Safety Flashcards
nurse’s main responsibilities
- Nurse should observe potentially harmful situations
- Nurse should educate patient to empower them to protect themselves from injury
- Nurse should observe patient’s mobility & be aware of any health problems
QSEN - Quality & Safety Education for Nurses
developed to provide nurses with knowledge necessary to provide safety
newest IOMS goal
Reduce harm associated with clinical alarm systems - high risk of injury if alarm is silenced, turned off, ignored
3 things to know for disasters
chain of command
pt safety top priority
organization’s disaster response plan
safety - “potential for” diagnoses
falls, infection, suffocation, poisoning, suicide
leading COD adolescents
suicide, homicide, drugs, firearms
leading COD young adults
MVA & suicide
leading COD middle age & older
MVA
safety risks for older adults
Fires - forgetting stove/iron, cigarettes, heating devices
Risk for wandering
Analgesic & sedative use - dizziness, falls
Suicide rate increasing
fall risk assessment
age, meds, diagnoses, vision, history of falls - decrease in muscle strength - “timed up and go” test
fall prevention
Instruct to use call light if pt needs to get out of bed
Use electronic safety monitoring devices (alarms)
Orient pt to surroundings
Provide walking aids & assistance
Supervise pts at risk - especially at night
Place tables near bed so pt doesn’t overreach
Keep hospital beds low & locked
Encourage pts to use grab bars
Use nonskid bath mats
Encourage pt to wear nonskid footwear
Keep environment tidy
Use mechanical/ceiling lift to transfer dependent clients
partial seizures
electrical dischages from one area of brain
generalized seizures
affects whole brain
grand mal seizures
involves whole body
interventions for seizures
Take precautions to protect pt from injury
Make sure side rails are padded
Turn pt on side to prevent aspiration of saliva/tongue
Do not put any object in mouth
Protect pt from hitting head
May have to clean up incontinence
Report seizure immediately & document
RACE is for ____ prevention; means…
fire
rescue, activate, confine, extinguish
PASS is for…
means…
fire extinguisher use
pull, aim (at base), squeeze, sweep
poisoning that can cause unconsciousness, brain damage, death
risk factors - gas appliances
CO poisoning
preventing poisoning
Teach parents to childproof environment
Info about snakebites, insect bites, drugs
Phone number of poison control
safeguard environment
effects of excessive noise
increased HR & RR, muscular activity, nausea, hearing loss
electrical equipment must be…
grounded
Pt may sustain burns, muscle contractions, cardiac or respiratory arrest
electrical shock
2 reasons to use restraints
Avoid and/or prevent purposeful or accidental harm to pt or resident
Do what is required to provide medically necessary treatment that could not be provided any other way
physical restraint
manual, physical, mechanical device attached to pt’s body
chemical restraint
medication used to control socially disruptive behavior
restraint orders must be renewed…
and state…
and if over the phone must be signed…
daily
reason and time period
w/i 24hrs
restraints only used after…
every other possible means is tried, failed, documented
with restraints, document that need was made clear…
to pt and family
5 criteria for restraints
Does not interfere with pt’s treatment/health problem Readily changeable/undone Discreet as possible Restricts movement as little as possible Safe for pt
