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Safety fundies exam 2
Safety fundies exam 2
18
Nursing
Undergraduate 3
03/03/2014

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Cards

Term
Get up and Go test
Definition
A quick observational assessment to determine pt risk for falls. Assesses how well they can get up from a chair and ambulate
Term
Morse Fall Scale
Definition
history of falling, secondary diagnosis, ambulatory aid, IV therapy, gait, mental status
Term
Morse scale <25
Definition
Low risk
Term
Morse scale 25-45
Definition
Moderate risk
Term
Morse scale >= 45
Definition
High Risk
Term
Hendrich Fall Risk
Definition
Confusion, depression, altered elimination, dizziness, male gender, anticonvulsants, benzopiazepines, get up and go test, single movment rise, successful first attempt, multiple attempts to be successful, unable to rise without assistance
Term
What score on the hendrich scale is a high risk?
Definition
5 or greater
Term
purpose of restraints
Definition
1. reduce risk of pt injury from falls 2. Prevent interruption of therapy: IV infusion, NG tube, foley cath 3. Prevent pt from removing life-support equip 4. decrease risk of injury to others
Term
How long can restraints be used for?
Definition
4 hours
Term
How often do you assess a restrained pt?
Definition
every 15 minutes
Term
How long can restraints be on for?
Definition
4 hours
Term
purpose of restraints
Definition
1. reduce risk of pt injury from falls 2. Prevent interruption of therapy: IV infusion, NG tube, foley cath 3. Prevent pt from removing life-support equip 4. decrease risk of injury to others
Term
How long can restraints be used for?
Definition
4 hours
Term
How often do you assess a restrained pt?
Definition
every 15 minutes
Term
How long can restraints be on for?
Definition
4 hours
Term
What does OSHA regulate?
Definition
Microbiological regulations, physical protection (body mechanics, personal protective Equipment), Environmental (fall prevention)
Term
Can you use room number as an identifier?
Definition
No, never!
Term
Do we stop checking once we know the resident?
Definition
No, we all have to double-check the order in chart before completing the procedure, sometimes orders are changed or deleted
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