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Fundamentals Safety

Nursing History Assess for history of falls or accidents,Note assistive devices, Be alert to history of drug or alcohol abuse, Obtain knowledge of family support systems.
Physical Examination Assess mobility status,Assess ability to communicate,Assess level of awareness or orientation, Assess sensory perception,Identify potential safety hazards, Recognize manifestations of domestic violence or neglect
Factors That Contribute to Falls Age >65,History of falls,Impaired vision or balance,Altered gait or posture, impaired mobility,Medication regimen,Postural hypotension,Slowed reaction time; weakness, frailty, Confusion or disorientation,Unfamiliar environment
Risk Factor Assessments Falls,Fires,Poisoning,Suffocation and choking,Firearm injuries
Safety Considerations for Older Adults Prevent accidents. Orient person to surroundings (avoid falls). Maintain vehicle in working order, schedule eye exams, and keep noise at a minimum.Promote safe environment at home (avoid fires).Use medication trays (avoid poisoning).
Decreasing Equipment-Related Accidents Use only for intended use and be familiar with equipment.Handle equipment with care so as not to damage it. Use three-prong plugs.Do not twist or bend electric cords. Be alert to signs that equipment is faulty. Be alert to wet surfaces. .
Decreasing equipment accidents Make certain defibrillator charging indicator light is on
Joint Commission Safety Goals Improve communication among caregivers. Improve safety of high-alert medications. Eliminate wrong site, wrong patient, wrong procedure, and wrong surgery.
Joint Commission Safety Goals Improve patient identification. Improve safety using infusion pumps. Improve effectiveness of clinical alarm systems. Reduce risk of healthcare acquired infections.
Physical restraint is defined as any physical or mechanical device, material or equipment attached or adjacent to the patient’s body that the individual cannot control or remove easily.
Chemical restraint describes both deliberate and incidental use of pharmaceutical products to control behavior and/or restrict freedom of movement, but which is not required to treat a medically indentified condition.
Physiologic Hazards Associated With Restraints Suffocation from entrapment,Impaired circulation,Altered skin integrity—pressure ulcers,Diminished muscle and bone mass Fractures
Physiologic Hazards Associated With Restraints Altered nutrition and hydration,Aspiration and breathing difficulties,Incontinenc eand Changes in mental status
Effects of Applying Heat Dilates peripheral blood vessels,Increases tissue metabolism Reduces blood viscosity, and increases capillary permeability Reduces muscle tension,Helps relieve pain
Effects of Applying Cold Constructs peripheral blood vessels, Reduces muscle spasms Promotes comfort
Devices to Apply Heat Hot water bags or bottles Electric heating pads,Aquathermia pads,Hot packs,Moist heat Sitz baths,Warm soaks
Devices to Apply Cold Ice bags,Cold packs,Hypothermia blankets,Moist cold
Role of Nurse: Safety & Knowledge Factors that Affect Tolerance ,Contraindications,& Guidelines. Assess Skin & Neurovascular, Protect body part, Apply treatment, Insulate when necessary Reassess and Document assessment and effects of treatment
RACE R—Rescue anyone in immediate danger A—Activate the fire code and notify appropriate person C—Confine the fire by closing doors and windows E—Evacuate patients and other people to safe area
Patient Outcomes for Safety Identify real and potential unsafe environmental situations. Implement safety measures in the environment. Use available resources for safety information. Incorporate accident prevention practices into ADLs. Remain free of injury.
assessment for falling need nursing history & physical exam. Nearly 1/3 of adults fall at home. Common injuries hip break, head tramu & soft tissue injury Nurses plan for patient - id those at risk, document pertinent assessesmne t and plan intervention to ensure safety
three factors that put children at risk for poisoning unsafe storage of toxic products. spending time in environment other then home and caregiver lack of attention.
older adults at risk for poisoning take an overdose of medicaton since they forgot or confusionl
suffocation or asphyxiation Children highest risk group. Drowing in pool considered suffication.
Expected outcome for patients that promote safety id unsafe situation, id potential hazard in environ, demonstrate safety measures to prevent fall, establish safety priorties wiht family members, demonstrat familiarness with surrounding , remain free of injury during hospitalization.
intimate partner violence (IPV) domestic violence or battering between two people in close relationship.
Created by: cjnnovak