Lifestyle
Mobility status
Sensory awareness
Safety awareness
What are risks at developmental stages?
100
Stairs
Handrails
Floors
Orientation(Health Care Facility)
What are measures to prevent falls by older adults?
100
To improve patient safety
What is the purpose of the NPSG?
100
The SBAR (Situation-Background-Assessment-Recommendation) technique
provides a framework for communication between members of the health
care team about a patient’s condition
What is SBAR?
200
Includes physical & psychological factors: home,community and hospital.
What is a clients environment?
200
Musculoskeletal Changes
Nervous System Changes
Sensory Changes
List three physiological changes in the older adult.
200
A physical restraint is a human, mechanical and or physical device used with or without the clients permission to restrict his or her freedom of movement.
What is the definition of restraints?
200
Identify patients correctly
Improve staff communcation
Use medicines safely
List three National Patient Safety Goals.
200
The SBAR tool ensures completeness of information and reduces the
likelihood of missed data.
• It allows for an easy and focused way to set expectations for what will be
communicated and how it will be communicated.
• Standardizes communication between healthcare providers, doctor-nurse,
nurse-nurse, doctor-doctor
Why use it?
300
Adequate lighting
Obstacles..small rugs,wet floors(risks are greatest for older adults)
Bathroom hazards(need grab bars,nonslip tape,elevated toilet seats)
Security
What are physical hazards?List them
300
Lifestyle
Impaired Mobility
Sensory or communication Impairment
Lack of safety awareness
What are four individual risk factors?
300
The optimal goal for all clients is a restraint- free environment;however clients who are at risk for injury from wandering, falls, etc may require restraints
Criteria for patient restraint use?
300
Patients name and date of birth
What are two patient identifiers?
300
• S – Situation – what’s going on (5–10 seconds)
• B– background – brief pertinent history, relevant context
• A– Assessment – what I think, conclusion
• R– Recommendation – what I need and in what time
frame
How do I use it?
400
Individuals acquire active immunity by an injection(immunization)
Passive immunity occurs when antibodies are produced by other persons.
Yes you need a physician order.
No restraints are never ordered prn.They must be reordered q 24 hours.The patient must be reassesssed for the continuing need for restraints
Do you need a physician order for restraints?
Are restraints prn orders?
400
Use medicines safely
Prevent infections
Check patient medications
List three additional 2011 National Patient Safety Goals
400
A lack of standards and structures
Uncertanity about who is responsible for the patients care
Differences in communcation styles
List barriers to communication among clinicians
500
Air pollution
Noise pollution
Land pollution
List three pollutants in the environment.
500
Impaired physical mobility related to left-sided paralysis
Interventions:
Range of joint motion
Occupational therapy for bathing, dressing and other ADL'S.
State a nursing diagnosis for:
20 pk yr smoking history, left sisde paralysis from previous stroke
List three nursing interventions
500
Vest and wrist.
Patients who are restrained must be assessed at least q 1hr and documented.The condition of the body part restrained(chek circulation)
List restraint types and nurses assessment of patients in restraints
500
Facilities choose to be JCAHO certified.
How do hospital facilities become JCAHO Certified?
Why?
500
Yes.
SBAR can be also known as handoff communication
Can SBAR be applied to verbal and written communication?