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N110 Exam #1 > Safety Objectives > Flashcards

Flashcards in Safety Objectives Deck (43):
1

100,000 Lives

Aimed at reducing morbidity and mortality

2

100,000 Lives Initiatives

1. Deploy Rapid Response Team
2.Evidence-Based Practice
3. Prevent Adverse Drug Effects
4. Prevent Central Line Infections
5. Prevent Surgical Site Infections
6. Prevent Ventilator-Associated Pneumonia

3

What is Safety?

A basic human need, second to survival needs; Patient, provider, and environmental safety

4

Institute of Medicine (IOM)

To Err is Human; healthcare facilities should heal not hurt

5

Joint Commission Patient Safety Goals

1. Prevent mistakes in surgery
2. Identify patients correctly
3. Improve communication
4. Safe alarm use
5. Safe medication use
6. Identify patient safety risks
7. Prevent infections

6

Never Events

Medicare will no longer cover Hospital Acquired Conditions (HAC): falls, burns, restraints, bedrails

7

Quality and Safety Education for Nurses (QSEN)

1. Patient-Centered Care (tailored to their needs)
2. Evidence-Based Practice (current evidence for best care)
3. Teamwork and Collaboration (work together with hospital staff)
4. Safety (patient, provider, environmental)
5. Informatics (use technology to manage/organize/communicate info)
6. Quality Improvement (use of data to monitor and improve processes)

8

When to use Medical Asepsis?

1. Hand hygiene
2. Environmental cleanliness
3. Standard precautions
4. Isolation precautions

9

Hand Hygiene

*MOST IMPORTANT FOR PREVENTING AND CONTROLLING INFECTION*
Time, soap, water, friction, drying

10

When to wash hands?

1. Before and after direct patient contact
2. After risk of body fluid contact
3. After touching patient surroundings
4. Before aseptic procedure
5. Visibly soiled

11

How to wash hands?

Use 70% alcohol rub when hands not visibly soiled
Warm water, disposable paper towels
Turn sink on
Wet hands
Scrub for 15 seconds
Leave water on while completely drying hands
Use paper towel to turn off sink

12

Environmental Cleanliness

Surfaces, supplies, equipment

13

Cleaning

Removing visible soil

14

Disinfecting

Removes all pathogens

15

Ways to disinfect?

Steam, gas, chemicals, UV light

16

High/Intermediate/Low level disinfecting

High= all except bacterial spores
Intermediate= all bacteria, mycobacteria, most viruses
Low= some bacteria and viruses

17

Semicritical and Noncritical Items

Semi= reusable devices, respiratory equipments
Non= bedpans, BP cuff

18

Sterilizing

Removes all microorganisms

19

Ways to sterilize?

Autoclave, ethylene oxide gas, dry heat

20

Critical Items

Critical= intravenous/urinary catheters, surgical instruments

21

Standard Precautions

Used for all patients;
1. Hand hygiene
2. PPE (gloves, gowns, mask, goggles)
3. Safe handling of contaminated equipment
4. Safe injection practices
5. Cough/sneeze etiquette

22

Contact Precautions

1. Gloves, gown
2. Clean with antimicrobial
3. MRSA, VRE, herpes simplex

23

Droplet Precautions

1. Mask within 3-5 feet of patient
2. Rubella, influenza, pnuemonia
3. Larger than 5 microns

24

Airborne Precautions

1. N-95 mask
2. Negative pressure room
3. Smaller than 5 microns

25

Enteric Precautions

1. Gloves, gown ( add mask/goggles if expected splash)
2. Must clean with bleach, hands soap and water
3. Shigella, norovirus, C. diff

26

Common Safety Hazards in Healthcare Facilities?

1. Falls
2. Pressure Ulcers
3. Fires
4. Infections
5. Incorrect Patient Identifier
6. Injuries
7. Violence

27

Fall statistics

11,000/yr; $14,056/fall, 6.3 days added/fall

28

When to assess risk for falls?

1. Upon admission
2. Transfer from one unit to another
3. Following a fall
4. Following change in status
5. Rotuine basis

29

MORSE Fall Scale

Higher number is a greater risk for fall

30

Pressure Ulcer Statistics

$10 billion per year

31

When to assess risk for Pressure Ulcers?

1. Upon admission
2. Transfer from one unit to another
3. Routine basis

32

Braden Scale

Lower number is greater risk

33

Fires

PASS (pull, aim, spray, sweep)
RACE (rescue, alarm, confine, extinguish/evacuate)

34

Infections

Catheter Associated Urinary Tract Infection (CAUTI)
Central Line Infection
Surgical Site Infection

35

Incorrect Patient Identifiers

use name and date of birth

36

Injuries

Back, needle

37

Violence

Incidence reports, SPEAK Up

38

How Do Healthcare Facilities Provide Patient, Provider, and Environmental Safety?

Patient: Preventing HAC, infections, wrong meds, wrong surgery, educating, etc.
Provider: body mechanics, PPE
Environmental: 60 second assessment

39

How does MORSE and Braden assess safety risks?

MORSE: history of falls, IV, secondary diagnosis, gait, ambulatory aid, mental status
Braden: sensory perception, moisture, mobility, activity, nutrition, friction

40

Types of Restraints

Physical (hand, wrist, bed/body)
Chemical (sedative)
Seclusion

41

Do restraints prevent falls?

NO; may increase injury risk (falls, pressure ulcers)

42

What is needed to use a restraint?

An order from the physician every 24 hours, checks every 30 mins, loosen every 2 hours,

43

Should Restraints be used immediately?

NO; should be last resort after better anticipation of needs and bed alarms aka other strategies