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NUR151-ClientSafety

Client Safety

QuestionAnswer
What is the most important basic human need? Oxygen
Usual temperature comfort range is __. 18.3 C – 23.9 C (65 F – 75 F).
Relative humidity amount of water vapor in the air compared with max water vapor that air could contain at same temp.
Most humidity comfort range is __. 60%-70%.
Most common reason for older adults trauma admission to hospital. falls
What increases chance of accidents in older adults? Musculoskeletal changes (decreased muscle strength and function), Nervous System changes (reflexes slow), Sensory changes (lens accommodation decrease), and Genitourinary changes (incontinence).
What 3 types of medical errors account for 60% of client safety incidents? infection following surgery, bed sores, and failure to diagnose and treat in time.
44,000-98,000 Americans die each year from ____. medical errors (8th leading cause of death).
MSDS Material Safety Data Sheet – provides information about safe handling & emergency action if spills, contact occur.
Falls account for __% of hospital related incidents. 90
RACE Rescue patients, Activate alarms, Contain/Confine fire, Extinguish/Evacuate
Nursing measures for providing a safe environment include? health promotion, development interventions, and environmental interventions.
Nursing measures directed at eliminating environmental threats include? meeting basic needs, reducing physical hazards, and reducing pathogen transmission.
What clients should be restrained temporarily? Those at risk of injury from wandering, falls, and disruptive or agitated behavior.
Name some complications obtained while being restrained. Contractures, nerve damage, circulatory impairment, pressure ulcers, constipation, pneumonia, incontinence.
All restraints must be __. Ordered by a licensed independent practitioner.
When a client is restrained a physician must assess within __. 1 hour.
2-Point Restraint is? Restraint of only 2 limbs
Status epilepticus Seizure lasting more than 15 minutes or repeated seizures.
Before giving meds or food, determine if patient has ability to __. gag or cough.
What is venous statis? When blood pools and clots form which travel.
What are potential complications of limited mobility? Atrophy, contractures, bed sores, thrombosis (DBTs).
Prioritize care needs based on __. what will cause the most harm if not done (e.g. need to breathe.)
Sentinel events Occurrences that cause or have potential to cause serious harm or death in patients.
What are some examples of JCAHO Sentinel Event Alerts? Suicide, restraint death, fatal falls, fires with O2 therapy, sharps injuries, dangerous abbreviations, look-alike drugs.
TOV Telephone Order Verified – “read-back” the complete order or test result when given an order or for reporting of critical test results.
Give some examples of JCAHO improvements in client safety. Improve communication, medication safety, reduce Health Care-Associated infections, reduce falls, eliminate pressure ulcers.
Created by: Ladystorm
 

 



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