Safety security and emergency preparedness Flashcards

1
Q

What are the 8 factors that affect safety?

A
  1. Developmental considerations- especially with children (what they can do). ex; cant sit up till 6 months
  2. Lifestyle- ex; rock climbing
    Social Behavior- any high risk behaviors will affect their safety
  3. Environment- ex: pollution
  4. Mobility- older patients have a risk for falls. Babies cant walk right away.
  5. Sensory perception- Neuro status (do they have numbness)
  6. Knowledge & Knowledge Base
  7. Ability to communicate- nonverbal patients
  8. Physical & Psychosocial health state
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2
Q

What are the 3 MAIN focuses of safety assessments?

A

The person- how are they, what meds are they on, etc

The environment- anything in their homes, communities, etc that can cause them harm.

Specific risk factors

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3
Q

What are 4 things to look/assess for during a nursing history?

A
  1. Assess for history of falls or accidents
  2. note assistive devices, like a wheelchair
  3. be alert for alcohol or drug abuse
  4. Obtain knowledge of family support systems
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4
Q

Physical Examination factors to assess: (6)

A
  • Mobility status
  • Ability to communicate
  • Level of awareness or orientation
  • Sensory perception
  • Identify potential safety hazards
  • Recognize domestic violence or neglect
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5
Q

What are 7 factors that contribute to falls?

A
  • Lower body weakness (or any weakness)
  • Poor vision
  • Gait and/or balance loss
  • Problems with feet/shoes
  • Use of psychoactive meds
  • Postural dizziness
  • Hazards in the home and community
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6
Q

What are the 5 risk factor assessments?

A
Falls
Fires
Poisoning
Suffocation and choking
Firearm injuries
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7
Q

What are the patient outcomes for safety?

A
  • identify real and potential unsafe situations
  • Implement safety measures
  • use resources for safety info
  • Incorporate accident prevention practices into ADL’s (like having a bar to grab in the shower)
  • Remain free of injury (MAIN GOAL)
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8
Q

What are 4 ways to get involved in health teaching in schools?

A
  • monitor child’s use of internet
  • get involved in school activities and ask questions
  • volunteer for safety committees
  • ensure that the school’s emergency preparedness plan is current.
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9
Q

What are the 5 Nursing Responsibilities to make sure a patient has at Home for Safety?

A
  • fire extinguisher
  • gate
  • alarm
  • car seat
  • safety plastic outlet covers
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10
Q

What are the 4 safety devices to prevent falls with beds?

A
  • top side rails up
  • bed alarm on
  • bed low and braked
  • non-slip socks
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11
Q

What are some safety considerations for neonates?

A
  • avoid behaviors that can harm the fetus. ex; smoking
  • never leave the crib unattended
  • use crib rails
  • monitor setting for choking hazards
  • use car seats properly
  • handle infant by supporting head
  • place infant on back to sleep
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12
Q

What are the safety considerations for toddlers/preschoolers?

A
  • supervise child closely to prevent injury
  • select appropriate toys
  • use safety equipment in home
  • never leave a child alone in the bathroom
  • childproof the home
  • be alert for child abuse
  • use car seats properly
  • teach about fire safety
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13
Q

What are the safety considerations for school-aged children?

A
  • help to avoid dangerous activities
  • provide interventions for safety at home, school, and neighborhood
  • reinforce teaching about symptoms that require immediate attention
  • continue immunizations
  • teach bicycle safety
  • teach about child abduction
  • wear seatbelts
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14
Q

What are the 4 TOPICS for the indications of Concussions?

A

Physical: vomiting, headaches, fatigue, etc
Cognitive: mentally foggy, confusion, forgets recent activities, etc
Emotional: irritability, nervousness, very emotional behavior, etc
Sleep: drowsiness, difficulty falling asleep, sleeping more/less.

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15
Q

What are some safety considerations for adolescents?

A
  • teach safe driving skills
  • teach avoidance to tobacco and alcohol
  • emphasize gun safety
  • follow a healthy lifestyle
  • teach about sexuality, STI’s, and birth control
  • get a physical exam for sports
  • teach risk of infection w tattoos and piercings
  • teach about guns and violence
  • discuss dangers associated with the internet
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16
Q

What are some safety considerations for adults?

A
  • remind them of stress effects on life
  • enroll in a defensive driving course !!!
  • counsel about unsafe habits, like relying on drugs and alcohol
  • evaluate workplace for safety
  • counsel about domestic violence
17
Q

What are some of the Safety Plans for Victims of Domestic Abuse?

A
  • Safety while living with an abusive partner
  • Safety planning with children (how to keep them safe)
  • Safety planning for pets
  • Safety planning during pregnancy
  • Leaving a relationship safely
18
Q

What is the ambularm device?

A
  • It is worn on the leg
  • Protects a patient with a fall risk
  • Goes off if a patient tries to stand or if their leg is over the edge of the bed.
  • Use these when we can’t restrain them
  • these are very loud so someone can get to the bedside quick
19
Q

What’re some safety considerations for older adults?

A
  • Identify safety hazards in environment & modify if necessary
  • defense driving courses
  • encourage regular vision and hearing tests
  • ensure hearing aids and eyeglasses are available/functioning.
  • smoke detectors in home
  • report any signs of neglect or abuse.
20
Q

What are some safety improvement strategies relating to falls? (4)

A
  • Preventing Falls Targeted Solutions Tool
  • Falls Toolkit: Socks, blanket, wristbands
  • Falls Prevention Training Program
  • Root Cause Analysis: you write a report
21
Q

What is the Hendrich II Fall Risk Model?

A
  • a scale to determine how at risk for falls they are.
  • Fall Scene Investigations
  • Hourly patient rounding
  • Root cause analysis
  • Get up and go test
22
Q

What does RACE stand for?

A

R- rescue anyone in danger
A- activate firm alarm
C- confine the fire by closing doors/windows
E- evacuate patients to a safe area

23
Q

Safety Event Reports:

A
  • must be completed after any accident or incident in a healthcare facility
  • describes what happened
  • details the patient’s response to the examination & treatment after the incident
  • nurse completes this immediately after the incident
  • Not part of medical record, not mentioned in documentation.
24
Q

What are the 9 physiological hazards associated with restraints?

A
  • Increased possibility of injury due to falls
  • skin breakdown
  • contractures
  • Incontinence
  • depression
  • delirium
  • anxiety
  • aspiration and respiratory difficulties
  • death
25
Q

Contractures

A

a fixed tightening of muscle, tendons, ligaments, or skin

26
Q

What are the 3 types of restraints?

A
  1. wrist restraint: use a slip knot
  2. elbow restraint: for children especially if they had facial surgery bc it keeps their hands away from the surgical site
  3. mummy restraint: for babies especially if we need to start an IV