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Nursing Term 1 ALY JENNA > UNIT 3 - Ch. 21 Safety > Flashcards

UNIT 3 - Ch. 21 Safety Flashcards

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1
Q

Define Safety

A

the freedom from harm or injury

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2
Q

INTENTIONAL injury or harm (examples and definition)

A

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

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3
Q

UNINTENTIONAL injury or harm (examples and definition)

A

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

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4
Q

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

A
  • age
  • cognitive stability
  • R.O.M
  • ability to communicate
  • Lifestyle
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5
Q

What is the Joint commission and what do they promote.

A

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.

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6
Q

What are some national patient safety goals to remember

A
  • 6 rights to medication administration
  • prevent infection / mistakes
  • improve staff communication (documentation)
  • use of alarms
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7
Q

What is QSEN and what does it stand for.

A

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.

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8
Q

What are safety hazard examples in the work place

A
  • 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
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9
Q

What are safety hazard examples at home

A
  • unclean environment
  • slips, falls
  • medication errors
    -over dosing
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10
Q

What are safety hazard PREVENTIONS in the work place

A
  • disposal of sharps
  • 3 checks to med administration
  • radiation precautions
  • know personal limits
  • environmental awareness
  • fire training/ safety drills
  • proper documentation
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11
Q

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

+ include prevention for infant safety

A

risks
- chocking
- suffocation

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

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12
Q

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

A
  • drowning
  • choking
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13
Q

What does ABC’s stand for in infant care

A

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

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14
Q

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

A
  • injuries
    -trying new activities without caution
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15
Q

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

A
  • False confidence
  • risk taking without judgment
  • suicide
  • domestic violence / abuse
  • motor vehicle accidents
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16
Q

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

A
  • work place injuries
  • motor vehicle accidents
  • health depends on lifestyle (smoking?)
17
Q

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

A
  • loss of muscle strength
  • loss of ROM/ mobility
  • weaker immune system
  • slowing reflexes
  • risk of falls
18
Q

What does RACE stand for in Fire safety

A

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

19
Q

What does PASS stand for in Fire extinguishers

A

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

20
Q

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

A

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

21
Q

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

A

Behind a fire door in a secured protected room

22
Q

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

what happens if you do not fulfill this job?

A

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.

23
Q

What area of patient care is most common for falls

A

During transfer

24
Q

Define polypharmacy and what are its risks

A

Multiple medications by multiple sources

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

25
Q

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

A

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

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

26
Q

Who is at a high risk of falls

A

the very old
the very young
cognitive impaired

27
Q

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

A

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
28
Q

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

A

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

29
Q

A. Define chemical restraints

B. list an example

C. Do you need a doctors order?

A

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

30
Q

A. Define physical restraints

B. list an example

C. Do you need a doctors order?

A

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

31
Q

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

A
  • 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
32
Q

A. What are Safety devices?

B. list examples

C. Are these considered restraints?

A

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.

Nursing Term 1 ALY JENNA (24 decks)

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