chap 14.txt

• Implies: Freedom from injury with focus on helping to prevent falls, electrical injuries, fires, burns, and poisoning
• What implies this?

• Each year this organization releases national patient safety goals for health care facilities.
• Who does?

• It is based on evidenced-based practices developed form a review of national databases and assist facilities in maintaining patient safety
• What is?

• Examples: medication errors and errors in procedures and treatments that led to death of an individual, and inappropriate application of safety reminder devices
• Examples of what?

• It is important to perform this upon admission to the unit and whenever there has been a significant change in the patients condition
• Perform what?

• 1. apply gait belt securely around pts waist, 2. walk to the side of pt with one are around waist and other on belt and walk on pts weaker side 3. pt support self by leaning on or holding your arm 4. walk with your closes leg just behind pts knee 5. walk with your knees and hips flex.
• Correct technique for what?

• Walk on their weaker side
• When?

• Walk on their left side
• When?

Any unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof

• Baby�s � move pot handle away from the edge so baby cant tip it over
• adults � help with drinking hot liquids as soup, coffee, or tea

Any of the numerous devices used to immobilize a patient or prat of the patient�s body, such as arms or hands.

• Most common type of SRD which is a soft restraint.
• Name?

• Primarily for considerations of patient safety. Also to safeguard the continuity of treatment ( feeding tubes, IV lines), restrict pts movements to protect other pts and staff from harm
• What is?

• Their use prevents pt from wondering and prevents or reduces the risk of the pat falling form a bed, chair, or wheelchair
• Use of what and for what type of pts?

Result in increased restlessness, disorientation, agitation, anxiety and a feeling of powerlessness. Disuse of body parts has the potential to increase disability and lead to further patient weakness and unsteadiness. Some pts pull against SRDs which cause skin and circulation problems

• Federal organization that provides guidelines to help reduce safety hazards in the workplace.
• Name?

• Everything is tried before using them especially alternative strategies such as weight-sensitive alarm
• Before using what?

• Electronic device which is placed under the bed and if the pt tries to get up it will alarm and let the nurse know
• Name?

• Monitoring device that fits around the pts leg directly above the knee. When the pt swings a leg over the side of the bed, an alarm sounds from a battery that snaps to the leg band
• Name?

• They say it can be used if: all other interventions have been attempted, other disciplines have been consulted for their assistance, supporting documentation has been completed
• Who says and what can be used?

• A physicians order must be there before the use of it
• Before the use of what?

• Part of OSHA which requires hospitals to inform employees about the presence of or potential for harmful exposures and how to reduce the risk of exposure
• What is?

• Centers for disease control and prevention
• Abbrev?

• Levels: contact dermatitis, type IV hypersensitivity; and type I hypersensitivity
• Levels of what?

• A nonallergic response characterized by skin redness and itching
• Term?

• Cell-mediated allergic reaction to chemicals used in latex processing. Delayed reaction � including redness, itching, and hives � up to 48 hours is possible. Localized swelling, red and itching or runny eyes and nose, and coughing often develop
• Term?

• A true latex allergy that is possibly life threatening. Rxns are likely based on type of latex protein and degree of individual sensitivity including local and systemic. Symptoms include hives, generalized edema, itching, rash, wheezing, bronchospasm, difficulty breathing, laryngeal edema, diarrhea, nausea, hypotension, tachycardia, and respiratory or cardiac arrest.
• Term?

• Type I hypersensitivity is said to be this
• Said to be what?

• Unwelcomed physical contact from another person
• Term?

• Threat or gesture someone causes you to fear being struck
• Term?

• One should: stand away from the person, position yourself close to the door, locate panic button, keep hands free, talk in a calm voice, leave as soon as you can and make sure the pt is safe, and notify supervisor or security officer
• Do this when?

• Both are usually transmitted by contaminated needles
• What is?

• Method of removing a patient from a bed to the floor. It is a quick and effective method for removing a pt who is in immediate danger. This technique can be used b anyone regardless of pt size
• Methods name?

• It enders the body through inhalation and absorption through the skin
• What does?

• Procedure: 1. evacuate room except for housekeeping 2. ventilate the area. Close interior doors and open any outside windows 3. DO NOT VACUUM SPILL (after mercury is recovered) 4. mop floor with mercury-specific cleanser 5. dispose of collected mercury according to local environmental safety regulations
• Procedure for what?

• Occupational safety and health administration
• Abbrev?

Federal agency that provides facilities and services for the investigation, identification, prevention, and control of disease. Also provide guidelines for working with infectious patients

• Rescue patients, sound the Alarm, Confine the fire, and Extinguish or Evacuate
• Abbrev?

PASS: pull the pin to unlock the handle. Aim low at the base of the fire. Squeeze the handle. Sweet the unit from side to side

• Condition or physical state produced by the ingestion, injection, inhalation, or exposure of a toxic substance
• Term?

Poisoning

• Uncontrollable, unexpected, psychologically shocking event that is unique and likely to have a significant impact on a variety of health care facilities.
• Term?

• System of notification to transmitted rapidly
• Term?

• Violent or dangerous act used to intimidated or coerce a person or government to further a political or social agenda
• Term?

• Use of biological agents to create fear and threat
• Term?

• Groups of signs and symptoms resulting from a common cause or appearing together to present a clinical picture of a disease
• Term?

• Examples: anthrax, botulism, plague, and smallpox
• Examples of what?

• A high risk syndrome; acute infectious disease caused by bacillus anthracis, a spore-forming, gram positive bacillus
• Term?

• Humans can be infected through skin contact, ingestion or inhalation
• What disease?

• A high risk syndrome; caused by clostridium botulinum, an anaerobic gram positive bacillus that produces a potent neurotoxin
• Term?

• Foodborne form is the most common form of it
• Form of what?

• A high risk syndrome; an acute bacterial disease caused by the gram negative bacillus Yersina pestis
• Term?

• A high risk syndrome; an acute viral illness caused by the variola virus
• Term?

• A single case of smallpox is
• Is what?

• Smallpox has the potential to cause this
• Cause what?

• Distribution and determinants of health-related states and events in populations
• Term?

• The expected or normal incidence native to or occurring naturally to a specific area or environment
• Term?

• Disease that emerges rapidly at an uncharacteristic time or in an unusual pattern
• Term?

Type A, B, and C

• Extinguishes For paper wood, or cloth fires
• What type of fire extinguisher?

• Extinguishes Flammable liquid fires grease and anesthetics
• What type of fire extinguisher?

• Extinguishes For electrical
• What type of fire extinguisher?

• Extinguishes For laser accidents
• What type of fire extinguisher?

• Hematopoietic, gastrointestinal, cerebrovasuclar and central nervous systems, and skin syndromes occur
• Why would these occur?

• Occurs depending on how much Gy absorbed Deficiency of white blood cells and platelets, which leads to bleeding, anemia, infections, impaired wound healing, and immunodeficiency
• Term?

• Pt needs more than 0.75 of it for symptoms to occur
• For what to occur?

8 Gy usually pt will die

• Absorption of 30 is always fatal
• 30 of what?

• Occurs depending on how much Gy absorbed Loss of mucusoal barrier and cells lining the intestine, which results in fluid and electrolyte loss, vomiting, hematemesis, diarrhea, melena, loss of normal flora, and sepsis
• Term?

• Occurs depending on how much Gy absorbed. Cerebral edema, hyperpyrexia, hypotension, confusion and disorientation
• Term?

Radiation

• Check Every 30 min. check for circulation
• For what?

• Release Every 2 hours and have them exercise that part of the body
• For what?

• Originates outside the health care facility and results in an influx of casualties brought to the facility
• Term?

• Represents an extraordinary situation that is brought about by evens within the health care facility which has the ability to threaten the safety of pts, visitors, and facility property
• Term?

• Attributed to: Unsteadiness in gait; age related changes (with sight); and vertigo
• What is attributed to these?

• Majority occur during transfer either to a bedside commode or to a wheelchair
• What occurs then?

• List: pulmonary agents, incapacitating agents, cyanide agents, nerve agents, vesicant agents
• All are what?

• Cause SOB, chest tightness and wheezing and in some cases pulmonary edema. Take up to 2 to 24 hours to appear. Fluid in lungs lead to hypovolemia and hypotension. Require mechanical ventilation and supportive care
• Term?

• Agents impair rather than kill or seriously injure victims. Decreased organ function, hyperthermia, hallucinations, altered perceptions and erratic behavior
• Term?

• Either ingested or inhaled. Have severe respiratory distress without cyanosis, pungent odor � death will occur in 5 to 10 min
• Term?

• Cause death in min. symptoms: increased saliva production, chest pressure, rhinorrhea, vomiting, muscle weakness, incontinence, and convulsions. Symptoms will usually appear up to 10 hrs following exposure to a low concentration
• Term?

• More lethal because sometimes remain in the environment. Affect skin, eyes, and airway and large doses damage the bone marrow. Severe necrosis and sloughing
• Term?