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Found in Nurs Ch. 14
Safety
| Question | Answer |
|---|---|
| Bioterrorism | Use of biologic agents to create fear and threat in a terrorist act. |
| Centers for Disease Control and Prevention | Federal agency that provides facilities and services for investigation, identification, prevention, and control of disease; headquartered in Atlanta, Georgia. |
| Codes | System of notification that allows for information to be transmitted rapidly. |
| Disaster Manual | Written agency instructions specifying departmental responsivilities, chain of command, callback procedures for the receipt and management of casualties and policies related to the overall management of supplies and equipment. |
| Disaster Situation | Uncontrollable, unexpected, psycholigically shocking event. |
| Endemic | The expected or normal incidence native to or occuring natually to a specific area or environment. |
| Epidemic | disease that emerges rapidly at an uncharacteristic time or in an unusual pattern. |
| Hazard Communication Act | Requires hospitals to inform employees about the presence of or potential for harmul exposures and how to reduce the risk of exposures. |
| Occupational Safety and Health Administration (OSHA) | Federal agency responsible for monitoring safety and health standards in the workplace. |
| PASS (Menumonic for how to operate a fire extinguisher) | P - Pull the pin to unlock the handle A - Aim low at the base of the fire S - Squeeze the handle S - Sweep the unit from side to side |
| Poisoning | The condition or physical state produced by the ingestion, injection, inhalation, or exposure of a posionous (toxic) substance. |
| RACE (Menumonic for setting priorities in a fire) | R - Rescue and remove all patients in immediate danger. A - Activate the alarm. C - Confine the fire by closing the doors and windows and turning off all oxygen and electrical equipment. E - Extinguish the fire using and extinguisher. |
| Safety Reminder Device (SRD) | Any one of the numerous devices used to immobolize a patient. Formerly referred to as a restraint. |
| Sentinel Event | Any unexpected occurence involving death or serious physical or psychological injury or risk therof. |
| Terrorism | Use of threats of violence by individuals or organized groups using biological, chemical, or nuclear weapones against society or government for political gain. |
| When utilizing a SRD in a hospital setting to prevent patient injury, you should allow as much freedom as possible. True or False | True |
| What is an appropriate goal (expected outcome) for a patient requiring a physical restraint? | Patient will remain free of injury. |
| Documentation related to use of an SRD is required to include what? | The specific type of SRD used. |
| When caring for the patient who requires the use of an SRD, the nurse remembers that an appropriate nursing intervention when caring ofr a patient who needs an SRD is to what? | Monitor the skin for signs of impairment. |
| The nurse discovers smoke in a asoiled utility room and rememvers that the initial step taken to protect the patient in the event of a fire is what? | To remove the patient from the area. |
| The patient who requires the use of an extremity SRD has an edamatous extremity. The most appropriate nursing action is to what? | remove the SRD and watch the patient more closely. |
| A type C fire extinguisher is required for what type of fire? | Electrical |
| If you see a heating pad cord that is taped when a frayed area is exposed, this indicates what? | Further fire safety instruction is needed. |
| What factor places a child at greatest risk for specific injuries? | Developmental level |
| Is a school bus accident an example of an external or internal disaster emergency? | External disaster emergency |
| Vomitting is most likely to be induced if poisoning is related to the ingestion of what? | Salicylates, such as asprin |
| If a patient is brought into the emergency room for the treatment of an accidental poisoning, your first step should be what? | Assess the patient. |
| What is the greatest safety issue for caregivers of older adults? | Accidental Falls |
| Bioterrism is what type of threat? | Environmental Health Threat. |
| In the event of a mercury spill, it is ok to vacuum the spill. True or False | False. DO NOT VACUUM A MERCURY SPILL!!! |
| How often does the Joint Commision release national patient safety goals for health care facilities. | Every year. |
| What are some precautions to promite safety that a nurse can utilize in a hospital setting? | 1) Orient patient to environment 2) Make sure frequently used items are within reach of patient. 3) Fall prevention awareness 4) Keep environment clean and free of litter 5) side rail usage and bed positioning 6) Use of alarm 7) Use of locks |
| When do the majority of patient falls occur? | During the transfer to a bedside, commode, or wheelchair. |
| What do the use of anesthesia, sedatives, or narcotics create in a patient? | An increased fall risk |
