Chapter 27 Patient Safety & Quality
Turning a patient onto their side and maintaining an airway. Placing pads on the side-rails.
What are seizure precautions?
Torticollis, Lordosis, Kyphosis, and scolosis.
Page. 409 Table 28-1
What are postural abnormalities?
Box 29-1 Page. 445
What are modes of transportation for infectious agents?
Complimentary=therapies used in addition to conventional treatment
Alternative = therapies that replace conventional therapy
Whole medical systems= based on different philosophies and life systems
What are different approaches to health care?
IMPAIRED
sensory perception, mobility, level of consciousness, shear, friction and moisture.
What are risk factors for impaired skin integrity?
Providing night lights in patient rooms, chair alarms, bed alarms, and high fall risk bracelets.
What is fall prevention for the hospitalized patient?
muscle deconditioning, metabolic changes, atelectasis, orthostatic hypotension, joint contracture, footdrop, urinary changes, social isolation, loneliness an dpressure ulcers
The effects of bed rest on the body?
Hand washing
PPE Universal precautions
What is prevention against the spread of infection?
Biofeedback, acupuncture, therapeutic touch, chiropractic therapy, traditional Chinese medicine, natural products and herbal therapies
What are different types of complementary therapies?
Stage I=non blanch-able redness
Stage II= shallow open ulcer red pink wound bed
Stage III=loss of subcutaneous fat may be visible but no bone tendon or ligament
Stage IV=tissue loss, bone, ligament and tendon are exposed
What are the classifications of Pressure Ulcers?
car seats r/t automobile accidents, poisoning, choking, and pool safety.
What are safety concerns for the preschooler?
Immobility for preschoolers =delay in gross motor skills intellectual and musculoskeletal development
Adolescents = delay in gaining independence and accomplishing skills, social isolation
What are the developmental changes that occur with immobility?
inflamation=local swelling, redness, heat, tenderness, temporary loss of function
Systemic inflamation= fever, increased wbc, malaise, anorexia and nausea/vomiting, lymph node enlargement and organ failure
What are signs of inflammation?
What are s/s of an systemic infection?
Table 33-1 page. 690
What are examples of Complementary therapies?
Hemorrhage, infection, dehiscence, and evisceration
Complications of wound healing?
Identify patients correctly using 2 patient identifiers, infection prevention. Refer to your 2020 National Patient Safety goals handout
What are the national patient safety goals est. by joint commission?
Thrombus formation
What is the cardiovascular risk with immobility?
Latrogenic, exogeneous, endogenous.
Box 29-3 Page. 448
Types of Hospital acquired infections?
To educate the patient of any risks that may be involved
Check to be sure no drug interactions
What is the nurses role in Comp/Alternative therapy?
Table 48-2 Page 1192
What are types of drainage?
at least every 2 hours. Offer food, beverage and toilet.
*DO NOT FORGET TO DOCUMENT
How often do you release restraints and what is offered to the patient?
SCDs =sequential compression devices
Ted Hose= proper application*pg. 425-426
anti coagulation therapy
What are thrombus prevention techniques?
Page 461. Table 29-4
What are diagnostic labs for detection of infection?
A licensed certified person
Who can perform complimentary and alternative therapies?
Its an assessment tool for people at risk of developing skin breakdown
Page. 1192-1193
What is the purpose of the Braden Scale?