Safety 2023-24
Self-fulfillment actualization involves achieving full potential and engaging in creative activities.
Safety needs include freedom from danger, harm, or risk.
Safety is a fundamental principle in nursing care and a responsibility of healthcare providers.
Developmental level, lifestyle, social behavior, environment, mobility, sensory perception, knowledge level, communication ability, and health state impact safety.
Impairment of senses, reduced motor abilities, and age-related sensory decline affect an individual's ability to protect themselves from hazards.
Neonates, infants, toddlers, preschoolers, school-age children, adolescents, adults, and older adults have unique safety considerations.
Factors like accidents, poisoning, abuse, and environmental hazards vary across developmental stages.
State of consciousness, hospital environment unfamiliarity, and emotional states can affect a patient's perception of safety hazards.
Anxiety and disorientation may impact how patients interpret their environment.
Nurses play a crucial role in identifying and addressing safety hazards for different age groups.
Collaboration between nurses, patients, and families is essential to reduce accident risks in various settings.
Assessments for falls, fires, poisoning, suffocation, choking, and firearm injuries are crucial.
Focus on the individual, environment, and specific risk factors in safety assessments is necessary.
Modifiable factors like poor gait, medication use, strength issues, and home hazards contribute to falls.
Intrinsic (person-based) and extrinsic (environment-based) factors should be addressed to reduce fall risk.
Individuals over 65 years, with a history of falls, impaired vision, altered gait, medication use, and other specific characteristics are at high risk for falls.
Factors like slowed reaction time, confusion, weakness, and unfamiliar environments increase fall risk.
Assess mobility, communication ability, awareness, sensory perception, and potential safety hazards.
Recognize signs of domestic violence or neglect during safety assessments.
Fire and Burn Safety
Store cleaning products, insecticides, and corrosives safely.
Install smoke detectors in each room or on each floor.
Keep shampoos and cosmetics in a safe place.
Practice a fire escape plan with your family.
Preventing Falls and Other Injuries
Keep stairways clear and uncluttered.
Install safety gates at tops and bottoms of stairways.
Turn off a kerosene heater when not in the room.
Firearm Safety
Keep guns and ammunition stored separately and locked up.
Install trigger locks on all guns.
Preventing Asphyxiation or Choking
Keep plastic bags out of a child's reach.
Check that crib slats are no more than 2-3/8 inches apart.
Preventing Poisoning
Supervise young children when eating and drinking.
Keep all medicines in child-resistant containers in a locked cabinet.
Patient Outcomes for Safety
Identify real and potential unsafe environmental situations.
Implement safety measures in the environment.
Use available resources for safety information.
Incorporate accident prevention practices into ADLs.
Remain free of injury.
Nursing Interventions
Designed for each developmental level and specific hazards.
Safety measures for adults with disabilities or dementia similar to children.
Injury Control
Preventing injuries through teaching.
Providing acute care for injured patients.
Rehabilitation services.
Injury prevention by eliminating risky events and reducing severity.
Aspects of Safety and Security
Patient Safety.
Facility Safety.
Safety in Schools.
Environmental Pollutants.
Community Violence.
Safety Considerations for Neonates
Avoid behaviors that might harm the fetus.
Use crib rails.
Monitor for choking hazards.
Place infant on back to sleep.
Safety Considerations for Toddlers/Preschoolers
Supervise child closely to prevent injury.
Select age-appropriate toys.
Childproof home environment.
Teach fire safety and emergency evacuation.
Nursing Responsibilities in Home Safety
Education and Counseling.
Safety Considerations for School-Aged Children
Help avoid potentially dangerous activities.
Provide safety interventions at home, school, and neighborhood.
Teach bicycle safety and fire safety.
Health Teaching in the Schools
Monitor child's Internet use.
Volunteer for safety committees.
Ensure school emergency preparedness plan is current.
Sports-Related Traumatic Brain Injury
Traumatic brain injury (TBI) from blows to the head.
Concussion is a milder form of TBI.
Indications of a Concussion
Physical, cognitive, emotional, and sleep-related symptoms.
