Safety

Question 1

RACE

Answer 1

R: Remove from danger
A: Alarm and report
C: Contain; close doors
E: Extinguish

Question 2

PASS

Answer 2

P: Pull
A: Aim
S: Squeeze
S: Sweep

Question 3

Causes of hospital fires

Answer 3

Varied, but top:

• cooking equipment
• clothes

Question 4

Nurse’s responsibility for fire safety

Answer 4

• know fire alarm location and system
• know placement of equipment
• know fire exits
• know types of extinguishers and their uses

Question 5

HAIs

Answer 5

5% of admitted patients contract an HAI due to immune system weak, etc.

Question 6

Some of most common HAI types

Answer 6

1. CRBIs (Catheter related bloodstream infections)
2. HAP (Healthcare-Associated Pneumonia) aka VAP (ventilator-associated pneumonia)
3. SSIs (Surgical Site Infections)
4. CLABSIs (Central line-associated bloodstream infections)
5. CDIs (Clostridium Difficile-Associated Infections) C-Diff

Question 7

Top pathogen causing HAIs

Answer 7

Coagulase-negative Staphylococci

-15% of HAIs

Question 8

Wrong site surgery

Answer 8

1. Wrong patient
2. Wrong body part
3. Right patient, wrong surgery

UP developed to help prevent these mistakes

Question 9

Nursing interventions for clients at risk for injury

Answer 9

nurses play a vital role in promoting patient safety through education and preventative intervention

Question 10

Nurses help the patient and family accomplish the following:

Answer 10

1. identify environmental hazards in home and community
2. demonstrate safety practices appropriate to the home, health care agency, community, and workplace
3. demonstrate safe childrearing practices or lifestyle practices

Question 11

3 Types of restraints

Answer 11

Chemical

Physical

Seclusion

Question 12

Restraints can either be for…

Answer 12

nonviolent/non self-destructive (med/surg)

violent/self-destructive (behavioral)

Question 13

Last resort restraint

Answer 13

Physical

• must assess them
• must have MD/ARNP/PA order
• always try least invasive first

Question 14

Types of physical restraints

Answer 14

• limb
• belt
• mitt/hand

Question 15

Alternatives to restraints

Answer 15

• 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

Question 16

How long is a non-violent restraint order good for?

Answer 16

max 24 hours

Question 17

How long is a violent restraint order good for?

Answer 17

max 4 hours

Question 18

How often do you monitor violent restraint patients?

Answer 18

continuous, every 15 mins and mandatory minimum every hour by RN

Question 19

How often do you monitor nonviolent restraint patients?

Answer 19

every 2 hours and mandatory minimum every 4 hours by RN

Question 20

Trial releases

Answer 20

prohibited

Question 21

PRN restraint orders

Answer 21

prohibited

Question 22

If you remove restraint and walk away from patient

Answer 22

need a new order; old one is cancelled and you cannot re apply restraints

Question 23

If you remove restraint while performing a procedure or hygiene and do not walk away from the patient

Answer 23

you may re apply without a new order; current order still valid

Question 24

Legal implications

Answer 24

• restrict individual’s freedom

- standards and laws limit the use

Question 25

Purpose of NPSG

Answer 25

(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.

Question 26

7 strategies of the NPSG

Answer 26

identify patient correctly

improve staff communication

use medicines safely

use alarms safely

prevent infection

identify patient safety rules

prevent surgical mistakes