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220 Exam 2 > Safety and Security > Flashcards

Safety and Security Flashcards

1
Q

QSEN

A

quality and safety of education of nurses

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2
Q

IOM

A

institute of meds

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3
Q

TJC

A

the joint comission

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4
Q

safety of clinical excellence

A

QSEN, IOM, TJC

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5
Q

what are the 3 failures

A

failure to recognize
failure to rescue
failure to plan

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6
Q

what do we do to prepare

A

skills check offs
simulation grading
medication calculation quizzes

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7
Q

code pink

A

baby missing

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8
Q

QSEN competencies

A

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

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9
Q

QSEN defines safety as minimizing risk of harm to patients and providers through both

A

system effectiveness and individual performance

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10
Q

what are some patient safety goals that students can help
identify patients correctly

A

checking ID bands

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11
Q

what are some patient safety goals that students can help
improve staff communications

A

SBAR, report correctly

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12
Q

what are some patient safety goals that students can help
use medications safely

A

4 checks
med reconciliation
label meds

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13
Q

what are some patient safety goals that students can help
use alarms

A

answer alarms

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14
Q

what are some patient safety goals that students can help
prevent infection

A

hand hygiene

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15
Q

fire safety
RACE

A

rescue
activate
confine
evacuate

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16
Q

what are the big 3 in safety errors

A
  • medication errors
  • falls
  • improper use of restraints
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17
Q

what is a medication error

A

breakdown or failure at any point in the medication use process

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18
Q

what are the three types of medication errors

A

omission
communication
commission

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19
Q

what is omission

A

missed
didn’t do something

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20
Q

what is commission

A

did something wrong

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21
Q

what are examples of omission

A

drug not prescribed
drug not dispensed
drug not administered
drug not taken

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22
Q

what are examples of communication errors

A

vague instructions

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23
Q

what are examples of commission

A

wrong drug or dose prescribed
wrong drug or dose dispensed
wrong drug administered
wrong patient
frequency timing or duration of the drug is incorrect
wrong route
allergic reaction
drug interaction

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24
Q

what is the most common med error for students

A

omission

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25
Q

what are contributing factors for student med errors

A

inexperience and distraction

26
Q

what is an example of a communication error associated with med pass

A

duality of patient assignments
- nurse thinks your passing meds, you think nurse is passing meds, no meds given
- you think your passing meds, nurse thinks they are passing meds, 2x meds given
NURSE NEEDS TO KNOW YOUR PASSING WHAT MEDS AND WHEN

27
Q

what are examples of insulin errors

A

selecting wrong insulin
wrong dose/wrong patitner

28
Q

what are some other meds errors

A

administering drugs that are on hold or discontinued
not monitoring vs or labs prior to medication administration
preping oral meds in parenteral syringes and giving IV
wrong patient when preparing meds for more than 1 patient

29
Q

what gender is more at risk for falls

A

females

30
Q

fall risk increased with age over

A

65 years old

31
Q

if you are 75 years and older and fall you are ___-___x more likely to be admitted to a end care facility

A

4-5

32
Q

what are some fall risk factors

A

history of falls
cognitive impairment
altered gait
medications
incontience
unsafe environment
- sensory deficits
orthostatic hypotension
depression
assistive devices
confusion of disorentation
new enviornment

33
Q

how often should we offer assistance to the toilet

A

Q2

34
Q

answer call light

A

promptly

35
Q

for a fall risk make sure patient has what color socks and wristband

A

yellow

36
Q

bed needs to be in

A

low position

37
Q

for fall risk what alarms should we have on

A

bed

38
Q

most falls are related to

A

tolieting

39
Q

what is a restraint

A

involuntary method chemical or physical of restricting an individuals freedom of movement, physical activity, or normal access to the body

40
Q

ANA

A

American nursing association

41
Q

when should we use restraints

A

when no other viable option is available

42
Q

recommended use of restraints

A

ensure the immediate physical safety of the patient, staff or others
prevent interruption of therapy
prevent the confused or combative patient from removing life support equipment or unsafe attempts at mobility

43
Q

do restraints keep people from falling

A

no

44
Q

are 4 side rails considered a restraint

A

yes

45
Q

what are the hazards of restraints and side rails

A

impaired circulation
altered skin integrity
altered nutriton and hydration
aspiration/difficulty breathing
incontinence
increased possibility of serious injury due to fall
depression
anxitey
death

46
Q

how do restraints cause impaired circulation and skin integrity

A

because there is abrasion and they can be too tight, causes a wound

47
Q

how do restraints cause altered nutrition and hydration

A

can’t feed or hydrate self

48
Q

how do restraints cause aspiration and difficulty breathing

A

anxitey

49
Q

how do restraints cause incontinence

A

can’t get up on own

50
Q

how do restraints cause depression, anxiety, death

A

isolation
not having freedom to own body
nursing neglect

51
Q

do restraints add or reduce the risk of fall related injuries and death

A

add

52
Q

when do we check a nonviolent patients
psychologic status

A

Q2

53
Q

when do we check a nonviolent patients
physical comfort

A

Q2

54
Q

when do we check a nonviolent patients
skin and circulation

A

Q2

55
Q

when do we check a nonviolent patients
ROM/fluid/elmination

A

Q2

56
Q

when do we check a nonviolent patients
food

A

Q4

57
Q

when do we check a violent patients
psychologic status

A

15 min

58
Q

when do we check a violent patients
physical comfort

A

15 min

59
Q

when do we check a violent patients
skin and circulation

A

15 min

60
Q

when do we check a violent patients ROM/Fluid/elimination

A

Q2

61
Q

when do we check a violent patients food

A

Q4

62
Q

where should we not put the SHARE

A

INTO MEDICAL RECORD
DO NOT MENTION

220 Exam 2 (13 decks)

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