Week 3 (09/08/15) - Safety: Illness and Injury Prevention Flashcards
Factors affecting safety
Developmental considerations (toddler to elderly), mobility, sensory perception (HOH = hard of hearing), cognitive skills, ability to communicate (Cyracom), health status, and level of consciousness (LOC)
Focus of safety assessments
Individual, environment, risk factors
General safety
Environmental, waste (biohazard, garbage, recyclables), ergonomic (bend at knees, not at waist)
QUESTION:
What does “RACEE” stand for?
CORRECT ANSWER:
Rescue, Alarm, Confine, Extinguish (if possible), Evacuate (AND CALL 5555)
QUESTION:
Is the following statement true or false - “Among adults older than 65, fires are the leading cause of injury fatality.”
CORRECT ANSWER:
False
Factors that contribute to falls
- Age (older = higher risk)
- History of falls
- Impaired vision/balance
- Gait
- Medications
- Postural hypotension (going from lying to standing and BP significantly drops)
- Weak/slow reaction times
- Confusion
- Unfamiliar environment
Assessing fall risk
- Hendrick II Fall Risk Model (2009)
- Morse Fall Scale
Standard protocol for falls prevention
- Keep bed in lowest position
- Lock wheels
- Call bell in reach
Restraints
- LAST resort
- Never for staff convenience
- Requires medical order (renewed every twenty-four hours)
- Hazardous (suffocation, circulation, ulcers, etc.)
- Check skin every thirty minutes
- Released every two hours (four if sleeping)
- Secure to bed frame with slipknot
- Check for physical needs and CSM (color, sensation, motion)
- All other alternatives
Airborne precautions
- Illness spread through air by very fine particles
- Private, negative pressure room
- Closed door
- N-95 respirator mask
Droplet precautions
- Illness spread by large particle droplets
- Private room if possible
- Door may be open
- Surgical mask
- Wear PPE with close contact
Contact precautions
- For pts. infected with MDRO
- Private room if possible
- Door may be open
- Wear PPE with close contact
