Reading...
Play button
Play button
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;
16 Cards in this Set
- Front
- Back
|
factors affecting safety? (9)
|
1. age and development
2. lifestyle-job? 3. mobility and health status- elderly? 4. sensory-preceptual alterations 5. cognitive awareness (lack or sleep) 6. emotional state(anger hiders safety) 7. safety awareness 8. environmental factors 9. ability to communicate -literacy |
|
|
3 types of safety incidents?
|
1. client behavior- when incident is due to client's behavior
2. Therapeutic procedure: occur during delivery of medical or nursing care 3. Equipment incident: malfunction or improper use of equipment |
|
|
Health care work environment safety issues? (7)
|
1. equipment, electric mechanical
2. chemical, meds/cleaning supplies 3. thermal, effects of heat/cold 4.radiation, nuclear medicine tx & radiological tests 5. ergonomic,lifting & moving 6. biologic agents, pathogens 7. latex allergies, dermatitis r/t hand hygiene |
|
|
client outcome regarding safety?
|
Client will receive care in a safe health care environment and remain free of preventable injuries.
|
|
|
Client safety nursing dx?
|
Risk for
1. injury 2. poisoning 3. suffocation 4. trauma 5. latex allergy response 6. constipation 7. aspiration 8. disuse syndrome deficient knowledge contamination |
|
|
assessing fall risk?
|
does client need physical assistance?
Assistive devices? environment-lighting, clutter, rugs require cuing? restraint devices? |
|
|
Purpose of restraints?
|
protective devices used to limit the physical activity of a client or to immobilize a client or extremity for the purpose of protecting the client,
allowing for tx in a safe environment reduce risk of injury to others |
|
|
Types of physical restraints?
|
safety jacket
safety belt Mitt elbow restraint mummy "papoose" board |
|
|
What is a chemical restraint? used for?
|
Medications such a neuroleptics, anxiolytics, sedatives, and psychotropic drugs
Used to control client behavior |
|
|
Considerations for choosing a restraint?
|
1. least restrictive
2. doesn't interfere with client tx or health problems 3. easy to change and release 4. safe for client 5. least obvious to others |
|
|
Restraint documentation should include what?
|
1. Reason
2. type used 3. date, time of application & client response to application 4. frequency of observation and client's response 5. release from restraint 6. assessment of con't need 7. client outcome |
|
|
Ways to prevent the need for restraints?
|
bed alarms
chair alarms frequent observation/constant observation place personal items close to client teach client how to use call light use handrails and assistive devices toilet regularly |
|
|
Fire safety
RACE? |
R- Remove those in danger
A- Activate alarm, call for assistance C- Contain, close door E- Extinguish, evacuation as directed |
|
|
Describe seizure precautions/how to prevent injury
|
-Pad bed rails
-bed in low position -adequate medication levels -ensure airway suction equipment is in place |
|
|
List some common alternatives to restraints....
|
- place clients where they can easily supervised (nursing homes-->by nurses station
-prepare clients for transfers to reduce shock -stay with client using BR or commode -monitor client meds, reduce or eliminate seditives - beds=low position -rocking chairs help release energy--> reduce wandering -wedge pillows to keep clients well positioned -removable lap tray in w/c (thought this was a restraint??) -environmental restraints -furniture, plants--> reduce wandering - explore reason for sundowning if applicable |
|
|
If client has a seizure....
|
1. stay with client & call for help
2. assist client to floor and protect their head 3. turn client to lateral position if possible 4. move items away to avoid injury 5. don't insert anything in clients mouth 6. TIME THE SEIZURE 7. observe progression, types of movements, check HR & RR if possible 8. Apply O2 9. suction if needed 10. administer anti-convulsants as ordered 11. reorient @ seizure, hygiene, allow client to express feelings. |
