UNIT 3 - Ch. 21 Safety

Question 1

Define Safety

Answer 1

the freedom from harm or injury

Question 2

INTENTIONAL injury or harm (examples and definition)

Answer 2

deliberate acts of violence or harm to a patient or self
- abuse
- neglect

Question 3

UNINTENTIONAL injury or harm (examples and definition)

Answer 3

Accidents or mistakes done unintentionally to self or patient
- med errors
- falls
- motor vehicle accidents
- drowning
- fires
- choking

Question 4

What are possible factors the influence a persons ability to maintain personal safety

Answer 4

• age
• cognitive stability
• R.O.M
• ability to communicate
• Lifestyle

Question 5

What is the Joint commission and what do they promote.

Answer 5

The Joint Commission enterprise is to enable and empower health care organizations around the world to build a foundation for quality care and patient safety.

Question 6

What are some national patient safety goals to remember

Answer 6

• 6 rights to medication administration
• prevent infection / mistakes
• improve staff communication (documentation)
• use of alarms

Question 7

What is QSEN and what does it stand for.

Answer 7

Quality and Safety Education for Nurses,
is a national institute with the goal of preparing future nurses quality and safety guidelines in ongoing patient care. This is to ensure the best possible outcome of quality patient care.

Question 8

What are safety hazard examples in the work place

Answer 8

• needle stick injuries
• slips/falls
• possible radiation poisoning
• mercury poisoning
  -infection spread
• workplace violence or abuse
• back injuries (body mechanics when moving pt or objects)
• overexertion
• medication errors

Question 9

What are safety hazard examples at home

Answer 9

• unclean environment
• slips, falls
• medication errors
  -over dosing

Question 10

What are safety hazard PREVENTIONS in the work place

Answer 10

• disposal of sharps
• 3 checks to med administration
• radiation precautions
• know personal limits
• environmental awareness
• fire training/ safety drills
• proper documentation

Question 11

What is a developmental safety risk for a INFANT (0-18 m)

+ include prevention for infant safety

Answer 11

risks
- chocking
- suffocation

prevention
- ABC’s (Alone, back, crib)
- remember they are totally dependent

Question 12

What is a developmental safety risk for a preschooler (3-5 yr)

Answer 12

• drowning
• choking

Question 13

What does ABC’s stand for in infant care

Answer 13

A- put to bed ALONE
B- on their BACK
C- in a CRIB

Question 14

What is a developmental safety risk for a School age kid (6-12 yr)

Answer 14

• injuries
  -trying new activities without caution

Question 15

What is a developmental safety risk for a Adolescence (12-19 yr)

Answer 15

• False confidence
• risk taking without judgment
• suicide
• domestic violence / abuse
• motor vehicle accidents

Question 16

What is a developmental safety risk for a Adult (19-65 yr)

Answer 16

• work place injuries
• motor vehicle accidents
• health depends on lifestyle (smoking?)

Question 17

What is a developmental safety risk for a Older adult (65+)

Answer 17

• loss of muscle strength
• loss of ROM/ mobility
• weaker immune system
• slowing reflexes
• risk of falls

Question 18

What does RACE stand for in Fire safety

Answer 18

R- rescue and remove endangered persons
A- activate the alarm
C- contain the fire
E- extinguish fire

Question 19

What does PASS stand for in Fire extinguishers

Answer 19

P - pull
A- aim
S- squeeze
S- sweep

Question 20

What is important to remember NOT TO DO in case of a fire

Answer 20

NEVER yell “FIRE” down the hall- will cause chaos

Question 21

Where should you move your patients to safety in case of a fire

Answer 21

Behind a fire door in a secured protected room

Question 22

During a man made or natural disaster what is your job as a nurse?

what happens if you do not fulfill this job?

Answer 22

Your job is to report to your workplace to help if needed

if you do not check in with your work place before evacuating or leaving then you could be charged guilty of patient abandonment.

Question 23

What area of patient care is most common for falls

Answer 23

During transfer

Question 24

Define polypharmacy and what are its risks

Answer 24

Multiple medications by multiple sources

risks include
- toxicity
- overdose
- adverse drug to drug reactions
- falls due to cognitive impairments

Question 25

What is important to remember during the Medication assessment portion of admitting a new patient.

Answer 25

obtaining ALL history of medications ( including prescribed, over the counter, and HERBAL)

MD must be notified of everything to decrease the risk of polypharmacy.

Question 26

Who is at a high risk of falls

Answer 26

the very old
the very young
cognitive impaired

Question 27

What is the Morse Fall Scale and what does it monitor.

Answer 27

6 categories of patient fall risk PREVENTION

1. history of falls (being aware)
2. secondary diagnoses
3. ambulatory aids
4. IV or saline locks
5. Gait
6. Mental status

Question 28

When do you fill out a incident report, and where is it filled

Answer 28

When something unusual is found or observed during patient care or check ups.
filled in its own department according to facility policy , NOT in patient chart

Question 29

A. Define chemical restraints

B. list an example

C. Do you need a doctors order?

Answer 29

A. Use of a drug substance to restrain, calm or sedate a patient, causing them to be immobile of personal actions regarding ROM of movement.

B. ex. Sedative

C. Yes you need a Drs orders, but in case of emergency of violence you may give without an order if ethical, must notify MD within 2 hours of administration to patient + WHY

Question 30

A. Define physical restraints

B. list an example

C. Do you need a doctors order?

Answer 30

A. use of a physical object, devise or system to limit freedom of patients ROM or mobility on their own

B. ex
- bed sheet
- soft padded wrist or feet restraints
- side rails (all 4 up)
- IV or saline Locks
- soft padded mittens

C. Yes you need a Drs orders, but in case of emergency of violence you may give without an order if ethical, must notify MD within 2 hours of administration to patient + WHY

Question 31

What are some precautions or teaching tips FROM the nurse TO a patient to prevent falls

Answer 31

• orient pt to surroundings
• provide call light and inform pt to use it if needing to get up or grab something
• keep frequently used items within reach
• encourage family visits and time

Question 32

A. What are Safety devices?

B. list examples

C. Are these considered restraints?

Answer 32

A. Safety devices are passive precautions put in place for patient safety

B.
- IV or saline locks
- side rails (2-3 up)
- wonder bracelets
- bed or chair alarms.

C. these are not considered restraints.

Question 33

What is the appropriate water temp (heat)

Answer 33

no greater than 120 degrees.