Safety Flashcards
What is an occurrence report?
An unexpected event
What is a Near-miss event?
Error that could have harmed the client which almost occurs, but was caught and avoided
What is a Client-Safety event?
An unexpected event that occurred and had the potential to cause injury to the client
What is a sentinel event (never event)?
Is a critical unexpected adverse event that causes severe physical or psychological harm to a client, including death, dismemberment, permanent injury, and severe or temporary injury
What is an adverse event?
Situation or circumstance that caused unexpected harm to the client
What does QSEN stand for?
Quality and Safety in Nursing Eduction
What are the six focus areas for QSEN?
-Evidence-Based Practice
-Patient-Centered Care
-Quality Improvement
-Teamwork and Collaboration
-Safety
-Informatics
What is safety?
Minimize risk of harm to patients and providers through both system effectiveness and individual performance
How many patient identifiers should you use?
At least two
What is patient-centered care?
Patient is in control and a full partner; care is based on respect for patient’s preferences, values, and needs
What is teamwork and collaboration?
Achieve quality patient outcomes by effectively communicating with nurses and inter-professional teams having mutual respect and shared decision making
What patient identifies can you use?
-Clients full name
-Clients date of birth
-Clients telephone number
-Clients designated hospital number
-or alternatives client-specific documentation
What is the ISBARR communication tool?
Identity, Situation, Background, Assessment, Recommendations, Read back
What does I stand for in ISBARR?
Identity; introduce yourself and where you are calling from
What does the S stand for in ISBARR?
Situation; client name and age, admitting diagnosis, and chief complaint or urgent need for rapid response
What does the B stand for in ISBARR?
Background; medical history including current medications and advanced directives (if any)
What does the A stand for in ISBARR?
Assessment; general client impression and significant findings through assessment, diagnostic tests, lab work, and vital signs
What does the 1st R stand for in ISBARR?
Recommendation; treatment provided and the clients response to the treatment
What does the 2nd R stand for in ISBARR?
Read back; read back the message or prescription from the provider, which allows for clarification
What does the acronym CUS stand for?
-I am Concerned!
-I am Uncomfortable!
-This is a Safety issue!
What is evidence based practice?
Integrate best current evidence, clinical expertise, and patient values to deliver optimal health care (based on high quality research, protocols, policies, procedures, utilize appropriate resources to develop plan of care)
What is quality improvement?
Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems
Three major principles when it comes to Radiation Safety?
Reduce time, increase distance, and use shielding
What is informatics?
Use information and technology to communicate, manage knowledge, mitigate error, and support decision making (Electronic health record EHR, Computerized provider order entry CPOE, and ultimate data based for quality improvement)
Name some safety organizations.
-Institute of Medicine (IOM)
-QSEN Movement
-National Quality Forum
-The Joint Comission
-Center for Medicare and Medicaid services (CMS)
What kind of prong should you use in a hospital?
Third prong power plug
What does RACE stand for?
-Rescue, Activate alarm, Contain fire, and Extinguish
What does PASS stand for?
-Pull the pin
-Aim the nozzle at base of fire
-Squeeze the handle
-Sweep the nozzle side to side across fire
When are restraints used?
Used as last measure to keep patient safe
Give some examples hazardous material can enter your body.
-Ingestion
-Skin Absorption
-Unprotected, cuts chapped, damaged skin
-Injection
-Skin punctured by needle or sharp object
-Inhalation
When in contact with hazardous materials what should you do first?
Don PPE
What are some alternatives/examples before using restraints?
Reduce environmental stimuli, increase observation of patient, relocate patient for more frequent observation, increased diversionary activity, identify potential cause, mittens
Can you just put a client on restraints?
No, it require an order. CAN NEVER BE PRN (as needed)
How often should restraints be renewed?
Every 24 hours
Even in an emergency application when are restraints used?
Order within an order
How often should patient with restraints be assessed?
Every 15 minutes
How often should restraints be taken off and site assessed and ROM performed?
At least every 2 hours