Test 3--Chapter 12 Safety Flashcards

1
Q

What is the goal of safety?

A

to decrease the person’s risk of accidents and injuries without limiting mobility and independence.

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2
Q

Measures to protect a resident’s safety must not interfere with what?

A

Their rights

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3
Q

What are the nine aspects of a safe environment?

  • ˜A person has little risk of illness or ______
  • ˜The person feels safe and secure ________ and mentally.
  • ˜The risk of infection, falls, burns, poisoning, and other injuries is ___
  • ˜Temperature and ______ levels are comfortable.
  • ˜Smells are ________
  • ˜There is enough room and ______ to move about safely.
  • ˜The person and the person’s property are ______.
  • ˜The person is not ______.
  • ˜The person has few ________ and concerns.
A
  • ˜A person has little risk of illness or injury.
  • ˜The person feels safe and secure physically and mentally.
  • ˜The risk of infection, falls, burns, poisoning, and other injuries is low.
  • ˜Temperature and noise levels are comfortable.
  • ˜Smells are pleasant.
  • ˜There is enough room and light to move about safely.
  • ˜The person and the person’s property are safe.
  • ˜The person is not afraid.
  • ˜The person has few worries and concerns.
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4
Q

What are the accident risk factors?

  • Age
  • The person in a ______ relies on others for protection.
  • Residents with ________ rely on others.
  • Agitated and aggressive ________
  • Vision loss
  • ________ loss
  • Impaired smell and _______
  • Impaired mobility
  • Drugs
A
  • Age
  • The person in a coma relies on others for protection.
  • Residents with dementia rely on others.
  • Agitated and aggressive behaviors
  • Vision loss
  • Hearing loss
  • Impaired smell and touch
  • Impaired mobility
  • Drugs
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5
Q

Coma

A

•a state of being unaware of one’s surroundings and being unable to react or respond to people, places, or things.

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6
Q

Dementia

A

the loss of cognitive and social function caused by changes in the brain

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7
Q

Paralysis

A

loss of muscle function,

loss of sensation,

or loss of both muscle function and sensation.

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8
Q

Paraplegia

A

paralysis in the legs and lower trunk

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9
Q

Quadriplegia

A

paralysis in the arms, legs, and trunk

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10
Q

Hemiplegia

A

paralysis on one side of the body

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11
Q

What is the most common way to identify a person?

A

Compare identifying information on the assignment sheet or treatment card with that on the identification (ID) bracelet

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12
Q

What are the four causes of burns in nursing centers?

A
  • Smoking
  • Spilled hot liquids
  • Electrical items
  • Very hot bath water
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13
Q

What are the risk factors for burns in older persons?

  • decreased skin ________,
  • decreased _________ to heat,
  • reduced _______ time,
  • ________ mobility,
  • communication problems,
  • confusion, and
  • dementia.
A
  • decreased skin thickness,
  • decreased sensitivity to heat,
  • reduced reaction time,
  • decreased mobility,
  • communication problems,
  • confusion, and
  • dementia.
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14
Q

What are the major risk factors for poisoning in older persons?

A
  • Carelessness,
  • poor vision, and
  • confusion
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15
Q

What are the two most common poisons?

A
  • drugs
  • household products
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16
Q

What are two ways to prevent poisoning?

A
  • Make sure patients residents cannot reach hazardous materials.
  • Follow agency policy for storing personal care items.
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17
Q

Describe mild airway obstruction

A
  • Some air moves in and out of the lungs.
  • The person is conscious.
  • Usually, the person can speak.
  • Often, forceful coughing can remove the object.
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18
Q

Describe severe airway obstruction

A
  • The conscious person clutches at the throat (the “universal sign of choking”).
  • The person cannot breathe, speak, or cough.
  • The person appears pale and cyanotic.
  • Air does not move in and out of the lungs.
  • If the obstruction is not removed, the person will die.
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19
Q

When is the Heimlich maneuver used?

A

When there is a severe airway obstruction

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20
Q

Describe the Heimlich maneuver

A

•It involves abdominal thrusts.
It is performed with the person standing, sitting, or lying down

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21
Q

Who should NOT get the Heimlich maneuver?

A
  • obese people
  • pregnant women
22
Q

Equipment is unsafe if it is:

A
  • Broken
  • Not used correctly
  • Not working properly
23
Q

Frayed and overloaded outlets can cause _________.

A
  • Fires
  • Burns
  • Electric shocks
24
Q

What are the signs of a faulty electrical item?

A
  • Shocks
  • Loss of power or a power outage
  • Dimming or flickering lights
  • Sparks
  • Sizzling or buzzing sounds
  • Burning odor
  • Loose plugs
25
Q

Name four aspects of wheelchair safety regarding footplates

A
  • ˜Position the person’s feet on the footplates.
  • ˜Do not let the footplates fall back onto the person’s legs.
  • ˜Make sure the person’s feet are on the footplates before moving the chair.
  • ˜Do not let the person stand on the footplates.
26
Q

What should you do before you transfer a person to or from a wheelchair?

