Home Hazard Assessment for Safety
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Questions and Answers

What is a recommended action to ensure safety from fire hazards in the kitchen?

  • Use a microwave instead of a stove
  • Invest in a stove with an automatic shut-off mechanism (correct)
  • Place all pots and pans on top of the stove
  • Keep a fire extinguisher in the bathroom

    • Which of the following strategies can help decrease the risk of falls for a client with cognitive issues?

  • Encourage clients to wear socks only
  • Install motion sensor alarms or video monitors (correct)
  • Avoid using lighting in hallways
  • Decorate with dark-colored rugs

    • Which action is important to take when evaluating a client’s bedroom for safety?

  • Add heavy bed linens
  • Use a lower bed (correct)
  • Place the bed further from the wall
  • Avoid the use of night lights

    • What should be done with commonly used kitchen items to enhance safety?

    <p>Place them within reach to avoid step stools</p> Signup and view all the answers

    Which home improvement can improve visibility and orientation for clients?

    <p>Paint walls one color</p> Signup and view all the answers

    How should medications be stored to ensure child safety in the home?

    <p>Out of reach of children</p> Signup and view all the answers

    What is an effective way to enhance stair safety in the home?

    <p>Mark edges of stairs with brightly colored tape</p> Signup and view all the answers

    Which home hazard should be addressed to prevent electrical accidents?

    <p>Securing electrical cords to the edges of the floor</p> Signup and view all the answers

    Which of the following is a common risk factor for home hazards for clients?

    <p>Recent surgery</p> Signup and view all the answers

    What type of lighting is advised to be installed for safety in the home?

    <p>Bright, well-lit lighting</p> Signup and view all the answers

    Which action by the nurse is considered incorrect when applying a restraint?

    <p>Secure the restraint by tying it to the side rail of the bed.</p> Signup and view all the answers

    What is an essential step to take before a seizure occurs?

    <p>Ask the client if they feel an aura.</p> Signup and view all the answers

    During a seizure, which of the following actions should NOT be performed?

    <p>Leave the client to get assistance.</p> Signup and view all the answers

    After a seizure, which assessment is necessary before the client can have anything to eat or drink?

    <p>Assess the gag reflex.</p> Signup and view all the answers

    Which of the following is NOT included in the preparations before lifting a client with a device?

    <p>Secure the client with multiple straps.</p> Signup and view all the answers

    What should you do immediately after a seizure?

    <p>Measure vital signs and assess mental status.</p> Signup and view all the answers

    What is a key precaution when using a ceiling lift?

    <p>Never leave the client unattended in the lift.</p> Signup and view all the answers

    What is important to check before lifting a client with an assistive device?

    <p>The maximum weight capacity of the device.</p> Signup and view all the answers

    What is the primary purpose of barcode scanning at the time of medication administration?

    <p>To ensure correct medication dosage</p> Signup and view all the answers

    When should critical lab or diagnostic results be reported to the provider?

    <p>Within a timeframe specified by facility guidelines</p> Signup and view all the answers

    Which of the following describes the appropriate method for notifying a provider about critical results?

    <p>In person or by telephone</p> Signup and view all the answers

    What should be done with medications that are not labeled?

    <p>Discarded immediately</p> Signup and view all the answers

    What is a critical step in reconciling a client's medications during admission?

    <p>Comparing current home medications with new medications</p> Signup and view all the answers

    Which of the following factors is crucial in decreasing errors associated with anticoagulant medications?

    <p>Monitoring weight, renal &amp; hepatic function</p> Signup and view all the answers

    During medication reconciliation, what should be identified if medications are from another facility?

    <p>Current medications the client was taking</p> Signup and view all the answers

    What is the primary role of the provider during medication reconciliation?

    <p>To determine if medications should continue, hold, add, or discontinue</p> Signup and view all the answers

    What is the definition of incivility in the workplace?

    <p>Behaviors that negatively affect others.</p> Signup and view all the answers

    Which of the following describes bullying in the workplace?

    <p>Recurring behavior intended to harm or humiliate.</p> Signup and view all the answers

    What is a key component of emotional intelligence?

    <p>Self-awareness, self-regulation, and empathy.</p> Signup and view all the answers

    Which strategy helps in resolving conflicts peacefully?

    <p>Compromise and accommodation of needs.</p> Signup and view all the answers

    What does cognitive rehearsal involve?

    <p>Visualizing difficult scenarios to prepare responses.</p> Signup and view all the answers

    Which patient safety goal involves using two identifiers?

    <p>Identifying clients correctly.</p> Signup and view all the answers

    What is NOT a consequence of incivility or bullying in the workplace?

    <p>Enhanced teamwork.</p> Signup and view all the answers

    Which of the following best describes conflict management?

    <p>Settling disagreements peacefully and respectfully.</p> Signup and view all the answers

    Which element is essential for understanding and managing emotions?

    <p>Emotional intelligence.</p> Signup and view all the answers

    What should NOT be used when confirming client identification?

    <p>Client's assigned room number.</p> Signup and view all the answers

    Which practice should a nurse not recommend to maintain a safe home environment?

