"Help! I've fallen
and can't get up!"
and can't get up!"
These include bed wheels are locked and the bed is in a low position, call bell and personal items are within the patient's reach, pathways are clear, and patient has nonskid footwear.
What are environmental safety precautions?
Ensuring the safety of the environment of infants and children requires....
What is protection of the child and education of the parents?
Use of these should be kept at a minimum, as excessive use can lead the patient to being at higher risk of falls or injury.
What are Safety Reminder Devices (SRDs) or restraints?
This is a common source of potential injury to health care personnel. It can be avoided by never recapping needles, not overfilling a sharps container, or leaving stray needles lying in bed linens or carelessly thrown in the trash.
What is an accidental needlestick?
As a nurse, it is your responsibility to report ___ unexpected events and near misses.
What is all?
This is an effective tool to help a patient ambulate. They are applied securely around the patient's waist.
What is a gait belt?
You should do this when giving care to an infant or toddler and you have to turn around to obtain supplies. Doing this prevents the infant or child from falling off a bed or examination table.
What is placing a hand on the infant or toddler?
True or False--Most health care facilities have specific policies and procedures related to their use, and most require a specific order from a healthcare provider.
What is True?
Some facilities require that a healthcare provider order for SRDs be renewed every 24 hours.
What is mercury?
This is the review process used to probe potential or actual errors.
What is Root-Cause-Analysis (RCA)?
This is used as a guide to determine a patient's fall risk.
What is a fall assessment tool?
People in this age group are more vulnerable to burns from spilled hot liquids or heating pads and electric blankets.
What are older adults?
-Increased restlessness, disorientation, agitation, anxiety, and a feeling of powerlessness
-Contributes to patient immobility (dehydration, healthcare associated infection, and incontinence)
-Disuse of body parts has the potential to increase disability and lead to further patient weakness and unsteadiness
-Patients can often pull against the SRDs, causing skin and circulation problems
What are the disadvantages of Safety Reminder Device (SRD) use?
This mnemonic is used for fire safety.
What is RACE?
This is a potential error or event or circumstance that could have caused harm but was caught and avoided.
What is a near-miss?
-Illness
-Injuries
-Being in an unfamiliar environment
-Signs and symptoms associated with a patient's diagnosis
-Use of anesthesia, sedatives, or narcotics
-Patient's with unstable gait or problems with balance
What are patient risk factors for falling?
Name 3 safety hazards for infants and toddlers and young children.
-Electrical outlets and power cords
-Pools
-Bath water: temperature and drowning
-Falling out of bed
-Burns from touching hot pans on the stove
-Ingesting chemicals from an unsecured cabinet
-Knives in their reach in the kitchen
-There are so many more!
This should be done anytime a patient needs SRDs. This should include the type of device used and the patient's response.
What is documentation?
Note all nursing interventions, including patient and family teaching about the SRDs.
This mnemonic is used to aid in the use of a fire extinguisher.
What is PASS?
Pull the trigger, Aim the nozzle, Squeeze the handle, Sweep low.
This is a critical, unexpected adverse event that caused severe physical or psychological harm to a patient, including death and dismemberment; permanent injury; or severe, temporary injury.
What is a sentinel event?
This organization releases national patient safety goals for healthcare facilities each year.
What is The Joint Commission (TJC)?
Ensuring your older adult patient is wearing their glasses, has their hearing aids in, and is using assistive devices for ambulating as necessary, are all examples of this.
What is important nursing interventions to promote patient safety?
List 3 alternatives used in a Restraint-Free environment.
-Orient patient and family to surroundings
-Encourage family and friends to stay or use sitters for patients who need supervision
-Provide appropriate visual and auditory stimuli
-Eliminate bothersome treatments as soon as possible
-Use relaxation techniques
-Encourage participation in diversional activities
This is what the letters in RACE stand for.
R- Rescue patients
A- Sound the Alarm
C- Confine the fire
E- Extinguish or Evacuate
-Fear of repercussions or backlash
-Lack of time to write the report
-Unclear facility policies and standards
-Bullying
-Insufficient education and training
-Favoritism and influence of some employees
-Lack of understanding of the roles and responsibilities of team members
What are barriers to event and near miss reporting?