Safety Flashcards
RACE
R: Remove from danger
A: Alarm and report
C: Contain; close doors
E: Extinguish
PASS
P: Pull
A: Aim
S: Squeeze
S: Sweep
Causes of hospital fires
Varied, but top:
- cooking equipment
- clothes
Nurse’s responsibility for fire safety
- know fire alarm location and system
- know placement of equipment
- know fire exits
- know types of extinguishers and their uses
HAIs
5% of admitted patients contract an HAI due to immune system weak, etc.
Some of most common HAI types
- CRBIs (Catheter related bloodstream infections)
- HAP (Healthcare-Associated Pneumonia) aka VAP (ventilator-associated pneumonia)
- SSIs (Surgical Site Infections)
- CLABSIs (Central line-associated bloodstream infections)
- CDIs (Clostridium Difficile-Associated Infections) C-Diff
Top pathogen causing HAIs
Coagulase-negative Staphylococci
-15% of HAIs
Wrong site surgery
- Wrong patient
- Wrong body part
- Right patient, wrong surgery
UP developed to help prevent these mistakes
Nursing interventions for clients at risk for injury
nurses play a vital role in promoting patient safety through education and preventative intervention
Nurses help the patient and family accomplish the following:
- identify environmental hazards in home and community
- demonstrate safety practices appropriate to the home, health care agency, community, and workplace
- demonstrate safe childrearing practices or lifestyle practices
3 Types of restraints
Chemical
Physical
Seclusion
Restraints can either be for…
nonviolent/non self-destructive (med/surg)
violent/self-destructive (behavioral)
Last resort restraint
Physical
- must assess them
- must have MD/ARNP/PA order
- always try least invasive first
Types of physical restraints
- limb
- belt
- mitt/hand
Alternatives to restraints
- more staff observation
- beds lowest position
- distraction and/or redirection technique
- transfer room closer to nurses station
- involve family during visitation
- monitor meds; lower sedatives
- removable lap tray on wheelchair
- use rocking chair to expend energy
- picture of loved one or personal item in room with patient
How long is a non-violent restraint order good for?
max 24 hours
How long is a violent restraint order good for?
max 4 hours
How often do you monitor violent restraint patients?
continuous, every 15 mins and mandatory minimum every hour by RN
How often do you monitor nonviolent restraint patients?
every 2 hours and mandatory minimum every 4 hours by RN
Trial releases
prohibited
PRN restraint orders
prohibited
If you remove restraint and walk away from patient
need a new order; old one is cancelled and you cannot re apply restraints
If you remove restraint while performing a procedure or hygiene and do not walk away from the patient
you may re apply without a new order; current order still valid
Legal implications
- restrict individual’s freedom
- standards and laws limit the use
Purpose of NPSG
(National Patient Safety Goals)
developed to prevent some of the most common oversights and errors which occur in the medical field
evaluate safety concerns and which ones will have maximum impact and usefulness while having minimum cost.
7 strategies of the NPSG
identify patient correctly
improve staff communication
use medicines safely
use alarms safely
prevent infection
identify patient safety rules
prevent surgical mistakes
