NCHP > Exam 2 Chapter 27 > Flashcards

Exam 2 Chapter 27 Flashcards

Safety & Quality (48 cards)

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1
Q

NURSING KNOWLEDGE BASE: Developmental Stages & Risks: Infants, Toddler, & Preschoolers
-What is the risk at this age?

A

Poisoning or aspiration & choking

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2
Q

NURSING KNOWLEDGE BASE: Developmental Stages & Risks: Infants, Toddler, & Preschoolers
-Make sure that they parents know what?

A

About poison control & that they have their number

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3
Q

NURSING KNOWLEDGE BASE: Developmental Stages & Risks: Infants, Toddler, & Preschoolers
-What is the leading cause of death in children over 1 yr of age?

A

Injuries

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4
Q

NURSING KNOWLEDGE BASE: Developmental Stages & Risks: School-age Child
-Risk?

A

Violence

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5
Q

NURSING KNOWLEDGE BASE: Developmental Stages & Risks: Adolescent
-Risk?

A

Suicide

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6
Q

NURSING KNOWLEDGE BASE: Developmental Stages & Risks: Adults
-Threats to safety are often related to what?

A

Lifestule habits

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7
Q

NURSING KNOWLEDGE BASE: Developmental Stages & Risks: Older Adults
-Risk?
-What percent of older adults fall yearly?

A

-falls
-25%

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8
Q

INDIVIDUAL RISK FACTORS
-List the different individual risk factors (6)

A
  1. Workplace
  2. Lifestyle
  3. Impaired mobility
  4. Sensory, cognitive, or communication impairment
  5. Economic resources
  6. Lack of safety awareness
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9
Q

INDIVIDUAL RISK FACTORS
-In terms of workplace, what can be a risk? (4)

A
  1. SPH
  2. Violence
  3. Overcrowded waiting rooms
  4. Poor lighting
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10
Q

INDIVIDUAL RISK FACTORS: Lifestyle
-In terms of lifestyle, which group are at greater risk for injury?

A

Risk takers

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11
Q

INDIVIDUAL RISK FACTORS: Lifestyle
-Describe personal fable

A

Believing they are immune to consequences (adolescents)

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12
Q

INDIVIDUAL RISK FACTORS: Impaired Mobility
-What can occur?

A

Fall risk, pressure injuries

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13
Q

INDIVIDUAL RISK FACTORS: Sensory, cognitive, or communication imparment
-What does this cause?

A

They may not be able to perceive dangers or express need for assistance

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14
Q

INDIVIDUAL RISK FACTORS: Economic Resources
-Individuals of lower income status are more likely to have what?

A

Behavioral health issues, such as depression or substance use problems

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15
Q

INDIVIDUAL RISK FACTORS: Economic Resources
-Lower income individuals have impaired access to what?

A

Health care resources

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16
Q

INDIVIDUAL RISK FACTORS: Lack of Safety Awareness
-What does this mean?

A

They are unaware of safety precautions in home or workplace

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17
Q

INDIVIDUAL RISK FACTORS: Lack of Safety Awareness
-What should you teach patients to do? (3)

A
  1. Read expiration dates
  2. Keep medicine/poison away from children
  3. Use safety equipment at work
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18
Q

NEVER EVENTS
-What are “Never Events”?

A

serious & preventable medical errors that should NEVER occur

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19
Q

NEVER EVENTS
-What are the 5 types of never events?

A
  1. Procedure-related accidents
  2. Equipment-related accidents
  3. Chemical exposure
  4. Falls
  5. Workplace safety
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20
Q

NEVER EVENTS: Procedure-Related Accidents
-What are examples of these?

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A

CAUTI, CLASBI, HAI

21
Q

NEVER EVENTS: Procedure-Related Accidents
-When does this happen?
-Who is this caused by?
-What causes this?

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A

-on OUR watch
-by health care providers
-Medication administration errors, improper application of external devices

22
Q

NEVER EVENTS: Procedure-Related Accidents
-What should you avoid using as much as possible?

23
Q

NEVER EVENTS: Procedure-Related Accidents
-Use _____ rather than catheters
-Why?

