Patient Safty & Quality
Risk factor for volence
High emotional distress
Substance abuse
Low IQ
impaired skin integrity causes
Pressure reduces circulation to affected tissue
Prolonged pressure on bony prominencies
immobility of a patient
Sitting to long in a wheel chair and not moving side to side to relieve pressure
to many baths for older clients causes what
Reduced Skin Oils
Skin Fragility due to thinner epidermis & subcutaneous fat
susceptibility to bruising
Sweat gland activity decreases
Diabetic teaching
Inspect feet once a week
Blood Sugar Management
Healthy Eating
Physical Activity
Medication Adherence
Risk reduction-quit smoking
Stress management
Long term care monitor blood sugar, AiC BP, Cholesterol
emergency Planning-socl day plan to managing meds, & diet during illness
Which lab tests show infection
white blood cell count
blood culture
erythrocyte sedimentation rate
How to reduce healthcare-associated infections
Perineal care for a. foley catheter
Strict hand hygiene
proper PPE usge
environmental cleaning & antibiotic stewardship
Education for TB infection
promp screening & Diagnosis- cough >3 weeks
Separation & Isolation-N95 mask, Negative Isolation room
Infection Control Education Cover your mouth when coughingContact
Tracing eval individuals who has been in contact with them
properly written goals-outcome
S-specific
M-Measrable
A-Attainable
R-realistic
T-timed
ex: The client will report pain at a level of 2/10 by 1 hour from now
Which has an increase risk for infection
living on the street lives on the street
A 31-year old female who lives in an upscale neighborhood
A 78-year old male who uses steroids twice daily
A child who has not received any vaccinations
received a kidney transplant last month
28 yr old living on the street
78 yr old using steroids 2 X daily
5 yr old child no vaccines
A kidney transplant last month
What is standard precautions
Changing gloves between clients
Hand hygiene
PPE
safe injection practices
environmental cleaning to prevent transmission of pathogens
Proactive approch to patient care & clinical judgement
What assessment findings would I expect to see in a patient
How would I know this client is getting better
What other information do I need together about this patient
use data and technology to monitor patients
early intervention
encourage patient to take control of there care
nursing interventions to prevent infection risks
Removing gloves & performing hand hygiene between clients
Wearing gloves when touching any bodily flluids
Washing hands immediately after glove are removed
Wearing a mask gloves & gown
breaking the chain of infection
isolation high risk patients
monitoring for S/S of fever, WBC count
administering antibiotics
encouraging good nutrition/hydration
improper use of crutches can cuase what
Axillary nerve damage
What should you have when giving a report to a DR
Assessing the Pt before consultation
notes of clinical history
make a recommendation
list of medications
reason for admission or call
what is a priority for respiratory distress
sitting up patient
O2 stats
nasal canula
dyspnea is a nursing priority
If a patient gets SOB when ambulating 5 times per day
Do you need to reduce or add the amount of times to ambulate
Reduce the amount of times to ambulate
Fall risk for elderly are
rugs/poor lighting
hypertensives/meds side effects
lower body weakness/walking difficulties
Vit D déficience
vision problems
hospitalized Pt
what shows elder abuse
Caregiver dependency and stress
substance abuses by cargiver
presence of unexplaned bruises
Pt has moderate dementia and ADL dependence
Who is most at risk for infection
Pt admitted for stabilization of heart problems
A PT with dehydration
Pt with hip surgery
Pt with hip surgery
How to get an SBAR report
Ask clarifying questions
situations-pt. name, unit. immediate issue, who you are, reason for communicating
background-revenant context, history, allergies, recent treatments
assessment-equation if problems vital signs, clinical findings
recommendation-state what you need or specific orders
What should you check for in a patient with wrist Restrants
assess Q 15 min to 2 hrs
circulation
skin integrity
pulses /color/sensation
neuro checks
2 fingers fit under restrants
quick release knot
behavioral status
need for restraint
a pt's skin is flaky and rough on the hands, arms, legs and face interventions
Thick fragrance free ointments or creams within 60 seconds of bathing, gentle soap, avoid hot water use room humidifer & less baths
muslim bath belliefs
modesty- use a family member for personal areas when low on staffing
infllunza patient
must be isolated
needs antibiotics
needs lung checks
which procedures need you to use sterile technique
changing a central line dressing
inserting a indwelling urinary catheter
sterile wound care
Donning sterile gloves
surgical hand scrubs