Safety & Security Flashcards
Example of Failure to RECOGNIZE
Not seeing that vital signs for abnormal
Example of failure to RESCUE
Patient has trouble breathing and you ignore it
Example of failure to PLAN
Your patient lays in bed all day and you fail to help turn them
QSEN Competencies
Hint: Please Tell Everyone Quiet Im Sleeping
Patient-Centered Care
Teamwork & Collaboration
Evidence Based Practice
Quality Improvement
Safety
Informatics
QSEN defines safety as:
Minimizing risk of harm to patients and providers through both system effectiveness and individual performance
Fire safety - RACE
Rescue - anyone in danger
Activate - fire code and notify appropriate person
Confine - the fire by closing doors and windows
Evacuate - patients and other people to safe area
BIG 3 Safety Errors
Medication
Restraints
Falls
Types of medication errors
Omission - Didn’t do something (ex. drug not dispensed, not administered, or not taken)
Commission - Did something wrong (ex. wrong drug or dose, wrong drug administered)
Communication - Didn’t understand order and administered wrong medication
What does Evidence Show based on restraints?
- Routine use of restraints does not lower the risk of falls or fall injuries
- Restraints can ass to the risk of fall-related injuries and deaths
How often do you document and care for non-violent (soft restraints or mits)
Visual check, ROM, Circulation, Fluid/Elimination, Signs of discomfort, and food
Visual check - every 2 hours
ROM - every 2 hours
Circulation - every 2 hours
Fluid/Elimination - every 2 hours
Signs of discomfort - every 2 hours
Food - every 4 hours
How often do you document and care for violent restraints?
Visual check, ROM, Circulation, Fluid/Elimination, Signs of discomfort, and food
Visual check - every 15 minutes
ROM - every 15 minutes
Circulation - every 15 minutes
Fluid/Elimination - every 2 hours
Signs of discomfort - every 4 hours
Food - every 2 hours
