Client Safety Flashcards

1
Q

Fall Prevention Interventions

A
  • Make sure other personnel are aware of fall risk
  • Keep bed in low position with bed rails up
  • Bed wheels locked
  • Bed and Chair alarms on
  • non-skid footwear
  • Floor free from clutter and clear path to bathroom
  • Adequate lighting (night-light)
  • Make sure client knows how to use call light and grab bars
  • Orient client to the setting
  • Keep assistive devices near by
  • Educate client and family on risks and plan of care
  • Keep client close to nurse’s station
  • Answer call lights immediately
  • Report and document all incidents
  • Diuretic patients –> keep bedside commode to limit the amount of steps taken due to fall risk
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2
Q

Seizure Precautions

A
  • Client with a history of seizures should be assessed for frequency (how long they last), type (partial or generalized) and date of last seizure, medications, and triggers
  • Before seizure:
    • keep bed in lowest position
    • pad bed rails
    • rescue equipment at bedside (oxygen, oral airway, and suction)
  • During seizure
    • place client on side with head slightly flexed
    • do not place anything in mouth, except for suction if needed
    • make sure airway is patent
    • loosen closing
    • Time and observe the seizure
    • measure pulse and respiratory rate
  • After seizure:
    • document in medical record (length, LOC, respiratory status, color, limb movement, response)
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3
Q

Radiation Precautions

A
  • keep the most distance possible from source of radiations
  • minimize the amount of time near the radiation source
  • wear LEAD gloves and aprons
  • wear radiation (dosimetry) badges to monitor the amount of radiation exposure
  • do not touch radioisotope containers
  • Client with an implanted radioisotpe should be in private room with a private bath
  • dispose of bodily fluid in marked container
  • Use long-handled forceps to move any dislodged implants
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4
Q

Fire Safety

A
  • RACE acronym:
    R: Rescue patients (evacuate patients)
    A: Alarm the fire (set the fire alarm)
    C: Contain the fire (close the door)
    E: Extinguish the fire
  • Classes are used to determine the type of fire extinguisher to put out the fire:
    Class A: paper, wood, rags, trash
    Class B: flammable liquids and gases
    Class C: electrical fires

-How to use a fire extinguisher (PASS acronym):
1. P: Pull the pin
2. A: Aim at the base of the fire
3. S: Squeeze the handle
4. S: Sweep the extinguisher side to side

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5
Q

Triaging Clients

A
  1. Emergent Category I: highest priority given to those clients who have life-threatening injuries but also have high chance of survival
  2. Urgent Category II: Second highest priority given to clients who have major but not life threatening injuries and can wait 45 - 60 minutes
  3. Non-urgent Category III: Clients who have minor injuries and do not need immediate attention
  4. Expectant Category IV: clients who are not expected to live and will be allowed to die naturally
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6
Q
A
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