Term
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Definition
| error of execution, error in planning, or injury resulting from a medical intervention (adverse event) |
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Term
| national patient safety goals |
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Definition
patient identification
improve communication
improve medication safety
reduce HAI
reduce harm from falls
prevent pressure ulcers |
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Term
| ways to improve the accuracy of patient identification and the intent for this goal |
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Definition
use at least two patient identifiers
intent is to identify the individual as the person for whom treatment is intended (individual to treatment)
match the treatment to that of the individual (treatment to individual) |
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Term
| acceptable vs. unacceptable pt identifiers |
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Definition
name, birthdate, ID number
not acceptable- patient room or physical location |
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Term
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Definition
between caregivers
report results of tests and procedures on a timely basis
read back order or test and name of person taking and giving result |
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Term
| SBAR communication technique |
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Definition
"handoff communication"
situation- having trouble breathing
background- COPD
assessment- wheezing, low O2
recommendation- breathing treatment |
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Term
| Ways to improve Medication safety |
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Definition
label all meds, med containers, and other solutions
-reduce pt harm associated with anticoagulant therapy |
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Term
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Definition
prepare nurses to have the KSAs to improve quality and safety
-knowledge, skills, attitudes |
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Term
| quality nurse indicators: what nurse seeks to prevent |
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Definition
falls
restraints
patient satisfaction
nosocomial infections/ HAI
Pressure Ulcers |
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Term
what needs checked before entering room:
after entering room: |
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Definition
orders, correct room, if in isolation, handwashing
after entering the room: patient identifiers |
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Term
| nursing diagnosis examples vs. medical diagnosis |
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Definition
risk for falls
risk for injury
reduce deficient knowledge (unknown information)
reduce fear
reduce fear
medical diagnosis- COPD |
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Term
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Definition
history of falls
older than 65
orthostatic hypertension (BP drop when stand)
gait and balance (walker, cane)
urinary frequency
use of walking aid
medications- narcotics, BP meds, sleeping pills |
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Term
| Strategies to prevent falls |
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Definition
assess patient and risk
environmental assessment (bedroom, bath, kitchen- remove objects that obstruct path)
review meds
gait, balance
frequent nursing rounds |
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Term
| how to create safe bedside |
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Definition
call bell in reach
hourly rounds- potty, position, pain, possessions
yellow wrist band- at risk for falls
room assessment
partner with NAP |
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Term
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Definition
physical/mechanical- wrist, mitts
chemical- sedatives, anti anxiety meds |
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Term
| complications of restraints |
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Definition
pressure ulcers
circulatory issues
respiratory distress
incontinence- non responsive
death |
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Term
| what of a restraint must be documented |
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Definition
-type and location of restraint, duration, circumstances (not prn)
-clinically justified (due to pt or staff safety) |
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Term
| patients with restraints are re-evaluated every |
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Definition
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Term
| checks on restraints are completed |
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Definition
every 15 mins- behavioral issues
2 hrs- every other pt |
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Term
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Definition
frequent observations
involve family (sitting in room)
familiar belongings
busy activities
food/beverages
comfort care
evaluate meds/health condition |
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Term
| most commonly used restraint |
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Definition
side rails
can have top 2 up, all 4 is a restraint unless sedated |
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Term
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Definition
Hand hygiene
implement evidenced based practices to prevent HAIs with MDRs such as MRSA, to prevent central line associated blood stream infections
surgical site infections
catheter related UTIs |
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Term
| How to reduce harm from falls |
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Definition
-fall reduction program
-evaluation of program effectiveness |
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Term
| how to prevent pressure ulcers |
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Definition
assess risk for pressure ulcer development
reassess risk periodically
address identified risks |
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Term
| nursing diagnosis 3 types: |
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Definition
o Nursing Diagnosis
• Take data from assessment and analyze
• Determine the nursing problem, not the medical problem
• 3 types:
• Actual- going on right now (impaired skin integrity)
• Risk- may develop because vulnerable patient (risk for ^ )
• Health promotion- enhance health behaviors (readiness for enhanced self-care) |
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