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Module 1

Safety

QuestionAnswer
What are the most common types of inpatient accident? Patient falls
What are risk factors for falls among patients? patients with a history of falling, muscle weakness, agitation and confusion, urinary incontinence or frequency, postural hypotension, and use of high risk medications& disease
What acronym should be followed when investigating previous falls? S.P.L.A.T.T
What does S.P.L.A.T.T stand for? Symptoms at time of fall; Previous fall; Location of fall; Activity at time of fall; Time of fall; Trauma post fall
What is the timed "get up and go" test? A simple test to measure a patient's ability to move independently. Have patient rise w/o assistance; walk 10 ft and come back to bed; sit w/o assistance. 20 sec or less=patient is capable of independent mobility
What is the purpose of a wedge cushion? A seat belt or wedge cushion helps prevent the patient from sliding out of the chair
The NAP is preparing to transfer a patient from a bed to a chair. What equipment should the NAP have? A: Call light, B: Seat belt, C: Gait belt, D: Bed Alarm C: Gait Belt
What are some expected outcomes pertaining to fall prevention? patients environment is free of hazards; patient&family are able to identify risks; patient/family verbalize understanding of fall prevention interventions; patient does not suffer falls
What is the best method for preventing falls? Close observation is the best method for reducing the likelihood of a fall – this may mean having a one-on-one staff to patient, or bringing the patient out to the nurse's station where they can be supervised.
What is a physical restraint? any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move their extremities, body, or head freely
What is a chemical restraint? Any medications used to manage behavior or restrict freedom of movement and is not part of the standard treatment for a patient’s condition
If a patient has restraints, how often should they be released? A: Every hour, B: Every 2 hrs, C: 30 minutes, D: After shift B: Every 2 hrs
Following the application of restraints, how often should you check up on the patient? You should check on patient every 15 minutes following the application of restraints so you can evaluate their condition for any sins of injury
Who benefits from repositioning? Patients with impaired nervous or musculoskeletal system functioning with increased weakness, or those restricted to bed rest
When is shearing in patients likely to happen? when the patient is thin, has fragile skin, is nutritionally compromised, or is unable to move independently
What is orthostatic hypotension involves a drop in blood pressure when changing from a horizontal to a sitting or standing position. A drop in blood pressure of approximately 20 mm Hg or more in systolic pressure or a drop of 10 mm Hg or more in diastolic pressure
Created by: amandamarie194