Patient Safety & Restraint Alternatives, C14; P-LQ, WB Flashcards
Module 4, 9/18-23
Having a ______ is a frequent cause of Hemiplegia/Unilateral Paralysis.
Stroke
Hemiplegia is also called ___________ Paralysis.
Unilateral
Unilateral Paralysis is also called _____________.
Hemiplegia
Hemiplegia
paralysis on one body side
__________ is paralysis on one side of the body.
Hemiplegia
Tightly tucked sheets & side rails ____ forms of physical restraint.
are
Tightly tucked sheets & side rails are forms of __________ restraint.
physical
To prevent falls, keep beds in the _______ position & bed wheels ______.
lowest, locked
Physical & mental effects of aging can affect an older adult’s ability to be ____.
safe
Is a P/R is trying to pull out an IV line, s/he might need a _________ restraint.
physical
_____ are the most common type of accident that happens in the health care setting?
Falls
Falls are the ____ common type of accident that happens in the health care setting?
most
A comatose P/R is ______ to respond to the environment.
unable
Medication is a __________ restraint.
chemical
NAs’re required to report an accident verbally immediately to _______ & in written/electronic form using an __________ (occurrence) Report.
nurse, Incident
Accident
unexpected, unintended event that has potential to cause bodily injury
An __________ is an unexpected, unintended event that has potential to cause bodily injury.
Accident
Incident
unusual, undesired, out of ordinary; disrupts normal routine for P/R, health care facility, or both
An __________ is an unusual, undesired, out of ordinary; disrupts normal routine for P/R, health care facility, or both.
Incident
6 factors that can increase one’s chances of having an Accident:
- age
- medication
- Paralysis
- poor mobility
- sensory impairment
- limited surrounding awareness
Age, medication, Paralysis, poor mobility, sensory impairment, & limited surrounding awareness are . . .
. . . 6 factors that can increase one’s chances of having an Accident.
__________, _________ children, & _______ adults are at high risk for Accidents.
Infants, young, older
Infants & young children, older adults are at ____ risk for Accidents.
high
Paralysis
inability to move/feel
Inability to move/feel is called ________.
Paralysis
Paralysis from waist down is called ___________.
Paraplegia
Paraplegia
Paralysis from waist down
Paralysis from neck down is called ___________/___________.
Tetraplegia/Quadriplegia
Tetraplegia/Quadriplegia
Paralysis from neck down
Dementia, head injuries, & pain medication can cause c_______________ & d_____________.
confusion, disorientation
Dementia, head _______, & ____ medication can cause confusion & disorientation.
injuries, pain
If a P/R has an Accident due to a wheelchair braking, the NA should . . . (2)
- immediately report to nurse
- fill out Incident/Occurrence Report
_____ are the leading cause of non/fatal injuries in USA & of accidental death among older adults.
Falls
Falls are the leading cause of non/fatal injuries in USA & of ___________ death among older adults.
accidental
All Accidents & Incidents are to be __________ reported immediately to the _____.
verbally, nurse
An Incident/Occurrence Report is completed whenever an ________ or _______ occurs in a healthcare facility.
Accident, Incident
An ____________/__________ _________ is completed whenever an Accident or Incident occurs in a healthcare facility.
Incident/Occurrence Report
____________ occurs when one becomes trapped in side rail or between side rail & mattress.
Entrapment
Entrapment
when one becomes trapped in side rail or between side rail & mattress
Physical Restraint
device attached to or near one’s body to limit movement freedom or access body
A __________ ___________ is a device attached to or near one’s body to limit movement freedom or access body.
Physical Restraint
Chemical Restraint
any medication that alters one’s mood/behavior
such as a sedative or tranquilizer
Sedatives & tranquilizers are examples of ________ Restraints.
Chemical
Restraints should be removed every _ hours for __ minutes.
2, 10
Mitt Restraint
prevents one from grasping tubes or catheters while allowing for more freedom of arm movement
______ ____________ prevents one from grasping tubes or catheters while allowing for more freedom of arm movement.
Mitt Restraint
Vest Restraint
prevents one from falling out of bed or chair
A _____ __________ prevents one from falling out of bed or chair.
Vest Restraint
Immediately report to the nurse a restrained P/R’s ____-to-the-touch, _____/____ arm.
cool, pale/blue
Slip Knots are also called _____-______ Knots.
Quick-Release
In Healthcare settings, we use Slip/Quick-Release Knots because . . .
. . .they can be quickly released in case emergency.
A Jacket Restraint is applied to P/R’s ______.
chest
Putting Vest Restraint on backward can cause one to ______ if s/he slides down against improperly placed restraint.
strangle
A P/R can strangle in a backwards Vest Restraint because . . .
. . . the back of the restraint is higher than the front.
4 bad things that can happen from too tight Restraints:
- bruises
- nerve damage
- skin abrasions
- permanent tissue damage
- bruises
- nerve damage
- skin abrasions
- permanent tissue damage
can occur if Restraints are too _____.
tight
- Pneumonia
- pressure ulcers
- blood clots (immobility complications)
can occur if one’s left in Restraint for ___ _____.
too long
3 possible bad results of leaving P/R is Restraint for too long:
- Pneumonia
- pressure ulcers
- blood clots (immobility complications)
__________ can occur if a person in a Restraint isn’t taken to the bathroom regularly.
Incontinence
