"exam 7" ch 10, 16, 20, 21; A&P ch 8,9

the last chapters of semester 1

sentinel event

a patient safety that results in death, permanent harm, or severe temporary harm

-ex: medication errors, errors in procedure

acceptable to delegate to UAP

-monitor a pt for risk of injury and a safe environment

-setting up of safety precautions and protects for pt with seizure risk

gait belt

a canvas belt that encircles the patient’s waist while the patient ambulates

dangers in a child’s environment

-household cleaning items

-medication containers

-electrical sockets and cords

-bath water and pool safety

-in hospital: keep side rails up and place your had on infant when turning away

safety reminder device (SRD)

any of the numerous devices used to immobilize a pt or part of their body

-used in mental health, pediatric and intensive care settings

elopement

leaving the healthcare facility without permission or necessary supervision

acceptable reasons for use of restraints

-all other interventions have been attempted

-other disciplines have been consulted

-supporting documentation

radiation and radioactive materials

-are often used for patients

-nurse should limit time spent, keep distance, and use shielding devices

mercury spill

-include broken thermometers or sphygmomanometers

-mercury enters body through inhalation and absorption through skin

safety hazards to healthcare workers

-active shooters

-workplace violence

-use of lasers

-bodily fluids, needles, radiation

-needlesticks

occupational safety and health administration (OSHA)

a federal organization that provides guidelines to help reduce safety hazards in the workplace

centers for disease control and prevention (CDC)

a federal agency that provides facilities and services for investigation, prevention and control of disease

fire extinguisher types

-A: paper, wood and cloth fires

-B: flammable liquid fires

-C: electrical fires

RACE + PASS

-Rescue, Alarm, Confine fire, Extinguish or Evacuate

-Pull the pin, Aim low, Squeeze handle, Sweep

drugs

ninety-one percent of all unintentional poisonings

older adults at risk for poisoning

-changes in ability to absorb and excrete drugs

-changes in eyesight

-memory impairment

disaster situation

an uncontrollable, unexpected, psychologically shocking event that is unique and likely to have a significant impact on a variety of faciltiies

-examples: earthquakes, hurricanes, floods

terrorism

a violent or dangerous act used to intimidate or coerce a person or government to further a political or social agenda

bioterrorism

use of biological agents to create fear and to threaten

-may resemble a natural outbreak initially but microorganisms is sometimes modified

-overt: announced

-covert: unannoucned

endemic

the expected or normal incidence native to or occurring to a specific area or environment

epidemic disease

disease that emerges rapidly at an uncharacteristic time or an unusual pattern

hematopoietic

deficiency of white blood cells and platelets, which leads to bleeding, anemia, infections, impaired wound repair, immunodeficiency

gross decontamination

continuous shower of low volume and high volume water and removal of patient’s clothing

formal decontamination

may incorporate several steps in the cleaning process, including water spray, cleaning solution, scrubbing the pt with brushes

fine decontamination

performed in specific isolated areas of the facility and includes cleaning of the eyes, ear, fingernails and inspecting body orifices

types of agents used in chemical terrorism

-pulmonary: gases chlorine, ammonia, hydrochloric acid

-incapacitating agents: impair rather than kill

-cyanide: death occurs within 5-10 minutes

-nerve: death in a matter of minutes

-vesicant: sometimes remain in the environment for weeks