Saftey Flashcards

1
Q

What are never events

A

Preventable hazards that should never happen to patients
-operating on wrong body part
-removing the wrong limb
-leaving a sponge in someone

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2
Q

What is the CDC

A

The center for disease control
Engages in health research, surveillance and health promotion to create safer interventions

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3
Q

What is the joint commission

A

Promotes quality and safety
Sets standard and make sure we’re doing them

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4
Q

What is OSHA

A

occupational and safety health act
Protects workers against safety hazards in the workplace. We repot accidents to them

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5
Q

What is the board of nursing

A

Enforce laws to protect the health and welfare of the public
The police of nurses. Make sure we are practicing safe.
Review offenses and decide if you can get your nursing license back

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6
Q

What is safety

A

Refers to decreasing the risk of danger,preventing accidents, injuries, mistakes or harm

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7
Q

What is quality

A

Refers to a level of performance consistent with evidence that increases effectiveness of a desired outcome

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8
Q

What Information is on the never events

A

Pressure injuries or falls, what to do to avoid complications, how to notice something is wrong, how to talk with the physician, when to notify a nurse for help, and how to ask appropriate questions

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9
Q

What is a three-pronged approach

A

First prong is promoting a safety culture that encourages all employees to make safe choices and what they do and how they do it
Second prong is the involvement in sustainability of healthcare employees to consistently choose to follow health safety rules and standards for the environment, patient care and to be safety advocate for others
The last prong is encouraging patients to be actively engaged in every aspect of their care: asking questions about the quality and safety precautions, medication administered, and other care provided to them

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10
Q

What are the concepts related to safety & how can you uphold them

A

Accountability: Report unsafe nursing practices
advocacy: nurses must support and uphold the rights of patients
assessment: continuously collect and interpret patient data
clinical decision making: prioritize patient’s needs & assess risk factors for ability to perform activities
evidence-based practice: evidence that provides the best practice for safety and quality patient centered care
quality improvement: resolve safety concerns, ensure medication administration is safe and accurate, and follow safety guidelines

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11
Q

What should you observe when observing and interviewing a patient

A

First and for most identify physical, psychological and emotional needs.
When interviewing asses:
Their ability to
Communicate & provide self care
Any:
cognitive, memory, visual and sensory deficits
Mobility restrictions
Nutritional issues
Always check If they have a colostomy, foley or catheter

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12
Q

What are some practices patients can do to promote health and safety

A

Physical exercise, taking medications as prescribed, maintaining good sleep habits, refraining from smoking and avoiding secondhand smoke, keeping up-to-date with health screenings, wearing sunscreen, staining a healthy diet and weight

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13
Q

What are some independent interventions you should perform to prevent injury, accidents and infections

A

Standard precautions, latex precautions, chemical exposures, spoiled food, wet spills and surfaces

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14
Q

What are the 4 acute changes you should always look for when assessing a patient

A

Cognitive, Physical, Functional and Behavioral changes
Always use your eyes, ears and nose!

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15
Q

Cognitive change

A

Change in memory or mode, confusion, or decreased level of consciousness

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16
Q

Physical changes

A

Changes in skin color, vital signs, oxygen saturation or onset of pain

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17
Q

Functional changes

A

Slurred speech, numbness or weakness in extremity respiratory or mobility changes

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18
Q

Behavioral changes

A

hallucinating, depression, disorientation

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19
Q

What are standard precautions

A

Proper hygiene, use of PPE, managing contaminated surfaces, proper disposal of soiled items

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20
Q

Why should you perform latex precautions

A

Because common items such as blood pressure cuffs, gloves, bandages, syringes and catheters can contain latex which can trigger allergic reactions that can become severe

21
Q

Why should you perform chemical exposure precautions

A

Chemical exposure can be caused from cleaning supplies and disinfectants which can cause hazards

22
Q

What are some nurse injuries

A

Pinched nerves, herniated disks, sprains, strains, tears, carpal tunnel syndrome and back and neck injuries

