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19 Cards in this Set
- Front
- Back
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What aged child is particularly at risk for safety issues?
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toddlers
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What are risk factors for the elderly?
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demineralized bones
poor sight, sensory perception. poor balance. |
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patient safety considerations for Nurses
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age
lifestyle occupation social behavior environment mobility language deficits emotional state physical health sensory perception adequate staffing in units. |
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The Nursing Process for Maintaining Safety
Assessing the individual |
this consists of a nursing history and a physical examination.
Be alert to: any history of falling/accidents. drug or alcohol abuse family members can be a valuable resource for information. domestic violence or neglect. Assess the patient's: mobility ability to communicate awareness or orientation sensory perceptions. any signs of domestic violence or neglect. |
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The Nursing Process for Maintaining Safety
Assessing the Environment |
includes an awareness of risk factors in both the home and healthcare agency
focus on the patient's developmental level and health status. |
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The Nursing Process for Maintaining Safety
Assessing Specific Risk Factors-Falls |
Among adults > 65 years, falls are the leading cause of injury fatality.
Nearly one third of older adults fall at home each year. Be aware that these falls go unreported because the elderly fear losing their independence, restrictions or placement into nursing homes. |
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The Nursing Process for Maintaining Safety
An individual is at high risk for falls if he has the following characteristics: |
age >65 years
history(HX) of falling impaired vision/ balance altered gait/posture medications:diuretics tranquilizers sedatives hypnotics analgesics blood thinners postural hypotension slowed reaction time confusion/disorientation impaired mobility weakness/physical frailty unfamiliar environment |
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The Nursing Process for Maintaining Safety
Assessing other risk factors to patients |
poisoning
choking/suffocation firearm injuries assault fires equipment related accidents |
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Asphyxiation
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suffocation
60% of infant suffocations occur in the sleeping environment Nearly 50% of drowning victims are children under the age of 5. common causes are: choking drowning foreign objects inhaled into the trachea gas & smoke poisoning.. |
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Intervention to Promote Safety in the nursing setting.
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know patient's developmental considerations
patient teaching Staff education-Safety Officers identify risks and develop a Safety Plan. keep bed in low position. keep bed's wheels locked. keep call bell and equipment within patient's reach. Provide night lighting. eliminate physical hazards. provide non-skid footwear. assess and report client changes. limit the use of restraints-side rails. |
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TBI
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Traumatic Brain Injury
a milder form is called a concussion. |
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IPV
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Intimate Partner Violence.
domestic violence or battering between two people in a close relationship. more than 85% of those abused are women. |
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restraints
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physical devices used to limit a patient's movement.
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RACE
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a safety acronym used in a hospital setting in case of fire:
R rescue those in immediate danger A activate fire code system C confine area by closing ....doors/windows E evacuate patients to a safe area. |
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PCC
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Poison Control Center
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dysphagia
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difficulty or an inability to swallow
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aspiration
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misdirection of oropharyngeal secretions or gastric contents into the larynx and lower respiratory tract.
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how often should a restraint be removed, the area massaged and the joints moved through their full range of motion?
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every two hours.
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what time of day is of most concern for the nurse when trying to protect a patient with dementia from injury?
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at night. there is less light,less activity, and fewer caregivers providing orienting stimuli.
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