Safety

Question 1

National patient safety goals

Answer 1

Goals designed to focus on client safety, safe and effective delivery of health care, and recommendations to avoid adverse outcomes.

Question 2

Two client identifiers

Answer 2

These may consist of the client’s name, date of birth, hospital ID number, telephone number, or alternate client-specific documentation. (The second part of the goal is to ensure that the treatment, procedure, or care is for that client specifically.)

Question 3

Barcode scanning

Answer 3

Used at the time of medication administration when both the medication and the client’s facility-issued identification band are scanned to ensure the right medication is being administered to the right client.

Question 4

What are critical results ?

Answer 4

Lab or diagnostic procedure results that are outside the expected reference range and can be life-threatening or potentially fatal if not immediately improved.

Question 5

Anticoagulant medications

Answer 5

Medications that inhibit the blood’s ability to clot.

Question 6

What is medical reconciliation?

Answer 6

The process when the physician assesses the current home medications with the newly prescribed drugs. It must be completed on client admission, transfer, or discharge from the hospital.

Question 7

What are clinical alarm systems?

Answer 7

Audible alert devices that are built into medical equipment. Their function is to provide a warning of a potentially serious event that is occurring. The other feature is that they warn when there is a machine malfunction.

Question 8

What is alarm fatigue?

Answer 8

Sensory overload from noise pollution

Question 9

What is suicide?

Answer 9

Death resulting from self-injurious behaviors performed with the intent to die.

Question 10

What is an adverse event?

Answer 10

Any event that is not consistent with the desired or normal operation.

Question 11

What is a time-out?

Answer 11

A joint commission mandated pause taken by all personnel in the procedure or operating room. This brief suspension allows identifying the correct patient, site, the procedure to be performed.

Question 12

The NPSG states that hospitals, surgery centers, and diagnostic centers perform a series of safety checks before beginning any invasive procedure or surgery, they should check for:

Answer 12

Use two client identifiers to establish the client’s identity.

Mark the surgical site if possible.

Perform a time-out in the operating/procedure room.

Question 13

What are standards of compliance?

Answer 13

Former National Safety Goals that have been routinely adopted by healthcare professionals and are now retired.

Question 14

What is hourly rounding?

Answer 14

The practice of scheduling (every 1 hour) a member of the nursing staff to see the client and proactively address their needs such as toileting, positioning, pain, and safety checks (siderail and bed position, proximity of call bell to the client, etc)

Question 15

A dedicated group whose responsibility is to bring proactively critical care to the bedside…

Answer 15

Rapid response team (RRT)

Question 16

What does ISBARR stand for?

Answer 16

Identity
Situation
Background
Assessment
Recommendations
Read back

Question 17

What is a near miss?

Answer 17

A potential error or close call that could have caused harm, but was caught and avoided

Question 18

What is a client safety event?

Answer 18

An unexpected event or circumstance that occurred that did not cause harm to the patient but had the potential to.

Question 19

What is a sentinel event (near event)?

Answer 19

A critical, unexpected adverse event or circumstance that caused severe physical or psychological harm to the patient.

Question 20

What is an occurrence report?

Answer 20

A tool used to report an adverse event, sentinel event, client safety event, or near miss

Question 21

What age is considered an older adult?

Answer 21

A person who is 65 years of age or older

Question 22

What is Deep Brain Thrombosis (DVT)?

Answer 22

This condition results from a blood clot inside a deep vein, usually in the leg, though it may present in an arm as well

Question 23

What is a pressure injury (decubitus ulcer or bedsore)?

Answer 23

This condition results from sustained pressure on the skin and tissue beneath the skin. If the pressure injury occurs during the hospitalization, it is considered a hospital-acquired injury

Question 24

What are clients at high risk?

Answer 24

Clients with an increased safety risk. This population can vary in age, medical, or behavioral conditions. It may also include persons with disabilities.

Question 25

What is a communication disability?

Answer 25

a person’s inability to interact with others in ways that staff will understand

Question 26

What does R.A.C.E. stand for ?

Answer 26

Rescue, Alarm, Contain, and Extinguish in the event of a fire

Question 27

What does P.A.S.S. Stand for ?

Answer 27

An acronym that stands for Pull, Aim, Squeeze, and Sweep. It is used to described the steps to activate and use a fire extinguisher appropriately

Question 28

What is lateral evacuation?

