Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Intro to Nursing Science > Safety > Flashcards

Safety Flashcards

You may prefer our related Brainscape-certified flashcards:
Nursing Mental Health flashcards Nursing Management of Care flashcards NCLEX-PN® flashcards NCLEX-RN® flashcards Nursing Fundamentals flashcards Nursing Pediatrics flashcards Nursing Safety & Infection flashcards Nursing Pharmacology flashcards Nursing Maternity flashcards Family Nurse Practitioner (FNP) flashcards
1
Q

What is the definition of safety?

A

Freedom from psychological & physical injuries
It is a basic human need that must be met.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the safety risks for infants & children?

A

They like to explore (Ex. baby proofing); like to climb (fall risk); poisoning (eat whatever they can get their hands on); drowning (cannot be unsupervised); car seat safety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the safety risks for adolescents?

A

Seeking independence & lack of fear (risk-taking behaviours); drowning; automobile accidents; substance abuse (vaping, smoking, drinking)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the safety risks for adults?

A

Lifestyle habits (workplace hazards); alcohol & substance abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the safety risks for older adults?

A

Lifestyle habits (workplace hazards); alcohol & substance abuse
Older adults – physiological & social changes; fall risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the focus of safety for infants & children?

A

Sleep position & safe supervision; child-proofing; toilet seat locks (drowning risk); poison prevention; bike helmet safety; water safety (Ex. life jackets); stranger danger; allergy awareness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the focus of safety for adolescents?

A

Effects of alcohol & drugs; drivers education & car safety; safe sex & contraception, STI awareness; online media safety; mental health support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the focus of safety for adults?

A

Workplace violence; smoking cessation & awareness; substance use & abuse; interventions for mental health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the focus of safety for older adults?

A

Safe medication; falls; maintaining good health (physical & social activity)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are some risks to patient safety in a HC setting?

A
  • Patient-inherent accidents
  • Equipment-related accidents
  • Procedure-related accidents
  • Falls
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are some workplace safety risks in a HC setting?

A
  • Infectious agents
  • Hazardous substances
  • Violence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the top 3 causes of death in Canada?

A
  1. Cancer
  2. Heart disease
  3. Patient safety issue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How often does someone die from a preventable patient safety issue in Canada?

A

Every 13 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the most prevalent patient safety incident in the acute care system in Canada?

A

Falls & infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is a PSI (patient safety incident)?

A

PSI is a preventable unintended outcome of care caused by medical management or complication rather than by the underlying disease itself, resulting in prolonged healthcare, disability, or death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a sentinel event?

A

Severely harmed psychologically or physically, or killed, due to an unintended outcome of care

17
Q

What is a preventable adverse event? Example?

A

An error that could cause harm that we know of
- Ex. vancomycin administered too fast = vancomycin reaction syndrome (red man syndrome – flushed, hypertensive); given antihistamines to correct

18
Q

Discuss the Swiss Cheese accident model.

A

Defences against incidents:
- procedures, physical barriers, information, decisions
Holes:
- poor protocols, faulty equipment, missing info, inadequate supervision

19
Q

Incidents related to medication often occur because of…

A
  • Labels (similar labels, can run into trouble)
  • Illegible writing
  • Unapproved abbreviations
  • Symbols
20
Q

What is a fall? What are the different types of ‘fallers’?

A

A fall is an abrupt, uncontrolled, downward change in position in which potential for injury exists or actual injury occurs
Near fall – potential fall that is prevented through purposeful actions
Repeat faller – has had 2 or more falls in the last 3 months

21
Q

What puts someone at risk for falls?

A

Physiological changes due to aging
Pt hospitalization; surgery, medication (side effects Ex. dizziness)
Disease processes
Vision & hearing changes

22
Q

What is the BEEEACH fall reduction model?

A

B = behaviour change
E = education
E = equipment
E = environment
A = activity
C = clothing & footwear
H = health management

23
Q

How do you determine safety in the assessment section of the nursing process?

A

Ask about…
- Health history
- Pt’s home environment
- Health care environment
- Risk for falls
- Pt expectations

24
Q

What are restraints?

A

Defined by CNO as physical, environmental, or chemical measures used to control the physical or behavioural activity of a person or a portion of their body

25
Q

Discuss the patient restraints minimization act.

A

Went through in June of 2001 (Bill 85)
- Required HC facilities to establish policies with respect to restraining & confining pts, and the use of alternative methods to prevent serious bodily harm by a pt to themselves or to others
- States that whenever possible, alternatives to restraints should be tried

26
Q

What are the differences between the different types of restraints?

A

Physical - Limits movement of client’s whole body or body part (Ex. fixed table or bed rail)
Environmental - Control a client’s mobility (Ex. locked unit)
Chemical - pharmacological intervention to control, inhibit, or restrict a person’s behaviour (Ex. psychoactive medication)

27
Q

What are mitts/double padded mitts used for? Pelvic holder?

A

Mitts - for when patients are picking at scars or tubing, helps keep them from taking things apart
Pelvic holder - keeps patient in wheelchair, especially if they’re continuously trying to stand when they shouldn’t be

28
Q

Discuss the risks of restraints.

A
  • Increased injury (Ex. falls - climbing over bed rails, strangulation)
  • Circulation impairment (Ex. cool extremities)
  • Skin breakdown, unable to reposition self
  • Confusion, agitation, loss of dignity, depression, fear
  • Incontinence, constipation
  • Loss of bone mass & muscle atrophy (Ex. lack of movement)
  • Loss of appetite & dehydration
29
Q

What assessments would you make before applying the use of restraints?

A
  • Assess pt behaviour
  • Explore underlying causes/triggers & treat when possible
  • Consider alternative strategies
  • Collaborate with pt, family, and/or SDM when possible
  • Implement appropriate or preferred/individualized alternatives to assist the pt to manage the behaviour (if pt has capacity; can refuse care)
  • Document
  • If alternatives unsuccessful, review criteria for restraint
30
Q

When do we use restraints?

A
  • Protection – when pt may cause serious harm to themselves or others
  • Maintaining treatment
  • Enhance freedom or quality of life
  • Pt meets criteria & consent is obtained
    *** ALWAYS as a last resort
31
Q

What are a nurse’s responsibilities to a restrained patient?

A
  • Check every hour
  • Release from restraint q2h
  • Provide opportunities for ambulation, toileting, exercises, and other care
  • Any member of pt’s care team can release/remove restraint for care
  • Discontinue restraint when pt no longer ‘meets criteria’
  • Order required to apply restraint; MD or NP specific to agency policy (can apply in emergency situation, consult within the hour)
  • Assess all contributing factors
  • Consider alternatives first
  • Consent from pt or SDM
32
Q

What are the 3 main workplace safety risks in HC?

A

Infectious agents, hazardous materials, violence

33
Q

What is violence in HC?

A

Incidence where employees are abused, threatened, assaulted or subjected to other offensive behaviour in circumstances related to their work
Threatening behaviour; physical attacks; bullying & harassment

34
Q

Why is there violence in HC?

A

Culture of acceptance; fear of reprisal/lack of support, policies; stress/high emotions/unpredictable environments; staffing; seeking control in environments

35
Q

Discuss violence in workplace recommendations.

A

Zero tolerance
Education & training of HC professionals in the de-escalation of violence
Undertaking violence risk assessments of HC organizations, departments, and individual pts
Flagging of pts who pose a risk for violent behaviour
Personal safety response system that allows HC providers to call for help
Security personnel & protocols to respond to violence

Intro to Nursing Science (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions