Safety in Nursing

Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,*,*,Fundamental Concern of Nurses,Prevention of Harm,Harm from accidents&injury,-Prevent falls,fires,etc,Harm by the spread of infection,-Control infectious organisms,Safety Needs,To Meet Safety Needs of Patients consider:,Physical Factors in Environment,Psychological State,Physiologic State,Hospital Safety,Disaster Planning,Emergency Codes,-Code Red,-Code Blue,-Code Pink,Emergency Nursing,-CPR,Patient Safety,Factors Affecting Safety,Age&Development,Mobility,Health Status,Sensory-Perceptual Alterations,Cognitive Awareness,Emotional State,Ability to Communicate,Safety Awareness,Safe and Comfortable Environment,Space,Lighting,Temperature,Ventilation,Comfortable sound levels,Furniture:Bed Safety,Food and Water,Hazardous Products,Waste Management,Organization of time,Privacy,Individualized Care,Information and Teaching,Safety Precautions,-fall prevention,Poor Vision,Confused,Disoriented,Impaired memory,Impaired gait/balance,Difficulty walking,Difficulty getting in and out of bed,Orthostatic hypotension,Urinary frequency,Weakness,Medications,-sedatives,hypnotics,tranquilizers,narcotic analgesics,diuretics,Fall Risk Assessment,Mr.Jackson is a 73-yr-old stroke patient with recent mental status changes,admitted for prostate surgery.He has right-sided weakness and has fallen once at home while trying to go to the bathroom.He has difficulty initiating a urinary stream,dribbling of urine,and nocturia.He has a history of hypertension,for which he takes hydrochlorothiazide(diuretic).,Fall Prevention,List specific interventions to ensure the Mr.Jacksons safety in the hospital?,Fall Prevention,Risk Assessment,Indicate fall risk on door&chart,Bed in low position,Wheels locked,Call light,Side rails,Bed alarms,Bedside commode,Shower chair,Night light,Sitters,Room closer to nursing station,Water,tissues,bedpan within reach,Monitor changes in cognitive status,Eliminate clutter,Non skid footwear,Ambulatory devices,Dangle,Secure tubes,drains,If a Fall Occurs,Assess for injury,Check vital signs,Assist back to bed,if safe,Notify MD,Monitor frequently,Incident Report,Fire Safety,A family member reports a lit cigarette dropped on the clients mattress,but they were able to put out the small fire.What actions are needed to ensure the safety of the patients?,Fire Safety,Immediately Assess pts room,-surface fire maybe out,-smoldering inside mattress,Assess pt for injury,Call for Help,Rescue patients,Activate the alarm,Contain fire,-close doors,-turn off oxygen,Extinguish the fire,How To Use A Portable Fire Extinguisher,Remember the acronym“PASS”,PPull the Pin,AAim at the base of the flames,SSqueeze the trigger,SSweep from side to side,Fire Safety,Thorough assessment of patients,Notify physician,Thank the family,Review“No Smoking Policy”,Alternative means for smoking,-nicorette gum,Electrical Safety,Equipment is checked by biomed dept,Pts personal devices,Read warning labels,No smoking,Check for frayed electrical cords,Avoid overloading circuits,Report any shocks to biomed dept,Electrical shock,-turn off&remove source before touching,pt,vital signs,skin for burns,notify MD.,Infections&Precautions,Infection Control,Microorganisms,Bacteria,Viruses,Fungi,Parasites,Harmless Organisms,Resident flora,-E Coli(intestine),-Staph aureus(skin),Colonization,-microorganisms,become resident flora,Harmful Actions of Microorganisms,Infections or disease occur,#of organism present,Ability of organism to cause disease,Persons immune system,Length of contact between person&organism,Risk Factors for Infection,Age,Heredity,Stress,Nutrition,Medication,Diseases,-burns,PVD,DM,Invasive techniques,-surgical wounds,-immunity,-trachs,ventilators,-foley cath,-IV therapy,-venipuncture sites,-TPN,-Implanted devices,Chain of Infection,Infectious agent,-The Bug,Reservoir,-Hiding Places,Portal of Exit,-Way out,Mode of transmission,-Getting around,Portal of entry,-Way in,Susceptible host,-Another sick person,The Spread of Infection,An elderly pt,admitted with a GI disorder,is on bedrest and requires assistance with adls.The pt has frequent uncontrolled diarrhea stools and the nurse provided excellent care to maintain cleanliness and comfort.After one episode of cleaning the pt and changing the bed linen,the nurse went over to a second pt to adjust foley cath tubing.The nurses hands were not washed before assisting the second patient.,Spread of Infection,Infectious agent-E Coli,Reservoir-Large Intestine,Portal of Exit-Feces,Mode of transmission-Contaminated hands,Portal of entry-foley cath tubing,Susceptible host-elderly,chronic illness,foley cath,Breaking the Chain,A patient assigned for morning care has an open wound on her left lower leg.The wound is draining and when last cultured,the organism MRSA was identified.What steps would you take to break the chain of infection while changing the patients bed.,Breaking the Chain,Infectious agent-MRSA,Reservoir-