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Fundamentals NUR 220 > Safety and Security > Flashcards

Safety and Security Flashcards

1
Q

what is QSEN?

A

quality and safety of education of nurses

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2
Q

what is IOM?

A

institute of medicine

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3
Q

what is TJC?

A

the joint commission

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4
Q

what are the 3 failures?

A

to recognize: doesn’t see anything wrong
to rescue: sees something wrong but does nothing
to plan: what to do during infrequent events (CPR, fire drills)

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5
Q

what are med mistakes often due to?

A

misreading orders

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6
Q

course specific preparations?

A

skills check offs
simulation grading
med calc quizzes

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7
Q

what is code pink?

A

baby missing

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8
Q

what are the QSEN competencies?

A

patient centered care
teamwork/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”

A

both system effectiveness and individual performance

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10
Q

what is individual performance?

A

controlling yourself
*don’t talk or think about other things

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11
Q

what is NPSG?

A

national patient safety goals

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12
Q

patient safety goal to correctly identify patients?

A

checking ID bands
*name and DOB

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13
Q

patient safety to improve staff communications?

A

knowing and following up on orders
*SBAR, correct reporting

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14
Q

patient safety goals that help safe medication use?

A

labelling meds
med reconciliation: missing info
4 checks

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15
Q

patient safety goals for alarm safety?

A

answer alarms
“alarm fatigue”: figure out problem and fix it, don’t silence it

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16
Q

safety goal to prevent infection?

A

hand hygiene

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17
Q

what is fire safety? “RACE”

A

R: rescue: anyone in immediate danger
A: activate: fire code and notify person
C: confine: the fire by closing doors and windows
E: evacuate: patients and others to safe area

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18
Q

what is a medication error?

A

breakdown or failure at any point in the med use process

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19
Q

how many are injured each year from med errors?

A

1.5 million injured
440,000 die
*$3 billion annually

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20
Q

what are the types of medication errors?

A

omission
commission
communication

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21
Q

what is omission?

A

something missed or left out
*not prescribed, dispensed, administered, or taken

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22
Q

what is commission?

A

doing something wrong, making a mistake
*wrong drug/dose prescribed, dispensed, administered
*wrong patient, timing, route
*allergic or drug reaction

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23
Q

what is the most common type of drug error made by students?

A

omission

24
Q

what are the contributing factors to student med errors?

A

inexperience and distraction

25
Q

med pass communication error example?

A

duality of patient assignments
-you think nurse is passing med, nurse think you are, no meds passed
-nurse thinks she is passing med, you think you are passing med, 2x meds given
NURSE NEEDS TO KNOW WHAT WHEN AND WHO

26
Q

what are insulin errors?

A

selecting wrong insulin
wrong dose/wrong patient

27
Q

med error examples?

A

-administering on hold or discontinued meds
-not monitoring labs or VS
-preparing oral meds in parenteral syringes and giving IV

28
Q

what color are oral syringes?

A

brown

29
Q

what color are parenteral syringes?

A

clear

30
Q

parenteral vs enteral?

A

parenteral: into vein delivered straight to bloodstream
enteral: into stomach

31
Q

what is one of the major never events?

A

falls

32
Q

what ID band is for falls?

A

yellow
*predicting is important in preventing

33
Q

what gender is more at risk for falls?

A

females

34
Q

at what age does fall risk increase?

A

65+

35
Q

what are three things that increase risk for fatal falls?

A

surviving stroke
surviving heart attack
taking multiple meds

36
Q

if you are 75 years and older and fall you are ___-___x more likely to be admitted to a end care facility

A

4-5

37
Q

fall risk factors?

A

> 65
fall history
cognitive impairment
altered gait - using cane/walker
meds
incontinence
unsafe environment
sensory deficits - glasses/hearing aids
orthostatic hypotension
depression
assistive devices
confusion/disorientation
new environment

38
Q

fall prevention interventions

A

complete assessments
frequent rounding
fall precautions
toiletting assistance Q2
no slip socks
bed in low and alarms on
personal items in reach
call light in reach/answer promptly

39
Q

when do most people fall?

A

going to toilet

40
Q

low risk score?

A

0-44

41
Q

medium risk score?

A

45-75

42
Q

high risk score?

A

76-100

43
Q

what is a restraint?

A

any involuntary method chemical or physical of restricting an individual’s freedom of movement, physical activity, or normal access to body

44
Q

when should restraints be employed?

A

only when no other viable option is available

45
Q

restraints don’t _____, usually ______

A

don’t protect, usually hurt

46
Q

recommended use of restraints? (when to use)

A

-ensure immediate safety of patients and staff
-prevent interruption of therapy
-prevent confused or combative patient from removing life support equipment or unsafe attempts at mobility

47
Q

posey vest used?

A

to prevent patients from injuring themselves by falling out of bed/chair

48
Q

mitts use?

A

to prevent pulling/picking at IVs

49
Q

wrist restraints use?

A

prevent interference with care

50
Q

upper arm restraint?

A

to stop bending of elbow

51
Q

four side rails up considered?

A

restraints
*cannot use

52
Q

hazards of restraints/side rails?

A

impaired circulation
altered skin integrity
altered nutrition/hydration
aspiration/difficulty breathing
incontinence
increased possibility of injury from falls
depression/anxiety
death

53
Q

does routine restraint use lower risk of falls?

A

no

54
Q

how often do we check non violent restraints?

A

Q2
Q4 for food

55
Q

how often do we check violent restraints?

A

every 15 mins
Q2 for ROM/fluid/elimination
Q4 for food

56
Q

should safety event reports be put in EMR documentation?

A

no

Fundamentals NUR 220 (21 decks)

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