215 pt safety

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215 pt safety
2013-02-20 14:49:34
215 pt safety

215 pt safety
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  1. patient safety is
    freedom from danger, harm or risk
  2. safety is whose concern?
  3. medical errrors are the _ leading cause of death in the US
  4. 3 types of identifiers are
    • NAme
    • DOB
    • medical number (hosp. assigned)
  5. DO NOT use these identifiers
    • pts room number
    • id on confused pt
  6. what is the leading cause of errors in hospital
    Communication break down
  7. how do you improve effective communication
    • repeat/verify orders
    • use standard abbrev
    • timely report of critical test/lab
    • use a reporting guide
    • mnemonic to organize info to doc
    • identify
    • situation
    • background
    • assessment
    • recommendation
    • repeat order back
  9. med error reporting =
    • asses pt, vs, LOC, labs
    • assess for effect of meds
    • cotact Dr
    • paperwork
    • monitor pt
    • how do you prevent this in future
  10. what info do you give for pt education for med
    • how to take
    • how much
    • when
  11. it is the nurses job to
    medicatio reconcilliation
  12. med reconciliation should be done when
    • admission
    • status change
    • transfers
    • discharge
  13. who is at risk for falls in hospitals
  14. how do you reduce the risk of harm from falls
    assess everyone for fall risk
  15. risk factors for fall
    • orthostatic hypotension
    • previous fall risk history
    • MS
    • ability to ambulate
    • sensory impairment
    • age
    • equipment attached to
  16. where do you id a fall risk
    • on pt door
    • chart
    • and arm band
  17. get up and go test
    • how well do they stand from a chair
    • do they need assistance getting up
    • assess gait
    • can they control decent back into the chair
  18. interventions to decrease fall risk
    • Keep bed in low position
    • Place call light in reach at all times
    • Answer call lights promptly
    • Keep room free of clutter
    • Keep bed/wheelchair in locked position
    • Use proper lift equipment
    • Assist patients to the bathroom regularly
    • Use a gait belt when ambulating pts. 
    • Use non-skid foot wear when getting patients out of bed
    • Keep urinal, water pitcher, glasses, and personal belongings in reach
    • Ensure appropriate lighting
    • Use Safety Monitoring Device for patients  with confusion
    • Raise 2-3  ½ length side rails
  19. can you put up 4 side rails
    • no only three
    • 4 is a restraint
  20. what to do in incident report
    • assess pt
    • make judgemnt about if you can get pt up
    • call physician
    • incident report
  21. can you report that pt fell if you dont see them
    • NO
    • you can only chart what you can see
    • yo can say heard pt yell then heard bang and saw pt on floor
    • R- rescue and remove all pt in immediate danger
    • A- activate fire alarm
    • C- contain the fire , close doors, windows, turn O2 and electrical equipment off
    • E- evacuate pt and others to a safe area/extinguish the fire if trained to do so
  23. QSEN =
    • quality and safety education for nurses
    • prepare future nurses to improve pt safety
  24. 6 QSEN
    • pt centered care
    • teamwork and collaboration
    • evidence based practice
    • quality improvement
    • safety
    • informatics
  25. what is the key to prevent errors
  26. what things can attribute to human error
    • inattention
    • distractions
    • failure to communicate
    • poor equipment design
    • exhaustion
    • ignorance
    • noisy conditions
  27. what are sentinel events
    an unexpected occurence involving death or serious physical or psychological injury, or the risk thereof
  28. RCA =
    • root cause analysis
    • a process for identifyig the basic or casual factors that underlie variation in performance, including the occurence or possible occurence of a sentinel event
  29. how do you develop pt centered care =
    • encourage pt family to be involved
    • ask question and educate them
    • listen to familys concerns
  30. FMEA =
    • failure modes and effects analysis
    • a systemic eval of a process and a look at each step to see wher it can fail