Safety Flashcards

1
Q

Sentinel event

A

Unexpected occurrence/risk of:
Death or serious physical/psychological injury.

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2
Q

Never events

A

Surgery on wrong person/body part.
Leaving a foreign body (scissors/gauze) inside after a surgery.
D/c infant to wrong parents.

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3
Q

RCA + when to do it for falls

A

Asking many “why”s to discover where improvements can be made.

Used after a fall that causes injury/death.

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4
Q

Restraint characteristics

A

Chemical or physical devices that can’t be easily removed.
Must be ordered from provider.
Must keep patient or others from harm.
NOT interfere w/physiological function (must check extremity often for skin injury or circulation).
LAST RESORT

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5
Q

Restraint examples

A

Side rails.
Geriatric chairs with attached trays.
Appliances tied at wrist/ankle/waist.
Infant mummy restraint.

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6
Q

Risks of restraints

A

Falls (w/injury)
Skin breakdown
Contractures (shortening/hardening of tissues)
Incontinence
Depression, delirium, anxiety
Aspiration & resp difficulties
Death (sentinel event)

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7
Q

Initial & ongoing restraint documentation

A

I: date/time, type of restraint, tried alternatives & their results, notification of family and provider.

O: freq of assessment (every 1-2hrs) & findings, release intervals, interventions like offered hydration/toileting/ROM

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8
Q

What is the 1st thing to assess right after a patient falls?

A

Any loss of consciousness

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9
Q

Falls: some modifiable risk factors

A

Wet floor, long chords, rug, bad lighting

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10
Q

Are incident reports mentioned in EHR chart?

A

Never

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11
Q

What is documented with falls?

A

History of falls
Use of assissted devices/lift equipment
Modifiable risk factors
Fall risk tool
Precautions used to prevent falls
Injury?

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12
Q

Fall precautions

A

Fall bundle: yellow non-skid socks, door sign, (armband/bed alarm)

Bed/chair alarms.
Fall contract.
Signs/posters.
Tools: gait belt, walker, wheelchair

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13
Q

PPE & examples for contact transmission

A

Gloves
Gown

C-diff, MRSA, infected wound

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14
Q

PPE & examples for droplet transmission

A

Mask

Meningitis, Influenza (anything else w/ a cough)

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15
Q

PPE & examples for airborne transmission

A

N95 mask
Negative pressure room

MTV: measles, TB, varicella

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16
Q

Standard precautions

A

Hand hygiene
For risk of bodily fluids: gloves, gown, face (mask and eye protection)

17
Q

When to use sterile technique?

A

Surgical procedures
Catheterizations
Dressing changes

18
Q

Individual risk factors for falls

A

Atherosclerosis (muscle weakness).
Orthostatic or regular hypotension.
Dehydration causing hypotension. Vitamin D deficiency.
Use of meds (ex hypertension meds).
Visual impairment.
Osteoporosis.
Hypovolemia.
Cormobidities.
Problems w/gait, balance, feet, strength.
Home hazards.