Study These Flashcards
A

-Purewicks
-it reduces risk of infection

24
Q

NEVER EVENTS: Equipment-Related Accidents
-What does this result from? (4)

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A
  1. Poor equipment design
  2. Electrical hazard or malfunction
  3. Disrepair
  4. Misuse of equipment (SPH)
25
**NEVER EVENTS**: *Chemical Exposure* -If exposed to a chemical, what should you access?
Safety Data Sheets (SDS)
26
**NEVER EVENTS**: *Chemical Exposure* -SDS contain... 1. ______ about the chemical 2. The precautions for ______ handling & ____ 3. _____ hazards related to exposure 4. _____ _____ guidelines 5. Steps for _____/____
1. Information 2. safe; use 3. Health 4. First aid 5. containment/removal
27
**NEVER EVENTS**: *Falls* -What is important to screen for?
Falls
28
**NEVER EVENTS**: *Falls* -____-___% fall injury, in which _____ resulted in death
-30-35% -11,000
29
**NEVER EVENTS**: *Falls* -What are instrinsic falls?
Patient related
30
**NEVER EVENTS**: *Falls* -What are extrinsic falls?
Hospital environment & working process related
31
**NEVER EVENTS**: *Falls* -What are the 3 steps for fall prevention?
1. Assess fall risk 2. Develop personalized prevention plan 3. Consistent execution of plan
32
**NEVER EVENTS**: *Workplace Safety* -The impact of workplace violence ranges from what to what?
psychological issues (PTSD, compassion fatigue) to physical injury or death
33
**SAFETY GUIDELINES**: *QSEN* -What is QSEN?
Quality & Safety Education for Nurses
34
**SAFETY GUIDELINES**: *QSEN* -What are the 6 things under this?
1. Patient-centered care 2. Teamwork & collaboration 3. Evidence-Based Practice (EBP) 4. Quality Improvement (QI) 5. Safety 6. Informatics
35
**SAFETY GUIDELINES**: *The Joint Commission* -What are they focused on?
Culture of safety
36
**SAFETY GUIDELINES**: *The Joint Commission* -Describe the 4 things under this
1. Acknowledging high-risk nature of an organization's activites 2. Blame-free environment 3. Encouragement of collaboration 4. Resources to address safety concerns
37
**SAFETY GUIDELINES**: *The Joint Commission* -What does blame-free environment mean?
-Being able to report errors or near misses WITHOUT fear of punishment
38
**HOME SAFETY CHECK** 1. Objects on _____ or ____ 2. _____ or _____ steps 3. Problems with _____ & _____ switch (including in the _____) 4. Carpet on steps is ____ or _____ 5. Handrails are ____/____ 6. Having to walk around _____ 7. ____ ____ on floor 8. Having to walk over or around _____/_____
1. stairs or floor 2. broken or uneven 3. light; light; stairways 4. torn or loose 5. loose/broken 6. furniture 7. throw rugs 8. wires/cords
39
**HOME SAFETY CHECK** 9. Keeping things the cllient uses on _____ shelves 10. _____ stool is NOT _____ 11. The ____ near the bed is hard to _____ 12. The path from the _____ to the _____ is dark 13. _____ or ____ floor is slippery 14. Needs ____ getting in & out of ____, or up from the _____
9. high 10. Step; sturdy 11. light; reach 12. bed; bathroom 13. tub or shower 14. support; tub; toilet
40
**FIRE SAFETY** -What is RACE?
Rescure & remove Alarm Confine Extinguish or evacuate
41
**FIRE SAEFTY** -What is PASS?
Pull Aim at base of fire Squeeze Sweep
42
**FIRE SAFETY** -No _____ inside -What should you have? -be careful with what?
-smoking -fire detectors, CO2 detectors, and fire extinguishers -electric candles
43
**HEALTHCARE ENVIRONMENT SAFETY** -What should you do when walking into the room/space?
Hand hygiene
44
**HEALTHCARE ENVIRONMENT SAFETY** -What do you want to make sure of in terms of safety before leaving?
Call bell is within reach and bed is lowest height
45
**HEALTHCARE ENVIRONMENT SAFETY** -How should you place the equipment?
So that they aren't a barrier to movement
46
**HEALTHCARE ENVIRONMENT SAFETY** -What should be used to ambulate?
Gait belt or another assistive device
47
**HEALTHCARE ENVIRONMENT SAFETY** -What should be done if there are multiple tubes or IV lines?
They should be marked (labeled) & dated
48
**HEALTHCARE ENVIRONMENT SAFETY** -What should be done before leaving the room?
Hand hygiene
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