Safety Flashcards
Define safety
Freedom from psychological and physical injury
Joint Commission 2015 National Patient safety goals
identify patients correctly Improve staff communication use medicine safely use alarm safely prevent infection prevent mistakes in surgeries
Near miss
Incident that did not cause harm. Good catch
Errors
Failure of a planned action
Common Errors in Healthcare
- Surgery -Wrong site, patient, surgical procedure, retention of foreign object in the patient
- Intraoperative or immediately postoperative death
- Infant discharged to wrong person
- Patient suicide or attempted suicide
- Patient death due to elopement, medication error, hemolytic reaction due to incompatible blood or blood group products
- maternal death
- Diagnostic inaccuracy
- Laboratory-incorrect labelling
- System failure
- stage 3 or four pressure ulcers after admission
- care by someone impersonating to be a healthcare provider
- Sexual assault on patient
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Elements of culture of safety
- Prioritize safety
- Teamwork
- Clean environment
- Client involvement
- Openness and transparency
- Accountability
- Share core values and goals
- Trainings
- Non punitive responses to adverse effects
Ways to reduce physical hazards in home and health care setting
Proper lighting, Safety devices Placement of furniture Condition of flooring Location of cleaning supplies Security systems eg locks Food Infection knowledge Heating and cooling systems
Precautions to prevent falls
Orient with the environment Assess for any causes of fall Supervise everyone at risk Keep bed rails up Call light within reach use ladders
Factors to assess risk for falls in clients
Age Previous History Mobility problems Postural hypotension Sensory impairment, mental status change Urinary bladder dysfunction Drug use and interactions Certain medical diagnosis
Reasons for using restraints
- Ensure the physical safety of the patient staff member and others
- When less restrictive interventions have been ineffective
- In accordance with a written modification for the patients plan of care
- Protect others from harm
- Hospital policies
- It is discontinued at the earliest possible time
Types of restraints
Physical
Chemical
How to reduce electric shock
Inspect equipments Disconnect items before cleaning Always pull a plug from the wall outlet Never use electrical appliances near water Cords should be placed in a client area Protective covers in pediatric areas Remove faulty equipment If shock occurs check pulse, VS, burns call MD
Describe some of the alternatives to restraints
Assign nurse or nursing aid
Place unstable patients close to the nursing station
Monitor clients medication
Ongoing assessment
Bedside commode or bathroom if client is confused
Position bed in lowest positions
What is sentinel event
Unexpected occurrence involving death or serious physical or psychological injury
Must be reported within a certain time
Joint Commission tracks for acute care agencies
How can a nurse reduce their own safety risks at workplace
Enough sleep Avoid distractions or interruptions Review the agency manual Know the different codes Document Communication
