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NURS 232 Patient Safety

NPSGs National Patient Safety Goals
NPSG Goal #1 Improve the accuracy of patient identification; Eliminate transfusion errors related to patient
How many unique identifiers should you use when confirming patient ID 2 unique identifiers
How do you eliminate transfusion errors related to patient misidentification Match the blood, or blood component, to the order  Match the patient to the blood, or blood component  Use a 2-person verification process
NPSG Goal #2 Improve the effectiveness of communication between caregivers
How do you improve effectiveness of communication between caregivers? verbal order; read back or repeat back; Don not use the DNU abbreviations; SBAR
What does SBAR stand for? Situation, Background Assessment Recommendation
NPSG #3 Improve the safety of using medications
How do you improve the safety of using medications Label all medications or solutions that will not be immediately administered  Be aware of “look alike, sound alike” drugs  Reduce the likelihood of harm from use of anticoagulants
NPSG #7 reduce the risk of health care associated infections Prevent central line-associated blood stream infections
How do you reduce the risk of nosocomial infections? use CDC hand hygiene guidelines; follow agency policies and procedures at all times
Should you shave a surgical site? No; YOu should clip the site prior to surgery (GOAL #7)
When do you administer IV antibiotics? Prior to first incision (Goal 7)
Who's policies do you follow concerning surgical site infection prevention? the agency policy
NPSG Goal #8 Accurately and completely reconcile medications across the continuum of care
Upon patient discharge what should you do concerning medications provide a current list of medications to the patient.
What do you communicate to the patients new provider the patients current medications
NPSG Goal #9 Reduce the risk of patient harm resulting from falls
NPSG Goal #14 Prevent health care associated pressure ulcers
NPSG Goal #15 The organization identifies safety risks inherent in it's population: ie suicide
How do you prevent wrong site, wrong person, wrong procedure and wrong person surgery? Conduct a pre-procedural verification process  Mark surgical or procedural sites  Perform a “time out” prior to starting all surgeries or procedures
What is the leading cause of injury-related hospitalization and death for older Americans Falls
Falls account for what percentage of all reported incidents? 90%
What contributes to fall risk? History of previous falls  Cognitive impairment  Impaired mobility or balance  Postural (orthostatic) hypotension  Sensory impairment  Urinary dysfunction  Certain medical diagnostic categories (ex: CVA)  Certain medications
where should personal care items be when you leave a patients room? on the bedside table
Describe how the bed should be when you leave a patients room bed in a low position and the wheels locked
where should the patients call light be when you leave the room within reach
what does hourly rounding accomplish? Decreases call light use; Decreases patient falls; increases patient satisfaction
What is a restraint? A mechanical or physical deceive that is used to immobilize a client or extremity
What should you do before resorting to the use of restraints Use lesser restrictive alternatives such as orientation/re-orentation, family, friends, or patient sitters, relaxation, distraction
Are restraints time limited? yes they are time limited and specific
When should you remove restraints? as soon as possible for patient; may be before the order expires
Do you need a new order if you have removed the restraint for a period of time? YES.
What does RACE stand for? Remove patients, Activate alarm, Contain Fire, Extinguish Alarm
Created by: 1390023652