Unit 4 Flashcards
Environment, basic needs, physical hazards, age/development
Safety factors
A basic human need ; Freedom from psychological and physical injury
Definition of safety
Home, community, school, hospital
Environments
Oxygen, nutrition, temp/humidity, cognitive awareness, emotional state
Basic needs
Enforce no smoking ; be aware of a decrease in oxygen availability
Basic need - oxygen
Lighting, obstacles, bathroom hazards, security, pathogens
Physical hazards
injuries are the leading causes of death in ages_____
1-25 years old
_______ _______ changes as the patients age
teaching purposes
in the event of a fire you will be expected to perform _____
R-A-C-E
Risk for physical violence and work related accidents
safety hazard for working in healthcare setting
rescue those who are in immediate danger
R in RACE
Pull the fire ALARM and call it in
A In race
contain or confine the fire ( close doors)
C in Race
Extinguish if its a small fire
E in Race
Pull Pin, Aim at base of fire, Squeeze and Sweep
PASS
harm to your patient, fellow worker or yourself; liability suit ; loss of licensure
violations in safety could result in…
lifestyle, neuro function, mobility function, cardiopulmonary function
health history data the nurse should gather
ask about the home environment and daily activities; meds they take
lifestyle
ask about balance and coordination
neuro function
ask about ambulatory aids, ex walkers canes, etc…
mobility function
ask about SOB or fatigue
cardiopulmonary function
unexplained bruises or cuts, LOC, how well they make decisions, Musculoskeletal assessment , changes in vitals signs with activity
important subjective and objective data that the nurse should gather
risk for injury, risk for poisoning, risk for aspiration, risk for impaired home maintenance
nursing diagnosis related to safety
variance and fall reports do not go into the chart because of _____ ______
legal reasons
free from injury, free from poisoning, etc..
Goals for safety
individualized for each pt ; focus on prevention, holistic in nature
Guidelines for nursing interventions relating to safety
wiping up spills, pick up packaging, putting equipment away
Ways to reduce physical hazards
physical hazards are reduced, basic needs are met, psychological status is not jeopardized, and transmission of infections are reduced
safe environment for patients
offer toileting and fluids frequently
Make sure basic needs are met
step in when any type of abuse is witnessed
psychological status is not jeopardized
hand washing and wearing gloves
Refusing transmission of infection
quality safety of education nursing
QSEN
demonstrate effective use of technology and standardized practices that support safety and quality
QSEN safety standards
demonstrate affective use of strategies to reduce risk of harm to others and self
QSEN safety Standards
use appropriate strategies to reduce reliance on memory
QSEN Safety standards
use of biological agents to create fear and threat; most likely form of terrorist attack
Bioterrorism
recognizing changes in trends in emergency rooms and urgent care, know policy and procedures, be familiar with syndromes associated with bio-terrorist acts
roles and responsibilities of a nurse in emergency management
restriction of freedom of movement or normal access to a person body that is not an usual part of treatment
restraints
meds such as anxiolytics and sedatives use to manage a patients behavior that is not a standard treatment
chemical restraints
manual, physical or mechanical device that reduce ability of a patient to move freely
physical restraints
Know agency policies, ongoing assessments are needed, must be clinically justified
legal implications for restraints use
reduce the risk of patient injury, prevent interruption of therapy such as IV, NG, Foleys, prevents patients from removing life supporting equipment , reduce risk of injury to others by the patient
objectives for use of restraints
weight sensitive mats, posey beds, side rails, alarms, and one on one
alternative to restraints
be aware of who is present, be cautious when leaving at night, do not share personal info, reports suspicious behaviors
Guidelines for keeping yourself safe
environmental factors, developmental needs, alternative food patterns, lifestyle, religious practice, economics
factors that affect nutrition
lifestyle, work schedule, poor meal choices, lack of access to full service grocery store
environmental factors that affect nutrition