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Module 1
Safety
| Question | Answer |
|---|---|
| What are the most common types of inpatient accident? | Patient falls |
| What are risk factors for falls among patients? | patients with a history of falling, muscle weakness, agitation and confusion, urinary incontinence or frequency, postural hypotension, and use of high risk medications& disease |
| What acronym should be followed when investigating previous falls? | S.P.L.A.T.T |
| What does S.P.L.A.T.T stand for? | Symptoms at time of fall; Previous fall; Location of fall; Activity at time of fall; Time of fall; Trauma post fall |
| What is the timed "get up and go" test? | A simple test to measure a patient's ability to move independently. Have patient rise w/o assistance; walk 10 ft and come back to bed; sit w/o assistance. 20 sec or less=patient is capable of independent mobility |
| What is the purpose of a wedge cushion? | A seat belt or wedge cushion helps prevent the patient from sliding out of the chair |
| The NAP is preparing to transfer a patient from a bed to a chair. What equipment should the NAP have? A: Call light, B: Seat belt, C: Gait belt, D: Bed Alarm | C: Gait Belt |
| What are some expected outcomes pertaining to fall prevention? | patients environment is free of hazards; patient&family are able to identify risks; patient/family verbalize understanding of fall prevention interventions; patient does not suffer falls |
| What is the best method for preventing falls? | Close observation is the best method for reducing the likelihood of a fall – this may mean having a one-on-one staff to patient, or bringing the patient out to the nurse's station where they can be supervised. |
| What is a physical restraint? | any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move their extremities, body, or head freely |
| What is a chemical restraint? | Any medications used to manage behavior or restrict freedom of movement and is not part of the standard treatment for a patient’s condition |
| If a patient has restraints, how often should they be released? A: Every hour, B: Every 2 hrs, C: 30 minutes, D: After shift | B: Every 2 hrs |
| Following the application of restraints, how often should you check up on the patient? | You should check on patient every 15 minutes following the application of restraints so you can evaluate their condition for any sins of injury |
| Who benefits from repositioning? | Patients with impaired nervous or musculoskeletal system functioning with increased weakness, or those restricted to bed rest |
| When is shearing in patients likely to happen? | when the patient is thin, has fragile skin, is nutritionally compromised, or is unable to move independently |
| What is orthostatic hypotension | involves a drop in blood pressure when changing from a horizontal to a sitting or standing position. A drop in blood pressure of approximately 20 mm Hg or more in systolic pressure or a drop of 10 mm Hg or more in diastolic pressure |
Created by:
amandamarie194
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