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Questions and Answers
What is the primary reason for the use of limb restraints?
Which type of restraint is considered the least restrictive if not tied to the bedframe?
What must be assessed every two hours when a patient is in restraints?
Why should restraints not be tied to the siderail?
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What is required to maintain a restraint on a patient?
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What is a key factor for nurses to assess when ensuring patient safety for older adults?
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Which of the following is NOT a fall prevention intervention for older adults?
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What does a yellow color-coded wristband indicate for a patient?
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How should a nurse ensure the safety of a patient upon leaving their room?
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Which of the following interventions is helpful in assessing fall risk factors?
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What role do mobility aids play in fall prevention for older adults?
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What is considered a chemical restraint?
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Which of the following is NOT a consequence of ensuring safety in healthcare settings?
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Which organization may deny hospital reimbursement for medical errors?
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Which of the following events is considered a Serious Reportable Event in Healthcare?
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Which of the following is part of the RACE protocol in case of a fire?
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What should be done with damaged electrical equipment in a healthcare setting?
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What is the purpose of the QSEN competencies in nursing?
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Which of the following actions could contribute to falls in patients?
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What should be the focus when identifying environmental hazards in patient care?
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Which of the following is a technique for using a wheelchair safely?
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What is the primary goal of using assistive mobility devices? Select all that apply:
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What is a critical safety measure for using crutches?
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Which type of gait requires weight bearing on both legs?
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What feature distinguishes a quad cane from a standard cane?
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Which action is recommended when transferring a patient from a bed to a chair?
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What is the correct placement of crutches for a basic crutch stance?
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Which device is specifically designed to assist with transferring patients between beds or stretchers?
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What must be ensured for the correct use of a mechanical lift?
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In cane walking, which leg should move forward at the same time as the cane?
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Which is NOT a recommended safety feature for wheelchairs?
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What is a common mistake when using a walker?
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What is the role of alarms in patient mobility safety?
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What angle should the elbow maintain when measuring for crutches?
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Study Notes
Unit Outcomes
- Importance of promoting comfort and safety in healthcare.
- Identification of environmental hazards in patient care settings.
- Assessment of patients at risk for injury and safe ambulation techniques.
- Application of various assistive devices: gait belts, walkers, canes, crutches, wheelchairs.
- Techniques for safe patient transfers.
Safety in Healthcare
- Defined as freedom from psychological and physical injury.
- Aims to reduce illness/injury incidence, prevent extended hospitalization, and enhance patient well-being.
- Medical errors, or adverse events, unintentionally harm patients and come under scrutiny by agencies like The Joint Commission (TJC) and CMS.
Serious Reportable Events
- Includes serious injury or death due to:
- Electric shocks
- Burns
- Physical restraints or bedrails
- Patient falls
- Nurse-sensitive indicators measure events that can be impacted by nursing care.
Clinical Facilities Safety Policies
- Focus on patient safety related to falls and medication errors.
- Address fire safety, equipment handling, security measures, and exposure hazards.
Fire Safety
- RACE method for fire emergencies:
- Rescue/Remove
- Activate alarm
- Confine the fire
- Extinguish if safe to do so
- PASS method for using fire extinguishers:
- Pull, Aim, Squeeze, Sweep.
Environmental Hazards
- Electrical safety emphasizes understanding equipment operation and immediate removal of damaged items.
- Compliance with hospital equipment standards, including three-pronged plugs.
Fall Prevention
- Understand risk factors contributing to patient falls, especially in older adults.
- Employ environmental modifications such as adequate lighting and reality orientation.
- Use mobility aids like treaded socks, crutches, and walkers.
Fall Risk Management
- Implement daily assessment strategies and use tools like the Morse Fall Scale to determine individual risk factors.
- Strategies include hourly rounding, reviewing medications, and utilizing color-coded wristbands.
Restraints in Patient Care
- Physical restraints limit patient movement; chemical restraints manage behavior via pharmacological means.
- Assess the necessity of restraints regularly to ensure alternatives are considered.
- Types include limb, vest, mitt (least restrictive), and Geri-chairs.
Mobility Aids
- Gait/Transfer belts assist patients who are weak or unstable.
- Crutches should be properly fitted and used to increase mobility safely; ensure tips remain dry and intact.
- Canes improve balance; types include single and quad, with each having specific usage protocols.
- Walkers should be used at the wrist level and moved in sequence with the patient’s steps.
Transfer Techniques
- Proper patient transfer techniques emphasize the use of transfer belts and ensuring bed heights are conducive to safe movements.
- Mechanical lifts require careful positioning and collaboration with other caregivers for optimal safety during transfers.
Important Points for Healthcare Staff
- Ensure all safety measures are in place before transferring or moving patients.
- Continuous assessment of the need for restraints is critical.
- Comfort and clear communication with patients during procedures are essential for effective patient care.
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Description
This quiz covers the essential aspects of safety in healthcare environments, focusing on the promotion of comfort and the identification of hazards. Key topics include safe ambulation techniques, the use of assistive devices, and serious reportable events that impact patient care. Understand how nursing practices contribute to patient safety and well-being.