Safety Considerations for Adolescents
Teach safe driving skills and avoiding distractions.
Emphasize gun safety and healthy lifestyles.
Educate on sexuality, STIs, and birth control.
Discuss risks of body piercing, tattoos, and Internet dangers.
Remind about stress effects on lifestyle and health
Enroll in defensive driving course
Counsel on unsafe health habits like drugs and alcohol
Evaluate workplace safety
Counsel on domestic violence
Identify safety hazards in the environment
Modify environment as needed
Attend defensive driving or courses for older drivers
Encourage vision and hearing tests
Ensure functioning hearing aids and eyeglasses
Have operational smoke detectors
Document signs of neglect and abuse
Orienting the Person to Surroundings
Using restraints in healthcare facilities
Orient patient to safety features and equipment
Explain and demonstrate adjustable bed, side rails, call system, etc.
Teach importance of orienting older persons to new surroundings
Lists risk factors contributing to falls
Lower body weakness, poor vision, balance issues, etc.
Complete risk assessment
Keep bed in low position, wheels locked
Provide nonskid footwear, eliminate hazards
Tools like TST®, Falls Toolkit, Falls Prevention Training Program
Root Cause Analysis for preventing falls
Physical and chemical restraints
Restraints should be used as a last resort
Physiological hazards like injury, skin breakdown, etc.
Involving patient's family, monitoring, and documentation
Fire Safety measures
Preventing equipment and procedure-related accidents
Careless smoking, faulty electrical equipment
Nurses' responsibilities in fire safety
Rescue, Activate, Confine, Evacuate
Failure to use safety measures can lead to patient injury
Administering medications, transferring patients, etc.
Safety Event Reports:
Completed after any accident or incident in a healthcare facility compromising safety.
Describes accident or incident circumstances.
Details patient's response to examination and treatment post-incident.
Completed by the nurse immediately after the incident.
Not part of the medical record and should not be mentioned in documentation.
Link provided: Safety Event Report Form
References:
Taylor, Lllis, Lynn & LeMone
Self-fulfillment actualization involves achieving full potential and engaging in creative activities.
Safety needs include freedom from danger, harm, or risk.
Safety is a fundamental principle in nursing care and a responsibility of healthcare providers.
Developmental level, lifestyle, social behavior, environment, mobility, sensory perception, knowledge level, communication ability, and health state impact safety.
Impairment of senses, reduced motor abilities, and age-related sensory decline affect an individual's ability to protect themselves from hazards.
Neonates, infants, toddlers, preschoolers, school-age children, adolescents, adults, and older adults have unique safety considerations.
Factors like accidents, poisoning, abuse, and environmental hazards vary across developmental stages.
State of consciousness, hospital environment unfamiliarity, and emotional states can affect a patient's perception of safety hazards.
Anxiety and disorientation may impact how patients interpret their environment.
Nurses play a crucial role in identifying and addressing safety hazards for different age groups.
Collaboration between nurses, patients, and families is essential to reduce accident risks in various settings.
Assessments for falls, fires, poisoning, suffocation, choking, and firearm injuries are crucial.
Focus on the individual, environment, and specific risk factors in safety assessments is necessary.
Modifiable factors like poor gait, medication use, strength issues, and home hazards contribute to falls.
Intrinsic (person-based) and extrinsic (environment-based) factors should be addressed to reduce fall risk.
Individuals over 65 years, with a history of falls, impaired vision, altered gait, medication use, and other specific characteristics are at high risk for falls.
Factors like slowed reaction time, confusion, weakness, and unfamiliar environments increase fall risk.
Assess mobility, communication ability, awareness, sensory perception, and potential safety hazards.
Recognize signs of domestic violence or neglect during safety assessments.
Fire and Burn Safety
Store cleaning products, insecticides, and corrosives safely.
Install smoke detectors in each room or on each floor.
Keep shampoos and cosmetics in a safe place.
Practice a fire escape plan with your family.
Preventing Falls and Other Injuries
Keep stairways clear and uncluttered.
