Patient Safety

Front 1

These are the joint commission 2011 safety goals for hospitals

Back 1

2 identifiers to Id pts correctly, improve staff communication (report test results in a timely manner), use medicine safely (label meds reduce harm to pt), reduce risk of health care assoc infections (hand hygiene), check pt meds, and identify pt safety risks

Front 2

define environment

Back 2

includes all the physical and psychosocial factors that influence the life and survival of the pt

Front 3

the scientific knowledge of carbon monoxide

Back 3

low concentrations cause nausea, dizziness, headache, and fatigue

Front 4

scient. knowledge of FDA

Back 4

federal agency responsible for regulating the manufacturing, processing, and dist. of foods, drugs, and cosmetics

Front 5

sci. knowledge of unintentional injuries

Back 5

5th leading cause of death for all americans of all ages

Front 6

sc. know. of falls

Back 6

leading cause of unintentional death for adults older than 64 years of age

Front 7

bioterrorism

Back 7

use of anthrax, smallpox, pneumatic plague, and botulism

Front 8

In addition to environmental conditions nurses must also be familiar with

Back 8

developmental level, mobility/ sensory, cognitive status, lifestyle choices

Front 9

these are some ind. risk factors that can pose threat to safety

Back 9

lifestyle, impaired mobility, sensory of communication, lack of safety awareness

Front 10

4 major risks to pt safety in the health care environment

Back 10

falls, pt inherent accidents, procedure related, equipment related

Front 11

identify the specific patient assessments to perform while considering possible threats to the pt safety

Back 11

their own perception of risk factors, hx of pt wellness, any hazard in the immediate area, risk for falls, pt home environment

Front 12

identify the features that should alert nurses to the possibility of a bioterrorism outbreak

Back 12

disease (or strain) not epidemic, unusual antibiotic resistance pattern, atypical clinical presentation, case dist. or geographically, other inconsistent elements

Front 13

identify actual or potential nursing dx that apply to pt whose safety is threatened

Back 13

risk for falls, impaired home maint, risk for injury, deficient knowledge, risk for poisoning, risk for suffocation, risk for trauma, risk for burns, risk for skin breakdown, infection

Front 14

What is the plan for a patient that is high risk for falls?

Back 14

free from injury by time of d/c, family educated on intervention in order to reduce falls at home, consult for pt/ot for assistive devices and pt dignity and indep is maintained

Front 15

strategies needed in order to provide safe nursing care

Back 15

effective technology use along with practicing standardized safety that support safety and quality, demon. effective use of strategies to reduce risk of harm to self and others, use approp. strategies to reduce reliance on memory

Front 16

whats a physical restraint

Back 16

any manual method, physical, mechanical, material, equipment that immobilizes or reduces the ability of a pt to move

Front 17

use of the restraints must meet these objectives

Back 17

reduce risk of injury from falls, prevent harm such as IV, traction, or NG tube feedings, prevent confused or combative pt to harm themselves or others or removing life support

Front 18

Define RACE

Back 18

Remove pts, Activate alarm, Confine area, Ext Fire

Front 19

Explain seizure percautions

Back 19

encompasses all nursing interventions to protect the pt from traumatic injury

Front 20

these are the measures needed to take in order to reduce exposure to radiation

Back 20

limit time spent near source, use shield devices if working w/ radiation, use device to track radiation accumulation

Front 21

The joint commission req hospital to have an emergency management plan that addresses

Back 21

identifying possible emergency, maintaining adequate supplies, formal response plan

Front 22

What is the greatest risk for adolescent injury?

Back 22

automobile accidents, suicide, substance abuse

Front 23

nurse found a 68yr old woman wandering the hall. She said she is looking for the bathroom. Which interventions are appropriate to ensure safety of the pt?

Back 23

Leave a night light in the bathroom, provide scheduled toileting during the night shift, keep pathway from the bathroom to the bed clear.

Front 24

the family of a confused and amb. patient insists that all 4 side rails be up when the pt is alone, what is the best action to take in this situation?

Back 24

ask the family to stay if possible, inform the family of the risk assoc. with all four rails up, discuss alternatives with the family

Front 25

a physician writes an order to apply a wrist restraint to a pt who is pulling at a drain. Put the restraint steps in proper order

Back 25

1- Determine restraint alternatives fail to ensure safety

2- pad the pt wrist

3- explain what you plan to do.

4-wrap a limb restraint around wrist/ankle w/ soft part around the skin and secure

5- identify the patient using proper identifier

Front 26

a 62 yo woman is being d/c home after surgery for a hip fracture from a fall at home. When providing dc teaching about home safety to this pt and spouse, the nurse knows that

Back 26

a safe environment promotes patient activity

Front 27

how does the nurse support a culture of safety?

Back 27

complete incident reports when appropriate, complete incident reports for a near miss, communicate product concerns to immed supervisor

Front 28

QSEN minimizes risk of harm to patients and providers by

Back 28

system effectiveness and individual performance

Front 29

these are some environmental hazards

Back 29

lighting, obstacles, bathroom hazards, MVA, poison, and fire

Front 30

these are some environmental hazards

Back 30

falls, pollution, transmission of pathogens, disasters (natural and man made)

Front 31

The national quality forum is where what kind of accidents are reported to

Back 31

surgical events, product or device, pt protection, care management, environmental, criminal

Front 32

these are some risks in healthcare

Back 32

falls, chemical use, medical errors

Front 33

example of pt inherent accident

Back 33

self harm or something such as a seizure disorder

Front 34

an example of a procedure related incident is

Back 34

medication or iv error

Front 35

an example of equip related injury

Back 35

pacemaker or restraints

Front 36

fire classification: A extinguisher is commonly used for

Back 36

wood, cloth, paper

Front 37

b extinguisher is used for

Back 37

oil, kerosene, gas

Front 38

C extinguisher is used for

Back 38

electrical

Front 39

d extinguisher is used for

Back 39

metal

Front 40

K extinguisher is used for

Back 40

kitchen fire