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Exam 5 > Safety > Flashcards

Safety Flashcards

1
Q

Using seperate outlets for plugging in devices that require a high-current such as ventilators or radiant warmers is done to…….?

A

Prevents overloading the circuit which could lead to a fire.

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1
Q

Recommeded amount of activated charcoal given to a patient:

A

Usually 5-10 times that of the suspected poison or, if the poison is unknown, 50-100g for adults.

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2
Q

Maximum Temperature for Heat pads, Sitz Bath, and Hot Compress therapy is…..?

A

41O C 105O F

  • Max temp. for those with circulatory insufficiency

35O C 95O F

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2
Q

What is needed in order to begin evalutaing the home environment?

A
  1. Home Assessment Checklist
  2. Outcome & Assessment information Act (OASIS-B1)
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3
Q

List the different carrying methods used to remove patients during a fire.

A
  • Pulling Blanket on the floor with patient lying on it
  • Two-person swing method
  • “Back Strap” carry method
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4
Q

If restraint must be placed before the physician’s order is obtained, then the order MUST be obtained ___________________for either nonbehavioral or behavioral clients.

A

Within 1 hour

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5
Q

What type of Fire Extinguisher?

  • Foam, Dry chemical Type
  • Use on fires such as gasolione, alcohol,acetone,oil, grease or paint thinner, & remover
  • Class A extinguisher is never used
A

Class B Extinguisher

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5
Q

Correctly Identify patients

A

Use 2 or more means to identify patients

Ensure blood transfussion get the correct blood.

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6
Q

Desired outcomes with the use of restraints

A
  • Client is prevented from injuring self or others
  • Restraints are applied appropriatly
  • Client does not develop complications due to restraint use. (agitation, pressure ulcer, circulatory disturbance)
  • Child is prevented from reaching an incision site, IVs, or tubes
  • Client remains in restraints for a limited amount of time
  • Client does not endure psychological stress while being placed in restraints.
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7
Q

List some safety guidelines for client’s who smoke

A
  • Hospitals do not allow smoking inside facility
  • Some facilities offer designated areas outside the building for smoking
  • Inform client and family of hospital’s smoking regulations.
  • DO NOT allow confused, sedated, or severly incapacitated clients to smoke without direct supervision.
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7
Q

Assess stairway & halls for:

A
  • Lighting
  • Handrails securly fastened to wall
  • Flooring in good repair
  • Rugs or carpeting in good condition
  • Light switches in easy reach and accessible at both ends of stairs or hall.
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8
Q

Equipment needed for thermal/electrical injuries?

A

Fire extinguishers

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8
Q

These are the only plugs that are used to safely plug in a device…..?

A

Three-Pronged Grounded Plug

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8
Q

Involuntary confinement of a client in a locked room.

Physical force may be applied by individuals, mechanical devices, or a combination of any of them.

A

Seclusion Restraint

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9
Q

List the information that must be identified during the home assessment:

A
  1. Type of dwelling (own, boarding home, rental, mobile home
  2. Water source
  3. Sewer source
  4. Type of plumbing available
  5. Identify if any pollutants are present in the environment
  6. Determine if hazardous materials are stored safely
  7. Assess for presence of lead-based paint
  8. Proper medication storage in the presence of children or impaired individuals
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9
Q
  1. Slip waist belt through flat buckle adjust to client size
  2. Snap hinged plate shut by hooking plain end of key over cross bar and lifting outward
  3. Attach side belts to bed frame
  4. Release restraint by hooking green end of key over cross bar from below and pulling downward.
A

Application of Torso/Belt Restraints

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10
Q

Assess Kitchen for:

A
  • Functioning stove
  • Lighting surrounding stove & sink
  • Condition of small appliances
  • Accesibility of appliances to clients in wheelchairs
  • Adequacy of sewage disposal
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12
Q

Water temperatures for tub or showers should never be greather than?

A

45O C or 110O F
*With the exception of those with circulatory insufficiency, in which max water temp is: 35O C or 95O F

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12
Q

Factors considered when assessing the interior of the home include:

A
  • Presence of scatter rugs or worn carpeting
  • Uncluttered pathways throughout house
  • Adequate lighting
  • Doorways wide enough to permit assitive devices
  • Cleanliness of house
  • Presence of insects, rodents, or infective agents
  • Presence of functioning smoke detectors
  • Adequate heating and cooling systems
  • Presence of running water
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14
Q

What type of Fire Extinguisher?

  • Dry chemical or carbon dioxide types
  • Use on elctrical wiring, electrical equipment, or motors
  • Class A or Class B extinguishers are never used
A

Class C Extinguisher

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15
Q

Assess bathroom for:

A
  • Skidproof mat in tub or shower
  • Handrails around toilet and tub or shower
  • Accessibilty of medication cabinet
  • Adequate space for wheelchair (when necessary)
  • Temperature of hot water from faucets in sink,tub, or shower
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16
Q

3 Types of restraints

A
  1. Chemical
  2. Physical
  3. Seclusion
17
Q

What factors would warrant a nurse to report and discontinue the use of an aparatus/equipment to prevent thermal or electrical injury of a patient or themselves?

A
  • Any aparatus that produces a shock, has a broken plug or ground pin, or has a frayed cord.
17
Q

The nurses role in the application of wrist and ankle restraints

A
  • The nurse must determine that restraints are appropriate in specific situations
  • Select the proper restraint type
  • Evaluate effectivness of restraints
  • Assess for potential complications from restraint use
  • Nurse my delegate to a UAP that has been trained in their use
18
Q

Typically made of cloth, may be used when limb immobilaztion is needed for theraputic purposes, such as preventing dislodgement of an intravenous infusion device

A

Limb Restraint

19
Q

When assessing a patient’s skin while therapy such as a heat pad, sitz bath or hot compress is in use, the nurse is looking for abnormal finding?

