Ethical, Legal, Cultural, Safety Flashcards
(98 cards)
1
Q
most effective teaching strategy
A
teach back or return demo
2
Q
native hawaiian problem
A
SIDS
3
Q
kosher diet
A
-meat and milk not eaten together
-seafood w/o fins and scales not allowed
4
Q
yin yang
A
yin cold
yang hot
5
Q
best approach if pt speaks different language
A
interpreter/translator
6
Q
jehova’s witness
A
any blood containing products
7
Q
avoid admiring child
A
hispanic
8
Q
illness are attributed to overexertion
A
chinese
9
Q
use of herbal medicines w/ healing properties
A
native americans
10
Q
abandonment
A
RN walks out esp when understaffed
11
Q
negligence vs malpractice
A
unintentional vs intentional harm
12
Q
assault
A
threat
13
Q
intentional touching w/o consent
A
battery
14
Q
not allowing pat to leave
A
false imprisonment
15
Q
written defamation
A
libel
16
Q
oral/verbal defamation
A
slander
17
Q
deliberate deception to gain
A
fraud
18
Q
discourages organ donation
A
orthodox church
19
Q
body parts SHOULD NOT be removed, donated or transplanted
A
islam
20
Q
organ transplant if allowed by rabbi
after autopsy, body parts must be buried together
A
orthodox judaism
21
Q
self determination (independence)
A
autonomy
22
Q
no harm
A
nonmaleficence
23
Q
do good
A
beneficence
24
Q
equal distribution
A
justice
25
truth
veracity
26
fulfill promises
fidelity
27
staff assignment criteria
acuity of pts
skills of staff
28
tornado protocol
doors and windows closed
curtains down
beds away from windows
blankets over bed confined pts
ambulatory pts in the hallway away from windows & doors
29
if staff is doing illegal
report to sup
30
if staff will be doing an immediate harm to others
confront
31
if staff is doing something inappropriate
approach/counsel later on
32
fire RACE
rescue
activate alarm
confine
extinguish
33
fire PASS
fire extinguisher
pull pin
aim at the base
squeeze handle
sweep side to side
34
fire safety
turn off oxygen & appliances
dont use elevator
on life support: ambu bag manually
ambulatory: move away or help pts on wheelchair
35
electrical safety
3 pronged cord
no overloading
no wire under carpet
no electric at sink or w/ water source
extension wire only when necessary and tape
if pt had electrical shock, FIRST turn off electricity before touching pt
36
radiation safety
label radioactive materials
keep bedlinens til implant removed
use of dosimeter (film badge) for exposure level
pt w/ implant in a private room
do not touch dislodged implants
37
reduce radiation exposure by
limit time
make a reasonable distance
use shield device (lead apron)
38
prevent needle stick injury by
-proper disposal (close, puncture-resistant, leak-proof, colorcoded, properly labeled)
-not recapping, bending or breaking needles
39
use of side rails is not considered a restraint when
they are used to prevent a sedated client from falling out of bed
40
rules of side rails
bed positioned at lowest
top two side rails up for emergency
41
rules of restraints
-ordered by the physician
-not PRN
-assess body part on restraint q 30mins & release q 2hrs
-offer liquid & toilet q 2hrs
42
alternative to safety devices for confused
-place pt near station
-always open the door
-place familiar objects in the room
-objects w/ visual & auditory stimuli (clock, calendar, TV, radio)
43
poison control
-remove any possible poisonous
-call poison control center
-if vomiting, save the vomitus
-never induce vomiting if household items (lye-soap making, bleach etc), petroleum products, grease were ingested
44
donning ppe
gown
mask
face shield
gloves
45
removing ppe
gloves
face shield
gown
mask
46
Z track method
ventrogluteal muscles
47
im esp deltoid (max volume)
& sq
im 3ml
deltoid 2ml
sq 1.5ml
48
combining insulin (which comes first)
RN
regular then NPH
49
post op autograft, skin graft
immobilize 3 to 7 days
skin: elevate & avoid lifting
(give time for the graft to adhere & prevent movement & shearing of graft)
50
position: burns face & head
elevate head of bed
(prevent/reduce edema)
51
position: burns in extremities
elevate extremities above heart level
(prevent/reduce dependent edema)
52
position: mastectomy
semi fowlers
affected arm elevated w/ pillow
(promote lymphatic fluid return)
53
position: perineal & vaginal procedures
lithotomy
54
position: hypophysectomy
elevate HOB
(prevent ⬆️ icp)
55
position: thyroidectomy
semi fowlers to fowlers
avoid neck extension
sandbags or pillows to support head or neck
(reduce swelling & edema)
56
position: hemorrhoidectomy
lateral/side lying
(prevent pain/bleeding)
57
position: GERD
reverse trendelenberg (slanting head high)
(promote gastric emptying & prevent reflux)
58
position: liver biopsy during procedure
right side upper abdomen exposed
right arm behind head
59
position: liver biopsy after procedure
right lateral/right side lying w/ small pillow/folded towel in the puncture site
60
position: paracentesis
semi fowlers or
sit up right on the side of bed or
chair w/ feet supported
61
position: NGT insertion
high fowlers
head tilted forward
(closes trachea & opens esophagus)
62
position: irrigation & tube feedings
semi fowlers
fowlers
(prevent aspiration)
