Shared Flashcard Set

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Safety
Craven
40
Nursing
Undergraduate 1
02/18/2014

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Cards

Term
Safety
Definition
Freedom from injury or the possibility of any type
Measurement that prevent accidents or injuries
Term
Basic needs of a safe environment include
Definition
meeting basic human needs
reduce physical hazards
reduce transmission of pathogens
Term
Fall
Definition
anytime a person goes down
acct for 90% of all reported incidences
Term
Contributions to falls
Definition
Confusion, multiple medical problems, generalized weakness, postural instability, unfamiliar environment
Term
Client Inherent Accidents
Definition
accidents other than falls in which the client is the primary factor causing the accident
Ex. self inflicted cuts, burns or ingestion of foreign substances
Term
Procedure related accidents
Definition
include med and fluid administration error, improper app of external devices and improper performance of a procedure such as heating pad
Term
Equipment Related Accidents
Definition
Accidents that are equipment related result from malfunction, disrepair or misuse of equipment
Term
Safety Measures in the Hosp Setting
Definition
Client signal system- call light
Identification systems
safe use of restraints
safety measure to prevent injuries
Term
Environmental Hazards
Definition
Potentially dangerous conditions in the physical surroundings that may alter the health and well-being of people if they are not safely managed
Term
Falls
Definition
Most prevalent accident experienced by older adults- have the most serious consequences for this age group
Term
Musculoskeletal changes
Definition
joints become less mobile, brittle bones due to osteoporosis
Term
Nervous system changes
Definition
all voluntary or autonomic reflexes are slower
Term
Sensory changes
Definition
Peripheral vision and lens accommodation decrease, lens may develop opacity
Term
Genitourinary changes
Definition
Increased nocturia, increased occurrence of incontinence
Term
Remember
Risk for Falling is
Definition
A nursing Diagnosis
Term
How can I help eliminate physical hazards?
Definition
Keep patient area clean
Term
Nursing Interventions for reducing risk of falls
Definition
give call light before leaving room
educate about home risks
inspect assistive devices such as cane tips
Term
Reduce the risk of fire
Definition
Protect client in immediate danger
evacuate
Term
Poisoning
Definition
Educate to keep out of reach of children
Common hosp exposure due to mercury
Term
How to respond when there is a poisoning incident?
Definition
MSDS, poison control
Term
How can I decrease the risk of electrical injury?
Definition
Use properly grounded and functional electrical equipment
Educate client no appliances near water source, avoid operating unfamiliar equipment
Term
Ambulatory aids
Definition
Canes- single straight-legged, t handled, quad
walker
crutches
Term
Axillary crutch
Definition
has a padded curved surface at the top, fits under axilla
Term
Lofstrand or forearm crutch
Definition
has a handgrip and a metal band that fits around the client's forearm (adjusted to fit client's height)
Term
Measuring for crutches
Definition
include height, angle of elbow flexion and distance between crutch pad and axilla
do not support weight in axilla use handgrips with elbows flexed
Term
4 point walking gait
Definition
weight bearing on both legs
each leg moves alternatively with opposite crutch
3 points of support on floor at all times
Term
3 point gait
Definition
bear all weight on one foot
weight put on both crutches and unaffected leg
Term
2 point gait
Definition
partial weight bearing on each foot
client moves a crutch at the same time as the opposite leg like arm motion in normal walking
Term
Swing through Gait
Definition
weight placed on the supported legs client places crutches one stride in front and then swings to or through the crutches while they support the clients weight
Term
What is the most common cause of health care institutional fires?
Definition
Client smoking in bed
electric
anesthetic
Term
Health care fires are a severe crisis, what is the best way to prevent the fire?
Definition
Smoke free environments
keep combustible materials away from heat sources
Term
What is a fire plan
Definition
procedures that are followed in the event that a fire occurs; know proper evacuation procedure per policy
Term
thermal burns
Definition
type of skin injury caused by flames, hot liquids and/or steam
Term
Aphyxiation
Definition
interruption in the normal exchange of o2 and co2 between lungs and outside air decrease in o2 in blood, increase in co2 in blood and tissues causes inability to breath
caused by smoke inhalation carbon monoxide and drowning
Term
Restrain
Definition
hold back from action, keep under control, deprive from liberty
Term
restraint
Definition
device used to restrain
Term
physical restraint
Definition
physical or mechanical device that cannot be removed by the client
is not a usual part of tx indicated by the client's condition or symptoms
Term
What are some complications of restraint use?
Definition
pressure ulcers, constipation, incontinence, death due to lack of breathing and circulation problems
Term
When should I use a restraint
Definition
only if absolutely medically necessary
Term
What are some alternatives to restraints that I can try?
Definition
frequent observation
reorientation
use of familiar stimuli
weight sensitive bed or chair
knitting and crocheting
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