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B Safety Chap 26
126 Test 4
49
Nursing
Undergraduate 1
10/07/2010

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Term
any limitation is a potential
Definition
Risk
Term
Increased age is a
Definition
increased risk
Term
Any impairment to sight, hearing, smell, taste, touch can be a
Definition
significant risk
Term
What are 4 factors affecting safety
Definition
1. Developmental considerations
2. Lifestyle
3. Mobility
4. Sensory Perception
Term
What are 4 factors affecting safety
Definition
1. Knowledge
2. Ability to communicate
3. Health state
4. Psychosocial state
Term
Anxiety can interfere with the patients ability to _________
Definition
communicate
Term
Increase stress can decrease
Definition
attention span
Term
Depression can decrease ___&____
Definition
Depression can decrease attention span and orientation
Term
what are 4 things that need to be assessed for safety
Definition
1. History
2. Physical assessment
3. Behavior
4. Review environment
Term
What is the leading cause of injury and fatalities
Definition
Falls
Term
What is the most common injury from a fall
Definition
hip fracture
Term
Why is the fall of the elderly stronger than the fall of a younger person
Definition
Because their skin is thinner and softer
Term
What are 5 potential hazards
Definition
1. falls
2. fires
3. poisoning
4. suffocation/ choking
5. firearms
Term
In most deaths from fire most people die from
Definition
smoke inhalation
Term
What do nurses need to do to be proactive against fire
Definition
check equipment regularly
Term
What do nurses need to do to be proactive against fire
Definition
check equipment regularly
Term
In the event of a fire what do nurses need to know
Definition
Escape routes and policies
Term
What are some possible diagnoses in regards to hazards
Definition
1. injury
2. poisoning
3. suffocation
4. trauma
5. home maintenance managment impaired
5. environmental interpretation syndrome impaired
6. Risk for Falls
7. Impaired physical mobility
Term
In most health care places what color is the wrist band for someone who is a fall risk
Definition
Yellow
Term
What are some possible interventions or planning for hazards
Definition
1. Prevention is best
2. Teach
3. Demonstrate
4. Orient
5. Correct;control; Modify environment
Term
What are the 11 risks for falls
Definition
1. Age over 65 years
2. History of falls
3. Impaired vision or sense of balance
4. Altered Gait or posture
5. medicaitons
6. Postural hypotension
7. Slowed Reaction Time
8. Confusion / Disorientation
9. Impaired Mobility
10. Weakness
11. Unfamiliar Environment
Term
What are some examples of medications that can be risk for falls
Definition
1. Sedatives-tranquilizers
2. Hypnotics
3. Analgesics- impairs sensory
4. Diuretics- someone who needs assistance walking and goes to BR frequent
Term
What is an example of someone who has a slowed reaction time and is a risk for fall
Definition
Aging
-Maybe had mild stroke and has rehabilitated physically but cognitive has slowed
Term
What are 3 types of fall prevention
Definition
1. Check client frequently
2. Wipe spills immediately
3. Take to bathroom frequently
Term
What are some things to assess when assessing falls
Definition
1. Hx of falls
2. assisted devices
3. Hx of drug and alcohol
4. Family support
5. home environment
6. tendency to use night lights/ throw rugs
7. assess clutter, slippery, poor lighting
Term
Fall prevention-
Definition
1.Assess for falls 2. Side Rails up
3. Bed low position 4. Bed Wheels lock
5. Wheel Chair brakes on
6.Increase light 7. Decrease clutter
8.hanrails 9. Repair or dispose Broke equip.10. orient to surroundings
11. call light in reach
12. freq used items in reach
13. night lights 14. no physical hazards
15. non skid foot wear
16.prop fit clothes 17.check cog status
18.alternatives to restraints used
Term
This is a physical & /or chemical device used to limit movement
Definition
Restraints
Term
What type of order is required for a Restraints
Definition
A physician order
Term
When can Restraints be used and what needs to be done
Definition
Restraints can be used after other methods fail. An explanation needs to be made to the family
Term
What should be documented when using restraints
Definition
1. the reason for the restraint
2. Alternate strategies utilized
3. Type applied
4. Time Applied
5. Removal times
Term
When concerning restraints what should you be familiar with
Definition
Be familiar with the policy and protocol where you practice
Term
What needs to be remembered with equipment related injuries
Definition
1. Ground equipment; three prong plugs
2. Dont use if unfamiliar with equipment
3. Dont use if wires exposed
Term
What needs to be remembered with equipment related injuries
Definition
1. Ground equipment; three prong plugs
2. Dont use if unfamiliar with equipment
3. Dont use if wires exposed
4. cords should not be pinched in beds or other equipment
5. keep cords away from wet surfaces
6. Dont bend or twist cords
Term
This documents accident or unusual occurrance. it is a confidential document that is an objective description of occurrence.
Definition
Incident Reports
Term
What does the Incident Report detail
Definition
the clients response
Term
What is an incident report not a part of and what is it used for
Definition
The incident report is not apart of the chart. It is not mentioned in documentation. and is used for QI
Term
Surgical Asepsis is ________
Definition
Sterile- environment that lacks active pathogens and spores, free from microorganisms
Term
What is done to the equipment used for surgical asepsis
Definition
It is sterilized by physical or chemical means
Term
When using surgical asepsis sterile can only touch__________
Definition
sterile
Term
The edge of the wrapper is unfolded ____from you
Definition
away
Term
When using surgical asepsis there can be no
Definition
moisture
Term
when using surgical asepsis you need to hold above___________-
Definition
level of waist
Term
when using surgical asepsis you need to hold above___________-
Definition
level of waist
Term
When performing surgical asepsis you can not ___, ____, _____, or ____
Definition
When performing surgical asepsis you can not talk, sneeze, cough, or reach
Term
You can not turn you back to ____, or ____
Definition
sterile field or patient
Term
when using surgical asepsis all items penetrating the body must be _________
Definition
Sterile
Term
When using surgical asepsis what part is considered to be contamniated
Definition
The 1 inch border around the sterile field
Term
If you doubt that something is sterile then it is
Definition
contaminated
Term
this is an unexpected occurrence involving death or serious physical or psychological injury or the risk of these
Definition
Sentinel event
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