Week Two Flashcards
What are the most common safety hazards occurring through the life cycle?
age and development, lifestyle, mobility and health status, sensory perceptual alterations, cognitive awareness, emotional state, ability to communicate, safety awareness, environmental factors
What is the purpose of the NAtional Patient Safety Goals?
System wide solutions. bar coding medication patient identification, number of times you ask about surgery
Bioterrorism
intentional attack using weapons of viruses, bacteria, and other germs
What is an adult home hazard appraisal?
Assessing the home for potential causes of falls, fires, poisoning, suffocation, and other accidents
Four specific phases of disaster planning
mitigation, preparedness, response, recovery
RACE
Remove clients from danger, activate fire alarm, contain the fire, extinguish the fire when confinable and evacuate the area as directed
Hendrich Assessment
get up and go test - fall assessment
Safety Monitoring Device
Leg Band Alarm, Bed Exit Monitoring Alarm. side rails do not protect all clients from falls
Restraints
protective devices used to limit the physical activity of the client or a part of the body
Physical Restraint
any manual method or physical or mechanical device, material, or equipment attached to the client’s body. They cannot be moved easily and they restrict the client’s movement
Chemical Restraint
Medication
Reasons for restraint use acceptable
to avoid and/or prevent purposeful or accidental harm to the client, to do what is required to provide medically necessary treatment that could not be provided by any other means
How long after applying restraints must the RN have to practitioner see the client face-to-face?
1 hour for evaluation
How long is a written restraint order valid for?
4 hours
Surgical Care- How long after applying restraints must the RN recieve the primary care’s written order?
12 hours
Surgical Care - How often must the restraint order be renewed?
daily
What do both standard of restraints require?
reason, time frame, type of restraint, continual monitoring, RN documentation that the need for the restraint was made clear both to client and support person, clients have a right to be free from restraints that are not medically necessary, restraints cannot be used for staff convenience or client punishment, restraints use only after every possible means of ensuring safety are unsuccessful and documented
Alternatives to restraints
buddy systems take turns staying with and observing client, place unstable client sin an area that is constantly or closely supervised, prepare clients before a move to limit relocation shock and confusion, stay with client using a bedside commode or bathroom if client is confused or sedated or has a fait disturbance or a high risk score for falling, monitor meds, lowest position beds, use 1/2-3/4 rather than full length side rails, removable lap table, wedge pillows or pads against the sides of wheelchairs, relaxation techniques, personal items, ongoing assessment
Jacket (vest)
safety of confused or sedated clients
Extremity Restraint
immobilize limb for therapeutic reasons
Waist/Belt Restraint
used when moved on stretcher or wheelchair
Elbow Restraints
used to prevent infants and small children from flexing elbow
Mitt Restraint
prevent confused client from using hands or fingers to scratch or injure themselves or pulling medical equipment out
Four basic elements for body alignment and mobility
alignment and posture, joint mobility, balance, coordinated movement