Definition of Health - Answers -state of complete physical, mental and social well being
-not merely the absence of disease
Definition of Illness - Answers -a state in which a person's physical, emotional, intellectual, social,
developmental, or spiritual functioning is diminished or impaired compared with previous experience
Psychosomatic - Answers stress that causes physical symptoms
Primary Prevention - Answers preventing disease from ever happening
Examples of primary prevention - Answers nutrition, vaccines, wearing a helmet, seatbelts
Secondary Prevention - Answers early detection and treatment (prevent from developing further)
Examples of secondary prevention - Answers self breast exam, diagnostic tests
Tertiary Prevention - Answers getting patient strong again
Example of tertiary prevention - Answers rehab
SBAR - Answers Situation
Background
Assessment
Recommendation
3 checks before giving medication - Answers Check physicians order
Check allergies
Check expiration date on medicine
6 Rights - Answers Right drug
Right dose
Right route
Right patient
Right time (legally half hour before and half hour after)
Right documentation
The Joint Commission's National Patient Safety Goals - Answers -Improve the accuracy of patient
identification
-Improve effectiveness of communication among caregivers
-Improve the safety of using medications
-Reduce the risk of HAIs
-Check patient's medication
-The hospital identifies safety risks inherent in its patient population
HAI - Answers Hospital Acquired Infection
Nosocomial Infection - Answers -type of HAI
-infection in the hospital
Iatrogenic infection - Answers specific intervention caused nosocomial infection
6 QSEN Competencies - Answers -Safety
-Quality Improvement
-Patient-centered Care
-Informatics
-Teamwork and Collaboration
-Evidence-based Practice
Safety - Answers Minimizes risk of harm to patients and providers through both system effectiveness
and individual performance
Quality Improvement - Answers Use data to monitor the outcomes of care processes and use
improvement methods to design and test changes to continuously improve the quality and safety of
health care systems
Patient-centered Care - Answers Recognize the patient or designee as the source of control and full
partner in providing compassionate and coordinated care based on respect for patient's preferences,
values, and needs
Informatics - Answers Use information and technology to communicate, manage knowledge, mitigate
error, and support decision making
Teamwork and Collaboration - Answers Function effectively within nursing and inter-professional
teams, fostering open communication, mutual respect, and shared decision-making to achieve quality
patient care
, Evidence-based Practice - Answers Integrate best current evidence with clinical expertise and
patient/family preferences and values for delivery of optimal health care
Safety Concerns for Older Adults - Answers Loss in
-Physical function
-Acuity of sensory-perceptual function
-Cognitive judgment
Factors that Affect Safety - Answers -Physiologic factors
-Environmental factors
-Community
-Access to healthcare
-Pollution
-Radiation safety
-Workplace safety
-Safety in the home
-Healthcare Setting: Patient safety issues
-Problems with equipment, procedural errors, and impairment of patients cause falls, fires and
adverse medication errors
Sentinel Event - Answers any unanticipated event in a healthcare setting resulting in death or serious
physical or psychological injury to a patient or patients, not related to the natural course of the
patient's illness
Assessment of Ability to Function Safely
Subjective data - Answers -Patient's perceptions of safety
-Injury history
-Concerns about safety
-Risk identification
Assessment of Ability to Function Safely
Objective data - Answers -Diagnostic tests and procedures
-Physical assessment
-Neurological function
-Mobility and activity tolerance
Safety Nursing Diagnoses - Answers -Risk for Injury
-Risk for Falls
-Disturbed Sensory Perception
-Risk for Poisoning
Specific Patient Goals - Answers -Patient will remain free from injury while in the hospital.
-Patient will use call light to call for help before getting up while on narcotic pain medication.
Nursing Interventions for Safety - Answers -Disaster plans
-Emergency care in unintentional poisoning
-Fire evacuation
-CPR
-QSEN competencies
Fire Evacuation: RACE - Answers Rescue
Alarm
Contain
Extinguish
Use of restraints
Chemical
Physical - Answers -physical restraint order is good for 24 hours
-chemical restraint- medication usually only good for 8 hours, more common on psychiatric units
Structures of the musculoskeletal system regulating movement - Answers Bones
Muscles
Joints
Joint motion - Answers adduction, abduction, rotation, flexion, extension, supination, pronation,
inversion, eversion
Cerebellum - Answers coordination and balance
Normal physiologic function - Answers -Alignment
-Posture