| What are some correct techniques in the use of a gait belt. | Apply securely around the patients waist, Walk to the side of patient on the weaker side with one arm around patient and one on belt, Have the patient support self by leaning on or holding your arm, Walk with your knees and hips flexed. |
| If a patient is weak, you should walk alongside the bed or heavy furniture and have them use hand rails (if available). True or False | True |
| What Physiologic changes in aging adults, increase the need for safety precaustions? | Changes in vision, changes in hearing, changes in muscle strength, sensory overload, loss of sensitivity, & medications. |
| How can a nurse design a restraint free environment? | orient the patient and family to surroundings, encourage sitters, provide appropriate auditory and visual stimuli, eliminate bothersome treatments, use relaxation techniques, maintaint toileting routines, evaluate medications, consult with PT/OT, & Assess |
| Per OBRA, what are accetpable reasons for the use of physical restraints? | 1) All other interventions have been attempted before the use of restraints. 2) Other disciplines have been consulted for their assistance. 3) Supporting documentation has been completed. |
| What are the (8) essentials of SRD Documentation? | 1) Reason for restraint 2) Explain to patient and family 3) Date and time of patients response to treatment 4) Duration 5) Frequency of observation and patient response 6) Safety 7) Assesment 8) Patient outcome. |
| What are the three levels for sensitivity to latex? | 1) Contact Dermatitis - skin redness and itching 2) Type IV hypersensitivity - delayed reaction (up to 48hrs)- including itching, redness and hives. 3) Type I hypersensitivity - POSSIBLY LIFE THREATENING - above & rash, wheezing, breathing, cardiac arrest |
| In the event of a mercury spill, what steps should you take while you wait for trained personel to arrive? | 1) Evacuate the room except for a houskeeping crew (if available) 2) Ventilate the area. Close inetrior doors and open any outside windows. 3) Do not Vacuum the spill *After recovered - mop with meury specific cleanser and dispose per envronmental req. |
| The threat or gesture of someone that causes a fear of being struck can be considered what? | Assault. |
| Any unwelcomed physical contact from another person, may be considered what? | Battery. |
| What is often the two major causes of fires in a health care facility? | smoking in bed or electrical equipment. |
| Type A Fire is used for what types of fires? | Paper, wood, & cloth |
| Type B Fire is used for what types of fires? | flammable liquid, such as grease & anesthetics |
| Type C Fire is used for what types of fires? | Electrical |
| Fire extinguishers marked with ABC are acceptable for what types of fires? | Any type of fire. |
| Syrup of ipecac is stillrecommended for used of accidental poisonings. True or False | False. It is no longer recommended. Also, most pharmacies no longer carry ipecac syrup. |
| A sucessful nursing home disaster plan requires what items as part of the plan for their residents? | 1) identification of residents (ID bracelet, pic id) 2) Evacuation plan and Designated triage suite 3) An emergency temporary site 4) Relocation plan 5) Family notification plan 6) Event log |
| What are four high risk syndromes? | 1) Anthrax 2) Botulism 3) Plague 4) Smallpox |
| What are five types of chemical agents used in chemical terrorism? | 1) Pulmonary Agents 2) Incapacitating Agents 3) Cyanide Agents 4) Nerve Agents 5) Vecicant Agents |
| In the nursing process, the LVN will: | 1) participate in planning care for patients based on their needs. 2) review the plan of care and change as needed. 3) review and follow defined prioritization for patient care. 4) use clinical pathways, care maps, or care plans as guides |
| What are three nursing diagnoses related to patient safety? | 1) risk for falls 2) impaired physical mobility 3) Risk for injury |
| Infants, young children, older adults, and the ill or injured are at risk for what? | falling |
| It is imperative to ask all patients about ______ and _________allergies. | food and latex |
| Keep adjustable beds in the _______position unliss care is being provided. | low |
| _____ _______are an added safety feature to use when assisting patients to ambulate. | Gait belts |
| What has the potential to result in the an increased reslnessness, disorientation, agitation, anxiety, and feelings of powerlessness. | Use of an SRD. |
| When SRDs are applied to a patient, it is mandatory to document the position of the device, circulation, physical and mental status and ongoing need for device. True or False | True |
| When extremity SRDs are applied, place gauze or padding around the extremetiy and secure the ends of ties to the bed frame or the side rails? | To the bed frame |
| SRDs should be removed how often to asses the skin. | Every 2 hours. |
| The hospital envronment is a right-handed setting. So what type of patient requires special considerations involving their treatment? | left-handed patients. |
Created by:
losmica
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