Activity Mobility & Safety

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Created by:

stephaniecasteel  on January 20, 2012

Subjects:

Exam 2

Description:

Exam 2

Classes:

Shasta College REGN 1 & REGN 2 Spring 2012

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Activity Mobility & Safety

The Joint Commission
nonprofit national organization that develops standards & performance criteria for health care organizations
1/31
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The Joint Commission nonprofit national organization that develops standards & performance criteria for health care organizations
FDA Food and Drug Administration. The agency that is responsible for determining if a food or drug is safe and effective enough to be sold to the public.
E-Coli Most prevalent in poorly prepared and contaminated food
3rd Cause of death in adults 65 and older? Accidental Overdose
Health Promotion and Illness Prevention Client safety in home, community, and healthcare
National Patient Safety Goals 1. Patient I.D (2 verbal forms) birthday and name is common
2. Improved Communication among caregivers: SBAR
3. Safe medication administration: x3 med check
Individuals Safety Risk Factor Lifestyle, mobility, sensory impairment: eyes & ears and lack of safety awareness Critical Thinking: take all factors into point in diagnosis
Risk Factors for Falls 65 and older,history of falls, impaired vision or balance, altered gait or posture, meds, postural hypertension, decreased mobility, weakness, unfamiliar environment.
Nursing Fall Prevention Orient patient to surrounding, use side rails (explain usage), safeguard environment, bed or patient alarms as alternative to restraints, restraints (last effort)
Fire RACE
R: Rescue
A: Activate alarm
C: Contain
E: Extinguish or evacuate
Radiation Precaution Lead apron, also some use of walls and dividers between patient and nurse during care
Code Red Fire
Code Blue used to announce when a patient has stopped breathing or his or her heart has stopped beating, or both
Code Strong combative patient or more nurses need for lifting
Rapid Response used to prevent a code blue
What paperwork needs to be filled out if someone in the hospital is injured? Incidence or occurrence report
Who is required to fill it out? the first person to come across or see it happen
Seizure Precaution Always airway and safety! assess airway, safe from physical injury, do not restrain, oral airway needed, padded side rails and headboard, suction, clean gloves and privacy
Benefits from Mobility heart efficiency: lower HR, BP, and increased blood flow
improved respiratory function, flexibility coordination, nerve transmission, increased metabolic process, and efficient body temp.
Body Mechanics The proper use of the body to facilitate lifting and moving and preventing injury.
Isometric of or involving muscular contraction in which tension increases while length remains constant
Isotonic of or involving muscular contraction in which tension is constant while length changes
Range of Motion ROM movement of a joint to the extent possible without causing pain
Physical Assessment of Mobility general ease, alignment, joint structure function, muscle mass, tone, strength, and endurance
Nurse: look for activity tolerance and impaired physical mobility
Standard Color Wrist Bands Purple: DNR
Red: Allergy
Yellow: Fall Risk
Log Rolling Logrolling is a technique used to turn a patient whose body must at all times be kept in a straight alignment (like a log).
This technique is used for the patient who has a spinal injury. Done by two nurses if not three is some cases
Dangling position in which the person sits on the edge of the bed with legs and feet dangling over the side of the bed. Used to ensure that patients are moved safely. This can help to prevent notable reductions in blood pressure.
Side Laying (Sims) patient lies on the side with the knee and thigh drawn upward toward the chest. The chest and abdomen are allowed to fall forward. Left Sims' is the position of choice for administering enemas or conducting rectal examinations.
Supine lying on the back or having the face upward
Prone a position with the patient lying face down with arms bent comfortably at the elbow and padded with the arm boards positioned forward.
Fowler's this sitting position raises the patient's head 60-90 degrees. Pillow may be used under the head or arms. this position improves cardiac output and promotes ventilation. it is contraindicated after spinal or brain surgery. For semi-fowler's raise bed 45 degrees

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