safety Flashcards
identification of a patient
two forms
- name
- birthdate
(match to wrist band)
hazards to staff
- back injuries
- needle sticks
- radiation
- violence
what is key for safety?
communication
“the big 6” - topics focused on safety
- patient-centered care
- teamwork and collaboration
- EBP - evidence-based practice
- QI - quality improvement
- safety
- informatics - scanning patient
Maslow hierarchy of needs
- physiological
- safety needs
- love and belonging
- esteem
- self-actualization
assessment of safety in nursing diagnosis
risk recognition
nursing diagnosis with safety
- risk for injury
- knowledge deficit
- sensory/perceptual alterations
goals for safety in nursing diagnosis
reduce risk or prevent injury
sentinel event
unexpected occurrence involving death or serious injury
- must be reported
- needs RCA - root cause analysis
what is important about falls and safety
prevention of falls is key
what factors affect safety?
individual risk factors and developmental risk factors
developmental risk factors
- kids and elderly
individual risk factors
- life style - occupation or risk taking
- cognitive awareness
- impaired communication
- impaired mobility
- physical and emotional wellbeing
- lack of safety awareness - throw rugs
what is the most common reason for a fall?
pt. is getting up to use the bathroom
what are predisposing factors for a fall?
- general - age, alcohol use
- physical condition - vertigo, unsteady gait
- mental status - confusion, lethargy
- meds - diuretics, sedatives
- ambulatory devices - cane, crutches, walker
fall prevention
- safety measures - bed is low, wheels locked, call bell and personal items are within reach
- remove excess equipment/clutter
- adequate lighting
- fall risk assessment
restraints can be…
physical or chemical
injuries associated with restraints
sometimes restraints cause more harm than good
- suffocation
- immobility
- contractures
- nerve damage
- circulatory impairment
- loss of self-esteem
- humiliation, anger, fear
restrain must be renewed…
by physician order and the physician must lay eyes on the pt.
- must be documented
alterative for restraints
- orient, explain
- family, sitters
- visual and auditory stimuli
- relaxation techniques
- exercise and ambulation
- toileting routines
- evaluate meds
- distraction
4 side rails up are considered
a restraint (except for seizure precautions on padded beds)
velcro belts
are not a restraint but will slow a pt down
seizure precautions
- padded side rails
- suction equipment
- DON’T put anything in the airway
- lose clothing
- don’t restrain
fire precautions
R - rescue/remove pts. from danger
A - activate alarm
C - confine/contain fire (shut doors or turn off O2)
E - extinguish fire using extinguisher
incident report
- internal document on incident that is not a pt. chart
- objective report on accident, pt assessment, and interventions
