Client Safety

Question 1

Fall Prevention Interventions

Answer 1

• Make sure other personnel are aware of fall risk
• Keep bed in low position with bed rails up
• Bed wheels locked
• Bed and Chair alarms on
• non-skid footwear
• Floor free from clutter and clear path to bathroom
• Adequate lighting (night-light)
• Make sure client knows how to use call light and grab bars
• Orient client to the setting
• Keep assistive devices near by
• Educate client and family on risks and plan of care
• Keep client close to nurse’s station
• Answer call lights immediately
• Report and document all incidents
• Diuretic patients –> keep bedside commode to limit the amount of steps taken due to fall risk

Question 2

Seizure Precautions

Answer 2

• Client with a history of seizures should be assessed for frequency (how long they last), type (partial or generalized) and date of last seizure, medications, and triggers
• Before seizure:
  
  • keep bed in lowest position
  • pad bed rails
  • rescue equipment at bedside (oxygen, oral airway, and suction)
• During seizure
  
  • place client on side with head slightly flexed
  • do not place anything in mouth, except for suction if needed
  • make sure airway is patent
  • loosen closing
  • Time and observe the seizure
  • measure pulse and respiratory rate
• After seizure:
  
  • document in medical record (length, LOC, respiratory status, color, limb movement, response)

Question 3

Radiation Precautions

Answer 3

• keep the most distance possible from source of radiations
• minimize the amount of time near the radiation source
• wear LEAD gloves and aprons
• wear radiation (dosimetry) badges to monitor the amount of radiation exposure
• do not touch radioisotope containers
• Client with an implanted radioisotpe should be in private room with a private bath
• dispose of bodily fluid in marked container
• Use long-handled forceps to move any dislodged implants

Question 4

Fire Safety

Answer 4

• RACE acronym:
  R: Rescue patients (evacuate patients)
  A: Alarm the fire (set the fire alarm)
  C: Contain the fire (close the door)
  E: Extinguish the fire
• Classes are used to determine the type of fire extinguisher to put out the fire:
  Class A: paper, wood, rags, trash
  Class B: flammable liquids and gases
  Class C: electrical fires

-How to use a fire extinguisher (PASS acronym):
1. P: Pull the pin
2. A: Aim at the base of the fire
3. S: Squeeze the handle
4. S: Sweep the extinguisher side to side

Question 5

Triaging Clients

Answer 5

1. Emergent Category I: highest priority given to those clients who have life-threatening injuries but also have high chance of survival
2. Urgent Category II: Second highest priority given to clients who have major but not life threatening injuries and can wait 45 - 60 minutes
3. Non-urgent Category III: Clients who have minor injuries and do not need immediate attention
4. Expectant Category IV: clients who are not expected to live and will be allowed to die naturally