LM4 - safety Flashcards
(28 cards)
what does RACE stand for?
in case of a fire starting
R - rescue
A - activate alarm
C - contain fire
E - evacuate/extinguish
what does PASS stand for?
to put out a fire
P - pull pin
A - aim
S - squeeze handle
S - sweep at base of fire
what are the hourly rounding 4 P’s?
- pain
- potty
- positioning
- peripheral (things are within reach)
what are chemical forms of restraints?
- medicinal (sedatives)
what are physical forms of restraints?
- arm restraints
- hand mitts
- vests
why they may be used?
- attempting to pull at tubes
- confused and aggressive patients
what are some alternatives to restraints?
- TV
- family
- walks
- bed alarms
- place closer to nurses station
what can restraints cause?
- skin breakdown
- pneumonia
- strangulation
- pressure ulcers
- humiliation, agitation, low self-esteem
- incontinence/constipation
what are NOT considered restraints?
- orthopedically prescribed devices
- surgical dressings or bandaids
- protective helmets
- physically holding a patient for exam purposes
- protecting from falling out of bed
Med/Surg Standard: legal implications from the joint commission on restraints and seclusion?
- only used in extreme situations/needing protection
- never used for convenience or punishment
- not ethical
- federal regulations: require release of restraints, reposition, exercise every 2hrs
- only use as a last resort
- cannot use “PRN” as an order
- physician needs to evaluate + order within 4hrs (adults) and must REEVALUATE + REORDER every 24hrs
- patient observed every 30 minutes
- nurse reassesses need every 2 hours
legal implications: behavioral restraint + seclusion standard?
- for violent/crisis situation
- more strict
- adults -> need physician order within 1 hour
- needs to be reordered every 4 hrs
- person needs to be observed + assisted every 15 minutes
legal implications for long-term care settings?
- need consent from family members
- physicians order required
- specifcations for the duration and circumstances for why restraint will be used
- check on resident every 30 minutes and document
what are the top five leading causes of death for americans of all ages?
- motor vehicle accidents
- suicide
- poisoning
- falls
- unintentional injuries
adults: injury and safety concerns primarily due to?
- pulmonary and cardiovascular disease
- motor vehicle accidents
- headaches, GI distress, infections
older adults: injury and safety concerns due to ?
- not being able to feel heat or cold as before (might burn selves)
- not being able to hear or see as well ( might lead to car crashes)
environmental safety: is oxygen flammable?
- no, fire needs O2 to start + keep burning
more O2 = hotter + faster burning fire
environmental safety: what happens if there is carbon monoxide in the air?
- affects person’s oxygenation by binding w/hemoglobin, preventing the formation of oxyhemoglobin
–> thus reducing the supply of O2 delivered to tissues
environmental safety: what are the s/s of CO poisioning?
- nausea
- dizziness
- headache
- fatigue
- high concentrations cause death within 1-3 minutes
environmental safety: what causes a buildup of CO in the house?
- improperly functioning heating system (stove, furnace, or fireplace)
- not properly vented
environmental safety: what is proper refrigerator temp?
at or below 40 degrees F
environmental safety: what is proper freezer temp?
0 degrees F
environmental safety: what is “normal” comfort zone/temp?
65-75 degrees F
environmental safety: water heater temp?
12o degrees F
environmental safety - poisoning: what is the best resource in the case of accidental poisoning?
poison control center
environmental safety - poisoning: if poisoning comes in contact with eyes or skin, what should you do first?
flush with cool tap water for 15-20 minutes
