Test 3--Chapter 12 Safety

Question 1

What is the goal of safety?

Answer 1

to decrease the person’s risk of accidents and injuries without limiting mobility and independence.

Question 2

Measures to protect a resident’s safety must not interfere with what?

Answer 2

Their rights

Question 3

What are the nine aspects of a safe environment?

• ˜A person has little risk of illness or ______
• ˜The person feels safe and secure ________ and mentally.
• ˜The risk of infection, falls, burns, poisoning, and other injuries is ___
• ˜Temperature and ______ levels are comfortable.
• ˜Smells are ________
• ˜There is enough room and ______ to move about safely.
• ˜The person and the person’s property are ______.
• ˜The person is not ______.
• ˜The person has few ________ and concerns.

Answer 3

• ˜A person has little risk of illness or injury.
• ˜The person feels safe and secure physically and mentally.
• ˜The risk of infection, falls, burns, poisoning, and other injuries is low.
• ˜Temperature and noise levels are comfortable.
• ˜Smells are pleasant.
• ˜There is enough room and light to move about safely.
• ˜The person and the person’s property are safe.
• ˜The person is not afraid.
• ˜The person has few worries and concerns.

Question 4

What are the accident risk factors?

• Age
• The person in a ______ relies on others for protection.
• Residents with ________ rely on others.
• Agitated and aggressive ________
• Vision loss
• ________ loss
• Impaired smell and _______
• Impaired mobility
• Drugs

Answer 4

• Age
• The person in a coma relies on others for protection.
• Residents with dementia rely on others.
• Agitated and aggressive behaviors
• Vision loss
• Hearing loss
• Impaired smell and touch
• Impaired mobility
• Drugs

Question 5

Coma

Answer 5

•a state of being unaware of one’s surroundings and being unable to react or respond to people, places, or things.

Question 6

Dementia

Answer 6

the loss of cognitive and social function caused by changes in the brain

Question 7

Paralysis

Answer 7

loss of muscle function,

loss of sensation,

or loss of both muscle function and sensation.

Question 8

Paraplegia

Answer 8

paralysis in the legs and lower trunk

Question 9

Quadriplegia

Answer 9

paralysis in the arms, legs, and trunk

Question 10

Hemiplegia

Answer 10

paralysis on one side of the body

Question 11

What is the most common way to identify a person?

Answer 11

Compare identifying information on the assignment sheet or treatment card with that on the identification (ID) bracelet

Question 12

What are the four causes of burns in nursing centers?

Answer 12

• Smoking
• Spilled hot liquids
• Electrical items
• Very hot bath water

Question 13

What are the risk factors for burns in older persons?

• decreased skin ________,
• decreased _________ to heat,
• reduced _______ time,
• ________ mobility,
• communication problems,
• confusion, and
• dementia.

Answer 13

• decreased skin thickness,
• decreased sensitivity to heat,
• reduced reaction time,
• decreased mobility,
• communication problems,
• confusion, and
• dementia.

Question 14

What are the major risk factors for poisoning in older persons?

Answer 14

• Carelessness,
• poor vision, and
• confusion

Question 15

What are the two most common poisons?

Answer 15

• drugs
• household products

Question 16

What are two ways to prevent poisoning?

Answer 16

• Make sure patients residents cannot reach hazardous materials.
• Follow agency policy for storing personal care items.

Question 17

Describe mild airway obstruction

Answer 17

• Some air moves in and out of the lungs.
• The person is conscious.
• Usually, the person can speak.
• Often, forceful coughing can remove the object.

Question 18

Describe severe airway obstruction

Answer 18

• The conscious person clutches at the throat (the “universal sign of choking”).
• The person cannot breathe, speak, or cough.
• The person appears pale and cyanotic.
• Air does not move in and out of the lungs.
• If the obstruction is not removed, the person will die.

Question 19

When is the Heimlich maneuver used?

Answer 19

When there is a severe airway obstruction

Question 20

Describe the Heimlich maneuver

Answer 20

•It involves abdominal thrusts.
It is performed with the person standing, sitting, or lying down

Question 21

Who should NOT get the Heimlich maneuver?

Answer 21

• obese people
• pregnant women

Question 22

Equipment is unsafe if it is:

Answer 22

• Broken
• Not used correctly
• Not working properly

Question 23

Frayed and overloaded outlets can cause _________.

Answer 23

• Fires
• Burns
• Electric shocks

Question 24

What are the signs of a faulty electrical item?

Answer 24

• Shocks
• Loss of power or a power outage
• Dimming or flickering lights
• Sparks
• Sizzling or buzzing sounds
• Burning odor
• Loose plugs

Question 25

Name four aspects of wheelchair safety regarding footplates

Answer 25

* ˜Position the person’s feet on the footplates. * ˜Do not let the footplates fall back onto the person’s legs. * ˜Make sure the person’s feet are on the footplates before moving the chair. * ˜Do not let the person stand on the footplates.

