Ch 27 patient safety and quality Flashcards

1
Q

intervention skills to promote safety-3

A
  1. demonstrate effective use of technology and standardized practice
  2. demonstrate effective use of strategies to reduce risk of harm to self or others
  3. use appropriate strategies to reduce reliance on memory
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

implication for older adults-6

A
  1. encourage annual vision and hearing screening
  2. teach safety tips for avoiding automobile accidents
  3. be sure adults know how to properly use assistive devices
  4. institute a regular toileting schedule
  5. encourage use of medication organizers
  6. review drug profile
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

general preventive measures-3

A
  1. adequate lighting
  2. modification in the environment
  3. use aseptic practices
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

fire intervention RACE

A

R- rescue and remove all patients in immediate danger
A- activate the alarm
C- confine the fire by closing doors and windows
E- extinguish the fire

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

fire extinguisher PASS

A

P-pull pin
A- aim at base of fire
S- squeeze handles
S- sweep from side to side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

National patient safety goals-7

A
  1. ID patients correctly
  2. Improve staff communication
  3. use medicines safely
  4. Use alarms safely
  5. prevent infection
  6. ID patient safety risks (suicide)
  7. prevent mistakes in surgery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Never events-5

A
  1. foreign object retained after surgery
  2. air embolism
  3. blood incompatibility
  4. pressure ulcer stage 3 and 4
  5. catheter associated UTI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

physical restraint

A

any manual method or physical or mechanical device , material, or equipment that immobilizes or reduces the ability of a patient to move their arms, legs, body, or head freely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

chemical restraint

A

medications used to manage a pt’s behavior and are not a standard treatment or dosage for the pt condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

restraint complications

A

pressure ulcers, pneumonia, constipation, incontinence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

nursing process for restraints-6

A
  1. explain purpose
  2. expected care during restraint
  3. precautions taken to avoid injury
  4. restraint is temporary and protective
  5. informed consent needed before use in long term care
  6. continual assessment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

restraint orders

A

must be current, state type and location, specify duration and circumstances for use

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

restraint time limits

A

adult- 8 hours
age 9-17- 2 hours
under 9- 1 hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

restraint objectives (must meet one)-4

A
  1. reduce risk of injury from falls
  2. prevent interruption of therapy
  3. prevent confused or combative pt from removing life support equipment
  4. reduce risk of injury to others by the patient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

fall prevention-5

A
  1. complete assessment on all pts at admission and routinely
  2. color coded wristbands
  3. bed alarms
  4. bedside comodes
  5. use of gait belts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly