safety

Question 1

client identification

Answer 1

minimum of 2 identifiers
name
DOB
MRN
telephone #
barcode scanning

Question 2

med safety

Answer 2

medication should always be labeled fully- discard if not
anticoagulant meds- frequent checks on-> weight, renal/hepatic labs, frequency of dose, dose amount, food/drug interactions
med reconciliation- assess home meds, compare with new meds

Question 3

hospital acquired injury

Answer 3

burn/electrical shock
blood transfusion incompatibility
fall/trauma
ineffective/unsafe insulin usage
DVT
pressure injury

Question 4

suicide and screening

Answer 4

ALL admissions
specific questions related to harm
positive assessment ALWAYS leads to follow-up
NEVER leave a client alone who actively has suicidal thoughts/plan

Question 5

rounding

Answer 5

performed hourly
address care needs, safety checks, repositioning, prevent injury

Question 6

rapid response team

Answer 6

icu/critical care nurse
provider
respiratory therapist
lab
pharmacy

Question 7

handoff report

Answer 7

completed at bedside, written/verbal
who-nursing staff
what-assessment, meds, orders, goals
when-end of shift, oncoming shift, change in care, patient leaving unit
why-safe quality care, nursing accountability

Question 8

ISBARR

Answer 8

i-identify (who, where)
s-situation (patient, concern)
b-background (history, meds)
a-assessment (patients looks..)
r-recommendations (need?)
r-read-back (verify order)

Question 9

unexpected events

Answer 9

near-miss-caught and stopped
client safety- NPO eats, surgery postponed
adverse-sprains wrist after falling
sentinel-wrong leg amputated

Question 10

PASS

Answer 10

fire extinguisher
p-pull pin
a-aim at base of fire
s-squeeze lever
s-sweep side to side

Question 11

RACE

Answer 11

discovered fire
r-rescue clients in immediate danger
a-alarm (fire alarm)
c-contain fire by closing doors
e-evacuate (extinguish if able)

Question 12

active shooter

Answer 12

always take threats seriously
report threats to charge nurse
priority- run, hide, fight

Question 13

fall risk assessment (physical)

Answer 13

stroke
amputation
recent surgies
MS
visual impairments
chronic pain
poor nutrition
weakness
unsteady gait
incontinence

Question 14

fall risk assessment (cognitive)

Answer 14

sleep disorders
impulsiveness
disorientation/confusion
dementia
depression

Question 15

environmental fall risk

Answer 15

room clutter
poor lighting
slippery floors

Question 16

morse fall risk

Answer 16

history of falling
multiple/secondary diagnosis
ambulatory aid
IV access
gait (normal, weak, impaired)
mental staus
0-45
higher=more risk

Question 17

fall risk interventions

Answer 17

non-skid footwear
bed in low position
locking wheels of bed
brakes on wheelchairs
clutter-free environment
adequate lighting
placing call light within reach
fall prevention education

Question 18

restraints

Answer 18

mechanical
chemical
physical
barrier
seclusion-psych
least restrictive 1st
evaluated every 24 hours

Question 19

seizure precautions

Answer 19

pre-seizure-> suction ready, O2 at bedside, baseline VS, pad side rails
during-> note time of start, NPO, remove harmful objects, soft object under head
post-seizure-> reorient, assess

Question 20

lifting and transferring clients

Answer 20

mobile lift/hoyer lift
draw sheet/polyglide sheet
sit to stand lift