Describe nursing interventions in patient care when a SRD may be in use.
The nurse will monitor skin integrity, neurovascular status, pulse, skin color, skin temperature mobility of the body part where the SRD is applied.
What does the "C" in the RACE mnemonic represent?
C= Confine. Confine the fire by closing doors, windows and turning off oxygen supplies.
Moving a patient from one unit in an institution to another unit in the same institution is known as.
What is an Intra-agency transfer?
What is a sentinel event?
Any unexpected occurrence involving death or serious physical or psychical injury or risk in a health facility.
Define SRD
Safety Reminder Device is any device that is used to immobilize a patient or part of a patient's body.
Identify some of the potential effects on a patients physical status when SRD's are utilized.
What are the potentials for disability, weakness, unsteadiness, HAI, dehydration, and incontinence?
What type of fire extinguisher suppresses fires caused by flammable liquids or grease products?
Type B
Mental confusion as evidenced by inadequate or incorrect perception of place, time and identity is known as:
Disorientation.
After a mercury spill, how does mercury enter a person's body?
Mercury can enter through inhalation or absorption through the skin.
PT
Physical Therapy
What type of device may be ordered by a physician to prevent patient elopement?
What is a Wander guard?
What does the mnemonic PASS mean, for a fire safety interventions?
P=pull pin to unlock handle
A=aim low at the base of the fire
S=squeeze the handle
S=sweep the extinguisher from side to side
Who is responsible for the Initial Nursing Admission Assessment in a LTC facility.
The RN is required by the Joint Commission to perform an admission assessment.
After applying a gait belt on a patient to use during AMB., how does the nurse verify the proper fit?
The nurse should be able to fit two fingers between the gait belt and the patients waist.
HIPAA
Health Insurance Portability Accountability Act
What behaviors might a nurse document when observing a client who has a SRD in place?
What are signs of restlessness, disorientation, agitation, and anxiety?
What is this type of Fire Extinguisher, and what type of fire does this extinguish?
Electrical fires require type C fire extinguisher
When does patient and / or family teaching begin?
Teaching begins at the time of admission.
What data may be included in a Fall Risk Assessment?
History of falls, high risk medications, history of vertigo or syncope, vision or sensory problems, bladder incontinence, medical equipment such as IV, O2 or chest tube, pt. age.
Vertigo
Dizziness
What is an appropriate situations to use the SRD in a LTC facility?
The use of a SRD may be ordered when the safety of the patient is at risk, and after all other interventions have been attempted.
During a fire, it is ok to use the fastest way to get out of the building by taking the elevator. (T/F)
False.
Never use elevators, as fire can spread up and elevator shaft.
As a member of the patient's discharge planning team, what services can the Social Worker investigate to aid the patient and family for a smooth transition from the institution.
The SW can provide counseling, assist in finding community resources, and assist in finding financial resources to cover medical costs.
What are some risks for workplace violence?
a. Employee or visitors on-site with handguns
b. Mentally ill pt. not adhering to care
c. Hospitalized persons in police custody
d. Staff, alone with pt. during examinations
CDC
Center for Disease Control and Prevention