Describe safety concerns for school aged children
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vehicle safety (sit in backseat), safe participation in sports (helmets, eye
protection, etc.), water safety, Internet safety (bullying), firearm safety (not
toys), stranger danger
,Describe topical medications and safety considerations
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Topical: directly to skin, mucous membranes of the eyes, nose, respiratory
tract, vagina, rectum, and urinary tract
Remove old patches before applying new, rotate sites, clean, dry skin with
minimal hair, ointments only prescribed dose, upper torso and arms chest,
eyedrops in lower eyelid using aseptic technique, ear positioning, inhalers
clean and shake and spacer remember to rinse mouth
Describe ROM/strength for spine
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-bend forward and attempt to touch toes is flexion and observe convex C
shape curve
-bend sideways left and right to perform lateral flexion
-bend backwards is hyperextension
-twist shoulders to one side like you are looking over shoulder while
keeping hips straight is rotation
Joint Commission Patient Safety Goals: Use medications safely
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-Label all medications especially before procedure
-Decrease possibility of medication errors with anticoagulant medications
-Establish accurate and current medications list for client and have provider
reconcile the list with the new drugs ordered (Medication reconciliation is
typically done by nurse on admission or arrival but can be done by
, pharmacist or provider; routinely done on admission, discharge, transfer, or
change in provider)
What are the 5 rights of delegation?
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task, situation, worker, direction & communication, and teaching,
supervision, & evaluation
What is a sentinel event?
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A critical unexpected adverse event that caused severe physical harm to a
patient including death and dismemberment, permanent injury, or severe,
temporary injury
Examples of an SRE
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-surgery on wrong body part
-infant discharged to wrong person
-foreign object left in patients after surgery
-stage 3 and 4 pressure ulcers
-death associated with fall
, Describe barrier restraints
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limit movement within a setting (ex. bed enclosures, concave mattresses,
lapboards, cribs for pediatrics)
Describe ROM/strength for shoulders
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-arms forward and overhead is flexion
-arms at side elbows extended is extension
-arms behind them with palms up is hyperextension
-arms at side with elbows extended making wide arc ending above head
with palms together is abduction
-bring arms back down from abduction to midline of body is adduction
-rotate palms away from body and behind back then place hand at lumbar
level is internal rotation
-with elbows bent bring arms up and around until hands are behind head is
external rotation
-to test strength repeat ROM but against pressure of hand
Describe mechanical restraints
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physical device applied such as straps, mittens, jackets, vests, belts, fabric
around wrist or ankles typically tied to bed frame using quick release knot
Give this one a try later!
vehicle safety (sit in backseat), safe participation in sports (helmets, eye
protection, etc.), water safety, Internet safety (bullying), firearm safety (not
toys), stranger danger
,Describe topical medications and safety considerations
Give this one a try later!
Topical: directly to skin, mucous membranes of the eyes, nose, respiratory
tract, vagina, rectum, and urinary tract
Remove old patches before applying new, rotate sites, clean, dry skin with
minimal hair, ointments only prescribed dose, upper torso and arms chest,
eyedrops in lower eyelid using aseptic technique, ear positioning, inhalers
clean and shake and spacer remember to rinse mouth
Describe ROM/strength for spine
Give this one a try later!
-bend forward and attempt to touch toes is flexion and observe convex C
shape curve
-bend sideways left and right to perform lateral flexion
-bend backwards is hyperextension
-twist shoulders to one side like you are looking over shoulder while
keeping hips straight is rotation
Joint Commission Patient Safety Goals: Use medications safely
Give this one a try later!
-Label all medications especially before procedure
-Decrease possibility of medication errors with anticoagulant medications
-Establish accurate and current medications list for client and have provider
reconcile the list with the new drugs ordered (Medication reconciliation is
typically done by nurse on admission or arrival but can be done by
, pharmacist or provider; routinely done on admission, discharge, transfer, or
change in provider)
What are the 5 rights of delegation?
Give this one a try later!
task, situation, worker, direction & communication, and teaching,
supervision, & evaluation
What is a sentinel event?
Give this one a try later!
A critical unexpected adverse event that caused severe physical harm to a
patient including death and dismemberment, permanent injury, or severe,
temporary injury
Examples of an SRE
Give this one a try later!
-surgery on wrong body part
-infant discharged to wrong person
-foreign object left in patients after surgery
-stage 3 and 4 pressure ulcers
-death associated with fall
, Describe barrier restraints
Give this one a try later!
limit movement within a setting (ex. bed enclosures, concave mattresses,
lapboards, cribs for pediatrics)
Describe ROM/strength for shoulders
Give this one a try later!
-arms forward and overhead is flexion
-arms at side elbows extended is extension
-arms behind them with palms up is hyperextension
-arms at side with elbows extended making wide arc ending above head
with palms together is abduction
-bring arms back down from abduction to midline of body is adduction
-rotate palms away from body and behind back then place hand at lumbar
level is internal rotation
-with elbows bent bring arms up and around until hands are behind head is
external rotation
-to test strength repeat ROM but against pressure of hand
Describe mechanical restraints
Give this one a try later!
physical device applied such as straps, mittens, jackets, vests, belts, fabric
around wrist or ankles typically tied to bed frame using quick release knot
