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Safety & Restraints Ch 26
Concepts
14
Nursing
Undergraduate 1
09/15/2013

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Cards

Term
What factors can effect safety?
Definition
Occupation
Social Behavior
Environment
Mobility Issues
Sensory Perception
Knowledge
Ability to Communicate
Physical/Psychosocial Health
Term
In what ways can hazards be reduced?
Definition
Home Hazard Assessment
Prevention
Detectors- smoke, carbon monoxide, falls
Nutrition
Physical Hazards
Security
Immunization
Pollution
Developmental Considerations
Term
When performing a safety assessment, what 3 categories is the nurse most concerned with?
Definition
The individual, the environment, and specific risk factors (falls, fires, poisoning, suffocating/choking, & firearm injury)
Term
What are the 4 steps to the nursing process?
Definition
Assessment
Planning
Intervention
Evaluation
Term
Code Red: RACE is an acronym for what safety actions?
Definition
R = Rescue
A = Alarm
C = Confine
E = Extinguish
Term
Using the fire extinguisher involves what steps? Here is a hint. PASS
Definition
P = Pull
A = Aim
S = Squeeze
S = Sweep
Term
What are some key fire safety measures to remember?
Definition
Know hospital procedures
Know exit and evacuation routes
Location of alarm box
Location and use of extinguishers
Term
In the event of a fire in your immediate area
Definition
Remove patients and visitors immediately
Call for Assistance
Pull Alarm
Dial Hospital Emergency Number
Close all doors
People die of smoke inhalation and asphyxiation. They can be saved if rescued!
Term
What are some specific risk factors for the adult/older adult?
Definition
Domestic Violence, Falls, car accidents
Term
What are some nursing interventions that can make the patient environment safer at home?
Definition
•Identify safety hazards in the environment (i.e., physical, biological, and chemical).
•Modify the environment to minimize hazards and risks.
•Provide patient with emergency phone numbers (e.g.,police, local health department, poison control center).
•Initiate and/or conduct screening programs for environmental hazards (e.g., lead and radon).
•Educate high-risk individuals and groups about environmental hazards.
Term
What steps should you take to prevent patient falls?
Definition
1)Risk Assessment - how at risk are they
2)Take measures to prevent falls
3)Use of Restraints (alternatives come 1st)
4)Bed in low position, Side rails up, 5)Call bell in reach
6)Answer lights promptly
7)Non skid footwear, glasses, assistive devices
Term
What should you consider before using a restraint for a person?
Definition
Definition/Purpose
Risk for Injury due to restraint
Exhausted other measures first
Least restrictive
Restraint free Environments
Pro’s and Con’s
Term
What should you understand about the application of restraints?
Definition
Know the type of restraint and how to properly apply the restraint to the patient
Properly secure the restrain w/ quick release tie in case of emergency- but out of reach of pt
Observe and document per hospital policy
Term
Before restraining a patient there are steps that should always be followed. RESTRAINT as an acronym helps us remember them. Outline the steps
Definition
R = respond to the present (not the past)
E = evaluate the potential for injury
S = speak with family members or caregivers
T = try alternatives first…
R = reassess following facility guidelines
A = alert MD/Family if restraints indicated
I = individualize, least restrictive
N = note (Document)
T = time limit, no longer than 24 hours on non psychiatric pt – need new order after 24 hours- follow facility guidelines
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