Patient Safety Flashcards
name some factors that influence accident and injury prevention
-age
-developmental stage
-lifestyle
-mental status
-basic needs: oxygen, nutrition, temp
-physical hazards: MVA’s, poison, falls, fire, disasters, lighting, obstacles, bathroom hazards
-transmission of pathogens
-pollution
name some factors that influence the safety of infants, toddler, and preschool children
lead poisoning, choking, drowning
name some factors that influence the safety of school-age children
head injuries, strangers, improper use of seat belts
name some factors that influence the safety of adolescents
risk-taking, drinking and driving, substance abuse, STDs
name some factors that influence the safety of adults
risks related to lifestyle habits (alcohol use, smoking, obesity)
name some factors that influence the safety of older adults
effects of multiple medications, chronic diseases, falls
_________: Accidents other than falls in which the patient is the primary reason for the accident (seizure, fire setting, self-inflicted cuts
patient-inherent accidents
_________: Accidents caused by health care providers (medication and fluid errors, improper performance of procedures such as dressing changes, catheterization)
procedure-related accidents
______: accidents that are equipment relates result from the malfunction, disrepair, or misuse of equipment or from an electrical hazard
equipment-related accidents
name ways that falls can be prevented
-side rails
-Locks on beds and wheelchairs
-Safety bars on toilets
-Call lights in reach
-Bedside items within reach
-Rubber tips on assistive devices
-Proper transfers
-Nonskid footwear
________: Human, mechanical, and/or physical device that is used without the client’s permission to restrict his or her freedom of movement
restraint
when are restraints necessary
-reduce the risk of injury to others by patients such as disruptive or agitated behavior
-reduce risk of injury from falling
-prevent interruption of therapy
-prevent confused or combative patients from removing support equipment
name some complications that can arise from using restraints
-Pressure ulcers
-Constipation
-Pneumonia
-Urinary incontinence
-Contractures
-Nerve damage
-Circulatory impairment
-Self-esteem
-Fear
-Anger
to use restraint what must be done first
all less restrictive interventions must be tried first
in regards to restraints what must the order include
type of restraint, location, specific patient behaviors, time frame of use
where on the bed should restraints be attached
non-movable part of the bed
what tie must be used for restraints
quick-release tie
how often should restraints be removed
every 2 hours
for seizure precautions what should the bed be prepared with
padded side rails and headboard, bed should be in lowest position
what steps should you take if a seizure occurs in a patient who is standing
-If client is sitting or standing, guide client to floor and protect head by cradling in lap or placing pillow under head
-Clear surrounding area of furniture
what steps should you take if a seizure occurs in a patient who is in bed
-If client is in bed, raise side rails, add padding, and put bed in lowest position
-If possible, turn on side, with head flexed slightly forward
-Do not retrain or place anything in mouth unless needed for airway
what should be observed when a patient is having a seizure
sequence and timing of seizure activity
what does the mnemonic RACE stand for
(used for fires)
R- Rescue and remove all patients in immediate danger
A- Activate the alarm. Always do this before attempting to extinguish even a minor fire
C- Confine the fire by closing doors and windows and turning off oxygen and electrical equipment
E- Extinguish the fire using an appropriate extinguisher