also maintained elevated 30mins to 1hr after feeding
63
position: rectal enema & irrigations
sims position
-between prone to supine
-left side lying
-left leg flexed, right leg slightly bent
-left arm flexed in front, right arm resting straight at the back
(allow gravity to flow to the natural direction of the colon)
64
position: Sengstaken-Blakemore and Minnesota tubes
fowlers (enhance lung expansion, portal blood flow & permitting effective tamponade of the esophagus)
65
position: copd
tripod position but arms supported w/ pillows or overbed table (to breathe easier)
66
position: laryngectomy / radical neck dissection
semi fowlers/fowlers
(prevent edema & maintain patent airway)
67
position: post bronchoscopy
semi fowlers
(prevent choking/aspiration)
68
position: postural drainage
lung segment to be drained should be in the uppermost position
or trendelenberg may be used (slanting, feet elevated)
69
position: thoracentesis during procedure
-sitting at edge of bed, leaning over bedside table w/ feet supported on stool OR
-lying on the unaffected side, affected side exposed on Fowlers
70
position: thoracentesis after procedure
position of comfort
71
positio : abdominal aneurysm resection
side to side BUT
head elevated not more than 45°
(avoid flexion of graft)
72
position: amputation of lower extremity
*24hrs post op
elevate unaffected foot
(reduce edema)
residual limb w/ pillow but not elevated
*after 24hrs, residual limb flat on bed w/ limb wrapping techniques
(risk of flexion contractures)
*prone positon 20-30mins/day
(stretch muscles & prevent hip flexion contractures)
73
position: arterial vascular grafting of an extremity
-24hr bed rest
-affected extremity kept straight
-limit movement & avoid flexion of hip & knee
(promote graft patency)
74
position: cardiac catheterization
if femoral vessel was accessed:
bed rest 4 to 6hrs
then turn side to side
affected extremity kept straight
elevate head of bed not > than 30°
75
position: heart failure & pulmonary edema
upright
preferably legs dangling
(decrease venous return & lung congestion)
76
position: peripheral arterial disease
elevate feet but legs not above heart
(promote enough arterial blood flow)
77
position: DVT
24hrs bed rest w/ leg elevation
out of bed if receiving heparin & tolerable pain
78
position: varicose veins
elevate legs above heart
minimize prolonged sitting or standing
79
position: venous insufficiency & leg ulcers
elevate leg
80
position: cataract surgery
immediate post op: semi or fowlers
on the back or nonoperative side
(prevent edema)
81
position: retinal detachment
bed rest
bilateral eye patching
(minimize eye movement & prevent extension of detachment)
82
position: autonomic dysreflexia
high fowlers
(promote ventilation, prevent hypertensive stroke)
83
position: cerebral aneurysm
bed rest
elevate head of bed 30 to 45°
(prevent pressure)
84
position: cerebral angiography
bed rest
extremity where contrast injected immobilized & kept straight for 6 to 8hrs
85
position: hemorrhagic stroke
head of bed elevated 30°
(reduce ICP)
86
position: ischemic stroke
head flat on bed
(helps blood flow velocity)
87
position: craniotomy
elevate head of bed 30 to 45°
affected site not to be covered
maintain head neutral & midline
(facilitate venous drainage)
avoid hip flexion
(reduce intrathoracic pressure)
avoid knee flexion
(facilitate venous drainage)
88
position: laminectomy & other vertebral surgery
post op out of bed but w/ back braces
back kept straight w/ feet supported
89
position:⬆️ icp & *stroke
elevate head of bed 30 to 45°
maintain head neutral & midline
(facilitate venous drainage)
avoid hip flexion
(reduce intrathoracic pressure)
avoid knee flexion
(facilitate venous drainage)
90
position: lumbar puncture
during procedure
-lateral/side lying, back bowed, neck flexed that chin resting on chest, knees flexed up to abdomen
after procedure
-supine 4 to 12hrs
91
position: spinal cord injury
-immoblize w/ spinal backboard
-head neutral (prevent further injury)
-immobilize head with firm padded cervical collar
-log roll
92
position: total hip replacement
-avoid extreme internal and external rotation
-Avoid adduction; in most cases sidelying is permitted as long as an abduction pillow is in place
-Maintain abduction when in supine or positioned on the nonoperative side
-Place a wedge (abduction) pillow between legs to maintain abduction
-instruct not to cross the legs
93
ergonomic principles
-call for help or use mechanical aids
-encourage pt to help/assist
-avoid twisting
-keep back, neck, pelvis, feet aligned
-knees flexed, feet wide apart
-position close to pt
-raise bed for weight at your center of gravity
-use arms and legs not back
-tighten abdominal & gluteal muscles
94
trochanter rolls
prevents legs from moving outward
95
wedge pillow
triangle placed between legs to maintain abduction after total hip replacement surgery
96
sarin
chemical warfare agent
highly toxic nerve gas
97
phosgene
chemical warfare agent
colorless gas used in chemical manufacturing
98
mustard gas
chemical warfare agent
yellow to brown color
garlic-like odor
irritates the eyes
causes skin burns & blisters
