chapter 13 Patient Safety and Restraint alternatives Flashcards

Question

aging muscoskeletal

Answer 1

musculoskeletal changes loss of muscle tissue equals weaker more fatigued during physical activity increase risk of accidents such as falling

Answer 2

respiratory changes lung capacity decreases feel short of breath risk of Falls

Answer 3

skin changes bruises and tears

Answer 4

most of chronic health conditions treatment increase risk for accidents or incidents example arthritis affects mobility for the person at risk for falling neurologic disorders stroke Parkinson's leads people to shuffle increase risk for tripping irregular heartbeat can suddenly lose Consciousness and fall incontinence slip and fall on the floor blood pressure meds can make you dizzy

Answer 5

Change in living environment can cause new Resident become confused or disoriented many residents in same roof will need different levels of supervision in very busy places environment where accidents environmental hazards like clutter slippery services for lighting and sun glare effect resident safety

Answer 6

take the extra step to help ensure the safety of those you care for treat people like you would want your own family members treated

Answer 7

leading cause of non-fatal and fatal injuries in the US leading cause of accidental death among the elderly Falls are the most common cause of * functional decline * hospital admission * emotional trauma and * placement in nursing facility most common type of accident that occurs in the healthcare setting

Answer 8

hospitals to **evaluate each new patient** or resident for risk factors that increase person's **risk for Falls**

Answer 9

**says Falls are never events** **as in they should never occur** measures that can be taken to prevent Falls are included in **person's nursing care plan**

Answer 10

tub or shower check water temperature first (105 degrees Fahrenheit) bath measure the temperature of the water in the basin can't be hotter than bathtub or shower (110f) teach patient to bathe themselves to check water temperature with a thermometer, hand, or wrist for getting in the bathtub or shower use extra care with heat applications warn people that food or beverages hot some people may need a cup with a lid for their coffee or tea guidelines for electrical appliances

Answer 11

Entrapment occurs when a person becomes trapped in the side rail or between the side rail in the mattress severe injury or death can occur especially if head, neck or chest become trapped

Answer 12

**anytime side rails are used** **confused** ie meds for dementia **lack of muscle control** someone who is small has uncontrolled body movement **mattresses that don't fit** the bed frame

Answer 13

**check frequently** use devices designed to reduce the risk of entrapment if ordered

Answer 14

elderly at risk due to poor eyesight confusion sense of smell and taste take too much or wrong medication might forget he took medication already that day

Answer 15

don't store cleaners or chemicals in containers meant for food or beverages keep chemicals and cleaners locked make sure contents of containers are clearly marked on the other side provide help when reading labels as necessary

Answer 16

Immediately report to nurse written iincident report sometimes called Safety event report straightforward factual Manor no opinion no blame used by quality assurance Department for follow up

Answer 17

feel responsible don't want to be blamed don't want co-worker to be blamed

Answer 18

refer to as reminder devices and some facilities use to keep people safe use to restrict a person's freedom of movement or to prevent a person from reaching parts of his body maybe used for agitated disoriented patient who continually tries to remove an IV from arm

Answer 19

when person has the ability to undo it seat belt in a wheelchair is not a restraint if the person can unfasten it

Answer 20

device attached to or near a person's body to limit a person's freedom of movement her access to her body can be applied two parts of the body such as wrist ankles not permitting a person free access to other rooms are parts of the facility is considered a form of physical restraint

Answer 21

chemical restraint any medication that alters a person's mood or behavior such as a sedative or tranquilizer fine line between medications to help calm and for convenience medications assist in the control of anxiety not to make person sleepy or unable to function

Answer 22

never as punishment never for staff convenience are used to provide postural support to protect patient from harm to protect staff from harm only used when other methods have failed and person is considered to be a danger to herself and others if restraints are not applied

Answer 23

person attempts to remove or pull tubing necessary for medical treatment demonstrating combative behavior that poses a serious threat welfare and safety of themselves other patients residents person who is overdose on alcohol or medication and is demonstrating combative Behavior or is on suicide precautions

Answer 24

address a person's right to be free from physical and chemical restraints

Answer 25

OBRA - improper use of restraints can be considered holding a person against his or her will or false imprisonment

Answer 26

prove l**ess restrictive measures** have been **tried** and **unsuccessful** and meeting person's needs consider **risks and benefits** benefits must outweigh the risks

Answer 27

every facility has policies and procedures you must follow them

Answer 28

a person who is restrained eight times more likely to die than a person who is not restrained Strangulation bruises nerve damage skin abrasions permanent tissue damage broken bones other serious injuries physical restraints do not prevent Falls restrain too long incontinence if not brought to the bathroom regularly loss of independence with decreased Mobility leads to decrease in bone and muscle strength Mental effects associated with use can be serious and include agitation and confusion humiliation and embarrassment and depression

Answer 29

provide an environment which person feel safe and secure confused person close to nurses station take time to talk to the person soft music television or other entertainment can be calming frequent attention to person's physical needs take the person to the bathroom offer drinks and snacks assist person with walking or change her position frequently call lights explain procedures and reassure the person get help from family members volunteers or other residents use restraint measures that are less restrictive pressure sensitive alarm systems postural support bed control bolsters instead of side rails

Answer 30

only work as restraint Alternatives if caregivers respond to the alarms in a timely manner

Answer 31

only doctors can order restraint for patient always follow facilities policies regarding the application use of restraints in order to protect yourself your facility and your patient usually RN or LPN check on person every 15 minutes help with repositioning meeting needs toileting need restraints must come off every 2 hours remember to meet emotional as well as physical needs observe the person's response to the restraint and Report any signs of trouble for the nurse immediately all knots are quick release knots

Answer 32

going to a person's chest to protect the person from **falling out of bed** or a chair arms are placed armholes straps of the vests are crossed over each other across the chest **never put on backward** with the back of the vest on the person's chest in the flats across her back this **can cause person to strangle** is slides down against him properly Place restraint because the back of the s restraint higher than the front jacket restraint is like a vest restraint but has sleeves and closes in the back

Answer 33

doctor May specify the number of extremities that are to be restrained made person in bed maybe to **prevent a person from removing tubes and catheters**

Answer 34

Mitten like variation of a wrist restraint restricts finger movement prevents the person from **grasping tubes** are catheters that allows for more freedom of our movement

Answer 35

lap or waist belt restraints used to prevent a person from sliding out of a chair waist restraint secures person to a chair bed

Answer 36

immediately if restrained person complains or shows any signs of shortness of breath or difficulty breathing and her foot beyond the restraint is pale blue or cold skin beneath the restraint devices red blistered broken or bruised restrained person has become more confused disoriented for agitated

chapter 13 Patient Safety and Restraint alternatives Flashcards

(61 cards)