Flashcards in USCR Promoting Safety Deck (28):
What is a hazard?
danger of risk
Types of hazards?
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
What is sensory deficit?
defect in one or more function
What is kinaesthetic?
What is a bacteremia infection
infection of the blood
What is a septicemia infection?
whole body is infected due to an untreated bacteremia infection
BCF factors affecting USCR safety?
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
The ability to provide self protection is affected by?
patient assessment/data collection
level of consciousness (LOC)
motor status (mobility level/aids)
signs of infection
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
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
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
Mental status objective/subjective data collection?
oriented x3 (person, place, time)
memory recall- short and long term
awareness and attention span
LOC objective/subjective data collection?
note: as loc decreases the status of pt may change in these categories:
Sensory perception objective/subjective data collection?
kinaesthetic objective/subjective data collection?
motor status (subjective) (weak, dizzy, tired, pain)
decrease in muscle strength
medications affecting mobility
Risk factors for falls at hospital?
mobility issues: orthostatic hypotention, gait + balance affecting legs
sensory perception disorder
failure to assess orientation/awareness
inadequate assessment of pt mobility/strength
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
Speak up! if you have any questions or concerns. It is your right to know.
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.
Mental state factors?
Signs of Infection – Lab Tests to Screen for Infection?
Culture and Sensitivity (C&S)
CBC with differential(complete blood count subdivided for different levels of blood cells)
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
What to look for in skin assessment?
Turgor (pinch test on back of hand)
Decubitus Ulcers (DU)
Risk site for decubitus ulcers?
elbow, inner knees, head, ears, shoulder, lower back and buttocks, heel
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
Factors Affecting Skin Integrity?
5.wearing a hat when appropriate