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Stack 1
NURS 232 Patient Safety
| Question | Answer |
|---|---|
| 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:
EL92578
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