Unit 3 - Safety Flashcards
Factors affecting safety?
- Psychosocial considerations (smoking)
- Basic needs (Maslow)
- Physical Hazards (exposure to infection, pollution, terrorism)
Developmental considerations
Infants/toddlers/preschoolers
injuries, poisoning, incorrect vehicle restraints,
* Must educate parents
Developmental considerations
Adolescents
identity, peers, act impulsively, risk-taking, behaviours (smoking), ingestion of drugs increase drowning, vehicle accidents
Developmental considerations
School-Aged children
bullying, increased activity –> helmets
Developmental considerations
Young Adults
Lifestyle habits, stress
Developmental considerations
Middle-aged adults
responsibilities; accidents
Developmental considerations
Older adults
physiological changes (e.g., decreased vision, hearing, reaction time), chronic conditions, risk of falls,
Health care enviro risks
Chemicals – disinfectants, meds, Stronger in hospitals
Microorganisms – nosocomial infections
Equipment – check regularly (Suction/ 02 working)
Perception of safety
Risk for medical/procedural errors – incident reports
Falls can be caused by
Medications
Delirium
Limited mobility
4 individual risk factors
- Lifestyle (dangerous job, drug withdrawal)
- Impaired mobility (poor coordination, weakness)
- Sensory/ Communication impairment (visual, hearing, language barrier)
- Lack of safety awareness (expiration dates, poisonous substances storage)
9 Life-saving Pt safety sol’n
- Be aware of look-alike & sound-alike medications
- Use pt identification
- Communicate during pt handover
- Perform correct procedure @ correct body site
- Control concentrated electrolyte sol’n
- Ensure meds accuracy @ transition in care
- Avoid catheter & tubing misconnections
8 Don’t reuse single-use injection devices - Improve hand hygiene to prevent HAI
Ways to prevent falls
Check pts frequently.
Use brakes on beds, commodes, wheel chairs, ect.
Use shoes or rubberized slippers.
Keep necessary items w/in reach.
Types of restraints
Physical (impeding pt movement) –> Side rails
Chemical (meds)
Environmental (locking doors)
Risks of using physical restraints
Humiliation; fear; impaired circulation; pressure ulcers; incontinence; decreased muscle mass; death; entrapment
Objectives that must be met in order to use restraints
- Reduce risk of pt injury
- Prevent interruption of therapy (nasogastric tube feeding)
- Prevent pt from removing life-support equipment
- Reduce risk of injury to others