Chapter 11 Flashcards

Safety Needs

1
Q

coma

A

prolonged state of unconciousness

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2
Q

dementia

A

loss of cognitive and social function because of changes in brain

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3
Q

disaster

A

harmful event that can affect the agency / patient / residency population / community / larger demographic

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4
Q

elopement

A

patient / resident leaves agency without staff knowledge

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5
Q

hazard

A

anything in person’s setting that could cause injury / illness

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6
Q

hazardous chemical

A

any chemical that is a physical / health hazard

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7
Q

incident

A

event that harmed / could harm a patient, resident, visitor , staff member

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8
Q

paralysis

A

loss of muscle function

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9
Q

poison

A

substances harmful to the body when ingested, inhaled, injected, absorbed through the skin

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10
Q

suffocation

A

breathing stops from lack of oxygen; asphyxia

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11
Q

unconcious

A

unaware of one’s setting and being unable to react / respond to people, places, things

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12
Q

workplace violence

A

violent acts (assault / threat of assault) directed to working person

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13
Q

safety is what ?

A

a basic need

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14
Q

preventing accidents / injuries should not limit what ?

A

the person’s mobility / independence

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15
Q

8 safety accident risk factors

A

1) lack of awareness
2) agitated / aggressive behavior
3) vision loss
4) hearing loss
5) impaired smell / touch
6) impaired mobility
7) drugs
8) age

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16
Q

1) lack of awareness

A

confused / disoriented persons may not understand their surroundings / people around them

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17
Q

2) agitated / aggressive behavior

A

pain, confusion, decreased awareness, fear can cause such behavior

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18
Q

3) vision loss

A

can fall / trip / can be poisoned due to being unable to read

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19
Q

4) hearing loss

A

unable to hear alarms / approaching transporting devices; unaware to move to safety

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20
Q

5) impaired smell / touch

A

cannot detect smoke / gas and at higher risk for burns; unaware of injury

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21
Q

6) impaired mobility

A

person unable to move to safety

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22
Q

7) drugs

A

reduce awareness; can cause confusion, drowsiness, disorientation and poor coordination

23
Q

8) age

A

children and older persons at increased risk

24
Q

ID bracelet includes

A

name, ID number, room / bed number, DOB and DR.

25
Q

how to check identity of person ?

A

reference ID bracelet to person’s assignment sheet; full name AND DOB (first name not enough)

26
Q

what do you do if people are annoyed with getting IDed ?

A

explain that checking identity is important to give the correct care and thank them for understanding

27
Q

why are older persons at higher risk for burns ?

A

decreased skin thickness, decreased sensitivity to heat, slowed reaction, decreased mobility, communication problems, confusion, dementia

28
Q

foreign body that can obstruct airway

A

choking / foreign-body airway obstruction (FBAO)

29
Q

choking most often occurs during ?

A

eating

30
Q

mild (partial) airway obstrution

A

stay with the person and encourage the to keeps voughing

31
Q

severe (complete) air way obstruction

A

cough poor quality / unable to make no noise and appear cyanotic

32
Q

cyanotic

A

poor is blueish skin

33
Q

universal sign of choking

A

clutching the throat

34
Q

heimlich / abdominal thrusts

A

quick / upwards thrusts to the abdomen

35
Q

what must be done when you assisted a person who was choking ?

A

report and record what happened, what you did and the persons response

36
Q

abdominal / heimlich maneuver for a pregnant lady ?

A

quick thrusts to the middle of the sternum

37
Q

electrical shock

A

electrical current passes through the body and burns the skin, muscles, nerves, other tissue; can affect the heart and cause death

38
Q

warning signs of a faulty electrical item include

A

1) shocks
2) loss of power / power surge
3) dimming / flicker lights
4) sparks
5) sizzling / buzzing sound
6) burning odor
7) loose plugs

39
Q

what kind of plugs ?

A

3 pronged plugs, avoid using extension cords

40
Q

bed power cord is plugged into where ?

A

directly into wall outlet

41
Q

only use an electrical item when ?

A

it has been approved by maintenance staff

42
Q

what occurs when electrical items are unplugged when still on ?

A

sparks fly

43
Q

why avoid giving showers / tub baths during storms ?

A

lightning can travel through pipes

44
Q

health hazards can cause ?

A

1) cause cancer
2) affect blood cell formation / function
3) damage organs
4) cause birth / fertility problems

45
Q

workplace hazards are ?

A

1) equipment containing latex
2) thermometers / BP equipment containing mercury
3) cleaners / disinfectants
4) substances with removed / damaged label
5) unattended chemical containers

46
Q

safety data sheet (SDS) / material safety data sheet (MSDS) contain ?

A

1) name / common name
2) hazards about chemical
3) chemical ingredients
4) emergency measures
5) fire-fighting measures
6) accidental release measures
7) safe-handling / storage measures
8) personal protection measures

47
Q

check the SDS / MSDS when ?

A

before using / cleaning / disposing a hazardous chemical

48
Q

R.A.C.E.

A

rescue, alarm, confine, extinguish, in-case of a fire

49
Q

P.A.S.S.

A

pull, aim low, squeeze lever, sweep, when using fire extinguisher

50
Q

why is the nursing team most at risk for workplace violence ?

A

they are in constant contact with patients, residents and visitors

51
Q

point of color-coded wristbands

A

communicate an alert / warning
red = allergy
yellow = falling risk
purple = do not resuscitate (DNR)

52
Q

how are personal belongings handled ?

A

a personal belonging list signed by nurse and patient/resident is made to describe each item; count money with person / put money and jewelry in envelopes with person’s name on it (HAVE A WITNESS)

53
Q

where are incident reports reported to ?

A

risk management committee who keep record of incidents to look for patterns and trends