Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Foundations > T1: Chapter 24: Promoting Safety- JM > Flashcards

T1: Chapter 24: Promoting Safety- JM Flashcards

1
Q

Why is safety important to the patient?

A

It is a basic human need

-second only to survival (Maslow’s)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the four leading causes of accidental death in the US?

A
  1. poisoning
  2. motor vehicle accidents
  3. firearms
  4. FALLS
    * * Accidental/unintentional injuries are the 5th leading cause of DEATH**
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Who publishes safety goals for healthcare facilities?

A

The Joint Commission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Who recommends six major policy changes to raise quality of healthcare?

A

ANA–American Nurse’s Association

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the leading cause of death for infants/toddlers?

A

Drowning (ages 1-4)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some safety concerns with toddlers?

A
  • they are completely dependent on others for care

- falls, choking, SIDS, and ingesting poisons are among the top issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is choking or ingesting poison a fear with toddlers?

A

They explore the environment by PUTTING THINGS IN THEIR MOUTH at this age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the leading cause of death or preschoolers? What about nonfatal injuries?

A 
Motor vehicle (drowning, fires, poison)
-Nonfatal: FALLS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the leading cause of death of school-aged children? Nonfatal injuries?

A

Motor vehicle

-Nonfatal: FALLS (more activity result in more bone and muscle injury–sports)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the leading cause of death for adolescents?

A

Motor vehicle and homicide associated with ALCOHOL and DRUGS

  • teenagers feel invincible, yet lack wisdom
  • risk-taking behaviors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the leading cause of death for adults (35-64 years old)?

A

Unintentional poisoning

-lifestyles injuries (stress, abuse, decline in strength)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

As adults age, what are they more at risk for?

A

falls, burns, car accidents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are adults age 65 and adult most at risk for?>

A

FALLS

50% at home

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the safety hazards in the HOME?

A
  • poisoning
  • carbon monoxide exposure
  • scalds and burns
  • fires
  • firearm injuries
  • falls
  • suffocation/asphyxiation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is included in a patient’s environment?

A

physical AND psychosocial factors that contribute to the life and well0being of each person.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are some individual factors that influence safety?

A
  • lifestyle
  • cognitive awareness
  • sensoriperceptual status
  • ability to communicate
  • mobility status
  • sensory losses (hearing/vision)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When do most fatal home fires occur?

A

When the occupants are asleep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Related to fires, what do most deaths result from?

A

smoke inhilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How can scalds/burns occur in the home?

A
  • scald injuries: hot water, steam, grease
  • warming food or formula in microwave
  • sunburn
  • contact burn: touching stove or hot pan
  • chemical burn
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How can suffocation occur in the home?

A
  • in the crib
  • drowning in tub
  • choking on foreign object
  • inhaling gas/smoke
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What food items can a child choke on?

A
  • hot dogs
  • raw veggies
  • popcorn
  • hard candy
  • grapes
  • nuts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What nonfood items can children choke on?

A
  • plastic baggies

- latex balloons

23
Q

What are some community hazards that can occur?

A
  • motor vehicle accidents
  • pathogens
  • improper sanitation
  • pollution
  • electrical storm
24
Q

What are hazardous substances transported from the workplace to the home?

A

Take-home toxins:

  • direct skin-to-skin contact
  • arthropod vectors
  • dust particles
25
Q

A nonspecific term that describes illness caused by ingesting bacteria and other microorganisms, or their toxins, in food.

A

Food poisoning

26
Q

What are the different typrs of pollution?

A
  1. Air (motor vehicle emissions)
  2. water (lakes, rivers, streams)
  3. Noise (stress, hearing loss, high BP, not sleep)
  4. Soil
27
Q

What are the safety hazards in a healthcare agency?

A
  • FALLS
  • equipment-related accidents
  • fires
  • electrical hazards
  • restraints
  • mercury exposure
  • biological hazards
28
Q

What are never events?

