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Exam 3 Safety
Exam 3 Test Plan
Question | Answer |
---|---|
What are the most important things we need to consider when it comes to safety | 1.Basic needs 2.Physical hazards 3.Transmission of pathogens 4.Sanation 5.Pollution 6.Bioterrorism |
What are the BASIC NEEDS in relation to safty | 1.Oxygen 2.Humidity 3.Nutrion 4.Temperature |
What is the ideal temperature (relation to safty) | 65-75 degrees (basic need) |
What is the ideal humidity (relation to safty) | 60-70% (basic need) |
What is it called when someone has a temperature below 95 (relation to safty) | hypothermia (basic need) |
What is it called when someone has a temperature above 105 (relation to safty) | hyperthermia (basic need) |
What are some PHYSICAL HAZARDS in relation to safty | 1.Lighting 2.clutter 3.Falls 4.Secure home |
What are some TRANSMISSION OF PATHOGENS in relation to safty | 1.Medical asepsis 2.Surgical asepsis 3.Immunization 4.Public awareness |
Medical asepsis (relation to safty) | hand washing (tramsmission of pathogen) |
surgical asepsis (relation to safty) | sterial tech (transmission of pathogen) |
Immunization (relation to safty) | to prevent(transmission of pathogen) |
Public awareness (relation to safty) | let them know about STDs, HIV, TB, Hep B, Hep C (transmission of pathogen) |
Sanation in relation to safety | 1.procession of food 2.Garbage collection 3.Insect and rodent control 4.Disposal of human wastes |
Porocessing of food: what has cause bacteral infection of contaminated foods (relation to safty) | 1.E-coli 2.Salmonella 3.Shigella 4.Listeria (sanation) |
How soon is the onset of bacterial infections | it can be rapid to one week |
What causes food poisoning | Staph and clostridia |
How soon is the onset of food poisoning | it can be rapid to one week |
What does the contamination of food, milk, and water cause | Hep A |
How soon is the onset of Hep A | It is 2-6 weeks |
Who regulated the commerically processed food | The FDA |
pollution in realtion to safety | 1.Air 2.Water 3.Noise 4.Senesory overload(esp. in hospital) |
IN order to have a safe environment what do we need | we need to 1.have our basic needs meet 2.reduce the physical hazards 3.reduce the transmission of pathogens 4.maintain sanation and 5.control pollution |
What are the developmental stages | 1.Infane 2.toddlers 3.Preschooler 4.School age 5.Adolescents 6.Adult 7.Older adult |
Infants: What is the greatest cause of death and injuries | Safety issues |
Toddlers:What are they prone to | Injuries and accidents |
Preschoolers: what are they prone to | Poinsoning |
School age: What are they prone to | sports related injuries and injuries from strangers |
Adolescents:What are they prone to | Sex, drugs, looking for attention, pharming |
What is the leading cause of death in adolescents | Vehicle accidents followed by sucide b/c of alcohol and drugs |
Adults:What are they prone to | life style and habits |
Older adults:What are they prone to | Falls, medication errors, confusions |
What is the leading cause of death in older adults | Falls and medication errors |
What is the first sign of infection in the older adult | comfusion |
Falls accounts for what percent of incidents in the health care falicities | 90% |
What is considered the number one work place safety issue | Falls |
What is use to assess the fall risk of a patient | Mores scale |
What is the accranam for fires | RACE and PASS |
What does RACE stand for | R-remove the patients, A-activate the alarm, C-confine/contain, E-extinguish |
What does PASS stand for | P-pull pin, A-aim at base of the fire, S-squeeze the handle, S-sweep from side to side |
What type of patients are at a higher risk of of injuries | 1.Those that are in the hospital/long term care falicities 2.If they are outside normal environment 3.On medical treatment/process 4.The hazards of the healthcare environment |
Assessing the client at admission of more safety issues in the hospital | 1.Age 2.Blindness 3.Mobility issues 4.Emotional satat 5.Frequency of accidents 6.Habits/lifestyle 7.Insufficient knowledge |
When you assess the environment what do you assess | 1.Room 2.Unit 3.Hospital |
When you assess the room what are you assessing | 1.Lighting and 2.Equipments |
When you assess the Unit what are you assessing | 1.The chemical and 2.The infections |
When you assess the hospital what are you assessing | 1.Fire and 2.Mass casualty/codes |
What does the nurse do when planing care that will reduce risks and prevent injury | 1.Be pro-active 2.individualize care 3.pratice codes 4.Monitor systems/processes |
Where can you find the procedure manuals | on the INTROnet |
what must you have in order to implament restraints | A doctors order |
What are the restraints and seizure precausions | 1.Assessment 2.Planing 3.Implement |
In order to evaluat clients status and safety risk what must a nures do | 1.continuous re-assess and 2.ask if the goals are being meet |
What is the nurses primary concern | The patients safety |
Who published the report "TO Err is Human" | The Institute of Medicine (IOM) |
What was the IOMs estimate number of people that died from medical errors | between 44-98,000 |
Medical errors cause more death than what other disesase | 1.Vehicle accidents 2.Breast Cancer 3.AIDS |
Besides finicial what are the other ways medical errors cost the hospitals | 1.Lost of trust in the system 2.Physical and psychological discomfort 3.lost of moral and frustration 4.Lost of work productivity and reduced school attendance |
After the findings what was the committees goal about medical errors | They wanted to reduce the number of medical errors by 50% over a 5year time |
How often do these adverse events accure: 1.Drug complications 2.Wound infections 3.Technical complications | 19% 14% 13% |
Why is the estamated munber of medical error low | Many errors go unreported/undocumented |
why are children at a risk of medical errors | They tend to get incorrect dosages |
Why are old people at risl of medical errors | Nearly 25% of them are precribed the inappropriate medication |
Define a Sentinel Event | It is an enexpected occurrence involving death or serious physical or psychological injury or the risk thereof |
What does the group use sentinel Events for | 1.Identify the event 2.Figure out why they are happening and 3.How to fix them |
What are the 5 rights to prevent medical errors | Right: 1.Patient 2.Drug 3.Route 4.Dose 5.Time |
Why do medical errors happen | 1.System failure 2.Active errors 3.Latent errors 4.Current response |
What is system failure | lots of things go wrong. not just one person but an number of thing = system |
What are complacations | things that happen that were unexpected |
What percent of accidents involve human errors | 60-80% |
What is active errors | They have an immediate adverse effect on the patient |
Sentinel events are a result of what type of error | Active errors |
What are latent errors (greatest threat) | Error of admission. (it fell through the crack) |
How does current responses cause medical errors | When people report they made an error, the adm. focus on the active error and punish the individual letting the latent error contunie |