Final checkpoint: Modules 9 &11

safety concerns for neonates

Car seats, supporting head, washing hands (weakened immune system), Laying on back instead of head in crib etc

Safety concerns for infants/ toddlers

Choking, child proofing, use of beds, poision control

safety concerns of preschooler/ school age

Cuts, burns, ingestion, weapons, bullying, drowning, seatbekts, helmets, stranger danger

Safety concerns in Adolecents

Sex, social groups, drugs, motor veichle ingestion, healthy life style

safety concerns for adults, older adults

stress, elder abuse, domestic violence, motor accidents, alcohol, drugs

Who are most prone to falls?

neonates and older

Falls on risk score( Low )

No clutter on ground, lower beds, bed rails (2) non slip socks

falls on risk scores ( med)

Safety checks , call light + low risk

Falls on risk scores ( high)

Bed alarms, bed sitters, a room closest to nurses station, gate belt + low & med

What is a restraint?

Any form of equipment physical or that can prevent someone from taking off ( limits moblity)

How do you obtain a restraint and when is it used?

You need order and is used as last resort, you need to do frequent assesments.

Situational awareness

Situational awareness
▣ General survey
▣ Promote safer environment
▣ Reduce falls
Situational Awareness

Situational Assesment

used in every encounter with patient

modified based on patients care settings

nursing diagnosis

goal/ outcome

situational assessment: steps

1. Always start with hand hygiene and identifying the patient

2. ABCs

3. LOC

4. Respiratory equipment

5. Priority systems

6. Priority environment

7. access for clutter and hazards

8. Emergancy equiptment

9. Location of assistive devices

10. tubes and lines

11. toileting

12. personal belongings

13. safety check

14. Additional items

15. hand hygiene

Follow up

were there any significant assessment findings?
▣ Document
▣ Communication
▣ Always re-evaluate!
Follow up

Biopsychosocial model consist of

Biological

Psychological

Social

Biological in biopsychosocial model

Physical health, genetics, medical history

Psychological of biosychosocial model

emotions, mental health, behaviors, coping

Social in biopsychosocial model

relationships, environment, culture, economic status

What is the hollistic nursing practice?

American holistic Nurses Association principles;

Holistic philosophy, theories, and ethics

Holistic caring process

Holistic communication, therapeutic environment and cultural competence

Holistic education and research

holistic nurses self-care

Stategies nurses uses with holistic nursing practice

Active listening, mindfulness, cultural sensitivity, including family in care

healthcare settings

RHospital

● Long-term Care

● Community/Public Health

● Mental Health Unit

● Home Health

● Pediatrics

Role of nurse in whole-person care

Advocate for individualized care

● Communicate across disciplines (e.g., social work, chaplain, physical therapy)

● Respect cultural and spiritual differences

● Promote wellness, not just treat illness