Safety Flashcards

(29 cards)

1
Q

nurse’s main responsibilities

A
  • Nurse should observe potentially harmful situations
  • Nurse should educate patient to empower them to protect themselves from injury
  • Nurse should observe patient’s mobility & be aware of any health problems
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2
Q

QSEN - Quality & Safety Education for Nurses

A

developed to provide nurses with knowledge necessary to provide safety

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3
Q

newest IOMS goal

A

Reduce harm associated with clinical alarm systems - high risk of injury if alarm is silenced, turned off, ignored

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4
Q

3 things to know for disasters

A

chain of command
pt safety top priority
organization’s disaster response plan

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5
Q

safety - “potential for” diagnoses

A

falls, infection, suffocation, poisoning, suicide

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6
Q

leading COD adolescents

A

suicide, homicide, drugs, firearms

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7
Q

leading COD young adults

A

MVA & suicide

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8
Q

leading COD middle age & older

A

MVA

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9
Q

safety risks for older adults

A

Fires - forgetting stove/iron, cigarettes, heating devices
Risk for wandering
Analgesic & sedative use - dizziness, falls
Suicide rate increasing

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10
Q

fall risk assessment

A

age, meds, diagnoses, vision, history of falls - decrease in muscle strength - “timed up and go” test

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11
Q

fall prevention

A

Instruct to use call light if pt needs to get out of bed
Use electronic safety monitoring devices (alarms)
Orient pt to surroundings
Provide walking aids & assistance
Supervise pts at risk - especially at night
Place tables near bed so pt doesn’t overreach
Keep hospital beds low & locked
Encourage pts to use grab bars
Use nonskid bath mats
Encourage pt to wear nonskid footwear
Keep environment tidy
Use mechanical/ceiling lift to transfer dependent clients

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12
Q

partial seizures

A

electrical dischages from one area of brain

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13
Q

generalized seizures

A

affects whole brain

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14
Q

grand mal seizures

A

involves whole body

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15
Q

interventions for seizures

A

Take precautions to protect pt from injury
Make sure side rails are padded
Turn pt on side to prevent aspiration of saliva/tongue
Do not put any object in mouth
Protect pt from hitting head
May have to clean up incontinence
Report seizure immediately & document

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16
Q

RACE is for ____ prevention; means…

A

fire

rescue, activate, confine, extinguish

17
Q

PASS is for…

means…

A

fire extinguisher use

pull, aim (at base), squeeze, sweep

18
Q

poisoning that can cause unconsciousness, brain damage, death

risk factors - gas appliances

19
Q

preventing poisoning

A

Teach parents to childproof environment
Info about snakebites, insect bites, drugs
Phone number of poison control
safeguard environment

20
Q

effects of excessive noise

A

increased HR & RR, muscular activity, nausea, hearing loss

21
Q

electrical equipment must be…

22
Q

Pt may sustain burns, muscle contractions, cardiac or respiratory arrest

A

electrical shock

23
Q

2 reasons to use restraints

A

Avoid and/or prevent purposeful or accidental harm to pt or resident

Do what is required to provide medically necessary treatment that could not be provided any other way

24
Q

physical restraint

A

manual, physical, mechanical device attached to pt’s body

25
chemical restraint
medication used to control socially disruptive behavior
26
restraint orders must be renewed... and state... and if over the phone must be signed...
daily reason and time period w/i 24hrs
27
restraints only used after...
every other possible means is tried, failed, documented
28
with restraints, document that need was made clear...
to pt and family
29
5 criteria for restraints
``` Does not interfere with pt’s treatment/health problem Readily changeable/undone Discreet as possible Restricts movement as little as possible Safe for pt ```