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Nursing Essentials > Safety > Flashcards

Safety Flashcards

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1
Q

What are intentional injuries

A

Deliberate acts of ciolence or abuse that often have fatal consqiences

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2
Q

What are unintentioal injuries

A

Accidents

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3
Q

What is the jiont commission

A

An organization that accredits hosptial with the goal of pt SAFETY

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4
Q

What are national pt safety goals (NPSGs)

A

goals that focus on pt safety, delivery of care, and strategies to avoid bad outcome

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5
Q

How are the NPSG goals met

A

Standards of care

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6
Q

What are the 7 NPSGs

A

INDENTIY, COMMUNICAITON, MEDS, ALARMS, HAI, RISKS, SURGERY

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7
Q

What are individual factors affecting safety

A

Body system INTEGRITY, normal or abnormal function of the body

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8
Q

What can ristricted ROM lead to

A

Diminished strength, bad gait, falls

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9
Q

What can immobility lead to

A

Skin breaksown, pressure injuries

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10
Q

What can a bad cognitive ability lead to

A

Poor judgement, doesn’t understand limitations, FORGET to turn off the stove

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11
Q

What can a bad sensory perception lead to

A

Can’t tell if something is burning

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12
Q

What can impaired perfusion lead to

A

SOB, cheast pain, activity intolerance, issues with ADLs

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13
Q

If a person has cardiopulmonary issues what may they have a difficult time with

A

Using the toilet, bathe, sit, stand, walking

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14
Q

What can an impaired ability to excrete medication lead to

A

toxicity, falls

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15
Q

What does prevention mean

A

Pt EDICATION!!!!!

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16
Q

What is lead poisoning

A

Built up levels of lead in your blood

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17
Q

What sysmtems does lead posioning affect

A

Everything especially neuro

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18
Q

What is lead posisoning most common in and why

A

Children, they like to eat and like old paint that could be made with lead

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19
Q

What are the S+S of lead psisoning

A

Developmental delay, seizures, pica, vomiting, ab pain

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20
Q

What is pica

A

Eatting things that are not food

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21
Q

How can you prevent lead poisoning

A

Blood draws in children, updating painting

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22
Q

What is carbon monoxide poisoning reffered to

A

Silent killer

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23
Q

What is carbon monoxide

A

Colorless, oderless gas

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24
Q

What does carbon monoxide do

A

Binds to hemoglobin reducing the O2 supply to the body

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25
Q

What are the sources of carbon monoxide

A

Cars, stove, gas, generators, buring wood

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26
Q

What are the common scenarios of carbon monoxide posisoning

A

smoke inhalation, running cars is small areas, bad heating systems

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27
Q

How can you prevent carbon monoxide poisoning

A

Proper ventilation

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28
Q

What are the four categories of abuse

A

Sexual, emotional, physical, and finacial

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29
Q

What are the nursing interventions of abuse

A

Give RESOURCES, FILE a report for minors, or seek MANAGERS

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30
Q

What are some intrinsic factors of risks for falls

A

Age, dementia, weakness, surgery, sensory, polypharmacy

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31
Q

What do BP meds usally do

A

Lower BP which can lead to dizziness

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32
Q

What do lasix do

A

Make you pee which can lead to falls

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33
Q

What do antihistamines do

A

Make you drowsy

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34
Q

What are some extrinsic factors for risks for fall fisks

A

Cluttered walkways, wet floor, bad footwear, bad lighting, lines

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35
Q

What are some nursing interventions for preventing falls

A

Gait belt, yellow socks and wristband, lowest bed position, call light, no rugs, hourly rounding, nurse’s station, bed alarm, lighting, orient

36
Q

What bed alarm setting would you give a pt who wants to keep leaving

A

Sitting on the side

37
Q

What bed alarm setting would you want to give for someone who had a spinal injury or who is vented

A

When they turn over

38
Q

What bed alarm setting would you give for most fall risk pts

A

When they leave the bed

39
Q

What should you do if a pt falls

A

STAY with pt, call light, yell, physical assessment, questions, get back up, post fall huddle, incident report

40
Q

Which systems are important to assess after a fall

A

Neurological, muscloskeltal

41
Q

What questions should you ask regaring a fall

A

Why is happened and if htey hit their head

42
Q

Why is it important to ask if a pt hit there head in a fall

A

Anticoagulant meds, get them a CT scan

43
Q

What is a seizure

A

Abnormal and sudden surge of electrical activity in the brain

44
Q

What is epilepsy

A

Chronic seizure activity due to a chronic condition

45
Q

What are some causes of seizures

A

Increased fever with children, alcohol withdrawl, hypoxia, hypoglycemia, ABG imbalance

