and recommendations to avoid adverse outcomes
• Created every year

Question 2

NPSG: Identify clients correctly

Answer 2

• Use two client identifiers: Client’s name, DOB, hospital number, telephone number; Client-specific documentation
• Use barcode Scanning

Question 3

NPSG: Improve Staff Communication

Answer 3

• Refers to reporting critical results properly

Critical result: Lab/diagnostic results outside of expected range, can be life-threatening if not addressed

Question 4

MPSG: Use Medications safely

Answer 4

1. Label all medications(discard unlabeled meds)
2. Decrease errors associated with anticoagulant medication
   - extreme caution
   - ex: warfarin, heparin, enoxaparin
3. Reconcile client’s medication
   - Assess client’s home meds, compare with newly prescribed meds
   - On admission, obtain list of home meds
   -

Question 5

NPSG: Use alarms safely

Answer 5

Ex: bed and chair alarms, feeding and IV pump alarms, heart monitors, ventilators

Question 6

NPSG: Prevent Nosocomial infections

Answer 6

methicillin-resistant Staphylococcus aureus (MRSA)
vancomycin-resistant enterococci (VRE)
Clostridium difficile (C. diff)

Question 7

NPSG: Reduce risk of suicide

Answer 7

• All clients 12yo or older w/ admitting diagnosis of behavioral condition must be screened for suicidal ideation
• Detailed assessment conducted for pts who screened positive for suicidal ideation

Question 8

NPSG: Universal Protocol - Prevent Adverse Events in Surgery

Answer 8

1.Use two client identifiers to establish the client’s identity.​
2.Mark the surgical site if possible.​
3.Perform a time-out in the operating/procedure room (confirm correct client, site & procedure)

Question 9

Safety Considerations in Client Care

Answer 9

• Have nurses spend 70% of time at bedside, performing client care
• Strengthen management through leadership development programs
• Implement a Rapid Response Team (RRT) for the med-surg units
• Create frameworks for standardized communications

Question 10

Define Near Miss

Answer 10

A potential error or event or circumstance, could have caused harm but that was caught and avoided

Question 11

Define a Safety Event

Answer 11

an unexpected event or circumstance, occurred with or without injury to the client, but had potential to cause harm to the client

Question 12

Define Adverse Event

Answer 12

a situation or circumstance that caused unexpected harm to the client

Question 13

Define Sentinel Event

Answer 13

Sentinel event = Never event
critical, unexpected adverse event that caused severe physical or psychological harm, ordeath to a client

Question 14

What is used to report “Events”

Answer 14

Occurrence Reporting
- tool used to report an adverse event, sentinel event, client safety event, or near miss.
- Not used to punish, but to track events so they can be prevented in future

Question 15

Hendrick’s scale for falls

Answer 15

8 Categories:
Disorientation/Confusion/Impulsivity
Depression
Dizziness/Vertigo
Altered Elimination
Gender (Male)
Administered Antiepileptics
Administered Benzodiazepines
Unable to rise without assistance

Score of 5 or greater = High Risk
- Hendrick’s High score = bad
- Braden low score (6) = bad

Question 16

Fire Safety Protocol

Answer 16

RACE
Rescue: Assist in removing people who are in immediate danger of fire
Alarm: Activate the emergency fire alarm per the facility policy
Contain: Contain fire by closing doors and windows, decreases source of oxygen
Extinguish: Attempt to extinguish small fires if extinguisher is available and safe

Question 17

Using a Fire Extinguisher protocol

Answer 17

PASS
Pull: Pull the pin out
Aim: Aim at the base of the fire while pointing nozzle to the lowest point of fire. Plastic discharge horn may damage skin
Squeeze: Squeeze handle to release contents of the extinguisher at the base of the fire
Sweep: Sweep the base of the fire by spraying from side to side until fire is extinguished. Ensure it does not reignite, repeat if necessary. Evacuate if too large.

Question 18

Which is the first action the home-care nurse should employ to
prevent falls by an older adult living at home?

Answer 18

Conduct a comprehensive risk assessment
- Assessment is the first step of the nursing process. The best way to prevent falls is by identifying those at risk and instituting multiple interventions that prevent falls

Question 19

Which side sleeve/pant should we dress first?

Answer 19

The weaker extremity first, because the stronger side can stretch more

Question 20

Which is the most common consequence associated with older adults’ fear of falling that the nurse should discuss with them?

Answer 20

Decreased physical conditioning
- Disuse and muscle wasting cause a loss in muscle strength at 5%-10% per week