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Safety and SBAR
Chapter 38
68
Health Care
Undergraduate 1
03/25/2012

Additional Health Care Flashcards

 


 

Cards

Term
Safety
Definition
freedom from accidental injury
Term
nurses
Definition
these people in the executive  suits and on the frontlines of care are instrumental in preventing harm to patients and improving patients outcomes
Term
Threats to patients
Definition
a complex and risk-prone system that can produce unintended consequences, lack of comprehensive verbal, written, and electronic communication systems, lack of standardizations, fear of punishment inhibting reporting and lack of ownership for patient safety
Term
nurse is the last line of defense
Definition
common error of medications
Term
on the wrong site
Definition
common error on surgery
Term
wrong treatment
Definition
error problem diagnostic inaccuracy
Term
iv pump
Definition
common error on equipment failure
Term
blood type, wrong patient
Definition
transfusion error
Term
incorrect labeling
Definition
common error laboratory
Term
no independent double check
Definition
common error system failure
Term
clean up spills
Definition
common error on environment
Term
at least 2 patient identifiers
Definition
we must improbe the accuracy of patient identification by using
Term
the person receiving info record and readback the complete order or test result
Definition
to improve communication among caregiver, for verbal or telephone orders or for telephonic reporting of critical test results verify by having
Term
abbreviations, acronyms, symbols, and dose designations
Definition
we must standardized a list __________ that are not to be used throughout the organizations
Term
asking and responding to questions
Definition
implement a standardized approach to hand off comunications by including
Term
situation, background, assessment, and recommendation
Definition
SBAR
Term
Situation
Definition

what is going on with the patient at the present time, what is the circumstance, why are you having this conversation

Get their attention about 5-10 seconds

 

Identify yourslef and your unit

Identify you who are calling about (pt's named and date of birth)

identify the problem you are calling about

Term
Background
Definition

what is the clinical background or context (key objective data, vital signs, lab trends), how did we get here, what are the circumstances leading up to this situation

 

 

Admitted for_Date of ADM_______

Pertinent history_____

pertinent lab tests and trends_____

Patient clinical information________

Term
Assessment
Definition

What you think is going no, analysis, what you are concerned about

"might be....could be..."

Term
Recommendation
Definition
What you would recommend to correct the problem
Term
end with questions
Definition
After every communication/conversation always
Term
look-a-like-sound-alike; prevent errors
Definition
With medications you want to identify anf annually review a list of ___________ drugs used by the organization and take action to _________that involved the interchange of these drugs
Term
Label
Definition
Always do this to ALL medications, medication container such as syringes, medicine cups, and basins or other solutions on and off the sterile field
Term
anticoagulants
Definition
reduce the likelihood of patient harm associated with the use of ______therapy
Term
never events
Definition
Falls are
Term
fall reduction program that includes an evaluation of the effectiveness of the program
Definition
a way to reduce falls is by implementing a
Term
CUS
Definition
I am CONCERNED, I am UNCOMFROTABLE, and this is a SAFETY issue
Term
Fall
Definition
any unplanned descent to the floor
Term
65 years or older
Definition
falls are the leading cause of feath due to an injury for people
Term
toileting needs
Definition
falls are related to
Term
hip fracture
Definition
most common injury is
Term
loss of confidence in mobility, and reduced activity fro muscle weakening
Definition
other risks for the client that can fall
Term
costs, insurance claims, and lawsuits
Definition
falls are risks to institutions because of
Term
sentinel events
Definition
falls are the 6th leading cause of
Term
Morse scale fall (MSF)
Definition
rapid and simple assessment of a patient's likelihood of falling. used widely in acute care settings both in hispital and long term care inpatient settings. It consists of six variables.
Term
6 morse Fall scale indicators
Definition

1 History of falling within three months

2 secondary diagnosis

3 ambulatory aid

4 IV/Saline lock

5 Gait/transferring

6 Mental status

Term
risk factors of falls
Definition

History of falls

mobility impairment

use of assisrive devices and muscle weakness

cognitive impairment and depression

visual deficits

dizziness/lightheadness, postural hyportension

agitation

urinary frequence

arthritis

age >65

Term
raise head of bed and dangle
Definition
to reduce fall with those who have postural hypotension
Term
4
Definition
Great risk of fall can happen if one takes more than ____ types of medication
Term
psychotropics, aticonvulsants, antiarrhythmic, antihypertensive, and diuretics
Definition
Medications that are associated with increased risk of falls are
Term
Interventions
Definition

moving the patient near the RN station

orient to environent, keep belonging in reach and keep call light in reach

bed low in locked position

adquate lighting

non-slip footwear, glasses, and hearing device on

safest rail position

toileting

bed alarms

sitter

patient and client education

ALWAYS DOCUMENT

FALL MUST BE DOCUMENTED

INTERVENTIONS MUST BE DOCUMENTED

INCIDENT REPORTS MUCH BE COMPLETED AFTER EACH FALL

after a FALL always DOCUMENT THE PATIENTS RESPONSE TO THE FALL, EVIDENCE AT INJYR, NOTIFY THE PHYSICIAN and MEDICAL AND NURSIGN INTERVENTIONS MUST BE IMPLEMENTED!!

Communicate the fall to all shifts

Monitor the patient carefull after the fall

Term
last resort
Definition
restraints are the
Term
restraints
Definition
should only be used after less restrictive intervention have been ineffective
Term
address fall risk factors, reduce noise, have light, surveillence, adaptive equipment, answer call lights within 3 minutes and rounding
Definition
strategies to minimize restraints
Term
lawsuit
Definition
physical restraints that result in injury may lead to
Term
self, others, injury, falls, and prevent therapy disruption
Definition
we use restraints to reduce risk to
Term
physician's order; face-to face
Definition
restraints needs a ____and requires a ______assesment of the client
Term
renewed
Definition
once restraint is ordered it needs to be
Term
24 hours
Definition
orders for restraints are good for
Term
PRN orders as needed or stanging order
Definition
with restraints there are no
Term
1-2 hours or more frequently
Definition
always assess restraint for about
Term
bed frame; slip knot
Definition
always tie the restraint to the ______ and use the quick release
Term
2 fingers
Definition
allow room for _______between restraint and clients limb
Term
30 minutes
Definition
check client and reorient every
Term
30 minutes
Definition
check CMS every
Term
toileting
Definition
always provide regular ____ and regular food and fluid
Term
respirations
Definition
assessing the client _______ and comfort is important
Term
Documentation of Restraints
Definition

Always document behavior that led the restraints

documment restraint alternative attempts

document ongoign assessing and releases

document behaviors after the application of restraints

document CMs assessment and oxygenations

 

Term
Physiologic hazards associated with restraints
Definition

suffocation from entrapment

impaired circulation

altered skin integrity->pressure ulcers

diminshed msucle and bone mass

joint contractures

fractures

altered nutrtion and hydration

aspiration and breathing difficulties

new onset continence

Term
side rails
Definition
these are considered a restraint, since they restrict the client's freedom voluntary movement in and out of bed
Term
disaster
Definition
event of such magnitude that it requires the response of people outside the community in which it is occuring
Term
natural and man-made
Definition
two types of disaster
Term
natural disaster
Definition
floods, hurricanes, tornadoes, earthquakes
Term
man-made disaster
Definition
toxic spills, wars, terrorist events
Term
Bio terrorism
Definition
nurses must be prepared to treate and hospitals much have  a disaster plan that is well practiced before hand for
Term
question whether they may have been exposed to a biological agent
Definition
if there is an unusual number of people suddenly experiecing similar signs and symptoms always
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