Safety

Question 1

What is QSEN?

Answer 1

Quality and Safety Education for Nurses

Promotes quality and safety in nursing education

Question 2

What are the 6 competencies of QSEN?

Answer 2

Pt-centered care
Teamwork and collaboration
EBP
Quality improvement
Informatics
Safety

Question 3

What is the Swiss Cheese Model of Accident Causation?

Answer 3

When the holes line up, an error slips through and occurs

When the holes don’t line up, the error does not slip through; it is caught, and does not occur

Question 4

What is a sentinel event?

Answer 4

Safety errors that result in death or serious injury

Question 5

What is an incident report?

Answer 5

Documentation of any event that’s not consistent with the routine operation of a pt
Accident/injury

Question 6

How do you complete an incident report?

Answer 6

Follow the agency policy

Completely and objectively describe the accident, assessment, and interventions provided for the pt

Question 7

Does an incident report go in the pt’s chart?

Answer 7

No. Incident report remains confidential

Question 8

What is a care bundle?

Answer 8

A bundle of care elements to be consistently implemented to reduce harm to pts

Question 9

What is the CLABSI bundle?

Answer 9

Central line associated blood stream infection
Hand hygiene
Maximal barrier precautions during insertion
Optimal catheter site selection
Daily review of line necessity with prompt removal when no longer needed

Question 10

What are procedure-related incidents?

Answer 10

Caused by HCP
Medication/fluid administration errors, improper performance of procedures, overworked/fatigued, distractions/interruptions

Question 11

What puts someone at risk for falls?

Answer 11

Age, history of falls, elimination, medications (CNS depressants, allergy meds, sleep aids, cold/cough remedies, diuretics, benzos, diazepam, antihypertensives, opioids), pt care equipment, mobility, cognition

Question 12

How to determine a pt’s risk of falling based on the Morse fall scale?

Answer 12

<25 - low risk
25-45 - moderate risk
>45 - high risk

Question 13

When should a fall risk assessment be completed?

Answer 13

Admission, transfer, change in the level of care, change in condition, after a fall

Question 14

Where should high risk individuals be located?

Answer 14

Near the nurses’ station

Question 15

How to complete hourly rounding on a high risk fall pt?

Answer 15

"4 P's"
Pain
Positioning
Potty (elimination)
Proximity of personal items

Question 16

What are the types of physical restraints?

Answer 16

Wrist restraints, mitts, freedom elbow restraints, 4-point restraints, 4 side rails up (depending on the hospital)

Question 17

What criteria must a pt meet to qualify for restraints?

Answer 17

Interruption of therapy
Confused/combative pts removing life-support equipment
Risk of injury to others by pt

Question 18

Can a CNA apply restraints?

Answer 18

Yes, but the RN must assess

Question 19

How should the restraints be attached?

Answer 19

By quick release tie, not to side rails

Question 20

What are some alternatives to restraints?

Answer 20

Bed/chair alarms, diversionary activities, pts with rooms closer to nurses’ station, evaluation of medication being received, appropriate stimuli, anticipation of pt needs, camouflage IV lines, orient pt to environment, reduction of stimulation, relaxation techniques, exercise/ambulation schedules

Question 21

What types of medications are associated with the risk of falls in the elderly?

Answer 21

Diuretics, benzos, diazepam, antihypertensives, and opioids