safety Flashcards
what are some examples of safety risks
falls, med errors, etc
describe the social determinants of health
-attributes that can positively or negatively impact health
-identifying problems and intervening to minimize barriers can impact health
what are the five social determinants of health
-education access and quality
-health care access and quality
-economic stability
-social and community context
-neighborhood and built environment
describe safety
minimizing harm to both patients and providers through both system effectiveness and individual performance
what are the 6 QSEN competencies
-safety
-quality improvement
-patient centered care
-informatics
-teamwork and collaboration
-evidence based practice
what are the Joint Commissions National Patient Safety Goals for Hospitals
-identify patients correctly
-improve staff communication
-use medicines safely
-use alarms safely
-prevent infection
-identify patient safety risks
-prevent mistakes in surgery
what two identifiers are used to verify a patients identity
name and birthdate
describe sentinel events
-type of error that is a serious error resulting in serious injury or death
-must do root cause analysis (RCA) (5 whys)
-must figure out what really happened and how to prevent it
-example includes a suicide pt dying while in restraints
describe never events
-broader category than sentinel events
-adverse affects are clearly identifiable and measurable (preventable
-impacts hospital funding
-examples include falls with injury, med errors, and surgical errors
what are some examples of environmental safety risks
-fire
-weather
-exposures (chemical and blood borne pathogens)
what are some systems of safety management in healthcare
-medication administration procedures
-procedural checklists
what are some examples of external disasters that have the potential to impact care
severe weather, terrorism, mass casualties
what are some examples of internal disasters in healthcare
fire, loss of water, power, or internet
what does RACE stand for and what is it used for
RACE is used for prioritizing actions during a fire
Rescue
Alarm
Confine
Evacuate
what does PASS stand for
Pull
Aim
Squeeze
Sweep
what are some physiologic healthcare consumer safety risks
advanced age, communication errors, sensory/cognitive issues
what types of individual safety risks exist for healthcare consumers
physiologic
environment/community
occupational
what individual safety risks exist for healthcare providers?
emotional
physical
describe the application of the nursing process
Assess (subjective and objective)
Diagnose (NANDA approver statements)
Plan (patient specific goal statements)
Intervene (routine and individualized)
Evaluate (ongoing evaluations)
name some common fall risk assessment tools
-Hendrich II fall model
-morse fall risk assessment tool
name some examples of patient specific goals
-patient will remain free from injury while in the hospital
-patient will use the call light to call for help before getting up while using pain medication
name some different types of preventative interventions
-fall preventions
-self harm protection
-physiologic precautions
who is assessed for fall preventions
every patient
what are some examples of self harm precautions
-suicide precautions
-elopement precautions
name some physiologic precautions
-aspiration precautions (elevate head of bed, follow diet orders, suction at bedside)
-seizure precautions (seizure pads, oxygen and suction available, possible supervised showers)
-isolation (infection such as cdiff, covid, flu)
name some routine fall risk interventions for all patients
-assess unique risks
-instruct on call light function
-hourly rounding to assess pain, positioning, toileting, and personal needs
-early and frequent mobilization
-slipper socks (nonslip) when out of bed
-well lit path
-bed in lowest position
-wheels of bed locked
-educate on risk for falls and injury from falls
what are some additional interventions to consider with fall risk patients
-exercise/physical therapy
-medication modification (i.e. decreasing or stopping psychoactive medications, if appropriate
-patient’s hearing aids or glasses in reach
-elimination of barriers to transfer and ambulation
-avoidance of restraints
-use of bed alarm, when appropriate
-signage in room
when should restraints be used
only when less restrictive options have failed to work
what are some restraint alternatives
explain, redirect behavior, education, minimization of unnecessary equipment, distraction, increased supervision
describe chemical restraints
-medicate for purpose of stopping interaction with environment
-reserved for ED and psychiatric units
describe physical restraints
-4 side rails up= restraints (even if pt asks for it)
-limb restraints -> mittens, wrists, ankles (must be bilateral) (must check every hour and document)
-there is a psychological impact