A

Lock the wheels

27
Q

____ the chair forward when transporting the person. Do not ____ the chair backward unless going through a doorway.

A

˜Push the chair forward when transporting the person. Do not pull the chair backward unless going through a doorway.

28
Q

Ask ___________ to help you transfer the person to or from the stretcher

A

Ask two co-workers to help you transfer the person to or from the stretcher

29
Q

Who is transported on a stretcher?

A

•persons who cannot use wheelchairs.

They cannot sit up or must lie down in the stretcher.

30
Q

Fasten the __________ when the person is properly positioned on the stretcher

A

Fasten the safety straps when the person is properly positioned on the stretcher

31
Q

What are the safety precautions when using a stretcher?

  • Raise the side ___
  • Make sure the person’s arms, hands, legs, and feet do not ______ through the side rail bars.
  • ˜Stand at the ____ of the stretcher. Your co-worker stands at the foot of the stretcher.
  • ˜Move the stretcher ____ first.
  • ˜Do not leave the person alone.
A
  • ˜Raise the side rails
  • Make sure the person’s arms, hands, legs, and feet do not dangle through the side rail bars.
  • ˜Stand at the head of the stretcher. Your co-worker stands at the foot of the stretcher.
  • ˜Move the stretcher feet first.
  • ˜Do not leave the person alone.
32
Q

Hazardous substances

(examples)

A
  • Drugs used in cancer therapy
  • Anesthesia gases
  • Gases used to sterilize equipment
  • Oxygen
  • Disinfectants and cleaning agents
  • Radiation used for x-rays and cancer treatments
  • Mercury
33
Q

What are the components of the hazardous communication program?

A
  • container labeling,
  • material safety data sheets (MSDSs), and
  • employee training.
34
Q

What information should be on a hazardous substance warning label?

  • Precaution measures
  • What personal _________ equipment to wear
  • How to use the substance _______
  • Storage and ________ information
  • Physical and _______ hazards
A
  • Precaution measures
  • What personal protective equipment to wear
  • How to use the substance safely
  • Storage and disposal information
  • Physical and health hazards
35
Q

What should you do if a warning label is damaged or removed?

A
  • Do not use the substance.
  • Take the container to the nurse, and explain the problem.
  • Do not leave the container unattended
36
Q

MSDS

A

Material Safety Data Sheet

37
Q

What three things are needed in order to have a fire?

A
  • spark or flame
  • material that will burn
  • Oxygen
38
Q

Preventing Fires

________only where allowed to do so.

A

Smoke only where allowed to do so.

39
Q

When preventing fires, what does RACE stand for?

A
  • R is for rescue.
  • A is for alarm.
  • C is for confine.
  • E is for extinguish.
40
Q

When using a fire extinguisher, what does PASS mean?

A
  • P (Pull the safety pin.)
  • A (Aim low.)
  • S (Squeeze the lever.)
  • S (Sweep back and forth.)
41
Q

Do not use ________ if there is a fire

A

Do not use elevators if there is a fire

42
Q

Disaster plans include procedures to deal with the people needing treatment. The plan generally provides for:

A
  • Discharging residents who can go home
  • Assigning staff and equipment to an emergency area
  • Assigning staff to transport persons from treatment areas
  • Calling off-duty staff to work
  • A disaster may damage the center. The disaster plan includes evacuation procedures.
43
Q

Define workplace violence

A

˜violent acts directed toward persons at work or while on duty.

44
Q

What is risk management?

A

˜identifying and controlling risks and safety hazards affecting the center.

45
Q

What is the intent of risk management?

A
  • Protect everyone in the center
  • Protect center property from harm or danger
  • Protect the person’s valuables
  • Prevent accidents and injuries
46
Q

Red wristband

A

allergy alert

A red wristband is used to warn of allergies to food, drugs, treatment supplies such as tape or latex gloves, dust, plants, grass, and so on. The specific allergies are not listed on the wristband

47
Q

Yellow wristband

A

Fall risk

The person is at risk for falling. Yellow wristbands are used for persons with a history of falls. Or they are used for persons at risk for falls because of dizziness, balance problems, confusion, and so o

48
Q

Purple wristband

A

do not resuscitate order on file

49
Q

The person’s belongings must be kept ______.

A

The person’s belongings must be kept safe.

50
Q

A ___________ is used for jewelry and money.

A

A valuables envelope is used for jewelry and money.

51
Q

Define incident

A

any event that has harmed or could harm a resident, visitor, or staff member. It includes accidents and errors in giving care

52
Q
A