NURS 232 Patient Safety
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| NPSGs | National Patient Safety Goals
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| NPSG Goal #1 | Improve the accuracy of patient identification; Eliminate transfusion errors related to patient
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| How many unique identifiers should you use when confirming patient ID | 2 unique identifiers
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| 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
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| NPSG Goal #2 | Improve the effectiveness of communication between
caregivers
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| How do you improve effectiveness of communication between caregivers? | verbal order; read back or repeat back; Don not use the DNU abbreviations; SBAR
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| What does SBAR stand for? | Situation, Background Assessment Recommendation
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| NPSG #3 | Improve the safety of using medications
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| 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
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| NPSG #7 | reduce the risk of health care associated infections
Prevent central line-associated blood stream infections
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| How do you reduce the risk of nosocomial infections? | use CDC hand hygiene guidelines; follow agency policies and procedures at all times
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| Should you shave a surgical site? | No; YOu should clip the site prior to surgery (GOAL #7)
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| When do you administer IV antibiotics? | Prior to first incision (Goal 7)
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| Who's policies do you follow concerning surgical site infection prevention? | the agency policy
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| NPSG Goal #8 | Accurately and completely reconcile medications across
the continuum of care
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| Upon patient discharge what should you do concerning medications | provide a current list of medications to the patient.
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| What do you communicate to the patients new provider | the patients current medications
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| NPSG Goal #9 | Reduce the risk of patient harm resulting from falls
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| NPSG Goal #14 | Prevent health care associated pressure ulcers
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| NPSG Goal #15 | The organization identifies safety risks inherent in it's population:
ie suicide
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| 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
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| What is the leading cause of injury-related hospitalization and death for older Americans | Falls
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| Falls account for what percentage of all reported incidents? | 90%
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| 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
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| where should personal care items be when you leave a patients room? | on the bedside table
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| Describe how the bed should be when you leave a patients room | bed in a low position and the wheels locked
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| where should the patients call light be when you leave the room | within reach
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| what does hourly rounding accomplish? | Decreases call light use; Decreases patient falls; increases patient satisfaction
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| What is a restraint? | A mechanical or physical deceive that is used to immobilize a client or extremity
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| 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
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| Are restraints time limited? | yes they are time limited and specific
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| When should you remove restraints? | as soon as possible for patient; may be before the order expires
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| Do you need a new order if you have removed the restraint for a period of time? | YES.
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| What does RACE stand for? | Remove patients, Activate alarm, Contain Fire, Extinguish Alarm
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