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Patient Safety

Identify common hazards in the home inadequate lighting, presence of safety devices, placement of furniture or other barriers, condition of flooring, safety in the kitchen& bathrooms
Identify clients at risk for injury Fall risk patients, cognitively impaired, mobility impaired, pt on multiple medications, sensory impaired
Describe assessment activities designed to identify patients physical, psychosocial, and cognitive status as it pertains to their safety Activity and exercise (what do you do to exercise, what are you capable of doing on your own),Medication History (what are you on, have you been re evaluated, side effect?) History of falls (what were you doing), home maintenance/safety (who helps)
Define the national patient safety goals and give examples Designed to reduce the risk of medical errors: identify patients with 2 identifiers, improve staff communication, use medicines safely, identify pt. safety risks, check patient medicine, reduce risk of infection
What is the importance of standards for public reporting of patient safety events important for nurses to understand the NQF standards and their intent since ultimately they influence the types of priorities that pt. care organizations set to improve the quality of care delivered to patients, EX: pt fall w/ injury, incidence of ulcers
What are sentinel events? unexpected occurrences involving death or serious physical injury or the risk thereof ; EX: loss of limb or function
What are never events? adverse events that should never occur int he healthcare setting; EX: falls, pressure ulcers
What are pertinent nursing diagnosis associated with safety risks? Risk for falls, impaired home maintenance, risk for injury, deficient knowledge, risk for poisoning, risk for suffocation, risk for trauma
What are some measures that can be taken to prevent accidents? Keep bed rails up, personal items in reach, call light close by, bed locked and low, proper restraints when necessary, mice furniture or other potential barriers out of walkway
What are factors to consider when assessing a patient wearing restraints? skin integrity, temperature at site of restraint, pulse, capillary refill, assess necessity of continual use of restraints
Define the legal implications of restraints Know agency specific policies and procedures before using restraints, must be clinically justified & part of pt. prescribed medical treatment and plan of care, physician order is required; order must stat type, location, duration, must be documented
Created by: amandamarie194