Patient Safety Random Info

Question 1

How many falls per year?
How many fatal?

Answer 1

700k-1m
11k

Question 2

One minute safety check

Answer 2

W.E.R.A.N.K.
weight and age of patient
environmental assessment of risk
risk of falling
ABC airway breathing circulation
name bracelet (allergies and fall band)
knowledge of emergency equipment including airway, ambu bag, and oxygen

Question 3

Hester Davis Care Plan is for…

Answer 3

Fall Risk

Question 4

Hester Davis Fall Risk assessment categories

Answer 4

REMEMBER A.L.M.
age
last fall
meds
cognition
behavioral
communication/sensory
mobility
toileting needs

Question 5

Signs of seizure

Answer 5

I.L.A.C.T.
incontinence
loss of consciousness/fall
a cry
clonicity (muscle tension)
tonicity (skin tension)

Question 6

What to do when someone has a seizure?

Answer 6

note time - track duration
stay with patient
call for help - notify health care provider asap
ease patient to floor if possible and protect head
clear area
if in bed, remove pills/raise side rails
turn patient onto side (right up) and tilt head forward
do not restrain
never force apart clenched teeth
don’t put anything in mouth
observe sequence and timing
reorient as consciousness regained
conduct head-toe evaluation

Question 7

NEVER EVENTS

Answer 7

BOX 27.3
The Centers for Medicare and Medicaid Services Hospital-Acquired Conditions (Present-on-Admission Indicator)
For discharges occurring on or after October 1, 2008, hospitals will not receive
additional payment for cases in which one of the selected conditions was not present
on admission:
* Foreign object retained after surgery
* Air embolism
* Blood incompatibility
* Pressure injury Stage 3 or 4
* Falls and trauma (fracture, dislocation, intracranial injury, crushing injury, burn,
electric shock)
* Catheter-associated urinary tract infections
* Vascular catheter-associated infections
* Manifestations of poor glycemic control (diabetic ketoacidosis, nonketotic
hyperosmolar coma, hypoglycemic coma, secondary diabetes with ketoacidosis,
secondary diabetes with hyperosmolarity)
* Surgical site infections following:
* Mediastinitis following coronary artery bypass graft
* Certain orthopedic procedures (spine, neck, shoulder, elbow)
* Bariatric surgery for obesity (laparoscopic gastric bypass, gastroenterostomy,
laparoscopic gastric restrictive surgery)
* Cardiac implantable medical device
* Deep-vein thrombosis (DVT)/pulmonary embolism (PE) following certain
orthopedic procedures (total knee replacement, hip replacement)
* Iatrogenic pneumothorax with venous catheterization

Question 8

Reasons to restrain

Answer 8

reduce risk of injury from fall
reduce risk of injury to others
prevent interruption of therapy (IV infusion, nasogastric)
prevent patient from removing life-support equipment

Question 9

Alternatives to restraint

Answer 9

orient patient
involve family
distraction
put in room near nurse station
de-escalate, time-out
visual stimuli (family pictures)
close doors to stairs
relaxation techniques
exercise
frequent attention
camo intravenous lines
evaluate med effects
discontinue bothersome treatments (catheter)
protective devices (slippers)