safety

Question 1

what are some examples of safety risks

Answer 1

falls, med errors, etc

Question 2

describe the social determinants of health

Answer 2

-attributes that can positively or negatively impact health
-identifying problems and intervening to minimize barriers can impact health

Question 3

what are the five social determinants of health

Answer 3

-education access and quality
-health care access and quality
-economic stability
-social and community context
-neighborhood and built environment

Question 4

describe safety

Answer 4

minimizing harm to both patients and providers through both system effectiveness and individual performance

Question 5

what are the 6 QSEN competencies

Answer 5

-safety
-quality improvement
-patient centered care
-informatics
-teamwork and collaboration
-evidence based practice

Question 6

what are the Joint Commissions National Patient Safety Goals for Hospitals

Answer 6

-identify patients correctly
-improve staff communication
-use medicines safely
-use alarms safely
-prevent infection
-identify patient safety risks
-prevent mistakes in surgery

Question 7

what two identifiers are used to verify a patients identity

Answer 7

name and birthdate

Question 8

describe sentinel events

Answer 8

-type of error that is a serious error resulting in serious injury or death
-must do root cause analysis (RCA) (5 whys)
-must figure out what really happened and how to prevent it
-example includes a suicide pt dying while in restraints

Question 9

describe never events

Answer 9

-broader category than sentinel events
-adverse affects are clearly identifiable and measurable (preventable
-impacts hospital funding
-examples include falls with injury, med errors, and surgical errors

Question 10

what are some examples of environmental safety risks

Answer 10

-fire
-weather
-exposures (chemical and blood borne pathogens)

Question 11

what are some systems of safety management in healthcare

Answer 11

-medication administration procedures
-procedural checklists

Question 12

what are some examples of external disasters that have the potential to impact care

Answer 12

severe weather, terrorism, mass casualties

Question 13

what are some examples of internal disasters in healthcare

Answer 13

fire, loss of water, power, or internet

Question 14

what does RACE stand for and what is it used for

Answer 14

RACE is used for prioritizing actions during a fire
Rescue
Alarm
Confine
Evacuate

Question 15

what does PASS stand for

Answer 15

Pull
Aim
Squeeze
Sweep

Question 16

what are some physiologic healthcare consumer safety risks

Answer 16

advanced age, communication errors, sensory/cognitive issues

Question 17

what types of individual safety risks exist for healthcare consumers

Answer 17

physiologic
environment/community
occupational

Question 18

what individual safety risks exist for healthcare providers?

Answer 18

emotional
physical

Question 19

describe the application of the nursing process

Answer 19

Assess (subjective and objective)
Diagnose (NANDA approver statements)
Plan (patient specific goal statements)
Intervene (routine and individualized)
Evaluate (ongoing evaluations)

Question 20

name some common fall risk assessment tools

Answer 20

-Hendrich II fall model
-morse fall risk assessment tool

Question 21

name some examples of patient specific goals

Answer 21

-patient will remain free from injury while in the hospital
-patient will use the call light to call for help before getting up while using pain medication

Question 22

name some different types of preventative interventions

Answer 22

-fall preventions
-self harm protection
-physiologic precautions

Question 23

who is assessed for fall preventions

Answer 23

every patient

Question 24

what are some examples of self harm precautions

Answer 24

-suicide precautions
-elopement precautions

Question 25

name some physiologic precautions

Answer 25

-aspiration precautions (elevate head of bed, follow diet orders, suction at bedside) -seizure precautions (seizure pads, oxygen and suction available, possible supervised showers) -isolation (infection such as cdiff, covid, flu)

Question 26

name some routine fall risk interventions for all patients

Answer 26

-assess unique risks -instruct on call light function -hourly rounding to assess pain, positioning, toileting, and personal needs -early and frequent mobilization -slipper socks (nonslip) when out of bed -well lit path -bed in lowest position -wheels of bed locked -educate on risk for falls and injury from falls

Question 27

what are some additional interventions to consider with fall risk patients

Answer 27

-exercise/physical therapy -medication modification (i.e. decreasing or stopping psychoactive medications, if appropriate -patient's hearing aids or glasses in reach -elimination of barriers to transfer and ambulation -avoidance of restraints -use of bed alarm, when appropriate -signage in room

Question 28

when should restraints be used

Answer 28

only when less restrictive options have failed to work

Question 29

what are some restraint alternatives

Answer 29

explain, redirect behavior, education, minimization of unnecessary equipment, distraction, increased supervision

Question 30

describe chemical restraints

Answer 30

-medicate for purpose of stopping interaction with environment -reserved for ED and psychiatric units

Question 31

describe physical restraints

Answer 31

-4 side rails up= restraints (even if pt asks for it) -limb restraints -> mittens, wrists, ankles (must be bilateral) (must check every hour and document) -there is a psychological impact