Chapter 26: safety, Security, and Emergency Preparedness Vocabulary

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UNIT VI: Actions Basic to Nursing Care Chapter 26: safety, Security, and Emergency Preparedness Vocabulary
Alexandra Bozan
FlashCards por Alexandra Bozan, atualizado more than 1 year ago
Alexandra Bozan
Criado por Alexandra Bozan quase 7 anos atrás
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Questão Responda
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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