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NUR136 Violence

Violence

TermDefinition
Black Obviously dead, little chance of survival, cardiac / respiratory arrest, severe head trauma
Red Life threatening injury Airway involved Uncontrolled bleeding Shock like Severe burns (around the face, involving the airway, large body area) Transport first!
Yellow Non – life threatening injury Transport can delay Bone injury Back injury (both with spinal cord and without spinal cord involved) Burns that don’t involve the airway Can wait for transport
Green Minor injury Minimal or no treatment Last to transport
Nursing Students can help during times of high volume
Emergency doctrine In emergencies, person may be unable to consent to care Treatment can be provided under the assumption that the patient would have consented if able
Good Samaritan laws Limit liability and provide protection against malpractice; do not protect the nurse in the event of gross negligence or willful misconduct
Clothing should stay in place as it can be evidence, can help identify the victim, or provide other information
Nursing Competencies Orientation responsibilities Equipment Communication Location specific risks and training Creative thinking Problem solving Continuing education / Drills
Family Prep several days’ supply of food, water, pet food, warm clothing, blankets, copies of vital documents, and toiletries on hand. A battery-powered radio and extra medications, eyeglasses, and basic first aid supplies are also essential.
Bioterrorism Defined as the deliberate release of pathogens to kill people
Hospital infection control; CDC contacted first if bioterrorism is suspected
Bioterrorism Agents Anthrax Botulism Pneumonic plague Smallpox Tularemia
Common Forms Lateral Violence Nonverbal innuendo Defaming Verbal Affront Sabotage Infighting Scapegoating Broken Confidences
Lateral Violence Impact physical manifestations, psychological complication, ↓ job satisfaction, ↑ absenteeism and turnover
Root Cause Work stress Paternalistic structure Learned behavior Believe bullying is normal Believe this is normal for women Believe women won’t challenge the status quo
Impact on Patient Care ↑ medication errors ↑ absenteeism and turnover ↓ patient satisfaction ↓ patient trust in healthcare system
Managers Role Identify and address behavior Meet formally with bully Policy management Develop understanding of impact Round on team Develop mentoring programs
Created by: susan.martin
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