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safety terms
safety terms and rules
| Question | Answer |
|---|---|
| the nurse will document that the pt is left handed | OSHA has guidelines for violence prevention programs. the goal is to eliminate or reduce employee exposure to situations that can cause death or injury. |
| The majority of pt falls occur during transfer either to a bedside commode or to a wheelchair. pt falls are a major safety consideration for all institutions | individuals who become ill or who are injured also are at risk. An unfamiliar environment and the various symptoms and signs associated with the pt dx place an individual at risk. |
| Use of anesthesia, sedatives, or narcotics increased the risk of falling, as does and unstable gait or problems with balance. | use to pt identifiers (neither to be the pt room number) for blood samples, admin meds, clinical testing etc |
| improve timeliness when reporting | implement a standardized approach to "hand off" communications, including an opportunity to ask and respond to questions Goal: improve the safety of drug medications. |
| label all meds, medication containers (e.g., syringe, medicine cups, basins), or other solutions on and off the sterile field in preoperative and other procedural setting GOAK; reduce the risk of healthcare related infections | Implement a fall reduction program and evaluate the effectiveness of the program. |
| safety features for the left-handed patient | during personal hygiene, place all bathing articles at the pt left when ambulating the left pt, nurse should walk on pt left side use pt right arm for iv therapy and injections when possible allow more time to master skills |
| precautions to promote safety | if bed is equipped w/ an alarm, turn on for the restless, disoriented pt demonstrate the proper use of emergency calll buttons or cords some institutions have adopted "fall precaution" policies in which every pt is evaluated on admin deter fall ability |
| young infants in the oral stage, will put anything in there mouth toddlers and younger children protect from burns, pot handles on the stove preschool child should be left unattended in a bathtub or pool of water, not even for a moment. | older adults/safety changes in peripheral vascular system can result in loss of sensitivity to heat, cold, or foreign objects, which increases the risk of tissue damage resulting from burns, frostbite, and pressure |
| older adult/safety changes in the cardiovascular system such as anemia, orthostatic hypotension, and heart block increases the risk of fallls because of syncope. | use of safety reminders should be kept at a minimum with older adults and used only when necessary. |
| unsteadiness in gait causes falls. age-related eye changes, may affect the ability to see the ht of stairs. vertigo is often relanted to chronic disease conditions and to side effects of some meds. the use of eyeglasses, hearing aids & canes are encourag | orthostatic hypotension can increase the older adults risk for falls |
| the increased use of lasers in the health care setting requires specific precautions to keep the environment safe because a laser can cause skin and eye injury as well as start a fire if used improperly. | because a laser beam generates an enormous amount of energy, dry combustibles in the surgical field could accidentally ignite posing a threat to the pt and staff. water and a halon fire extinguisher should be readily available |
| hepatitis B and C are the infections most commonly transmitted by contaminated needles. the scoop technique uses commercial devices in case of a real need to recap (as in incremental dosing to stop seizure activity) | needle-sticks can be dramatically reduced when the "Do Not Recap" procedure is followed and needles are properly disposed of after use. |
| a national organization that provides guidelines to help reduce safety hazards in the workplace. | OSHA |
| a federal agency that provides facilities and services for the investigation, identification, prevention, and control of disease | CENTERS FOR DISEASE CONTROL AND PREVENTION |
| Pt's need to be questioned regarding allergies and it is imperative that they be specifically asked about latex allergies | For individuals at high risk of with suspected sensitivity to latex, it is important to use latex free or synthetic gloves and to inspect the contents of all sterile kits for items that contain latex |
| levels of latex sensitivity/a non-allergic response characterized by skin redness and itching | contact dermatitis |
| levels of latex sensitivity/cell mediated allergic reaction to chemicals used in latex processing. reaction-redness, itching, and hives can be delayed up to 48 hours. localized swelling, red and itchy or runny eyes and nose, & coughing may develop | Type iv hyper sensitivity |
| levels of latex sensitivity/ a true latex allergy that can be life threatening. reactions may be based on type of latex protein and degree of individual sensitivity, include local and systemic. react- hives, generalized edema,tachycardia & cardiac arrest | Type i hypersensitivity |
| to reduce the nurses exposure to radiation, time spent near the source is limited. distance should be great, safety devices and lead aprons should be worn. devices to track accumulation should be worn to. | if a radioactive leak occurs, these agencies institute measures to prevent exposure of surrounding neighborhoods, to clean up radioactive leaks as quickly as possible, and to ensure the injured parties get prompt medical care. |
