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Created by Alexandra Bozan
over 7 years ago
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Question | Answer |
When performing a safety assessment the nurse focuses on 3 categories | person, environment, and specific risk factors |
leading cause of injury fatality among adults older than 65 | falls |
most common reason for admissions to hospitals for injuries in older adults | falls |
the most common injuries that result from a fall include | hip or other fractures, head trauma, or soft tissue injury |
falls can be categorized as | 1. accidental 2. an anticipated physiologic fall 3. unanticipated physiologic fall 4. intentional falls |
accidental fall | clutter or a spill causes a person to trip |
anticipated physiologic fall | a direct consequence of gait imbalances, effects of medication, or dementia |
unanticipated physiologic fall | caused by an unknown or unexpected medical issues such as stroke or seizure |
intentional falls | when patient acts out behaviorally with intent to fall |
accidental poisoning from ingestion of medications is now responsible for | more than half of the childhood poisoning deaths |
factors in accidental poisoning in older adults are | Confusion, forgetfulness and poor vision |
the third most common cause of death from toxicity in the US | carbon monoxide toxicity |
use booster seats for children until they are | 4'9" tall and weigh between 80 and 100 pounds |
Use this to determine when a child may safely use a seat belt without a booster | Safety Belt Fit Test |
All children under the age of what should ride in the back seat to eliminate the risk of an air bag deployment | 12 and under |
TBI | traumatic brain injury: results from a blow, bump, or jolt to the head that causes disruption in brain function |
Common manifestations of concussions: Physical: | headache, vomiting, problems w/balance, fatigue, dazed or stunned appearance |
Common manifestations of concussions: Cognitive: | mentally foggy, difficulty concentrating/remembering, confusion, forgets recent activities |
Common manifestations of concussions: Emotional: | irritability, nervousness, very emotional behavior |
Common manifestations of concussions: Sleep: | drowsiness, difficulty falling asleep, sleeping more or less than usual |
evaluation immediately following a concussion includes | ABC: assessment of airway, breathing and circulation |
treatment for an uncomplicated concussion includes | physical and cognitive rest |
cognitive rest | entails avoidance of reading, watching TV and playing games of any kind |
number one cause of death for adolescents | motor vehicle accidents |
DAME | used by home health care workers to assess the risk for falling in older adults at home D - drug and alcohol use A - Age-related physiologic status M - Medical problems E - Environment |
the following play supportive role in reducing fall risk in the older population | calcium supplementation, vitamin D, a regular walking regimen, tai chi |
tool which helps identify hopitalized patients at risk for falling | Hendrich II Fall Risk Model |
Get up and Go Test | measures a person's ability to rise from a seated position |
programs to safeguard patients from falls | FSI: fall scene investigations, Hourly Patient Rounding, Root Cause Analysis (RCA) |
FSI | fall scene investigations: examines the scene where the fall occurred and explore possible causes |
Hourly Patient Rounding | proactive approach involving hourly visits during day/evening hours and 2 hour visits during the night to address patient concerns that may result in a fall |
RCA | Root Cause Analysis: investigation of the environment, collection of evidence regarding the contributing factors, drawing of the fall scene, revisiting of the inciden |
Adverse effects related to the specific medication categories of antiepileptics and benzodiazepine drugs are | more predictive of falling |
Negative outcomes of restraint use include | skin break down and contractures, incontinence, depression, delirium, anxiety, aspiration and respiratory difficulties, and even death |
patients in restraints must be monitored/assessed at least | every hour or according to agency policy |
An inpatient psychiatric patient in restraints requires | continual observation, including specific assessments every 15 minutes |
activated charcoal | considered the most effective agent for preventing absorption of the ingested toxin. not recommended for storage or use at home. |
safety event report | (incident report) objectively describes the circumstances of the accident or incident. details the patient's response & the examination/treatment of the patient after event. completed immediately after. NOT A PART OF THE MEDICAL RECORD. |
chemical agents act rapidly and immediate | decontamination is crucial before patients are transported to a hospital |
BLI | blast lung injury: a direct consequence of the blast wave from a high explosive detonation |
RACE | R - rescue anyone in immediate danger A - activate the fire code system and notify the appropriate person C - confine the fire by closing doors and windows E - evacuate patients and other people to a safe area |
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