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Basic human need, freedom from psychological and physical injury
What is considered the environment?
air, food, water, clutter, falls, crime, carcinogens, biological and chemical hazards, pathogens and parasites, food poisoning, pollution
What are client risk factors?
- Lifestyle (smoking, etoh, helmets, seatbelts)
- Development stage
- Safety awareness (poison control)
- Allergic reaction (bee stings)
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
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)
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)
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
What are different assessment tools?
Fall assessment tool, braden scale
What are some common nursing diagnoses related to patient safety?
Impaired mobility, impaired vision, impaired hearing, impaired touch, impaired smell, risk for injury
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
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
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
What should you do for poisonings?
- Call poison control center stat before home remedies
- Do not use syrup of ipecac anymore