Chapter 24, 32 & 39 Flashcards
(46 cards)
Safety
A basic human need concerning patient safety and personal safety
Body Mechanics for Staff Safety
Feet Spread Apart Minimize bending and twisting Bend knees (don't bend at waist) Lift with leg muscles Keep objects close Use both hands DON'T stand on tip toes If possible, avoid lifting! Push, slide, or pull Keep elbows bent
What is one of the leading causes of death in during patient safety?
Accidents that may lead to life changing injuries
Safety Factors
Developmental Status
Individual
Environment (Home, community, hospital)
Hospital Safety
Medication
Surgical
Communication
Physical
What are restraints meant to prevent?
Intentional self inflicted harm
Protective medical device harm
Staff harm
Restraints: Mechanical Devices
Belt Vest or Jacket Wrist or Ankle Mitt Enclosed bed (canopy bed or 4x rails up)
When using restraints for safety purposes, what measures should be taken first?
Less restrictive measures
When using restraints for safety purposes, what must be obtained?
Physician order (timing of order to be determined by facility protocol)
How often must the order be renewed and moved?
Renew at least every 24 hours
Remove ASAP and every 2 hours to assess patient and sites
When applying restraints,
Never tie to a movable parts of bed or chair
Secure with quick-release knot
Assess restraint site and distal to site
a RN mist be presence for the removal
Common Bed Positions
Semi-Fowlers
High-Fowlers
Trendelenberg
Revers Trendelenberg
Semi-Fowlers
Head of bed elevated to 45 degrees
High-Fowlers
Head of bed elevated to 90 degrees
Trendelenberg
Bed flat with feet elevated and head down
Reverse Trendelenberg
Bed flat with head elevated and feet down
Correct bed position is vital to
Promote comfort
Prevent injury
Provide sensation
Positioning for Semi-Fowler’s & High-Fowler’s
Small pillow Support arms and hands on pillows Small pillow under thighs Small pillow under ankles "Float" heels
Supine Position
Head of bed flat Small pillow under lumbar area Pillow under head, neck and shoulders Trochanter rolls parallel to lateral surface surface of thighs "Float" heels with pillow under ankle Use footboard or high top sneakers to prevent foot drop Pillows under forearms Hand rolls or splints
Prone
Roll patient to one side with arm alongside body
Roll client over arm
Position on abdomen in center of bed
Turn head to one side to support with one pillow
Place a small pillow under abdomen
Place arms i flexed position at shoulders
Support lower legs with pillows to elevate toes
30 degree lateral (side-lying)
Lower HOB Position client to side of bed opposite side being turned to Flex knees and turn patient on side Pillow under back to support Pillow under head and neck Bring dependent shoulder forward Position arms in slightly flexed position with pillow Place pillow under semi flexed upper leg
Sims’ (semiprone)
Lower HOB Place in supine postion Roll client on side Position on lateral side, lying partially on abdomen Lift dependent shoulder and place arm at side Small pillow under head Pillow under flexed upper arm Pillow under flexed upper leg
Logrolling
Requires 3 people
Small pillow between knees
Cross arms on chest
Use draw sheet
One nurse grasps draw sheet at lower hips and thigh area
Other nurse grasps draw sheet at shoulders and lower back
Roll as unit in one smooth continuous motion
“Single” nurse places pillow along length of patient for support or cleans patient
Gently lean the client as a unit back towards the pillow for support or back on the surface of the bed
Positioning aids
Trochanter roll
Hand roll
Cradle boots
Hip Abduction pillow
