Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
35 Cards in this Set
- Front
- Back
|
the state of being safe |
safety |
|
|
what is an injury? |
Any physical damage or anything undesirable harm caused to the body |
|
|
what are the different factors that could affect safety? (9) |
1-Dev. stage (age) 2-Lifestyle (high crime, income, alcohol, drugs, risk) 3-Mobility and health status 4-Sensory-perceptual changes 5-Cognitive awareness 6-Emotional state 7-Ability to communicate 8-safety awareness 9-Environmental factors |
|
|
What are the different assessments that a nurse should do to assess the safety of a pt? (4) |
1-Noting pertinent indicators in the nursing history and physical examination 2-Use of risk assessment tools (fall assessment tool) 3-Evaluating pt's home environment |
|
|
burn from hot liquid or vapor |
scalds |
|
|
excessive exposure to thermal, chemical, electric, radioactive agents |
Burn |
|
|
Malfunctioning of electrical equipment, combustion of anesthetic gases. Home: careless disposal of burning cigarettes, matches, grease, faulty wiring |
Fires |
|
|
What does RACE stand for and when is it used? |
When a fire occurs: R-rescue the pt(s) that are in immediate danger A-alarm (activate or call for help) C-contain the fire (close doors) E-extinguish the fire if possible or evacuate |
|
|
What are some things you can implement to promote safety among NEWBORNS and INFANTS? |
Completely dependent on parents. So parents need to learn adequate observation to maintain infants safe (EDUCATE AND SUPPORT the parents). -remove common hazards in and around the home -first aid + CPR -cautious for falls, poisoning, fire, and hot objects -suffocation, MVA |
|
|
What are some things you can implement to promote safety among TODDLERS? |
Toddlers: Placing them in car seats, promoting a safe environment to avoid falls, securing all items that can pose a threat to the child |
|
|
What are some things you can implement to promote safety among PRESCHOOLERS? |
-matches, medicine out of sight and out of reach -teach them about safety measures (how to cross the streets, helmets, etc.) -pools are enclosed |
|
|
What are some things you can implement to promote safety among SCHOOL-AGE CHILDREN? |
Accidents that are the leading cause of death: MVA, drowning and burns Unintentional injury: Bicycling, skateboarding, in-line skating, playing in playgrounds |
|
|
What are some things you can implement to promote safety among ADOLESCENTS? |
MVA, driver's licence, lack of experience, impressing peers Sports injury (wearing the appropriate protective gear) Suicide (second leading cause of death (especially in boys and families should be aware of the signs (access to firearms, economic deprivation, depression) |
|
|
What are some things you can implement to promote safety among YOUNG ADULTS? |
MVA: leading cause of mortality for this age group Suicide Accidents: drowning, burns and firearms Exposure to natural radiation -> sun burns Artificial radiation -> tanning salons |
|
|
What are some things you can implement to promote safety among OLDER ADULTS? |
accident prevention: sensory deficiency (vision is limited, reflexes are slowed, bones are brittle, ADLs require more caution, smell is also decreased-> can't smell smoke, memory is affected and reduced touch sensitivity) reduced renal function: puts them at risk for medication toxicity Falls |
|
|
Which age groups are at a higher risk for falls? |
Infants, toddlers and older adults |
|
|
What are the medical factors that can lead to an UMN for safety due to risk of injury related to [falls]? |
lower-limb weakness reduced general physical fitness vision problems arthritis stroke parkinson's disease |
|
|
What are the behavioural factors that can lead to UMN for safety due to risk of injury related to [falls]? |
fear of falling which can lead to tension and stiffness making the person more susceptible to falling, excessive alcohol intake, slippery footing, etc. |
|
|
What are the environmental factors that can lead to an UMN for safety due to risk of injury related to [falls]? |
Lighting - limits visibility Floors - slippery surfaces that promote slips, trips, stumbling steep stairways pt rooms - unstable furniture, clutter, items that are hard to reach beds bathrooms - wet, no grab bars obstructed pathways missing handrails lack of grab bars |
|
|
Can a hip fracture precede a fall thus causing it? |
Yes |
|
|
How can you prevent falls in a hospital setting? |
-Orient the pt to their surroundings -assess pt's ability to ambulate and transfer -provide walking aids and assistance -supervise pts that are at risk for falls -encourage the use of the call bell -ensure call bell is in reach -bed in low position and wheels locked -wheels locked prior to transfers -bath mats -encourage the use of nonskid footwear -keep the environment tidy |
|
|
What can community health nurses do to help reduce the number of safety hazards in a pt's home? |
risk assessment tool (to determine the potential risks) and make the appropriate recommendations. |
|
|
What can a nurse to in the hospital setting to reduce the number of safety hazards in the hospital? |
-perform a fall-risk assessment -orient pt to their surroundings & explain the call bell system -assess pt's ability to perform transfers and ability to ambulate & provide walking aids if necessary -monitor pt's at risk at night -keep beds at low position and wheels locked |
|
|
True or false On average 5 children die of poisoning and 1280 are hospitalized from poisoning |
true :D |
|
|
How can you prevent poisoning among children? |
Childproofing the environment (storing risky products, disposing of them, returning them to the pharmacy) |
|
|
What is the usual cause of poisoning in adolescents and adults? |
Overdose (intentional -> suicide, or not) |
|
|
What do you do to prevent poisoning? |
Educate the public on what to do when there is a poisoning -contact the poison control center or 911 -keep the pt sitting or on his side to prevent aspiration of vomit |
|
|
What is the purpose of restraints? |
prevent clients from injuring him or herself only after every other means of ensuring safety has been unsuccessful and documented. NOTE that the LEAST amount of restraint should be used to ensure safety. |
|
|
True or false there are legal implications that are involved with using restraints |
True. this is why you have to know what the policy of your hospital is before using restraints |
|
|
Are physical, manual or mechanical device (vest, wrist restraint) attached to the body and cannot be removed easily, restrict client movement. |
restraints |
|
|
how can you use the client's environment to control a pt's mobility? |
bed rails, secure unit |
|
|
Can you use medications to restraint a pt?
|
yes. to control disruptive behaviour. |
|
|
What are the legal implications of using restraints? |
-Restricts the individual's freedom -exhaust all alternative measures first and documented -the least restraint options are used first -Document the need for the restraint -Obtain consent -continual monitoring -Never use it for staff convenience or punishment |
|
|
What are some alternatives to restraints? |
-Assign nurses in pairs -closely monitor pt who are: -confused, sedated, or on medication, unstable pt and those that are at high risk for falling -place the pt in an area that is closely supervised -position the bed in the lowest position -replace full-length with half or 3/5 length side rails -place personal items in reach |
|
|
|
|
