Quality, Safety, and Hygiene Flashcards
(32 cards)
What are physical restraints ?
any manual method, physical or mechanical device, or material or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs or head freely
What are chemical restraints ?
medications used to manage a patient’s behavior that are not a standard treatment for their condition
- last ditch effort
What are barrier restraints ?
barriers that limit movement
What are seclusions restraints ?
placing the client by themselves to prevent harm to self or others
What are restraint alternatives ?
devices or techniques employed to avoid the use of restraints
Can nurses order restraints ?
no, we have to have a order from a physician
- in emergency situations you can apply restraints without a order but within 1 hr you need to get a order
What must be done for restraints to be ordered ?
- has to be clinically justified
- based on face-to-face assessment
- current
- detailed (specific restraint, duration, circumstances)
- ensure 2 fingers fit under restraints
What are examples of restraint alternatives ?
- have a sitter
- distraction
- orient to space/explain procedures
- promote sleep and relaxation
- keep close to nurse’s station
What are examples of less restrictive physical restraints ?
- self release lap belt
- posey bed
What are examples of more restrictive physical restraints ?
- lap belt patient cannot release
- soft wrist restraints
Where should restraints be tied to on the bed ?
on a firm area of the bed that can’t be moved
- not on a side rail
- should have a quick-release safety knot
What are criteria to discontinue restraints ?
- able to follow directions
- able to participate in care
- able to participate in program
- behavior improves/changes
- lines tubes discontinued
- positive response to medication intervention
How often do you document about the use of restraints ?
every 2 hrs (depends of facility)
What is the fire emergency response instructions to follow ?
RACE
- rescue
- alarm
- contain
- extinguish
What are the purposes of bathing ?
- cleansing the skin
- stimulation of circulation
- improve self-image
- reduction of body odors
- promotion or range of motion
Is hygiene the same for everyone ?
it’s never routine
In what direction do we stroke for bathing ?
distal to proximal strokes
- promotes venous return
What is the order of body parts when bathing ?
- face (start w/ eyes)
- arms from distal to proximal
- hands/fingers
- chest/abdomen
- legs from distal to proximal
- feet/toes
- perineal care
- back
- buttocks
What is important about brushing teeth with an unconscious patient ?
position the pt lateral or side-laying with head to the side
- lets secretions pool at the side or come out of the mouth and not the throat
- place bulb syringe or suction machine equipment nearby
- protect the airway
Is a controlled fall still considered an adverse event ?
yes
What are Hospital Acquired Conditions/infections ?
conditions/infections acquired during the patient’s hospital stay
What are some examples of hospital acquired conditions/infections ?
- air embolism
- blood incompatibility
- falls/trauma
- CAUTI (catheter associated urinary tract infections)
- CLABSI (central line-associated bloodstream infections)
- surgical site infections (SSI)
What is an adverse effect ?
situation or circumstance that causes unexpected harm to the client
What are some factors that contribute to falls ?
- sleep deprivation
- new environment
- changes in medication
- decreased strength
- previous history of falls
- staffing levels
- bathroom frequency
