Safety

Question 1

National patient safety initiatives

Answer 1

initiatives to foster collaboration between healthcare facilities, government agencies, physicians, nurses, and clients to enhance patient safety and quality of care

Question 2

QSEN

Answer 2

quality and safety education for nurses, designed to evaluate nursing education

Question 3

KSA’s

Answer 3

Knowledge, skills, and attributes expected of every nursing school graduate

Question 4

QSEN phase I

Answer 4

evaluation of necessary quality and safety factors

Question 5

QSEN phase I compentencies

Answer 5

patient centered care
quality improvement
evidence based practice
teamwork and collaboration
safety
informatics

Question 6

QSEN phase II

Answer 6

provides instructors with resources and strategies needed to teach

Question 7

QSEN phase III

Answer 7

national education effort by UNC-CH and the AACN to standardize education

Question 8

Nation patient safety goals

Answer 8

started by joint commission in 2002 to help accredited organizations deal with specific topics on patient safety

Question 9

The leading cause of death in older adults is _____

Answer 9

Falls

Question 10

Fall prevention nursing interventions

Answer 10

remove obstacles
keep items in reach
adequate lighting
shoes with traction
assess vision
leave at least 1 side rail down
restraints when necessary
awareness of medications

Question 11

5 categories of schmid fall assessment tool

Answer 11

mobility
mentation
elimination
prior fall history
medication

Question 12

Score of _ or greater indicates a fall risk on the schmid fall assessment tool

Answer 12

3

Question 13

Physical restraint

Answer 13

mechanical device, material, or equipment is attached to the client’s body and not removed easily by the client as they restrict movement

Question 14

Chemical restraint

Answer 14

medication used to control socially disruptive behavior to prevent the client from injuring self or others

Question 15

Restrain selection considerations

Answer 15

1. restrict the clients movement as little as possible
2. be sure the the restraint doesn’t interfere with any client treatments or health problems
3. needs to be readily changeable (quick knot/ slip knot)
4. needs to be safe for the client
5. choose the least obvious to others for patient comfort

Question 16

Restrain orders

Answer 16

must state the reason and time period for application
only for 24 hours at a time
PRN orders are prohibited
restraints are a last resort
alternatives MUST be explored first

Question 17

Potential harm from restraints

Answer 17

injuries
sentinel events
psychologically harmful
demeaning
limitation of autonomy

Question 18

Legal implications of restraint use

Answer 18

Client must be at risk of harming self and/or others
overall goal to protect the client
NEVER used as punishment, convenience, or false imprisonment
less restrictive measures must be implemented first
must follow state and federal laws
must follow institution policy

Question 19

Wrong site surgery

Answer 19

surgery performed on:
wrong client
right client wrong body part
right client wrong surgery

Question 20

Wrong site surgery happens once in every ______ cases

Answer 20

100,000

Question 21

Medication errors

Answer 21

client receives:
wrong medicine
wrong dose
wrong formulation (incorrect route)
right medicine at wrong time

Question 22

Nursing interventions to prevent med errors

Answer 22

assess med list regularly
look at all treatment options
be familiar with names and functions of all meds
know and instruct when and how meds should be taken
know and instruct common side effects and how to treat
instruct all drug and adverse interactions
evaluate client’s role in responsible med use
evaluate purpose of med client is receiving

Question 23

Hazards of clinical work

Answer 23

bloodborne pathogens
needlesticks
latex allergies
musculoskeletal injuries
stress
violence

Question 24

Occupational safety and health act

Answer 24

helps improve job safety
allows workers to anonymously report unsafe work conditions
requires specific protective equipment and procedures
mandates workers to report work-related injuries and illnesses

Question 25

2 organizations created by the occupational safety and health act

Answer 25

occupational safety and health administration

national institute for occupational safety and health

Question 26

Function of occupational safety and health administration

Answer 26

enforces guidelines of the OSHA act

consults with employees and employers on injury prevention measures

Question 27

Function of national institute for occupational safety and health

Answer 27

conducts research on safety in the workplace including effects of stress, policies, and scheduling
develops recommendations for safety procedures

Question 28

Factors that increase the risk of human error in the clinical setting

Answer 28

limited short term memory
being late or in a hurry
limited ability to multitask
interruptions
stress
fatigue and other psychological factors
environmental factors

Question 29

Standard precautions

Answer 29

universal precautions

Question 30

Latex precautions

Answer 30

check clients chart and verbally ask client if they have allergy
check all equipment and materials prior to use
use hypoallergenic or powderless gloves
frequent handwashing

Question 31

Safe client handling

Answer 31

follow standards of the nurse and health care worker protection act of 2009; promotes client and staff safety

Question 32

Incidents of violence are highest in _______ _________ and _____ ______

Answer 32

emergency departments

psych units