safety Flashcards

1
Q

identification of a patient

A

two forms
- name
- birthdate
(match to wrist band)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

hazards to staff

A
  • back injuries
  • needle sticks
  • radiation
  • violence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is key for safety?

A

communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

“the big 6” - topics focused on safety

A
  • patient-centered care
  • teamwork and collaboration
  • EBP - evidence-based practice
  • QI - quality improvement
  • safety
  • informatics - scanning patient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Maslow hierarchy of needs

A
  • physiological
  • safety needs
  • love and belonging
  • esteem
  • self-actualization
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

assessment of safety in nursing diagnosis

A

risk recognition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

nursing diagnosis with safety

A
  • risk for injury
  • knowledge deficit
  • sensory/perceptual alterations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

goals for safety in nursing diagnosis

A

reduce risk or prevent injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

sentinel event

A

unexpected occurrence involving death or serious injury

  • must be reported
  • needs RCA - root cause analysis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is important about falls and safety

A

prevention of falls is key

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what factors affect safety?

A

individual risk factors and developmental risk factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

developmental risk factors

A
  • kids and elderly
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

individual risk factors

A
  • life style - occupation or risk taking
  • cognitive awareness
  • impaired communication
  • impaired mobility
  • physical and emotional wellbeing
  • lack of safety awareness - throw rugs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the most common reason for a fall?

A

pt. is getting up to use the bathroom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are predisposing factors for a fall?

A
  • general - age, alcohol use
  • physical condition - vertigo, unsteady gait
  • mental status - confusion, lethargy
  • meds - diuretics, sedatives
  • ambulatory devices - cane, crutches, walker
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

fall prevention

A
  • safety measures - bed is low, wheels locked, call bell and personal items are within reach
  • remove excess equipment/clutter
  • adequate lighting
  • fall risk assessment
17
Q

restraints can be…

A

physical or chemical

18
Q

injuries associated with restraints

A

sometimes restraints cause more harm than good

  • suffocation
  • immobility
  • contractures
  • nerve damage
  • circulatory impairment
  • loss of self-esteem
  • humiliation, anger, fear
19
Q

restrain must be renewed…

A

by physician order and the physician must lay eyes on the pt.
- must be documented

20
Q

alterative for restraints

A
  • orient, explain
  • family, sitters
  • visual and auditory stimuli
  • relaxation techniques
  • exercise and ambulation
  • toileting routines
  • evaluate meds
  • distraction
21
Q

4 side rails up are considered

A
a restraint
(except for seizure precautions on padded beds)
22
Q

velcro belts

A

are not a restraint but will slow a pt down

23
Q

seizure precautions

A
  • padded side rails
  • suction equipment
  • DON’T put anything in the airway
  • lose clothing
  • don’t restrain
24
Q

fire precautions

A

R - rescue/remove pts. from danger
A - activate alarm
C - confine/contain fire (shut doors or turn off O2)
E - extinguish fire using extinguisher

25
Q

incident report

A
  • internal document on incident that is not a pt. chart

- objective report on accident, pt assessment, and interventions