Fundamentals - Chapter 13

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30 terms · Chapter 13 - Safety

The Joint Commission

An organization responsible for evaluating and accrediting health care organizations and programs in the US

National Patient Safety Goals

Addresses specific safety problems in the hospital setting such as identifying patients, communicating with caregivers, administering medications, reducing health care associated infections and reconciling medications upon patient's discharge

Risk for falls

Elderly patients, especially those confused due to cognitive impairments, medications, or unfamiliar surroundings, are particularly at risk for falls

Factors in an unsafe enviroment

age and ability to understand, impaired mobility, communication, pain and discomfort, delayed assistance and equipment

Promoting Patient Safety

It is the responsibility of all health care staff to promote the safety of patients

Fall Assessment Rating Scale

Forms that when filled out, give a numerical rating for each patient's risk for falls. The higher the number the greater the patient's risk

Call light

Never pass a room when the call light is going off, even if it isn't your assigned patient

Chair / bed monitor

A pressure sensitive device that generates an alarm when the patient's weight is no longer sensed

Restraints

vests, jackets, bands with connected straps that are tied to the bed or chair to keep the patient in one place

Restraint alternative

A less restrictive way to help patients remember not to get up and try to walk

Strategies can be used by nursing staff to help prevent falls in at risk patients

Place patient in a room near the nurses station
Stay with at risk patients when they are in the BR or on the BSC
Keep the bed in the lowest position at all times
Place the over bed table across the wheelchair like a tray
Find activities for the at risk pt to do to use pent up energy or relax
Offer regular opportunities for the patient to go to the restroom, get a snack or something to eat
Asscess your fall-risk patients frequently for subjective complaints, N/V etc...
Provide backrubs and distractions to help patient be more comfortable

Hospitals use the least restrictive enviroment for patients

which means, the patients are restricted only in the manner absolutely necessary to prevent harm

A restraint cannot be used on a patient without a doctor's order

...

RACE
Rescue - alarm - confine -extinguish

Rescue - remove patient from immediate danger
Alarm - sound the alarm according to facility policy
Confine - the fire to one room or area
Extinguish - only attempt to extinguish a small fire - find extinguisher and follow acronym PASS

PASS
Pull, Aim, Squeeze, Sweep

Pull - pin between the handles
Aim the nozzle at the base of the fire
Squeeze - handles together to release the contents
Sweep - the nozzle back and forth at the base of the fire

Cardiopulmonary Resuscitation

To restart the heart or breathing of an unresponsive victim without a pulse or respirations

Heimlich Maneuver

An action to relieve choking by thrusting just below a person's ziphoid proces

Rescue Breathing

Breathing for the patient in case of respiratory arrest when the pulse is still palpable

MCE
Mass Casualty Event

A public health or medical emergency involving thousands of victims

AHRQ
The Agency for Healthcare Research and Quality

Some of the points addressed by AHRQ is treatiing first those victims who are most likely to survive - how to plan for any MCE rather than specific situations - how to adapt tthe use of existing facilities for various needs

Body Mechanics

The movement of muscles of the body for balance and leverage

Center of Gravity

The middle point of the body, below the umbilicus and above the pubis around which the body's mass is distributed

Base of Support

Refers to your feet and lower legs

Guidelines to Good Body Mechanics

Plan your work carefully - elevate your work to a comfortable level - keep your feet shoulder width apart, one foot slightly ahead of the other - avoid twisting - bend your knees, not your back - when carrying an object hold it close to your body with your elbows bent - when possible, push, pull or slide heavy objects - get help when you need to move or lift a patient

MSDS
Material Safety Data Sheet

Facilities are required to have these sheets on file for every chemical used on the premises

CDC
Centers for Disease Control and Prevention

A federal agency involved in protecting patients and staff from the spread of disease

Needle - stick

Needlestick injuries have been a major route for healthcare workers to be exposed to hepatitis B and HIV - Never recap a used needle

Sharps container

A puncture proof container (labeled) use to dispose of used and contaminated needles

Types of hazards in nursing care

Physical Hazards - injuries to back and joints
Chemical Hazards - exposure to chemotherapy, cleaning chemicals
Bilolgical Hazards - blood, body fluids, HIV, hepatitis

Ambulate

walk

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