SAFETY Flashcards
What are the factors that affect safety?
age and development
lifestyle
mobility and health status
sensory-perceptual alterations
cognitive awareness
emotional state
ability to communicate
safety awareness
environmental factors
In 1999, the Institute of Medicine (IOM) released its first publication on client safety and medical errors, what is this?
To Err is Human:Building a Safer Health System
QSEN
Quality and Safety Education for Nurses
developed guidelines that would enable future nurses to have the knowledge, skills, and attitudes necessary to improve the quality and safety of the health care systems within which they work
QSEN project
help organizations target areas most in need of improvement
National Patient Safety Goals
It is important for health organizations to create an environment in which safety is a top priority; this is also known as providing a
culture of safety
What are the foundations of culture of safety?
blame-free work environment
transparency
process designed to prevent errors
an event or situation that did not produce client injury, but only because of chance
near miss or close call
This report found that the usual work environment of nurses is characterized by many serious threats to client safety.
Keeping Patients Safe—Transforming the Work Environment of Nurses
deliberate release of viruses, bacteria, or other germs (agents) used to cause illness or death in people, animals, or plants
bioterrorism
What guideline was developed for disaster response of nurses?
Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response
What is the role of the nurses during disasters?
to know and understand the chain of command
What are the Nursing Managements?
Assessing
Nursing History and Physical Examination
National Patient Safety Goals
Bioterrorism Attacks
are available to determine clients at risk both for specific types of injury, such as falls, or for the general safety of the home and health care setting.
Risk Assessment Tools
What is the focus of NPSG?
system-wide solutions
What are the biologic agents that have been identified by the CDC as being of highest concern?
anthrax
botulism
plague
viral hemorrhagic fever
smallpox
tularemia
Vulnerable to physical damage due to environmental conditions interacting with the individual’s adaptive and defensive resources, which may compromise health
risk for injury
What are the measures used to ensure the safety of people of all ages?
observation
client education
What are a leading cause of death during infancy, especially during the first year of life?
accidents
is the most common cause of lead poisoning in children.
ingestion if lead-based paint chips
are the leading cause of death in school-age children
injuries sustained as a result of accidents
Adolescents are at risk for ______ because their coordination skills are not fully developed
sports
are two leading causes of death among teenagers
suicide and homicide
Factors influencing the high suicide and homicide rates include
economic deprivation
family breakup
availability of firearms
are by far the leading cause of mortality for young adults
motor vehicle crashes
One safety hazard for many young adults is
exposure to natural radiation from sunbathing or outdoor activities
are the most common cause of accidental death in middle-aged adults
motor vehicle crashes
is a major concern for older adults.
injury prevention
key risk factors for suicide in older adults include
gender
rural communities
depression
social isolation
This is where the nurse conducts hourly visits between 6 am and 10 pm and visits every 2 hours between 10 pm and 6 am.
scheduled rounding
are available to detect when clients are attempting to move or get out of bed
electronic safety monitoring devices
is a single temporary event that consists of uncontrolled electrical neuronal discharge of the brain that interrupts normal brain function
seizure
What are two classification of seizures?
partial and generalized
is a burn from a hot liquid or vapor, such as steam
scald
results from excessive exposure to thermal, chemical, electric, or radioactive agents
burn
RACE
Rescue
Alarm
Confine
Extinguish or Evacuate
When using a fire extinguisher you need to use the ____ mnemonic
PASS
PASS
Pull out the extinguisher’s pin
Aim the hose at the base of the fire
Squeeze or press the handle to discharge material onto the fire
Sweep the hose from side to side across the base of the fire until the fire disappears
is an odorless, colorless, tasteless gas that is very toxic
carbon monoxide
is lack of oxygen due to interrupted breathing
suffocation or asphyxiation
The emergency response of suffocation is?
Heimlich maneuver
Physiological effects of noise include
increased heart and rr
increased muscular activity
nausea
hearing loss
Excessive noise is a health hazard that can cause hearing loss, depending on
level of noise
frequency
duration
occurs when a current travels through the body to the ground rather than through electric wiring, or from static electricity that builds up on the body
electric shock
Exposure to radiation can be minimized by
limiting the time near the source
distance from the source
use shielding devices (lead aprons
four specific phases of disaster planning
mitigation
preparedness
response
recovery
are devices used to limit the physical activity of a client or a part of the body.
restraints
include “any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely”
Physical restraints
involve using a medication to control behavior or to restrict the client’s freedom of movement and is not a standard treatment for the client’s medical or psychological condition
chemical restraints
is the involuntary confinement of a client alone in a room or area from which the client is physically prevented from leaving
seclusion
is used to prevent clients of any age from using their hands or fingers to scratch and injure themselve
mitt or hand restraint
may be used to immobilize a limb, primarily for therapeutic reasons
limb restraint
prevent flexion of the joint so that tubing, connections, catheters, and bandages cannot be reached.
elbow restraint
is a special folding of a blanket or sheet around an infant to prevent movement during aprocedure such as gastric washing, eye irrigation, or collection of a blood specimen.
mummy restraint
is simply a device placed over the top of a crib to prevent active young children from climbing out of the crib.
crib net
In jacket restraint, what knot are you going to use?
half-bow knot
