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20 Cards in this Set
- Front
- Back
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using side rail restraints |
-a person of small stature has a greater risk for entrapment or injury -death from asphyxiation has occurred when patients have become wedge between the mattress and the bed frame or side rail -a side rail is not considered a restraint if the patient requests that it be raise to aid in getting in or out of bed -the patient must be able to raise and lower side rail himself/herself -nurses responsibility to review benefits and risks associated with their use and periodically evaluate the reason for their use |
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using alternatives to restraints |
careful nursing assessment is the key to identifying appropriate alternatives to restraint use and finding an individualized solution
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using restraints as a last resort |
-the least restrictive should be the first option. -patients family must be consulted and involved in the plan of care before applying restraints in a long term care setting -must be informed of the agency policy regarding restraint -guidelines require an order from a physician or a licensed independent practitioner -in an emergency physician restraint can be applied, but an order from a physician be obtained immediately - the order must state the intended duration -continual observation and assessments every 15 minutes
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preventing fires and maintaining fire safety |
-nurses are responsible for patients safety and need to be familiar with the agency's fore safety plan, exits, the location and operation of fire extinguishers, and any special instructions for reporting a fire -educating parents about home fires safety similar to fire plan in healthcare facility |
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RACE stands for... |
R- rescue anyone in immediate danger A- activate the fire code system and notify the appropriate person C- confine fire by closing doors and windows E- evacuate patients and others to a safe area |
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preventing poisoning |
-involve health education aimed at preventing poisoning at home, every house should have number to PPC poison control center - emphasize that PCC should be called immediately before attempting home remedy -recommend carbon monoxide detector be installed in home
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preventing suffocation |
-emergency care must began immediately (CPR) and remove any obstruction when teaching parents emphasize careful supervision of children and outline situations that place children at risk for suffocation |
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preventing firearm injuries |
-inform parents that injuries can happen when children and young adults have access to gun
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preventing equipment related accidents |
-make sure to learn how to properly operate equipment -recognize signs of malfunctioning equipment -hospitals and long term care facilities are required by federal law to report to FDA and the manufacturer of a device that causes any suspected deaths or serious injuries |
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preventing procedure related injuries |
- nurses must follow correct procedures when administering care -safeguards to prevent errors is making sure patient is identified correctly -nurse should use all available resources to answer any questions about correct procedure
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fetus is at risk for |
abnormal growth and development |
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neonate at risk for |
infection falls SIDS |
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infant at risk for |
falls injuries from toys burns suffocation or drowning inhalation or ingestion of foreign bodies/ poisons |
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toddler |
falls cuts from sharp objects burn suffocation or drowning inhalation or ingestion of foreign bodies/ poisons
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preschoolers |
falls cuts burns drowning inhalation or ingestion guns and weapons
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school aged child |
Burns drowning broken bones concussions inhalation or ingestion guns and weapons substance abuse
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adolescent |
drowning motor vehicle accidents guns and weapons inhalation and ingestion |
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adults are at risk for |
stress domestic violence motor vehicle accident industrial accidents drug and alcohol abuse
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older adults are at risk for |
falls motor vehicle accidents elder abuse sensorimotor changes fires
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PASS |
Pull Aim Squeeze Sweep |