Question 26

What should you do before you transfer a person to or from a wheelchair?

Answer 26

Lock the wheels

Question 27

\_\_\_\_ the chair forward when transporting the person. Do not ____ the chair backward unless going through a doorway.

Answer 27

˜**_Push_** the chair forward when transporting the person. Do not **_pull_** the chair backward unless going through a doorway.

Question 28

Ask ___________ to help you transfer the person to or from the stretcher

Answer 28

Ask **_two co-workers_** to help you transfer the person to or from the stretcher

Question 29

Who is transported on a stretcher?

Answer 29

•persons who cannot use wheelchairs. They cannot sit up or must lie down in the stretcher.

Question 30

Fasten the __________ when the person is properly positioned on the stretcher

Answer 30

Fasten the **_safety straps_** when the person is properly positioned on the stretcher

Question 31

What are the safety precautions when using a stretcher? * Raise the side \_\_\_ * Make sure the person’s arms, hands, legs, and feet do not ______ through the side rail bars. * ˜Stand at the ____ of the stretcher. Your co-worker stands at the foot of the stretcher. * ˜Move the stretcher ____ first. * ˜Do not leave the person alone.

Answer 31

* ˜Raise the side **_rails_** * Make sure the person’s arms, hands, legs, and feet do not **_dangle_** through the side rail bars. * ˜Stand at the **_head_** of the stretcher. Your co-worker stands at the foot of the stretcher. * ˜Move the stretcher **_feet_** first. * ˜Do not leave the person alone.

Question 32

Hazardous substances | (examples)

Answer 32

* Drugs used in cancer therapy * Anesthesia gases * Gases used to sterilize equipment * Oxygen * Disinfectants and cleaning agents * Radiation used for x-rays and cancer treatments * Mercury

Question 33

What are the components of the hazardous communication program?

Answer 33

* container labeling, * material safety data sheets (MSDSs), and * employee training.

Question 34

What information should be on a hazardous substance warning label? * Precaution measures * What personal _________ equipment to wear * How to use the substance \_\_\_\_\_\_\_ * Storage and ________ information * Physical and _______ hazards

Answer 34

* Precaution measures * What personal protective equipment to wear * How to use the substance safely * Storage and disposal information * Physical and health hazards

Question 35

What should you do if a warning label is damaged or removed?

Answer 35

* Do not use the substance. * Take the container to the nurse, and explain the problem. * Do not leave the container unattended

Question 36

MSDS

Answer 36

Material Safety Data Sheet

Question 37

What three things are needed in order to have a fire?

Answer 37

* spark or flame * material that will burn * Oxygen

Question 38

Preventing Fires \_\_\_\_\_\_\_\_only where allowed to do so.

Answer 38

**_Smoke_** only where allowed to do so.

Question 39

When preventing fires, what does RACE stand for?

Answer 39

* R is for rescue. * A is for alarm. * C is for confine. * E is for extinguish.

Question 40

When using a fire extinguisher, what does PASS mean?

Answer 40

* P (Pull the safety pin.) * A (Aim low.) * S (Squeeze the lever.) * S (Sweep back and forth.)

Question 41

Do not use ________ if there is a fire

Answer 41

Do not use **_elevators_** if there is a fire

Question 42

Disaster plans include procedures to deal with the people needing treatment. The plan generally provides for:

Answer 42

* Discharging residents who can go home * Assigning staff and equipment to an emergency area * Assigning staff to transport persons from treatment areas * Calling off-duty staff to work * A disaster may damage the center. The disaster plan includes evacuation procedures.

Question 43

Define workplace violence

Answer 43

˜violent acts directed toward persons at work or while on duty.

Question 44

What is risk management?

Answer 44

˜identifying and controlling risks and safety hazards affecting the center.

Question 45

What is the intent of risk management?

Answer 45

* Protect everyone in the center * Protect center property from harm or danger * Protect the person’s valuables * Prevent accidents and injuries

Question 46

Red wristband

Answer 46

allergy alert A red wristband is used to warn of allergies to food, drugs, treatment supplies such as tape or latex gloves, dust, plants, grass, and so on. The specific allergies are not listed on the wristband

Question 47

Yellow wristband

Answer 47

Fall risk The person is at risk for falling. Yellow wristbands are used for persons with a history of falls. Or they are used for persons at risk for falls because of dizziness, balance problems, confusion, and so o

Question 48

Purple wristband

Answer 48

do not resuscitate order on file

Question 49

The person’s belongings must be kept \_\_\_\_\_\_.

Answer 49

The person’s belongings must be kept **_safe_**.

Question 50

A ___________ is used for jewelry and money.

Answer 50

A **_valuables envelope_** is used for jewelry and money.

Question 51

Define incident

Answer 51

any event that has harmed or could harm a resident, visitor, or staff member. It includes accidents and errors in giving care