Safety Flashcards
National patient safety initiatives
initiatives to foster collaboration between healthcare facilities, government agencies, physicians, nurses, and clients to enhance patient safety and quality of care
QSEN
quality and safety education for nurses, designed to evaluate nursing education
KSA’s
Knowledge, skills, and attributes expected of every nursing school graduate
QSEN phase I
evaluation of necessary quality and safety factors
QSEN phase I compentencies
patient centered care quality improvement evidence based practice teamwork and collaboration safety informatics
QSEN phase II
provides instructors with resources and strategies needed to teach
QSEN phase III
national education effort by UNC-CH and the AACN to standardize education
Nation patient safety goals
started by joint commission in 2002 to help accredited organizations deal with specific topics on patient safety
The leading cause of death in older adults is _____
Falls
Fall prevention nursing interventions
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
5 categories of schmid fall assessment tool
mobility mentation elimination prior fall history medication
Score of _ or greater indicates a fall risk on the schmid fall assessment tool
3
Physical restraint
mechanical device, material, or equipment is attached to the client’s body and not removed easily by the client as they restrict movement
Chemical restraint
medication used to control socially disruptive behavior to prevent the client from injuring self or others
Restrain selection considerations
- restrict the clients movement as little as possible
- be sure the the restraint doesn’t interfere with any client treatments or health problems
- needs to be readily changeable (quick knot/ slip knot)
- needs to be safe for the client
- choose the least obvious to others for patient comfort
Restrain orders
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
Potential harm from restraints
injuries sentinel events psychologically harmful demeaning limitation of autonomy
Legal implications of restraint use
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
Wrong site surgery
surgery performed on:
wrong client
right client wrong body part
right client wrong surgery
Wrong site surgery happens once in every ______ cases
100,000
Medication errors
client receives: wrong medicine wrong dose wrong formulation (incorrect route) right medicine at wrong time
Nursing interventions to prevent med errors
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
Hazards of clinical work
bloodborne pathogens needlesticks latex allergies musculoskeletal injuries stress violence
Occupational safety and health act
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
2 organizations created by the occupational safety and health act
occupational safety and health administration
national institute for occupational safety and health
Function of occupational safety and health administration
enforces guidelines of the OSHA act
consults with employees and employers on injury prevention measures
Function of national institute for occupational safety and health
conducts research on safety in the workplace including effects of stress, policies, and scheduling
develops recommendations for safety procedures
Factors that increase the risk of human error in the clinical setting
limited short term memory being late or in a hurry limited ability to multitask interruptions stress fatigue and other psychological factors environmental factors
Standard precautions
universal precautions
Latex precautions
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
Safe client handling
follow standards of the nurse and health care worker protection act of 2009; promotes client and staff safety
Incidents of violence are highest in _______ _________ and _____ ______
emergency departments
psych units
