Define safety - Answers freedom from psychological and physical injury
What does safety in health care include? - Answers 1. reduction in illness/injury
2. shortens LOS + treatment
3. improves client sense of well-being
4. improve/maintain client level of functioning
What does a safe environment involve? - Answers 1. controlled pollution
2. maintain sanitation
3. reduce physical hazards
4. meet basic needs
What are risk factors for safety? - Answers 1. age
2. lifestyle
3. lack of safety education
4. impaired mobility
5. sensory impairment
6. altered communication
What are safety risks for infants, toddlers, preschoolers? - Answers injury, illness
injury is #1 reason for mortality
What are the safety risks for school-aged children? - Answers need safety training
What are the safety risks for adolescents? - Answers drinking
drugs
texting + driving
What are the safety risks for adults? - Answers older choices catching up to them
What are the safety risks for older adults? - Answers falling
What is involved in a safety assessment? - Answers health history
,client's home environment
health care environment
risk for falls
risk for medical errors
client expectations
What are nursing interventions for safety? - Answers client teaching for safety
prevention of burns/scalds
prevention of falls
prevention of choking
prevention of poisoning
What is a restraint? - Answers any physical, chemical, or environmental device that limits
mobility
When are restraints appropriate? - Answers last resort
with consent
reduce injury
prevent interruption of therapy
confused or combative client removing life support
reduce injury to others
What are examples of physical restraints? - Answers belts
safety straps
mitts
limb restraints
mummy restraints
side rails
brakes
What are some consequences of restraints? - Answers minimal movement
,constipation
lack of appetite
dehydration
skin breakdown
loss of independence
strangulation
What is the acronym for fire? - Answers R - rescue
A - alarm
C - confine
E - extinguish
What are nursing behaviours that promote safe environments? - Answers safe air, water, food,
sanitation, disposal of hazardous waste, climate, physical space, equipment, policies +
procedures
How do you prepare for a bath? - Answers 1. assess client's comfort level, diagnosis, activity
level
2. client's preference
3. identify skin conditions
4. explain procedure
5. prep room
6. wash hands
7, gather equipment
8. offer bedpan or urinal
How do you perform a bed abth? - Answers 1. apply bath blanket
2. remove gown or clothes
3. warm water in basin
4. eyes first
5. client's preference for soap on face
, 6. arms, deodorant, soak hands
7. chest
8. abdomen
9. apply new gown or pajama top
10. foot in bath basin
11. wash back
12. change water
13. peri care
14. dressing, comb hair, makeup
What are the steps for general peri care? - Answers 1. determine risk for developing infection
2. privacy, explain procedure
3. apply gloves
4. assess skin, discharge
5. position client, proper body mechanics
6. remove feces
7. cleanse buttocks
Female peri care steps - Answers dorsal recumbent position
wash + dry upper thighs
wash labia majora
separate labia
dry thoroughly
Male peri care steps - Answers 1. supine position
2. wash and dry upper thighs
3. place towel beneath penis (if uncircumcised - retract foreskin)
4. wash tip of penis in circular motion (return foreskin)