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Define safety
Basic human need, freedom from psychological and physical injury
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What is considered the environment?
air, food, water, clutter, falls, crime, carcinogens, biological and chemical hazards, pathogens and parasites, food poisoning, pollution
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What are client risk factors?
- Lifestyle (smoking, etoh, helmets, seatbelts)
- Development stage
- Safety awareness (poison control)
- Allergic reaction (bee stings)
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What should you assess for?
- Actual and potential threats to safety
- How client's illness affects safety
- Risk that the client has
- Impact of environmental influence on patient safety
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What are risks at the different developemental stages?
- Infant, toddler, preschooler (accidents, poison)
- School age (crossing streets, strangers, sports)
- Teens (etoh, drugs, mva)
- Adults (related to life style habits)
- Older adults (falls, thermal accidents, mva)
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What are health care agency risks?
Falls, client caused accidents, procedure related accidents (errors, improper applications or performance of skill), equipment related accidents (malfuntions, electrical)
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What are agencies goals to decrease risk for injury?
Identify patient correctly, improve staff communication, use medicines safely, prevent infections, identify patient safety risks, prevent mistakes in surgery
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What are different assessment tools?
Fall assessment tool, braden scale
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What are some common nursing diagnoses related to patient safety?
Impaired mobility, impaired vision, impaired hearing, impaired touch, impaired smell, risk for injury
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What does a restraint do?
- Physical restraint is a device to immobilize client and or extremity
- Pharmacological is using medication to calm
- Responsible to know how to use restraints
- Requires informed consent from family in nursing home along with MD order
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What do you need to document in relation to safety
- assessment of activity of behavior
- conclusion about patients status
- nursing action
- fact that is was explained to client and family
- type of restraint and location
- frequent assessments of client while in restraints to include the periodic release of restrain
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List what a class A, B & C fire extinguisher is for
- Class A-paper and rubbish
- Class B-grease and anesthetic gas
- Class C-electrical
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What should you do for poisonings?
- Call poison control center stat before home remedies
- Do not use syrup of ipecac anymore
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