Patient Safety & QSEN

Question 1

Physical hazards (5)

Answer 1

Motor Vehicle Accidents (MVA)
Poison
Falls
Fire (RACE)
Disasters

Question 2

What is involved with environmental safety?

Answer 2

Transmission of pathogens & pollution

Question 3

Factors that influence patient safety (4 things)

Answer 3

Pt’s developmental level
Mobility, sensory & cognitive status
Lifestyle choices
Knowledge on common safety precautions

Question 4

Individual risk factors

Answer 4

Lifestyle
Impaired mobility
Sensory or communication impairment
Lack of safety awareness

Question 5

during the nursing process of assessment what is included? (3 things)

Answer 5

The nursing history
the health care environment
the home environment

Question 6

What to look for during an home environment assessment? (3 things)

Answer 6

1. Perform hazard assessment
2. Walk thru home & tell pt how they can conduct ADLs
3. Help them focus on avoiding losses & reducing their risk for injury

Question 7

the nursing diagnosis would include what? (7 things)

Answer 7

i. Risk for falls
ii. Impaired home maintenance
iii. Risk for injury
iv. Deficient knowledge
v. Risk for poisoning
vi. Risk for suffocation
vii. Risk for trauma

Question 8

What are some goals & outcomes? (5 things)

Answer 8

i. Prevent & minimize safety threats
ii. Are measurable & realistic
iii. May include active pt participation
b. Setting priorities
c. Teamwork & collaboration

Question 9

What did QSEN outline for nurses? (3 things) Implementation

Answer 9

1. Demonstrate effective use of technology & standardized practice that support safety & quality
   ii. Use of strategies to reduce risk of harm to self or others
   iii. Use strategies to reduce reliance on memory

Question 10

What is evaluated during fall protocols in hospitals? (7 things)

Answer 10

Age
fall history
elimination (bowel & urine)
meds
patient care equipment (IV infusion, chest tube) 
mobility
cognition