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Fundamentals of Nursing > Safety and Security > Flashcards

Safety and Security Flashcards

1
Q

QSEN

A

quality and safety of education of nurses

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2
Q

IOM

A

institute of meds

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3
Q

TJC

A

the joint comission

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4
Q

safety of clinical excellence

A

QSEN, IOM, TJC

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5
Q

what are the 3 failures

A

failure to recognize
failure to rescue
failure to plan

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6
Q

what do we do to prepare

A

skills check offs
simulation grading
medication calculation quizzes

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7
Q

code pink

A

baby missing

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8
Q

QSEN competencies

A

Patient centered care
teamwork and collaboration
evidence based practice
quality improvement
safety
informatics

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9
Q

QSEN defines safety as minimizing risk of harm to patients and providers through both

A

system effectiveness and individual performance

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10
Q

what are some patient safety goals that students can help
identify patients correctly

A

checking ID bands

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11
Q

what are some patient safety goals that students can help
improve staff communications

A

SBAR, report correctly

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12
Q

what are some patient safety goals that students can help
use medications safely

A

4 checks
med reconciliation
label meds

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13
Q

what are some patient safety goals that students can help
use alarms

A

answer alarms

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14
Q

what are some patient safety goals that students can help
prevent infection

A

hand hygiene

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15
Q

fire safety
RACE

A

rescue
activate
confine
evacuate

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16
Q

what are the big 3 in safety errors

A
  • medication errors
  • falls
  • improper use of restraints
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17
Q

what is a medication error

A

breakdown or failure at any point in the medication use process

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18
Q

what are the three types of medication errors

A

omission
communication
commission

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19
Q

what is omission

A

missed
didn’t do something

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20
Q

what is commission

A

did something wrong

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21
Q

what are examples of omission

A

drug not prescribed
drug not dispensed
drug not administered
drug not taken

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22
Q

what are examples of communication errors

A

vague instructions

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23
Q

what are examples of commission

A

wrong drug or dose prescribed
wrong drug or dose dispensed
wrong drug administered
wrong patient
frequency timing or duration of the drug is incorrect
wrong route
allergic reaction
drug interaction

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24
Q

what is the most common med error for students

A

omission

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25
what are contributing factors for student med errors
inexperience and distraction
26
what is an example of a communication error associated with med pass
duality of patient assignments - nurse thinks your passing meds, you think nurse is passing meds, no meds given - you think your passing meds, nurse thinks they are passing meds, 2x meds given NURSE NEEDS TO KNOW YOUR PASSING WHAT MEDS AND WHEN
27
what are examples of insulin errors
selecting wrong insulin wrong dose/wrong patitner
28
what are some other meds errors
administering drugs that are on hold or discontinued not monitoring vs or labs prior to medication administration preping oral meds in parenteral syringes and giving IV wrong patient when preparing meds for more than 1 patient
29
what gender is more at risk for falls
females
30
fall risk increased with age over
65 years old
31
if you are 75 years and older and fall you are ___-___x more likely to be admitted to a end care facility
4-5
32
what are some fall risk factors
history of falls cognitive impairment altered gait medications incontience unsafe environment - sensory deficits orthostatic hypotension depression assistive devices confusion of disorentation new enviornment
33
how often should we offer assistance to the toilet
Q2
34
answer call light
promptly
35
for a fall risk make sure patient has what color socks and wristband
yellow
36
bed needs to be in
low position
37
for fall risk what alarms should we have on
bed
38
most falls are related to
tolieting
39
what is a restraint
involuntary method chemical or physical of restricting an individuals freedom of movement, physical activity, or normal access to the body
40
ANA
American nursing association
41
when should we use restraints
when no other viable option is available
42
recommended use of restraints
ensure the immediate physical safety of the patient, staff or others prevent interruption of therapy prevent the confused or combative patient from removing life support equipment or unsafe attempts at mobility
43
do restraints keep people from falling
no
44
are 4 side rails considered a restraint
yes
45
what are the hazards of restraints and side rails
impaired circulation altered skin integrity altered nutriton and hydration aspiration/difficulty breathing incontinence increased possibility of serious injury due to fall depression anxitey death
46
how do restraints cause impaired circulation and skin integrity
because there is abrasion and they can be too tight, causes a wound
47
how do restraints cause altered nutrition and hydration
can't feed or hydrate self
48
how do restraints cause aspiration and difficulty breathing
anxitey
49
how do restraints cause incontinence
can't get up on own
50
how do restraints cause depression, anxiety, death
isolation not having freedom to own body nursing neglect
51
do restraints add or reduce the risk of fall related injuries and death
add
52
when do we check a nonviolent patients psychologic status
Q2
53
when do we check a nonviolent patients physical comfort
Q2
54
when do we check a nonviolent patients skin and circulation
Q2
55
when do we check a nonviolent patients ROM/fluid/elmination
Q2
56
when do we check a nonviolent patients food
Q4
57
when do we check a violent patients psychologic status
15 min
58
when do we check a violent patients physical comfort
15 min
59
when do we check a violent patients skin and circulation
15 min
60
when do we check a violent patients ROM/Fluid/elimination
Q2
61
when do we check a violent patients food
Q4
62
where should we not put the SHARE
INTO MEDICAL RECORD DO NOT MENTION

Fundamentals of Nursing (23 decks)

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