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NS371—Fundamentals of Nursing > Safety > Flashcards

Safety Flashcards

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1
Q

nurse’s main responsibilities

A
  • 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
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2
Q

QSEN - Quality & Safety Education for Nurses

A

developed to provide nurses with knowledge necessary to provide safety

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3
Q

newest IOMS goal

A

Reduce harm associated with clinical alarm systems - high risk of injury if alarm is silenced, turned off, ignored

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4
Q

3 things to know for disasters

A

chain of command
pt safety top priority
organization’s disaster response plan

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5
Q

safety - “potential for” diagnoses

A

falls, infection, suffocation, poisoning, suicide

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6
Q

leading COD adolescents

A

suicide, homicide, drugs, firearms

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7
Q

leading COD young adults

A

MVA & suicide

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8
Q

leading COD middle age & older

A

MVA

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9
Q

safety risks for older adults

A

Fires - forgetting stove/iron, cigarettes, heating devices
Risk for wandering
Analgesic & sedative use - dizziness, falls
Suicide rate increasing

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10
Q

fall risk assessment

A

age, meds, diagnoses, vision, history of falls - decrease in muscle strength - “timed up and go” test

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11
Q

fall prevention

A

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

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12
Q

partial seizures

A

electrical dischages from one area of brain

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13
Q

generalized seizures

A

affects whole brain

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14
Q

grand mal seizures

A

involves whole body

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15
Q

interventions for seizures

A

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

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16
Q

RACE is for ____ prevention; means…

A

fire

rescue, activate, confine, extinguish

17
Q

PASS is for…

means…

A

fire extinguisher use

pull, aim (at base), squeeze, sweep

18
Q

poisoning that can cause unconsciousness, brain damage, death

risk factors - gas appliances

A

CO poisoning

19
Q

preventing poisoning

A

Teach parents to childproof environment
Info about snakebites, insect bites, drugs
Phone number of poison control
safeguard environment

20
Q

effects of excessive noise

A

increased HR & RR, muscular activity, nausea, hearing loss

21
Q

electrical equipment must be…

A

grounded

22
Q

Pt may sustain burns, muscle contractions, cardiac or respiratory arrest

A

electrical shock

23
Q

2 reasons to use restraints

A

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

24
Q

physical restraint

A

manual, physical, mechanical device attached to pt’s body

25
Q

chemical restraint

A

medication used to control socially disruptive behavior

26
Q

restraint orders must be renewed…
and state…
and if over the phone must be signed…

A

daily
reason and time period
w/i 24hrs

27
Q

restraints only used after…

A

every other possible means is tried, failed, documented

28
Q

with restraints, document that need was made clear…

A

to pt and family

29
Q

5 criteria for restraints

A 
Does not interfere with pt’s treatment/health problem
Readily changeable/undone
Discreet as possible
Restricts movement as little as possible
Safe for pt

NS371—Fundamentals of Nursing (12 decks)

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