A

These can cause serious injury or death to patients and should NEVER happen in a hospital

29
Q

Examples of never events:

A
  • Foreign ibject left in body after surgery (sponge)
  • air embolism
  • administering wrong type of blood
  • sever pressure ulcers
  • falls and trauma
  • injuries from burns, restraints, bedrails
  • infections: catheters (urinary and IV)
  • symptoms from poorly controlled blood levels
  • surgical site infections
  • DVT or pulmonary embolism
30
Q

What are the main aspects of a Root Cause Analysis (RCA)?

A
  1. What happened?
  2. Why did it happen?
  3. What can be done to keep it from happening again?
31
Q

Who is more at risk for falls?

A
  • Infants and older adults!!!!
  • poor vision
  • cognitive impairment
  • difficulty walking/balance
  • orthostatic hypotension
  • weakness/dizziness
  • drowsiness from meds
32
Q

A device or method used for the purpose of restricting a patient’s freedom of movement or access to his own body, with or without permission.

A

Restraint

33
Q

What practice should occur with restraints?

A

AVOID if possible–use alternative interventions first

-saves time, money, and reduces patient injuries

34
Q

How often are restraints to be checked? How often must a prescription be renewed?

A

checked: Every 30 minutes
renewed: every 24 hours by prescriber

35
Q

How many siderails need to be up on the patient’s bed?

A

2-3

–4 is considered a restraint

36
Q

What workplace hazards can happen to healthcare workers?

A
  • back injuries
  • needlestick injuries
  • radiation injury
  • violence
37
Q

When working with a patient who is getting radiation, what do you need to keep in mind?

A

-Time: limit amount
-Distance: stay away if possible
Shielding: wear protective gear

38
Q

What type of patient should be assessed for falls?

A

ALL OF THEM!!!

-Especially after a change in medication or health status (this is constantly being updated)

39
Q

What can a nurse do to help decrease violence in the workplace?

A

Identify anxiety–this is where it normally starts

-You may be able to intervene before a patient becomes aggressive

40
Q

What test needs to be preformed when determining how likely a patient is to fall?

A

Morse Fall Scale

41
Q

How can you assess home safety prior to discharge of a patient?

A

CLIENT TEACHING!!!!!!

  • Create a home safety checklist
  • Safety Assessment Scale (SAS)–good for patients with cognitive and memory deficits
42
Q

How can you assess the risk for violence?

A

Recognize early warning signs

  1. What increases aggression?
  2. Assess for anxiety
43
Q

What are some factors that increase aggression?

A
  • mental disorders
  • drugs or alcohol
  • withdrawal
  • history of violence
  • clinical conditions: high fever, epilepsy. head trauma, hypoglycemia
44
Q

What are some signs a patient is experiencing anxiety? What may this lead to?

A

May lead to violence!!

  • agitation & restlessness
  • pacing
  • talking loudly, speaking rapidly
  • gesturing wildly
45
Q

What nursing intervention can be used to promote safety in the home?

A

Focus is on TEACHING

46
Q

What nursing intervention can b used to promote safety in the healthcare facility?

A
  • Assess Risk

- Create a safe environment

47
Q

How can you help prevent fires?

A
  • have a warning system
  • have an escape plan
  • have a preventative frame of mind
  • promote electrical safety
  • know what to do if fire occurs
48
Q

How can FALLS be prevented at home?

A
  • exercise regularly
  • take your time
  • don’t trip yourself up: proper shoes, not rugs
  • clear a path:
  • use caution on stairs
  • minimize bathroom hazards
  • childproof home
49
Q

How do the Heimlich and the American Red Cross maneuver for choking differ?

A

Heimlich: only abdominal thrusts (not back blows)

American Red Cross: alternates 5 back blows with 5 abdominal thrusts

50
Q

What do you need to teach patients about food safety?

A

“4 C’s of Food Safety”:

  1. Clean
  2. Cook
  3. Combat cross-contamination
  4. Chill
51
Q

How to yout\ properly dispose of solid waste?

A
  1. Reduce
  2. Reuse
  3. Recycle
  4. Respond (educate others)
52
Q

How do you respond to a fire in the hospital?

A

R rescue the patient
A activated the alarm
C confine the fire
E extinguish the fire

53
Q

What safety interventions can you delegate?

A
  • Remove and reapply restraints–NOT assess them

- observe for skin excoriation under or around restraint and report

Foundations (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions