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31 Cards in this Set
- Front
- Back
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Number one injury among health care workers |
Communicable diseases Blood and bodily fluids Radiation Chemo drugs Chemicals |
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the joint commission |
Back (Definition) Independent non profit organization Evaluates and accredits healthcare facilities throughout the country Mission to continuously improve health care To excel in providing safe and effective care of the highest quality and value |
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Front (Term) National patient safety goals |
Back (Definition) Established in 2002 To address specific areas of concern in regard to patient safety Identifying patients correctly Communicating with caregivers Admin med Reducing health care associated infections Reconciling meds when patients are discharged or transferred Reducing falls Improving recognition and response to changes in patients condition |
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National patient safer goals |
Requirements to meet each goal are established by committee Each facility must determine how they will meet the requirement |
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Front (Term) Factors contributing to an unsafe patient environment |
Back (Definition) Unfamiliar setting Loss of privacy Age and ability to understand Impaired mobility weakness, blood loss, gait Communication-language barrier or HOH Pain and discomfort Delayed assistance Equipment tubing, alarms |
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Morse fall scale |
History of falling :25 Secondary diagnosis:15 Ambulatory aid: 15 or 30 iV/saline lock: 20 Gait/transferring: 10 or 20 Mental status:15 |
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Morse fall scale Ranges |
0-24: implement level I preventive fall precautions 25-50 implement level II- modified fall risk Greater than 51: implement level III-strict fall risk Strict fall risk- identify pt. as high risk- flag chart, kardex, door and armband |
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Level I |
Bed in lowest position Side rails Non skid footwear Call bell in reach Floor free of clutter |
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Level II |
All of level I fall prevention precautions Plus fall risk armband Fall risk identified on chart Stay with patient in bathroom Don't allow patient OOB without |
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Level III |
All of level I and II fall prevention precautions Plus identification above patients bed or doorway Use of restraint alternatives |
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Restraint alternatives |
Chair bed or leg monitor Soft devices Strategies Less restrictive ways to remind patients not to get up and or try to walk alone |
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fall prevention strategies |
Place patient in a room next to the nurses station Stay with patient in bathroom Keep bed at lowest level Place over bed table across wheelchair Offer regular opportunities to toilet Provide back rubs and distractions - night light |
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If fall occurs |
Check patient for obvious injuries Bleeding LOC Assess for signs of hip fracture Observe for deformities of joints Assess for paralysis or weakness on one side of the body Call for help Follow facility policy for moving a patient who has fallen |
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If a fall occurs |
Take vital signs If unconscious unstable vital signs not breathing or without a pulse call a code Assist conscious patient to bed with the help of others according to policy Notify patients physician explain what happened give patients current condition |
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If a fall occurs |
Be prepared to take orders for X-rays and other tests Document the incident according to policy Complete an incident report Charting should include details of finding the patient, vital signs, assistance to bed, and notifying the physician and orders obtained |
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Types of restraints |
Vests Waist Extremity Mitt |
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Restraint |
Never threaten patient with a restraint Physical or chemical Only use if absolutely necessary not for convenience Always try restraint alternatives first 1:1 |
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Guidelines for using restraints |
Obtain a physician order type and time Check on patient every 30 min - skin and circulation Remove restraint every two hours Document all actions on appropriate flow sheet Follow agency policy |
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Guidelines when restraint off |
Offer fluids Toileting Change position Assess skin integrity Neurovascular check Must stay with patient when restraint off |
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Race acronym |
Rescue Alarm Confine Extinguish |
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Acronym PASS for fire extinguishers |
Pull the pin found between the handles Aim the nozzle of the fire extinguisher at the base of the Flames Squeeze the handles together to release the contents of the extinguisher Sweep the nozzle back and forth at the base of the Flames to extinguish the fire |
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Types of fire extinguishers |
Type A: paper wood fabric and trash fires Type B fires caused by combustible liquids such as oil gasoline and other petroleum based products and flammable gases Type c electrical fires such as shorts in wires and motor or equipment fires |
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Oxygen use |
No open flames in same rom as oxygen source No smoking No burning candles No open flame heaters No wool blankets or sweaters- static electricity No electrical appliances that could spark |
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Responding to individual emergencies |
Cardiopulmonary resuscitation Heimlich maneuver First aid certification Code blue |
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Mass casualty event (MCE) |
Involving thousands of victims Guidelines established for acceptable standards of care in an MCE Each facility must have a plan in place |
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Guidelines for responding to mass casualty event |
Using a disaster triage model Treating those most likely to survive first Planning for an MCE Adapting the use of existing facilities for various needs |
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MCE Responsibilities of health care worker |
Familiar with MCE policy (at least where located) Expect to be called into work Ensure safety of your family first Follow the plan of your facility when and if to report to workplace |
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Types of safety risks in the workplace |
Physical hazards: bodily injury from patient care and repetitive motion Chemical hazards: exposure to cytotoxic meds and treatments Biological hazards: exposure to contaminated blood and body fluids |
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Body mechanics |
Understand location of center of gravity and base of support- stability and balance Keep feet shoulder width apart Plan work carefully to do it safely Elevate work to comfortable level |
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Body mechanics |
Avoid twisting turn whole body or pivot on one foot instead of twisting Bend knees when lifting heavy objects back straight use leg muscles Carry objects close to body with elbows bent Push pull or slide heavy objects instead of lifting them Get help when you need to move a patient |
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Influences contributing to unsafe practice |
Lack of rest Abuse of alcohol Use of some prescription meds Use of illegal drugs |