46
Q

What are the 4 seizure stages

A

Prodromal, aura, ictus seizure, post-ictus

47
Q

What is the prodromal stage of a seizure

A

Symptoms that come before the actual seizure

48
Q

What is the aura stage of a seizure

A

Warning signs right before the siezure, weird smell or taste, altered vision, dizzy

49
Q

Do all pts experience an aura before a seizure

A

No

50
Q

What is the ictus seizure stage of a seizure

A

The actual seizure

51
Q

What is a status epilepticus

A

EMERGENCY, seizure that lasts more that 5 mins

52
Q

What is the post-itcus stage of a seizure

A

Recovery

53
Q

What are some symptoms after a seizure

A

Headache, injury, confusion, tired, may have lost control of their bodily functions

54
Q

What do you need at the bedside of a seizure pt

A

Oxygen, airway, suction, padding, saline lock (patency)

55
Q

What is the patency of a line

A

Once a shift you check the area around the IV and flush it to see if there is blood return

56
Q

What are the nursing inerventions for a seizure

A

STAY with the pt, call for help, 4 side rails up with padding, lateral position, lowest bed setting, pillow, maintain airway, note duration and time of seizure

57
Q

Should you put anything in the mouth of a pt who is seeing

A

ONly when their airway is compromised

58
Q

What is a seizure called when it lasts more than 5 minutes

A

Status epileptics

59
Q

What should you not do for a seizing pt

A

Restrain them, force the jaw open, move the pt, leave the pt

60
Q

What should you do if a pt starts seizing while abulating

A

Leg slide to the floor, pillow, remove furniture, privacy, lateral side

61
Q

What are the post-seizure nursing interventions

A

Mental status, O2, explain what happened, comfort, document

62
Q

What should you document after a seizure

A

Precipitating bahaviors, description of the event (injuries, length, aura, postical state)

63
Q

What are restraints

A

Chemical, enviromental, or physcial devices that restrict FREEDOM of movement

64
Q

What does EBP says about restrants

A

Reduce the NEED and use LESS restrictive measures first

65
Q

When do you use restrants

A

Immediate threat of harm to self or others

66
Q

What should restraints not be

A

Punishment, convenience, intergere wiht treatment

67
Q

What should restrants be

A

Less restrictive, fit, quick release knot

68
Q

What are some less invasice measures

A

Orient, nurse station, family, min stimuli, distractions, agitation, basic needs, sitter, cover tubes

69
Q

What are the requirments for restrainsts

A

Have a HCP order, face-to-face assessment of pt, or within an hour, must include reason, type, location, and time, reorder Q24

70
Q

Are PRN orders for restrants allowed

A

No

71
Q

What type of restraints can you use for overly combative pts

A

Chemical sedatives

72
Q

What type of restrant is a posey bed

A

An envriomental restraints for people with intellectual disabilityes

73
Q

What are the types of physical restraints

A

Vest, mittens, belt, wirst

74
Q

What restraint should you use for pts in a wheelchair

A

vest/jacket

75
Q

What restraint should you use for pts who are scratching at wounds

A

Mitten

76
Q

What restraint should you use to keep pts from falling out of bed

A

Belt

77
Q

What restraint should you use to stop pts from pulling ESSENTIAL lines

A

Wrist

78
Q

What are the classifications of wrist restraints

A

2 point and 4 point

79
Q

What are some nursing interventions for restraints

A

Assess skin and need for restrants, offer food and fluids, elimination, ROM

80
Q

Can you tie a quick release knot to the bedrail

A

NO

81
Q

What ia a major cause of death for all ages

A

Fire in the home

82
Q

What should you educate your pts about a home safety plan

A

Numbers, exitinguisher, alarms, exit plan, stop drop and roll

83
Q

What are some oxygen tank safety things to know

A

No smoking isgn, store away from HEAT, only SOTTON, on a RACK, WATER based lubricants for the nares

84
Q

What does race stand for

A

Rescue, alarm, contain, extinguish

85
Q

How can you contain a fire

A

Close doors, turn off O2

86
Q

What are you going to do during a fire if your pt is on life-support

A

Bag-valve mask

87
Q

What does PASS stand for

A

Pull, aim, squeeze, sweep

Nursing Essentials (16 decks)

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