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NCM136/RLE106 > Safety and Security > Flashcards

Safety and Security Flashcards

1
Q

is a condition, state, or situation in which a person feels safe and free from any threat or danger.

A

Safety

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2
Q

is a procedure or action taken to ensure the safety of a person.

A

Security

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3
Q

What type of safety are these?

Adequate light
Adequate ventilation, exhaust fan
Stairs with handrails
Window-door-closer
Slip preventing floors
Fire extinguishers and fire alarms
Prevent noise pollution
Heavy and fixed beds
Safe wheelchairs and trolleys
No water logging in bathrooms
Call bell system for patients
Adequate no. of bed screens to maintain the privacy of the patient.

A

ENVIRONMENTAL SAFETY

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4
Q

What type of safety is involved with these?

  1. Illegible Writing of prescriptions by doctors.
  2. Wrong medicines or wrong does or wrong patient.
  3. Wrong injection, wrong does or wrong patient, wrong route of administration.
  4. Drip sets, air bubbles, overhydration, drip speed.
  5. Oxygen flow check empty gas cylinders.
  6. Clear, written medication guidelines.
  7. Identification of each patient with Similar patient names
  8. Proper handing taking over during change of shift.
  9. Look alike and Sound Alike “LASA”
A

MEDICAL SAFETY

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5
Q

What type of safety is involved with these?

  1. Regular checking of equipment
  2. Regular maintenance & repair
  3. Training of nurses & technical staff
A

EQUIPMENT INSTALLATION SAFETY

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6
Q

The “hierarchy of hazard control:”

A
  • Eliminate hazard
  • Guard against hazards
  • Train to avoid hazards
  • Warn against hazards
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7
Q

What type of safety is involved with these?

  1. Safety fuses with each equipment
  2. No loose wires or connection 3. Properly plugged and fixed
  3. If short circuit call the electrician
  4. Electricity backup battery/ generator
  5. Use of Uninterruptible Power Supply (UPS) and Constant Voltage Transformer (CVT)
A

ELECTRICAL SAFETY

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8
Q

What safety is involved with these?

  1. Proper grouping & cross-matching
  2. Tests of HIV, Inf. hepatitis & VDRL
  3. Proper leveling of the group, name of the patient
  4. Control of mismatch reaction
  5. Standard operating procedure
  6. Screening against HIV, and Hepatitis. VD, Malaria.
  7. Inform adverse reaction
A

BLOOD SAFETY

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9
Q

Waste generated during the diagnosis, testing, treatment, research, or production of biological products for humans or animals (WHO)

A

BIOMEDICAL WASTE MANAGEMENT

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10
Q

What safety is involved with these?

  • Avoid needle prick & spilling of blood
  • Safety measures in Radiology & Radiotherapy departments
  • Safety norm guidelines for different areas of hospitals.
  • Regular pest control measures
  • Care in handling acids, reagents, and inflammable substances.
  • Segregation and disposal
A

LABORATORY SAFETY

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11
Q

Different types of safety

A

ENVIRONMENTAL SAFETY
MEDICAL SAFETY
EQUIPMENT INSTALLATION SAFETY
ELECTRICAL SAFETY
BLOOD SAFETY
BIOMEDICAL WASTE MANAGEMENT
LABORATORY SAFETY
WHEELCHAIR SAFETY
STRETCHER SAFETY

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12
Q

PATIENT SAFETY GOALS

A

GOAL 1 - Identify Patients Correctly
GOAL 2 - Improve Effective Communication
GOAL 3 - Improve the Safety of High-Alert Medication
GOAL 4 - Ensure Correct-Site, Correct-Procedure, Correct-Patient Surgery
GOAL 5 - Reduce the Risk of Health Care-Associated Infections
GOAL 6 - Reduce the Risk of Patient Harm Resulting from Falls

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13
Q

Wheelchair Safety Steps

A
  1. Always lock the brakes on both wheels during patient transfer.
  2. Raise the footplates before transferring clients
  3. Lower the footplates after placing them into the wheelchair
  4. Use the larger wheels (back wheels) when entering and exiting elevators
  5. When going down an incline, place yourself between the wheelchair and the bottom of the incline
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14
Q

Stretcher Safety Steps

A
  1. Always lock the brakes on both wheels during patient transfer.
  2. Fasten safety straps across the patient and raise the side rails
  3. Always push the stretcher from the end where the client’s head is positioned
  4. When entering an elevator, make sure the patient’s head goes in first.
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15
Q

Falls in a Health Care Facility

▸Orient to new surroundings
▸ Keep two side rails up (depending on policy)
▸ Keep call light, bedside table, water, glasses, etc. within easy reach ‣ Use a night light
▸ Keep the bed in a low position
▸ Make sure the patient has non-skid footwear
▸ Teach fall prevention techniques
▸ Ambulate only with assistance when appropriate
▸Locate the patient close to the nurse’s station

A
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16
Q
  • A physical or mechanical device used to limit or prevent a patient’s movement.
A

Restraints / Protective Devices

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17
Q

The use of restraints is generally not advocated and should be used only as a last resort

A
18
Q

Safety Measures Guidelines in Applying Restraints
1. Apply ONLY for the safety of the patient, NEVER for the convenience of the nurse
2. Apply with care to avoid damaging tissue and causing harm to the patient
3. Recognize the physiological and psychological effects of applying restraints

  1. Explain the reason to the patient and family
  2. Review the policy and procedure manual

Choose the restraint that fits the need!

