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33 Cards in this Set
- Front
- Back
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What does QSEN stand for?
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Quality Safety Education for Nurses
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What are the six QSEN competencies?
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Teamwork & Collaboration Evidence Based Practice Quality Improvement Safety Informatics |
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What are some factors that would influence patient safety for older adults?
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Multiple medications, acute/chronic disease, fall risk, poor eye sight, slow response time, decreased sensory perception, decreased muscle mass |
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What are Never Events?
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designated as serious adverse vents that should never occur in the health care setting |
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True or false: a nurse must fill out an incident report when a near miss event occurs.
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True! This is to prevent it from almost occurring again. |
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What is Root Cause Analysis?
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Risk management tries to figure out why the event occurred.
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What does MSDS stand for?
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Material Safety Data Sheets - provides information on how to deal with chemical health hazards |
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List the factors which may increase a patients risk for falling.
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- Being age 65 or older - Reduced vision - The effects of medications -Urinary incontinence - Use of walking aids - Effects of various medications - Orthostatic hypotension, gait & balance problems |
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Who is the most at risk for injury from falls?
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Bleeding tendencies (i.e.: clotting disorders or patients taking anticoagulants) & patient's with osteoporosis (increase risk for fracture). |
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True or false: patients with a clotting disorder have a higher risk of falling.
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False! They are not at a higher risk of falling, but have a higher risk of INJURY after falling. |
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Why do hospitalized patients have inherent increased risk for falling?
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- Acute illness - Surgery - Mobility status - Medications (diuretics, anxiolytics, antihypertensives) - Treatments - Placement of tubes and catheters |
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What are some nursing measures that can be implemented to prevent falls?
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- Yellow (gowns, armband, footies) - Signage - Safe, clutter free environment - Teamwork - Patient and family involvement |
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What is a patient inherent accidents?
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What are some examples of patient inherent accidents?
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- Burns - Ingestion or injection of foreign substances - Self-mutilation - Fire setting - Pinching fingers in drawers or doors |
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What is a seizure?
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Disorderly discharge of neurons in the brain; leads to sudden, sometimes violent jerking, involuntary series of muscle contractions for around 2 minutes |
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True or false: seizures are usually accompanied by incontinence.
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True! |
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What is the postictal period?
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Period after a seizure characterized by confusion and perhaps amnesia to the vent |
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How can the nurse plan ahead if their patient is known to have seizures? |
- Bite blocks at bedside |
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True or false: if your patient is having a seizure putting your fingers in their mouth to prevent them from biting their tongue is a good idea. |
THAT IS SO FALSE AND YOU KNOW IT |
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What is an aura?
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The feeling that patients have when they know a seizure is coming.
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True or false: you should hold down the patient while seizing.
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False! |
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What are procedure-related accidents?
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- Medication and fluid related errors - Administration errors - Improper application of external devices - Improper performance of procedures |
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What are the best ways to prevent procedure-related accidents?
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Follow organizational policy and procedures & standards of nursing practice |
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What are some examples of high-risk procedures?
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- Safe patient handling - Using sterile technique as directed |
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Equipment-related accidents result from:
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- Disrepair - Misuse of equipment - Electrical hazard |
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What are some possible interventions for a patient with altered mental status?
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- Family stays and sits with patient - Routine schedule (write on white board) - Reorient at every patient contact (time & place) - Two side-rails up - Toilet patient often - Identify yourself (name & title) - Call light |
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Define restraint:
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any means that deliberately reduces the ability of a patient to move his/her arms, legs, body, head freely |
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True or false: a restraint order can be prn.
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What is included in a physician's order for a restraint?
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Type, location, time, and reason |
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What is the ultimate goal for a patient with a restraint?
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To get the restraint off! |
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The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous infusion. The nurse begins to develop a plan to care for the patient. Which nursing intervention should take priority?
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Assess the patient. What happened to make the patient suddenly confused?
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True or false: using 4 side rails decreases the risk of falling.
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False! |
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How should you limit your exposure to radiation?
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- Limit time spent near source - Distance: stay away from source as far as possible - Shielding: use protective lead aprons and thyroid protection if exposure is unavoidable |
