safety and security

Question 1

healthcare failures which lead to laps in safety

Answer 1

failure to recognize
failure to rescue
failure to plan

Question 2

QSEN definition of safety

Answer 2

“minimizing risk of harm to patients and providers through both system effectiveness and individual performance”

Question 3

TJC Patient safety goals

Answer 3

-identify patients correctly
-improve staff communication
-use medication safety
-use alarm safety
-prevent infection
-identify patient safety risk
-prevent mistakes in surgery

Question 4

Fire safety

Answer 4

RACE
-rescue anyone in immediate danger
-activate fire code
-confine the fire (close doors and windows)
-evacuate patients to safe area

Question 5

types of medication errors

Answer 5

Omission (something left out)
Communication (sender and receiver problem)
Commission (something we’ve done wrong)

Question 6

contributing factors in nursing student med errors

Answer 6

omission errors due to inexperience and distractions

Question 7

oral syringe is what color

Answer 7

brown

Question 8

fall demographics

Answer 8

-females
->65 years olds
-history of falls
-cognitive impairment
-meds
-altered gate
-incontinence
-unsafe environments
-orthostatic hypotension
-depression
-assistive devices
- NEW ENVIRONMENT

Question 9

Fall prevention interventions

Answer 9

-frequent rounding
-fall precautions
-offer toilet assistance Q2 hours
-treaded socks
-bed in low position and bed alarms on
-personal items within reach
-call light within reach and answered promptly

Question 10

most falls are related to what

Answer 10

toileting and elimination

Question 11

BIG 3 safety errors

Answer 11

medication errors, falls, and improper use of restraints

Question 12

restraint

Answer 12

involuntary chemical or physical restricting of individuals’ freedom of movement, activity, or normal access to the body

Question 13

recommended use of restraints

Answer 13

-ensure immediate physical safety of patient, staff, or others
-prevent interruption of therapy
-prevent the confused and combative patient from removing life support or unsafe attempts at mobility

Question 14

hazards if restraints and side rails

Answer 14

-impaired circulation
-altered skin integrity
-altered nutrition and hydration
-aspiration/difficulty breathing
-incontinence
-increased possibility of serious injury
-depression
-anxiety
-death

Question 15

evidence of using restraints

Answer 15

-does not lower the risk of falls or fall injuries
-can add to the risk of injuries and deaths
-limiting a patient’s freedom leads to muscle weakness and reduces physical function

Question 16

safety event report should not be mentioned in

Answer 16

patients EMR