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BSNex_Fund_Safe
Fundamentals Safety
| Term | Definition |
|---|---|
| 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
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