Install safety gates at tops and bottoms of stairways.
Turn off a kerosene heater when not in the room.
Firearm Safety
Keep guns and ammunition stored separately and locked up.
Install trigger locks on all guns.
Preventing Asphyxiation or Choking
Keep plastic bags out of a child's reach.
Check that crib slats are no more than 2-3/8 inches apart.
Preventing Poisoning
Supervise young children when eating and drinking.
Keep all medicines in child-resistant containers in a locked cabinet.
Patient Outcomes for Safety
Identify real and potential unsafe environmental situations.
Implement safety measures in the environment.
Use available resources for safety information.
Incorporate accident prevention practices into ADLs.
Remain free of injury.
Nursing Interventions
Designed for each developmental level and specific hazards.
Safety measures for adults with disabilities or dementia similar to children.
Injury Control
Preventing injuries through teaching.
Providing acute care for injured patients.
Rehabilitation services.
Injury prevention by eliminating risky events and reducing severity.
Aspects of Safety and Security
Patient Safety.
Facility Safety.
Safety in Schools.
Environmental Pollutants.
Community Violence.
Safety Considerations for Neonates
Avoid behaviors that might harm the fetus.
Use crib rails.
Monitor for choking hazards.
Place infant on back to sleep.
Safety Considerations for Toddlers/Preschoolers
Supervise child closely to prevent injury.
Select age-appropriate toys.
Childproof home environment.
Teach fire safety and emergency evacuation.
Nursing Responsibilities in Home Safety
Education and Counseling.
Safety Considerations for School-Aged Children
Help avoid potentially dangerous activities.
Provide safety interventions at home, school, and neighborhood.
Teach bicycle safety and fire safety.
Health Teaching in the Schools
Monitor child's Internet use.
Volunteer for safety committees.
Ensure school emergency preparedness plan is current.
Sports-Related Traumatic Brain Injury
Traumatic brain injury (TBI) from blows to the head.
Concussion is a milder form of TBI.
Indications of a Concussion
Physical, cognitive, emotional, and sleep-related symptoms.
Safety Considerations for Adolescents
Teach safe driving skills and avoiding distractions.
Emphasize gun safety and healthy lifestyles.
Educate on sexuality, STIs, and birth control.
Discuss risks of body piercing, tattoos, and Internet dangers.
Remind about stress effects on lifestyle and health
Enroll in defensive driving course
Counsel on unsafe health habits like drugs and alcohol
Evaluate workplace safety
Counsel on domestic violence
Identify safety hazards in the environment
Modify environment as needed
Attend defensive driving or courses for older drivers
Encourage vision and hearing tests
Ensure functioning hearing aids and eyeglasses
Have operational smoke detectors
Document signs of neglect and abuse
Orienting the Person to Surroundings
Using restraints in healthcare facilities
Orient patient to safety features and equipment
Explain and demonstrate adjustable bed, side rails, call system, etc.
Teach importance of orienting older persons to new surroundings
Lists risk factors contributing to falls
Lower body weakness, poor vision, balance issues, etc.
Complete risk assessment
Keep bed in low position, wheels locked
Provide nonskid footwear, eliminate hazards
Tools like TST®, Falls Toolkit, Falls Prevention Training Program
Root Cause Analysis for preventing falls
Physical and chemical restraints
Restraints should be used as a last resort
Physiological hazards like injury, skin breakdown, etc.
Involving patient's family, monitoring, and documentation
Fire Safety measures
Preventing equipment and procedure-related accidents
Careless smoking, faulty electrical equipment
Nurses' responsibilities in fire safety
Rescue, Activate, Confine, Evacuate
Failure to use safety measures can lead to patient injury
Administering medications, transferring patients, etc.
Safety Event Reports:
Completed after any accident or incident in a healthcare facility compromising safety.
Describes accident or incident circumstances.
Details patient's response to examination and treatment post-incident.
Completed by the nurse immediately after the incident.
Not part of the medical record and should not be mentioned in documentation.
Link provided: Safety Event Report Form
References:
Taylor, Lllis, Lynn & LeMone