A

Redness of the affected area possibly due a higher than recommended temperature in use.

20
Q

Guidelines for obtaining restraint orders

A
  • Face to Face assessment on client must be completed within 8 hours for a nonbehavioral health client to prevent complications
  • Restraint orders should be renewed every 24 hours or sooner for nonbehavioral clients or every 2-4 hours for behavioral clients, children ages 12-17 must be renewed every 2 hours for a max of 24 hours
  • Establish and implement a plan of care for for the client to eliminate the need for restraint use
22
Q

Place client in sitting position. Form a seat by 2 staff members clasping forearms or shoulders and lifting client into “seat” and carry out of danger.

A

Two-Person Swing Method

22
Q

Standing in front of client and placing the client’s arms around your neck, while you grasp the client’s wrists and hold tightly against your chest while pulling the client onto your back and carrying to safety.

A

“Back Strap” Carry Method

23
Q

Release restraints at least every ____ _____ or sooner per joint commission.

A

every 2 hours in order to provide the client with the following:

  • toileting
  • fluids and food
  • hygeine
  • Skin and circilation check
  • Body alignment
  • ROM to all joints, especially those restrained.
24
Q

Restraint Documentation

What’s required?

A
  1. Behavior indicating the need for restraint
  2. all other interventions implemented in an attempt to avoid the use of restraints, and the outcomes.
  3. Time the PCP was notified of the need for restraint

*Also record

  • Type of restraint
  • Client’s response to restraint, including rationale for continued use
  • Times restraint was removedand skin care given
  • Other assessments and interventions
  • Explanation given the client and significant others
25
Q

List some expected outcomes when a nurse follows the proper environmental safety precautions:

A
  • All electrical equipment is intact and operating properly
  • Client is acclimated to home environment and able to provide safe self-care following teachings
  • Client is provided appropriate home health modalities
  • Client’s environment is safe from potential mechanical, chemical, fire, & electrical hazards
  • Safe environment provides for client safety in home.
26
Q

Developmental Considerations

Elbow restraints are used to prevent __________ from flexing their elbows to touch or reach face or head especially after surgery.

A

Infants and small children

28
Q

Substance that absorbs significant amounts of certain poisons, especially when an individual overdoses.

A

Activated Charcoal

30
Q

Priorites for Fire Safety are:

A
  • Rescue & Remove all clients in imediate danger
  • Activate Fire Alarm
  • Confine Fire; close doors, windows, turn off oxygen supplies, and elctrical equipment
  • Extinguish fire when possible
31
Q

The water temperature for those with circulatory insuffiency should never be more than……?

A

35o C or
95o F

32
Q

Sedating psychotropic drugs to mange or control behavior.

A

Chemical Restraint

34
Q

To prevent sparks that could potentially cause a fire, a good safety measure to use is?

A

Always turn equipment off before unplugging it.

35
Q

Assess bedroom for:

A
  • Accessiblity of closets and cabinets
  • Ease of getting into and out of bed
  • Adequate space if wheelchair or cammode are required
  • Night light availability
  • Accessibilty of medications, water on a nightstand
  • Calling system to alert healthcare provider
  • Flooring in good repair and nonslippery surface
36
Q

Ensure safety of clients who are transported by wheelchair or gurney.

A

Belt Restraints

Safety Strap body restraint

38
Q

What type of Fire Extinguisher?

  • Contains graphite
  • Use on any type of fire
  • Most common extinguisher in use
A

Class ABC Combination Extinguisher

39
Q

Types of fire

A
  1. Water Type
  2. Soda-Acid Type
  3. Foam Type
  4. Dry Chemical Type
  5. ABC Extinguisher
40
Q

What type of Fire Extinguisher?

  • Water-under-pressure type or Soda-acid Type
  • Use on cloth, wood, paper, plastic, rubber, or leather
  • Never use on electrical or chemical fires due to danger of shock
A

Class A Extinguisher

41
Q

Monitor and assess clients with restraints every __________.

A

15 minutes

43
Q

Factors considered when assessing the exterior of the home include:

A
  • Condition of sidewalk & steps
  • Presence of railings on steps
  • Barriers preventing easy access to home
  • Adequate lighting
  • Adequate roof & windows
44
Q

For a known toxin one should call a……?

A

Regional Poison Control Center

800-222-1222

46
Q

Precautions used to prevent spontaneos combustion?

A

Be sure that all combustibles materials are stored securly in their appropriate locations.

47
Q

Wrist or Ankle Restraint Application
Guidelines

A
  • Pad bony prominences
  • Apply padded portion around the ankle or wrist
  • Pull tie through the slit in wrist restraint or through buckle to ensure restraint is not too tight
  • Use a half-bow knot to attach the other end of restraint to the movable portion of bed frame.
48
Q

Protect confused clients from scratching and injuring skin

A

Mitt or Hand Restraints

50
Q

Applying __________ __________ to ischemic tissue increases the tissues need for oxygen.

Therefore, it should NEVER be applied to directly to injuries that involve ischemic tissue.

A

Direct Heat (heating pads)

51
Q

For restraint clients how often should VS be checked?

A

Every 8 hours unless indicated more frequently

52
Q

Direct application of of physical force to a client, without the client’s permission, to restrict his or her freedom of movement.

A

Physical Restraint

53
Q

Parent or guardian

used for some injections

A

Human Restraints

Exam 5 (1 decks)

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