23
Q

What are some safe patents handling and transfers

A

Methods used to lift, reposition or transfer a patient
Include: height adjustable beds, Hoyer lifts, anti-friction devises and bed trasnsfer aid slide-boards

24
Q

What are some ways you can promote medication saftey

A

Carry a list of medications, take medications as prescribes, use a pill organizer, assess the patient for the need for assistance taking medications and assess patient for difficulty opening bottles or reading labels

25
Q

What is SBAR

A

Method used to report information from one shift to another or from one department to another
Situation
Background
Assessment
Recommendations

26
Q

SBAR: S

A

Situation
Patient name, age and code status

27
Q

SBAR: B

A

Background
Admitting date, diagnosis and allergies

28
Q

SBAR: A

A

Assessment
lungs, heart Iv sites, and tubed

29
Q

SBAR: R

A

Recommendation
treatments, and transfer unit

30
Q

What are adverse drug events

A

Injuries that result from medication
occur anywhere throughout the medication administration process, starting when medication’s are prescribed and ending when patients receive them

31
Q

What are some of the highest risk requiring special attention in medication

A

opioids, insulins, anticoagulants and sedatives

32
Q

What are the rights of medications administration

A

Right assessment
Right drug
Right dose
Right patient
Right route
Right time
Right documentation

33
Q

What medication teachings can you provide the patient with

A

Naming the function of the medication, the dosage, common side effects, adverse reactions to watch for and what to do and the drug interactions, food and disease process

34
Q

What is safety culture

A

A blame free environment
A feeling of shared attitudes, values, and practices and beliefs that result in behaviors and responsibilities for safety in all daily routines

35
Q

What is QSEN

A

Quality safety education for nurses!
Nursing competencies: knowledge, skills and attitudes that prepare nursing students with practical experience to provide effective care

36
Q

What is Elder abuse

A

Intentional harmful actions by caregivers or family members that inflict harm on an older adult. This includes failure to provide safety or meet basic needs

37
Q

What is financial exploitation

A

The deliberate misuse of funds, theft and coercion

38
Q

What are some safety improvements in the home setting

A

Installing handrails, grab bars in the bathroom easy grip door handles water faucet cabinets
Designing wider hallways and doorways for walkers and wheelchairs
Removing scatter rugs and adding non-slip padding
Ensuring a bell or way to call for help is easily accessible Providing adequate lighting
using raised toilet seats
ensuring that fire in disaster plans are available

39
Q

What is HAI

A

Healthcare associated infections
Including: C-Diff: deadly diarrea
MRSA: Staphyloccocus aureus, on skin, perenial and naris, direct contact precautions
VRE:move from its location to wrong location during surgery. contact precautions
Are drug resistant

40
Q

What are chemical restraints

A

Sedatives, hypnotics, and anti-anxiety medicationa

41
Q

What are physical restraints

A

Vests, hand mitts, or tying patients arms or legs to limit mobility
The use of 4 side rails is also considered a restraint

42
Q

What is seclusion

A

Confining a patient to their room and preventing them from leaving

43
Q

What must there be in order to use a restraint

A

An order written by a physician or APRN

44
Q

What are other alternatives to restrains

A

family members at bedside, bed/chair alarm, distraction, calming voice, reorientation or covering/disguising tubing so it is not pulled out

45
Q

To avoid causing harm to patients what must be implemented

A

Assessing patient every 2 hours for circulation, skin condition and patients response to the restrains
Repositioning the patient to provide range of motion exercises
Documentation of restrains and patients condition
Offering toilet, food and fluids

46
Q

What are procedure related error

A

A break in sterile technique when a foley catheter can result in a catheter associated UTI

47
Q

What are unintentional injuries

A

Falls, drawings, MVA, poisonings and suffocation

48
Q

What are intentional injuries

A

Deliberate acts of violence or abuse that have fatal consequences: homicide or suicide

49
Q

What are preventable errors

A

Procedure related errors and patient falls
The cost for treatments is not covered by medicare or medicate because they are preventable!!