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NUR 111
Safety
| Question | Answer |
|---|---|
| safety | ability to keep the patient and staff free from harm and minimum errors in care |
| nurses are responsible to provide | a safe physical environment which patients are safe from injury and have a sense of dignity |
| The Joint Commission (TJC) | impartial national organization that accredits hospitals and other health care facilities based on their safety performance, policy, procedures, practice, and outcomes. |
| A near miss | is a potential error or event or circumstance that could have caused harm but was caught and avoided. |
| A patient safety event | is an unexpected event or circumstance that occurred without injury to the patient. |
| A sentinel event | a critical, unexpected adverse event that caused severe physical or psychological harm to a patient, including death |
| a root-cause-analysis (RCA). | The review process used to probe potential or actual errors Errors are reviewed and a determination is made as to whether human error or systems failure led to the error. establishes a corrective action plan to address the problem or system error. |
| Barriers to Event and Near Miss Reporting | fear of backlash, lack of time to write report, favoritism, insufficient education |
| TJC Scores | monthly submissions, to an independent vendor that quantifies and identifies safety trends, both positive and negative, four times a year. unannounced/ announced visits |
| safety regulatory | |
| what factors affect clients’ ability to protect themselves | client’s age, with the young and old at greater risk; mobility; cognitive and sensory awareness; emotional state; ability to communicate; and lifestyle and safety awareness. |
| provider’s responsibility to | assess, report, and document clients’ allergies and to provide care that avoids exposure to allergens. |
| Preventing Falls includes | Provide hourly rounding Make sure’ bedside tables, overbed tables, and frequent-use items (telephone, water, facial tissues) are within reach. keep the bed in the low position and lock the brakes. |
| A seizure is | a sudden surge of electrical activity in the brain. It can occur at any time due to epilepsy, fever, or a variety of medical problems. |
| During a Seizure, the nurse does what? | Stay with the client, and call for help. Maintain airway patency and suction PRN. QS Administer medications. |
| Restraints should | Never interfere with treatment Restrict movement as little as is necessary Fit properly and be as discreet as possible Be easy to remove or change |
| Risk Factors for Client Injury | Age , Lifestyle choices, Communication skills, Knowledge about safety hazards |
| Emergent or Immediate Category (Class I): | Highest priority is given to clients who have life-threatening injuries |
| each health care institution must have an emergency preparedness plan developed by a planning committee. | |
| Urgent or Delayed Category (Class II) | Second-highest priority is given to clients who have major injuries that are not yet life-threatening and can usually wait 30 min to 2 hr for treatment. |
| Nonurgent or Minimal Category (Class III): | The next highest priority is given to clients who have minor injuries that are not life-threatening and do not need immediate attention |
| Expectant Category (Class IV): | the lowest priority is given to clients who are not expected to live and are allowed to die naturally. Comfort measures can be provided, but restorative care is not. |
| risks in the home and community include | passive smoking, carbon monoxide poisoning, and food poisoning. |
| National Patient Safety Goals (NPSGs) is | goals that focus on client safety, safe and effective delivery of health care, and recommendations to avoid adverse outcomes. |
| The goal of identifying clients accurately has two components: | use two client identifiers and ensure that the medication, treatment, procedure, or care is intended for that specific client. |
| Hospital associated Infections | the Healthy People 2030 initiative reports that more than 500,000 persons acquire HAIs in health care facilities each year. |
| adverse event | Any event that is not consistent with the desired or normal operation. |
| Institute for Healthcare and the Robert Wood Johnson Foundation | Have nurses spend 70% of their time at the bedside performing direct client care Strengthen management through leadership development programs |
| hourly rounding | a member of the nursing staff checks on clients every hour to proactively address their needs such as toileting, positioning, pain management, and safety checks of siderail and bed position or proximity of the call light to the client. |
| occurs at the client’s bedside | Handoff communication |
| rapid response team (RRT) | a dedicated interdisciplinary group whose responsibility is to proactively bring their critical care knowledge and skills to the client’s bedside |
| ISBARR | is used as a report or handoff guide to convey relevant client-specific information to other medical professionals. |
| ISBARR stands for | Identity Situation Background Assessment Recommendations Read back |
| occurrence (incident) report | is not meant to punish the individuals involved, but instead to track the near miss or events so that measures can be taken to prevent future occurrences from happening. |
| personal protection equipment (PPE) | specially designed equipment that is meant to protect the healthcare worker from contamination, blood or body fluids. This equipment may include masks, eye protection, gown, gloves, and hair caps. |
| defines older adults as persons 65 years of age and older. | The World Health Organization (WHO) |
| Clients at high risk are | those persons with an increased risk for hospital-acquired injuries. |
| Communication disability | is defined as a person’s inability to interact with others in ways that staff will understand and can involve challenges in the sending, receiving, or processing of messages. |
| RACE | Acronym that stands for Rescue, Alarm, Contain, and Extinguish in the event of a fire. |
| PASS | An acronym that stands for Pull, Aim, Squeeze, and Sweep. It is used to described the steps to activate and use a fire extinguisher appropriately. |
Created by:
saharmahmoud
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