Safety Flashcards

1
Q

Name at least two Client identifiers

A

Client’s Name, Date of Birth, Designated hospital number or telephone number

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2
Q

When should medication reconciliation be conducted

A

At admission, upon discharge, or when the client is transferred to another level of care within the facility or to another care facility

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3
Q

What are the four hospital-acquired infections monitored by the CDC?

A

Central line-associated bloodstream infection (CLABSI)
Catheter-associated urinary tract infection (CAUTI)
Surgical-Site infection (SSI)
Ventilator-associated pneumonia (VAP)

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4
Q

What is a sentinel event?

A

A critical, unexpected adverse event that caused severe physical or psychological harm to a client, including death or dismemberment, permanent injury, and severe or temporary injury.

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5
Q

Name two work practices that have increased the amount of time the nurse spends at the client’s bedside.

A

Hourly rounding and bedside handoff communication

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6
Q

What is a near miss?

A

A potential error or event that could have caused harm but was caught or avoided.

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7
Q

What are some conditions that would require the nurse to notify the rapid response team? (RRT)

A

A sudden change in vital signs
Low oxygen saturation despite efforts to oxygenate the client
Chest pain despite the administration of nitroglycerine
Seizure
Medical professional has a deep concern about the client’s condition
Sudden change in the client’s mental status

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8
Q

Name three principles that should be followed to assure radiation safety

A

Reduce time near the source of radiation, increase distance from the source of radiation, and implement shielding.

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9
Q

Which type of fire extinguisher is a multi-purpose extinguisher?

A

A-B-C type Fire extinguisher

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10
Q
A
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11
Q

Which three priority elements should be done if an active shooter is in the workplace? Identify their correct priority order.

A

Run: Run away from the shooter, if possible.
Hide: Hide From the Shooter if you cannot run away.
Fight: Fight the Shooter if you cannot run or hide.

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12
Q

What is seclusion (In the context of a medical setting?)

A

Placing a client alone in a securely locked room to prevent harm to self, other clients, and staff.

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13
Q

Name four interventions that can be implemented to avoid the use of restraints?

A

Engage the client in social interactions
Offer the client diversional activities
De-escalate the situation
Place the client in a room near the nurses station
Encourage family members present at the bedside
Have a sitter at the client’s bedside.
Use bed or chair alarms.
Keep the IV tubing, urinary catheter, or other medical devices out of the client’s view.
Remind the client and reorient the client to not pull on the medical device or to get out of bed.

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14
Q

Name the three assessments the client should perform frequently when a client is restrained.

A

Circulatory, respiratory, and skin integrity checks.

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15
Q

Name four fall preventions that should be used for all hospitalized clients?

A

Use of non-skid footwear
Keeping the bed in the low position
Locking the wheels of the bed
Placing the brakes on wheelchairs
Maintaining a clutter-free environment
adequate lighting
Placing the call light and belongings within the client’s reach
Fall prevention education to clients, along with basic orientation to the room and call light system.

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16
Q

Name five physical factors that would increase a client’s risk of falling

A

Stroke
Amputation
Recent surgery
Multiple sclerosis
Visual impairment
Chronic pain
Malnutrition
Weakness
Unsteady Gait

17
Q

Name three cognitive factors that would increase a client’s risk of falling

A

Sleep disorders
Impulsiveness
Disorientation
Dementia
Depression

18
Q

Name three interventions the nurse should implement when admitting a client with a history of seizures

A

Ensure that suction equipment is set up at the bedside. Suction may be needed to prevent the client from aspirating phlegm or stomach contents.
Ensure that oxygen is set up at the bedside.
Check baseline vital signs, including oxygen saturation.
Establish two IV sites.
Ensure the siderails are padded to prevent injury during a potential seizure.
Remove potentially constrictive jewelry and clothing in case of a seizure.
Ask if the client feels an aura (A sensation that a seizure is about to happen) before having a seizure.
If so, ask the client to notify you as soon as you feel it. If they have dentures, remove them during the aura, if possible.