Safety

Question 1

What are the National Patient Safety Goals?

Answer 1

• Goal 1: Identify patients correctly
• Goal 2: Improve staff communication
• Goal 3: Use medicines safely
• Goal 6: Use alarms safely
• Goal 7: Prevent infection
• Goal 15: Identify patient safety risks (specifically, suicide risk)
• UP 1: Prevent mistakes in surgery

Question 2

What is the role of nurses in creating a culture of safety?

Answer 2

Nurses have a key role in creating a culture of safety for the hospitalized client by being the most contact with clients and addressing safety concerns.

Question 3

What is the purpose of hourly rounding?

Answer 3

Hourly rounding proactively addresses patients’ needs such as toileting, positioning, pain management, and safety checks.

Question 4

What is a Never Event?

Answer 4

Healthcare-acquired complications that can cause serious injury or death to a patient and should never happen in a hospital.

Question 5

List some examples of Never Events.

Answer 5

• Foreign object left in a patient after surgery
• Air embolism
• Administering the wrong type of blood
• Serious pressure injuries
• Falls and trauma
• Infections associated with urinary catheters
• Symptoms from uncontrolled blood sugar levels

Question 6

What is an incident report?

Answer 6

A tool used to report an adverse event, sentinel event, client safety event, or near miss.

Question 7

What are some individual risk factors for safety in the hospital?

Answer 7

• Lifestyle factors (e.g., smoking, alcohol abuse)
• Cognitive awareness issues
• Sensory and perceptual status
• Impaired communication
• Impaired mobility
• Physical and emotional well-being

Question 8

What is the Morse Fall Scale used for?

Answer 8

To assess the risk of falls in patients.

Question 9

What are some key components of a culture of safety?

Answer 9

• Team empowerment
• Communication
• Transparency
• Accountability

Question 10

What are the primary causes of fires in healthcare facilities?

Answer 10

• Problems with electrical or anesthetic equipment
• Smoking

Question 11

What are restraints NOT used for?

Answer 11

• Convenience of the staff
• Punishment for the client
• To interfere with treatment
• To restrict movement completely

Question 12

What is the purpose of restraints?

Answer 12

To limit clients’ movement and function for their own safety and the safety of other clients and staff.

Question 13

How often should nurses assess patients in restraints?

Answer 13

Every 4 hours, with the need for orders renewed.

Question 14

What should be documented regarding restraints?

Answer 14

• Precipitating events
• Alternative actions taken
• Time of application and removal
• Client’s behavior
• Condition of body part in restraints

Question 15

What is the primary nursing responsibility during a seizure?

Answer 15

Stay with the client, maintain airway patency, and administer medications.

Question 16

What are some factors that increase the risk for aggression in patients?

Answer 16

• Mental disorders (e.g., dementia, schizophrenia)
• Being under the influence of alcohol

Question 17

What is the definition of ‘Safety Culture’?

Answer 17

An environment where all staff work together to create safety, disclose errors without fear, and address safety concerns.

Question 18

Fill in the blank: The _______ is a communication tool used in healthcare to improve handoff communication.

Answer 18

SBAR

Question 19

What is the significance of the 5 Million Lives Campaign related to patient safety?

Answer 19

It aims to prevent adverse drug events, central line infections, and surgical site infections.

Question 20

What should be done if a near miss or adverse event occurs?

Answer 20

Report it immediately to the nurse leader or manager and complete an occurrence report.

Question 21

What is the recommended action for nurses when responding to call lights?

Answer 21

Respond in a timely manner.

Question 22

What is a common alternative to restraints?

Answer 22

Physical restraints, which involve manually holding or immobilizing the client.

Question 23

What are some environmental hazards that can increase fall risk?

Answer 23

• Clutter
• Poor lighting
• Improper use of mobility aids

Question 24

Fill in the blank: The _______ should always be within reach during patient rounding.

Answer 24

call light

Question 25

What should you do during a seizure?

Answer 25

Stay with client and call for help, maintain airway patency, suction as needed, administer medications, note duration and types of movements. ## Footnote Ensure to document actions taken.

Question 26

What should be assessed after a seizure?

Answer 26

Mental status, O2 saturation, vitals, explain what happened, provide comfort, document precipitating factors, description of event, report to provider. ## Footnote Documentation is crucial for follow-up care.

Question 27

List factors that increase the risk for aggression.

Answer 27

* Mental disorders (dementia, delirium, schizophrenia, bipolar disorder) * Influence of alcohol or drugs * Withdrawal from substances * History of violence * Clinical conditions (high fever, epilepsy, head trauma, hypoglycemia) ## Footnote Understanding these factors can help in prevention and intervention.

Question 28

What are signs of anxiety that may precede violent behavior?

Answer 28

* Agitation and restlessness * Pacing * Talking loudly, rapidly * Gesturing widely * Verbal aggression (threats, sarcasm, swearing) ## Footnote Recognizing these signs can aid in early intervention.

Question 29

What interventions should be taken to relieve anxiety and prevent violence?

Answer 29

* Treat underlying medical conditions * Administer sedatives (diazepam or lorazepam) * Use a calm, reassuring approach * Avoid threatening body language ## Footnote These interventions can help de-escalate a potentially violent situation.

Question 30

Fill in the blank: In case of an angry patient, remain at least _______ away.

Answer 30

an arm’s length ## Footnote This distance helps maintain safety.

Question 31

What safety measures should be followed when dealing with an angry patient?

Answer 31

* Do not turn your back * Do not touch without permission * Keep the room door open * Protect others in the environment ## Footnote These measures ensure personal and others' safety.

Question 32

What is the priority in situations involving potential violence?

Answer 32

Your own safety and the safety of others in the area. ## Footnote Always prioritize safety in crisis situations.

Question 33

What is the first step in a primary survey for emergencies?

Answer 33

Rapid assessment ## Footnote Quick assessment allows for timely interventions.

Question 34

What does the ABCDE principle stand for in emergency care?

Answer 34

* Airway/Cervical Spine * Breathing * Circulation * Disability * Exposure ## Footnote This principle guides the assessment process during emergencies.

Question 35

What is the first aid treatment for bleeding?

Answer 35

Apply pressure, stabilize impaled objects, IV volume replacement or surgical intervention for internal bleeding. ## Footnote Immediate action is crucial to control bleeding.

Question 36

What does RICE stand for in treating sprains?

Answer 36

* Rest * Ice * Compress * Elevate ## Footnote RICE is a standard protocol for managing sprains.

Question 37

What is the treatment for heat stroke?

Answer 37

* Remove clothing * Apply ice packs at axillae, chest, groin, neck * Hypothermia blanket * Avoid shivering by covering with a sheet ## Footnote Aggressive treatment is necessary to prevent complications.

Question 38

What are the signs of frostbite?

Answer 38

White, waxy areas of exposed skin (earlobes, tip of nose, fingers, toes). ## Footnote Early recognition of frostbite is essential for effective treatment.