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Safety N205
Safety N205
21
Nursing
Undergraduate 3
09/23/2014

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Term
Medical Errors
Definition
When something that was planned as part of medical care does not work out or when the wrong plan was used.
Term
Examples of Medical Errors
Definition
HAI
Adverse drug events
Surgical injuries
Wrong-site surgery
Patient suicides
Restraint-related injuries or death
Patient falls
Patient burns
Mistaken patient identities
Term
Factors that affect safety in healthcare
Definition
^ acuity & shorter LOS
Rapid client turnover
Staff turnover
Shift work - long hours
Varying levels of education
RN to patient ratio
Multiple interruptions
Term
Injuries
Definition
Trauma or damage to some part of the body
Term
Injuries can be caused by:
Definition
Physical
Mechanical
Biological
Chemical Agents
Term
Sentinel Event
Definition
Any unanticipated event in the healthcare setting resulting in death or serious physical or psychological injury to patients, not related to the natural course of the patient's illness.
Term
What organization are sentinel event reported to?
Definition
Joint Commission on Accreditation of Healthcare Organizations (JACHO)
Term
QSEN
Definition
Quality & Safety Education for Nurses
Kentucky Board of Nursing (KBN)
Term
OSHA
Definition
Occupational Safety & Health Administration
Term
AHRQ
Definition
Agency for Healthcare Research & Quality
Term
Factors Affecting Safety - Falls
Definition
Loss of Physical Function
Altered Gait
Decreased Mobility
Incontinence
Altered Sensory Function - equilibrium
Term
2 Greatest Falls Risks
Definition
Unassisted bathroom needs
Polypharmacy (4 or more meds)
Term
Morse Falls Scale
Definition
Hx of falling
Multiple Dx
Ambulatory Aids
IV Therapy
Gait
Mental Status
Term
2 Most Prominent areas of Elder Neglect & Abuse
Definition
Psychological
Financial
Term
Warning Signs of Elder Neglect & Abuse
Definition
Basic needs unmet
Pressure ulcers
Unexplained bruises, burns
Change in personality
Unexplained vaginal/anal bleeding
STD's
Term
Asphyxia
Definition
Airway obstruction
Small Space Entrapment
Strangulation
Choking
Hanging
Smothering
Drowning
Term
Burns - Home
Definition
Matches, candles
Sensory Impairment (PVD)
Diabetic Peripheral Neuropathy (disease of nerves)
Term
Intervention in Acute Care Setting
Client's Room
Definition
Orientation to environment
Call light in reach
SR x 2 ^
Working Equipment
Bed low & locked
Working Equipment
Keep pathway free of clutter, well lit
Keep personal items w/in reach
Reinforce education w/ patient to ask for assistance
Answer the call lights
Term
Steps for Equipment Malfunction
Definition
Identify it & Remove it
Check expiration dates
No exposed wires
Term
Restraints are used only when
Definition
immediate physical risk to the patients safety exists.
Term
The different types of restraints are
Definition
physical
mechanical
drug or medication
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