A
19
Q

Limb, waist, and trunk
Back-fastening seat belt Full bed-side rails
Chair with locking table
Broda/Geri

A

Mechanical

20
Q

Restraining limbs e.g 4 persons to provide care
Moving a person to another location against their will

A

Physical

21
Q


Antipsychotics Antidepressants
Sedatives
Benzodiazepines May be scheduled or prn

A

Pharmacologic

22
Q

Seclusion room
Half doors, barricades WanderGuard
Secure units

A

Environmental

23
Q

Used to maintain body alignment and position
- Pillows
- Splints (orthotic devices)
- Special boots/shoes
- Bed cradles
- footboards

A

Supportive devices

24
Q

Safety Considerations and Procedures

  • Child-proof home environment
  • Prevent poisoning
  • Store medicine, cleaning, and laundry products, (including detergent packets) paints/varnishes, and pesticides in their original packaging in locked cabinets or containers, out of sight and reach of children.
  • Use car seats properly
  • Nearly 1⁄2 of all drowning victims are younger than 5 years old
A

Toddler/ Preschooler

25
Q

Safety Considerations and Procedures

  • Help to avoid activities that are potentially dangerous
  • Teach bicycle safety, water safety
  • Teach about child abduction
  • Teach about internet safety
A

School-Aged Child

26
Q

Safety Considerations and Procedures

  • Teach safe driving skills
  • Teach the risk of infection with body piercing
  • Teach about guns and violence, 82% of homicide victims between the ages of 10 and 24 are killed with a firearm
  • Teach about internet safety
A

Adolescents

27
Q

Safety Considerations and Procedures

  • Remind them of the effects of stress on lifestyle and health
  • Counsel about unsafe health habits (reliance on drugs and alcohol)
A

Adults

28
Q

– is a single temporary event that consists of uncontrolled electrical neural discharge of the brain that interrupts normal brain function

A

Seizure

29
Q

Types of Seizures

A

Partial
Generalized

30
Q

– called focal – one area of the brain is affected during a seizure

A

Partial

31
Q

– affects the whole brain during a seizure

A

Generalized

32
Q

Fire Prevention Goals

___
The primary goal of fire safety efforts is to protect building occupants from injury and to prevent loss of life.

___
The secondary goal of fire safety is to prevent property damage.

___
By preventing fires and limiting damage we can ensure that work operations will continue.

A

Life Safety

Property Protection

Protection of Operations

33
Q

A dangerous condition in which a person may sustain an injury by making electrical contact with energized equipment.

A

Electrical hazard

34
Q

It occurs when a person makes contact with a conductor carrying a current and simultaneously contacts the ground or another object that includes a conductive path to the ground

A

Electrocution

35
Q

___ establishes the legal framework for the protection of personal data,
including health information. Healthcare providers must comply with this law when handling patient data.

A

Data Privacy Act (RA 10173)

36
Q

The unlawful use, of microorganisms or toxins derived from living organisms to produce death or disease in humans, animals, or plants.

A

BIOTERRORISM

37
Q

___ is defined as violent acts or acts dangerous to human life that appear to be intended to:
1. Intimidate or coerce a civilian population
2. Influence the policy of a govt
1. Affect the conduct of a govt

A

Terrorism

38
Q


- Worn to protect skin and prevent soiling of clothes

A

Gowns

39
Q
  • Worn to protect mucus membranes
  • Prevent splashes of blood, body fluids
A

Masks/ Eye protection or Face Shields

40
Q

Patient placement
Normal infection control practices should be followed if numbers allow. With large numbers, group affected patients together into designated wards or floors (possibly even a separate building)
Consult with engineering staff (airflow and ventilation, plumbing, and waste disposal

A
41
Q

Discharge management
Patients will not be discharged until they are deemed non-infectious
Home care instructions should include barrier precautions, handwashing, waste mgmt, and cleaning and disinfection.

Post-mortem care
Pathology depts and labs should be informed!
All autopsies should be performed carefully using PPE and standard precautions.
Instruct funeral directors on the diagnosis

A
42
Q

Your role
Identify actual and potential problems, adverse events, and close calls with medical services
Report the problem or adverse event to your supervisor according to policy and procedure Make sure your report includes details
Remove the device, and keep all affected items

A

NCM136/RLE106 (27 decks)

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