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Introduction To Nursing > USCR Promoting Safety > Flashcards

Flashcards in USCR Promoting Safety Deck (28):
1

What is a hazard?

danger of risk

2

Types of hazards?

Environmental hazards
Human hazard

3

Classify the hazards as environmental or human

Air/water/soil pollution: human
chemical odours in workplace: environmental
cluttered/dirty bedside table: both
drinking and driving: both
genetic factors: human

4

What is sensory deficit?

defect in one or more function

5

What is kinaesthetic?

body movement

6

What is a bacteremia infection

infection of the blood

7

What is a septicemia infection?

whole body is infected due to an untreated bacteremia infection

8

BCF factors affecting USCR safety?

air pollution
water
developmental stage
work
hospital
health state
home
biohazardous waste

9

Key principles relevant to patient safety- all age groups?

age: affects ability to perceive/interpret stimuli

familiarity with environment: makes it less hazardous

illness: makes individual more vulnerable to injury

Inatrogenic/narcogenic: diagnostic/therapeutic measures could cause harm to pt


10

The ability to provide self protection is affected by?

patient assessment/data collection

mental status
level of consciousness (LOC)
sensory perception
emotional state
motor status (mobility level/aids)
signs of infection

11

Safety hazards for young adults (20-40 Y.O.)?

home: changing batteries in smoke detector

work: proper disposal of sharps

leisure: drugs & alcohol

Environment at large: pollution

12

Safety hazards for middle-aged adults (40-65 Y.O.)?

Home: accidents in kitchen

work: back injury/heat exhaustion

leisure: drinking & driving

environment at large: pollution

13

Safety hazards for older adults (65 till death)?

Home: bathroom safety bars

work: illness due to working in coal mine

leisure: mobility (driving)

environment at large: pollution

14

Mental status objective/subjective data collection?

oriented x3 (person, place, time)
memory recall- short and long term
awareness and attention span
judgement/reasoning
overall appearance

15

LOC objective/subjective data collection?

fully awake
cooperative
responsive
alert

note: as loc decreases the status of pt may change in these categories:
cooperativeness
attention span
responsiveness
irritability/patience

16

Sensory perception objective/subjective data collection?

touch
taste
smell
vision
hearing
kinesthetic

17

kinaesthetic objective/subjective data collection?

motor status (subjective) (weak, dizzy, tired, pain)
balance
coordination
restrictions (restraints)
decrease in muscle strength
medications affecting mobility

18

Risk factors for falls at hospital?

mobility issues: orthostatic hypotention, gait + balance affecting legs

mental status
diseasing process
sensory perception disorder
medication
nocturia
pain
previous fall

nursing neglect
failure to assess orientation/awareness
inadequate assessment of pt mobility/strength
restraints

19

Risk factors for falls at hospital summary?

Thorough nursing assessment on admission and p.r.n.
Updating the TNP (care plan) as patient’s condition changes (documentation)
Keep environment free of clutter
Keep all safety/personal items (i.e. call bell, commode, cane, telephone, hair brush, magazine etc.)
Educate patient about the use of call bell and encourage patient request assistance
Ensure patient uses the necessary ambulatory devices (i.e. canes, walkers etc.)
Ensure adequate lighting
Ensure all wires/tubes (ie. electrical, IV, oxygen) are out of patient’s “way”
Ensure patient wears eye glasses, hearing aids etc.
Ensure patient wears non-skid shoes
Follow RNAO - Best Practice Guidelines for Restraints
Educate patient/ significant others

20

Speak Up?


Speak up! if you have any questions or concerns. It is your right to know.

Pay attention.

Educate yourself about your condition.

Ask a trusted family member or friend to be your supporter while you are in the hospital.

Know which medications you are taking and why you taking them.

Understand that you are the centre of your healthcare team.

Participate in all decisions about your treatment.

21

Mental state factors?

Anxiety
Anger
Stress
Depression
Illusion
Hallucinations
Burn out
Fatigue
Fear

22

Signs of Infection – 
Lab Tests to Screen for Infection?

Culture and Sensitivity (C&S)
Blood
Urine
Wound
Sputum
Throat

Blood Tests
CBC with differential(complete blood count subdivided for different levels of blood cells)

23

Skin Assessment.

What is the function of skin?

Protects from injury and passage of microorganisms
Regulates body temperature
Secretes sebum – softens & lubricates skin
Transmits sensations – pain, temperature, touch & pressure (one of our 6 senses = touch)
Produces and absorbs Vitamin D

24

What to look for in skin assessment?

Colour
Turgor (pinch test on back of hand)
Intactness
Cleanliness/odour
Texture
Temperature
Moisture
Edema
Itchiness

Lesions
mole
petechia
freckle
nodule
papule
wart
vesicle
hive
wheal
cancer

Decubitus Ulcers (DU)

25

Risk site for decubitus ulcers?

elbow, inner knees, head, ears, shoulder, lower back and buttocks, heel

26

SKIN
Self Care Practices - Data Collection?

How much time in the sun?
Use of sunscreen? If yes, what SPF number and or does it contain UVA&UVB protection?
Use of tanning salons/ sun lamps
Wears hat in the sun and or sun glasses

27

Factors Affecting Skin Integrity?

1.using sunscreen
2.hygiene practices
3.nutritional status
4.hydration level
5.wearing a hat when appropriate

28

Standard action demand statement guidelines

Maintain…
Improve…
Increase…

Actions (General Methods)
Practicing…
Eating…
Drinking…
Wearing…
Protecting…