Answer 28

Clients, visitors and staff who are threatened by fire are moved on the same floor to a safe location.

Question 29

When Clients, visitors and staff threatened by fire are relocated to a different floor it is called?

Answer 29

Vertical evacuation

Question 30

What is bullying?

Answer 30

Recurring behavior of unwelcome action(s) intended to harm, humiliate, or distress another

Question 31

What is elopement?

Answer 31

A client leaves or wanders away from a health care facility. Usually due to a diminished mental capacity such as a traumatic brain injury or dementia.

Question 32

What is an Unplanned descent to the floor with or without injury?

Answer 32

Fall

Question 33

What are fall safety champions?

Answer 33

The champions are fall safety experts within the facility that promote strategies aimed at fall prevention

Question 34

What are movement alarms?

Answer 34

A fall prevention tool that can attach to the bed, chair, or person. The alarm will ring when the client attempts to move from their current environment

Question 35

What are restraints?

Answer 35

Used to decrease the client’s movement and function for their safety as well as other clients and staff.

Question 36

What are the five types of restraints?

Answer 36

physical, mechanical, chemical, barrier, and seclusion

Question 37

interventions that should be attempted before restraints are considered include

Answer 37

Engage the client in social interactions.
Offer client diversional activities.
De-escalate the situation.
Place the client in a room near the nurses’ station.
Encourage family members’ presence at the bedside.
Have a sitter at the client’s bedside.
Use bed or chair alarms.
Keep the IV tubing, urinary catheter, or other medical devices out of the client’s view.
Remind and reorient the client to not pull on the medical device or to get out of bed.

Question 38

Indications for the use of restraints include

Answer 38

The client is exhibiting unnecessary or unwanted movement that is considered unsafe.
The client is attempting to remove needed medical items (e.g., feeding tubes, intravenous catheters, indwelling urinary catheters, breathing devices, or drains and bandages).
The restraints can provide safety and security for a client undergoing a procedure, both before and during the procedure.
The client is aggressive or combative.
The client is a danger to self or to others.
Other alternatives have been exhausted, and the delay in applying the restraint could potentially cause significant injury or damage

Question 39

manually holding or immobilizing the client using physical strength, used for injections

Answer 39

Physical restraint

Question 40

What is a mechanical restraint?

Answer 40

A physical device that is applied to a person to restrict their movement. It may consist of the use of materials such as straps, fabric, leather devices that can fasten around the client s wrists or ankles

Question 41

What is a chemical restraint?

Answer 41

The administration of medications (including benzodiazepines, antipsychotics, and neuromuscular blocking agents) to reduce the client’s movement or control behavior.

Question 42

What are barrier restraints?

Answer 42

Restrain a client’s movement within a setting through the use of barriers to limit movement such as concave mattresses and lapboards that are attached to chairs

Question 43

What are examples of barrier restraints?

Answer 43

Bed enclosures and having all four bed rails up are also considered barrier restraints

Question 44

Placing the client alone in a securely locked room is called

Answer 44

Seclusion

Question 45

List at least three indications for the use of restraints

Answer 45

When a client is attempting the unwanted removal of medical items

When a client is aggressive or combative

When a client is a danger to self or others

Question 46

What is a mobile (ground) lift/hoyer lift?

Answer 46

A device with locking wheels that is used to lift clients out of bed or chair. It has a sling to cradle clients.

Question 47

What is a ceiling lift?

Answer 47

They are lifts mounted in the ceiling that are used to lift and transfer clients in and out of bed or the chair. It has a sling to cradle clients.

Question 48

What is a poly glide sheet?

Answer 48

A smaller version of the turnsheet or glide sheet. They are meant for movement of body parts as in an obese client’s extremities.

Question 49

A mobile lift, with locking breaks, that takes the client from a sitting to standing position?

Answer 49

Sit to stand lift

Question 50

Examples of clinical alarms

Answer 50

bed and chair alarms, as well as alarms on feeding and intravenous (IV) infusion pumps, heart monitors, and ventilators.

Question 51

What do we do with clients who are a risk for suicide?

Answer 51

are placed on round-the-clock surveillance while in a nonpsychiatric hospital. Potentially harmful items should be removed from the room by nursing staff