Workplace Safety
Define the acronym RACE
Rescue, Alarm, Confine, Extinguish
Alternatives to restraints (3 examples)
Games, movies, assign close to nurses station, explain procedures, identify reason for behavior, hourly rounds, allow family to stay, patient sitter, bed/chair alarms
Common problem in healthcare facilities
Falls
Unresponsive, asystole, no breathing except possible agonal breathing
Cardiac Arrest
When caring for a pt. in restraints, you will check on pt. every______
15 minutes
Most common type of injury for HCW's
Musculoskeletal-back
Fall risk assessment performed by this HCW
Admitting nurse
Assistive devices that may be needed for ambulation (List 3 examples)
Gait belt, walker, cane
Put in this position when person shows signs of spontaneous circulation
Recovery position
Use this when a patient is in ventricular fibrillation
Defibrillator
Federal agency that provides guidelines to help decrease safety hazards in the workplace
OSHA (Occupational Safety and Health Administration)
This is shown to decrease the rate of patient falls
Hourly rounds
Pt. must have ______ on to ambulate safely
Non-skid shoes
Law that encourages healthcare professionals to provide medical assistance at the scene of an accident and protects from liability
Good Samaritan Law
If you are using a chemical in a healthcare setting, refer to this to know what protective measures should be taken
Safety Data Sheets (SDS's)
Recommends the use of a safety device on needles and states that a needle should never be recapped
CDC and OSHA
This can be used for patients that continually try to get out of bed or for suicidal patients
Patient Sitter (Safety Attendant)
Complications of immobility-list 3 examples
Constipation, UTI's, pneumonia, DVT's, orthostatic hypotension, decreased appetite, difficulty sleeping
Occurs when a patient breathes in fluid, food or vomit into the lungs
Aspiration
ROM exercises done by HCW
Passive ROM
Common causes of fires in healthcare-list 3 examples
Smoking, frayed electrical cords and overloaded electrical circuits
Remove and release restraints, reposition the person and meet basic needs such as food, toleting, etc.
Every 2 hours
Response to a Fall
Assist to floor
Stay with pt./call for help
Nurse check for injury
Check VS, assist back to bed
Assist with incident report
Call Family (Nurse)
Balance
Eyes
Face
Arms
Speech
Time
Interventions to prevent immobility complications-list 3 examples
Encouage fluids/healthy diet
Cough/deep breathing exercises
ROM exercises
Reposition every 2 hours
Handle/transfer patients carefully
Early ambulation, TED hose, SCD's