| evacuate room except for housekeeping crew, clean up personnel should wear rubber, latex. or rubber gloves when handling mercury. spray area with mist of water, ventilate the area, close interior door and open windows, use suction device do not vacuum | mercury spill cleanup procedure |
| any one of numerous devices used to immobilize a pt or part of the pt's body, such as arms or hands. The most common type of SRD is the soft restraint, often referred to as a POSEY after the company that manufactures this type of restraint | safety reminder device (SRD) |
| SRD are used for various reasons. patient safety is the primary consideration. | individual pt needs, characteristics of the environment, & organizational changes should be assessed when interventions are planned to decreased SRD use. Pt safety or the safety of others must be the priority reason an SRD is applied. |
| Orient pt and family to surroundings, encourage family and friends to stay, assign confused pt rooms near nurses station, eliminate bothersome treatments, maintain toilet routines, evaluate med to see they are having the desired affect. | Designing a restraint-free environment |
| Documentation about the need for the SRDs, the type of device used, & pt response is crucial. a comprehensive assessment focusing on the pts behavior, activity, & skin condition is necessary. | Some agencies require that a physician order for SRDs be renewed every 24 hours. |
| If using Kerlix gauze, make a clove hitch by forming a figure of 8 and picking up the loops (does not tighten when pulled), place gauze or padding around the extremity. leave 1 to 2 inches. DO NOT TIE TO SIDE RAILS | Wrist or ankle (extremity) SRD designed to immobilize one of more extremities |
| used with children to prevent elbow flexion so they cannot disturb tubes, catheters, and dressing. tying or pinning the restraint ot the infant's shirt ensures a secure fit | Elbow SRD |
| Apply device over the pt's gown (protect the skin) pt v shape to the front (if vest is on backward & pt becomes restless choking , could result, there should be room for a fist | Vest (may be referred to as wrap jacket or chest SRD) |
| the responses of the pt, periodic removal of the SRD and any skin care performed, if SRD removed, not time and follow up assessment, if reapplication is needed, not reasons, time, and pt assessment | Document procedure (notes procedure and pt responses) |
| remove SRD every 2 hours for 5 minutes. pt should not be left unattended while SRD has been removed | Follow up (SRD) |
| before assessing the cultural background of a pt, the nurse should assess the influence of his or her own culture | culture and ethnic considerations |
| assessment and monitoring behavior for risk for falling is delegated to the nurse | care for the pt that is at risk for falling can be delegated to (i.e: setting up seizure precautions and protection for the pt at risk, safety regulation (e.g, dosimeter, time, and distance limits) |
| IBRA states only these reasons your allowed to use SRDs | All other interventions have been attempted before the use of restraints Other disciplines have been consulted for their assistance Supporting documentation has been completed |
| Type A extinguisher | Paper, wood, and cloth fires |
| Type B extinguisher | Flammable liquid, fires, caused by grease and anesthetics |
| Type ABC extinguisher | Can be used on all types of fires |
| in the event of a fire pt on life-support may be the help with manual respiratory support with a | manual ambu bag |
| anxiety hinders understanding of situations and ability to follow instructions | usually pt are moved horizontally (e,g; out of rooms, across halls, and through the next set of fire doors) |
| if smoke prevents the nurse from moving pts across the hall, proceed vertically down to a lower level | participate when possible in fire drills. |
| method of removing a pt from a bed to the floor. it is a quick and effective method for removing a pt who is in immediate danger. this method can be used on anyone, regardless of pt size | UNIVERSAL CARRY |
| If vertcal or downward evacuation by an interior stairway is necessary, in many cases one person can handle a helpless pt by using the: | BLANKET DRAG |
| In an event of a fire the words "all clear" mean | This area is safe for pt and staff |
| An uncontrollable, unexpected, psychologically shocking event | disaster situation |
| Examples of natural threats to safety are: | earthquakes, hurricanes, floods, and tornados |
| in a disaster, acts of violence carried out by people are acts such as: | bombings, arson, riots, and hostage taking |
| factors that affect disaster response include: | the time of day, the scope and duration of the triggering event; readiness of the health care facility, personnel, equipment, and procedures: and the extent ot which the various community agencies and institutions collaborate with one another. |
| the mnemonic PASS is: | P-pull the pin to unlock the handle A-aim low at base of the fire S-squeeze the handle S-sweep the unit from side to side |
Created by:
Nicknack10
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