Safety Flashcards

1
Q

What are the factors that affect one’s ability to protect themselves from injury?

A
  1. Age & development
  2. Lifestyle
  3. Mobility & health status
  4. Sensory perceptual alterations
  5. Cognitive awareness
  6. Emotional state
  7. Ability to communicate
  8. Safety awareness
  9. Environmental factors
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2
Q

What are examples of environmental factors that affect a person’s ability to protect themselves against injury?

A
  • home
  • work
  • community
  • health care settings
  • bioterrorism
  • disaster planning
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3
Q

As a nurse, what should you assess a client for to determine their safety level?

A
  1. nursing history
  2. physical examination
  3. risk assessment tools
  4. client’s home environment
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4
Q

What are the national patient safety goals (NPSGs) ?

A
  1. improve accuracy of patient identification
  2. Improve effectiveness of communication among caregivers
  3. improve safety of using medications
  4. reduce the risk of healthcare associated infections
  5. Accurately & completely reconcile medications across the continuum of care
  6. reduce risk of residential harm resulting from falls
  7. prevent healthcare associated pressure ulcers
  8. identify safety risks inherent in the patient population
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5
Q

What do you diagnose a client for after assessment for safety?

A
  1. risk for injury
  2. risk for poisoning
  3. risk for suffocation
  4. risk for trauma
  5. latex allergy response & risk for latex allergy response
  6. contamination & risk for contamination
  7. risk for aspiration
  8. deficient knowledge
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6
Q

What can you plan to achieve desired outcomes associated with preventing injury?

A
  • change health behavior
  • modify environment
  • particular outcomes depend on individual
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7
Q

How do you implement safety measures to help the client & their family prevent injuries?

A
  1. identify environmental hazards at home & community
  2. demonstrate safety practices appropriate to the home health care agency, community & workplace
  3. experience a decrease in frequency or severity of injury
  4. demonstrate safe childbearing practices & lifestyle practices
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8
Q

How do we promote safety across a persons’ lifespan?

A
  • observation or prediction of potentially harmful situations in order to avoid harm
  • client teaching. Empowering clients to protect themselves and their families from injury
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9
Q

Newborns & infants accidents are a leading cause of death, how can we reduce this risk?

A
  • by teaching parents a level of observation that is needed to maintain safety
  • identify & remove common hazards
  • first aid, including CPR & interventions for airway obstruction
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10
Q

What are the common accidents of Newborns & infants?

A
  • burns
  • suffocation
  • choking
  • automobile crashes
  • falls
  • poisoning
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11
Q

How can we prevent toddler injuries?

A
  1. toddler proofing home
  2. use of federally approved car restraints
  3. removing or securing all potentially hazardous items
  4. inspect & remove sources of lead
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11
Q

What is the leading cause of injury in older adults?

A

falls

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11
Q

Where do most falls occur?

A

At home

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11
Q

How can we promote safety in health care settings?

A
  1. avoid focus on blame
  2. develop trust
  3. be active in preventing medication errors
  4. communicate
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11
Q

What are common older adult accidents cause by?

A
  1. Night driving
  2. peripheral vision diminished
  3. forgetting iron or stove left on
  4. not extinguishing cigarette completely
  5. potential for burns when person bathes or uses heating devices
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12
Q

Who’s more prone to falling?

A

Infants & older adults

12
Q

What is the most frequently reported adverse event?

A

falls

12
Q

What is a tool for assessing fall risk?

A

The “get up and go” assessment tool

13
Q

How do we prevent falls?

A
  1. orient clients to surroundings and explain the call system
  2. carefully assess client’s ability to ambulate and transfer
  3. provide walking aids and assistance as needed
  4. closely supervise clients at risk for fall, especially at night
  5. encourage client to use call bell to request assistance and ensure bell is within easy reach
  6. place bedside tables or overbed tables close by, so clients don’t need to overreach
  7. always keep hospital beds in low position with wheels locked when not providing care, so clients can move in and out of bed easily
  8. encourage client to use grab bars mounted in toilet, bathing areas and railings along corridors
  9. make sure non-skid bath mats are available in tubs and showers
  10. Encourage clients to wear nonskid footwear
  11. keep environment tidy, especially light cords out from underfoot and furniture out of walkways
  12. use electronic devices when required
  13. use mechanical or electronic ceiling lift to transfer dependent client
14
Q

What are the seizure precautions?

A
  1. pad bed by securing blankets and linens around head, foot, and side rails
  2. put oral suction in place and test to ensure it is functional
  3. ensure UAP are familiar with seizure precautions and assistance during a seizure
  4. Medical identification tags
  5. helmets for children with frequent seizures
  6. if the seizures are not well controlled, restrict or directly supervise :
    - tub bathing & swimming
    - cooking
    - use of electrical equipment or machinery
    - driving
15
Q

What to do as a nurse when a seizure occurs :

A
  • care during a seizure is a nurse’s responsibility due to importance of assessment and potential need for intervention
    1. Remain with client
    2. assist client to floor if they are not in bed
    3. turn the client to lateral position, if possible
    4. move items in environment for clients safety
    5. do not insert anything into client’s mouth
    6. time the seizure duration
    7. document seizure event in client record using forms or checklists
    8. supplement with narrative notes when appropriate
16
Q

How can we prevent suffocation or choking?

A
  1. teach universal distress signal
  2. teach Heimlich maneuver
  3. any obstruction must be immediately removed
  4. life support measures instituted when an arrest occurs
17
Q

What is asphyxiation?

A

a condition that occurs when the body is deprived of oxygen, leading to unconsciousness or death if not quickly addressed. It results from the inability to breathe properly due to physical obstruction, chemical interference, or environmental factors.

18
Q

What are restraints?

A

They are protective devices used to limit the physical activity of a client or body part

19
Q

What are the reasons for restraint?

A
  • to avoid and prevent accidental or purposeful harm to client
  • to do what is required to provide medically necessary treatment that could not be provided any other way
  • may be used to prevent client from harming others
20
Q

What are the types of restraints?

A

Physical restraint : Any manual or physical or mechanical device, material, or equipment attached to client’s body
Chemical restraint : Medications used to control socially disruptive behavior

21
Q

What are the legal implications of restraints?

A
  • in all cases, restraints are used only after every other possible means proved unsuccessful and was documented
  • nurses must document that need for restraint was made clear both to client and family
  • nurse may apply restraints but physician or other licensed independent practitioner must see client within 1 hour for evaluation
  • written restraint order for an adult, following evaluation, valid for only 4 hours
  • there must be continual visual and audio monitoring if client is restraint and secluded