    <p>Leave electrical outlets overcrowded with plugs</p> Signup and view all the answers

    What should be done first when trying to manage a client displaying aggressive behavior?

    <p>Engage the client in social interaction</p> Signup and view all the answers

    What is the recommended procedure if a person cannot run during an active shooter situation?

    <p>Hide in a secure location</p> Signup and view all the answers

    What is the primary purpose of using restraints on a client?

    <p>To limit client’s movement and function for safety</p> Signup and view all the answers

    Which of the following is a recommended action after applying restraints on a client?

    <p>Conduct frequent assessments and checks every 2 hours</p> Signup and view all the answers

    What is NOT an indication for the use of restraints?

    <p>Client is bored and requires stimulation</p> Signup and view all the answers

    In a fire safety context, the RACE acronym stands for which of the following?

    <p>Rescue, Alert, Contain, Evacuate</p> Signup and view all the answers

    What is a safety precaution when using oxygen in a home?

    <p>Keep gas stoves at least 10 feet away from oxygen</p> Signup and view all the answers

    What should be prioritized in a fire prevention plan for a healthcare facility?

    <p>Train all staff on fire equipment and exits</p> Signup and view all the answers

    Which of the following actions is recommended for fall prevention in clients?

    <p>Maintain a clutter-free environment</p> Signup and view all the answers

    In which situation should a nurse use a soft wrist restraint?

    <p>To limit movement in a short-term situation</p> Signup and view all the answers

    What is the correct action to take if a client in restraints is showing signs of distress?

    <p>Remove restraints and reassess immediately</p> Signup and view all the answers

    Which action is least effective for preventing injuries in clients at risk for falls?

    <p>Providing limited lighting in rooms</p> Signup and view all the answers

    What should be done with fire extinguishers in a healthcare facility?

    <p>Ensure all staff are familiar with their location and operation</p> Signup and view all the answers

    Study Notes

    Home Hazard Assessment

    • Ensure a client's home is free from hazards to avoid injury or death
    • Done for clients at increased risk for injury due to:
      • Fall
      • Recent surgery
      • Dementia
    • Key areas to assess:
      • Bathroom
      • Bedroom
      • Kitchen
      • General home environment

    Bathroom Safety

    • Use a lower bed
    • Install a floor mat alarm, motion sensor alarm, or video monitor for clients with mobility or cognitive issues

    Kitchen Safety

    • Place commonly used items within reach to avoid using a step stool
    • Invest in a stove with an automatic shut-off mechanism
    • Turn pot handles toward the back of the stove to avoid accidental burns

    General Home Safety

    • Install bright (well-lit) lighting
    • Use handrails for stairways, mark edges of stairs with brightly colored tape
    • Remove loose rugs, secure electrical cords to the edges of the floor
    • Keep animal food bowls away
    • Paint walls one color to increase visibility and orientation
    • Place medications out of reach of children
    • Remove/replace uneven flooring throughout the home

    Home Fire Safety

    • Install fire alarms and carbon monoxide detectors on every floor
    • Place fire extinguishers on every floor
    • Maintain a passable pathway to the exit
    • Identify two exit points from each room, purchase a rescue ladder for multilevel homes
    • Practice an escape plan in the event of fire at least twice a year
    • Make sure electrical outlets are not overcrowded with plugs
    • Unplug small appliances when not in use
    • Replace broken or exposed electric cords
    • Teach "Stop, Drop, and Roll" while covering the face if clothes/skin catch on fire
    • Do not be near or touch space heaters, do not place anything into the space heater

    Fire Safety with Oxygen

    • Post "No Smoking" signs inside and outside
    • Do not wear oxygen when cooking
    • Keep gas stoves at least 10 feet away
    • Install smoke alarms, maintain a fire extinguisher
    • Do not use oil-based lotions, aerosol sprays
    • NEVER smoke with medical O2 in home

    Fire Safety in the Healthcare Facility

    • Employee training is essential
    • Staff should know roles and responsibilities
    • Know the location and operation of fire extinguishers and pull station to activate fire alarm
    • Know the location of fire exits
    • RACE acronym to guide staff response to an identified fire
    • PASS acronym for fire extinguisher usage

    Healthcare Evacuation

    • Vertical Evacuation: Relocated to a different floor
    • Lateral Evacuation: Moved on the same floor to a safe location - preferred method
    • Safety Precautions: Close all doors, wrap clients in a blanket covering their face, stay low to the ground when moving, crawl if necessary, do not run or panic

    Active Shooter

    • Definition: a person who is actively murdering or attempting to murder multiple individuals in a group setting
    • Run: First thing to do if possible
    • Hide: If you cannot run, find a secure environment to hide
    • Fight: If the other two are not an option, fight for your life against the active shooter

    General Safety Interventions for At-Risk for Injury Clients

    • Video monitoring
    • Bedside sitter for direct observation for high-risk injury clients
    • Other: hourly rounding, timely answering of call lights, movement alarms

    Fall Risk

    • Definition: Unplanned descent to the floor with or without injury
    • Physical Disorders: Stroke, amputation, recent surgery, multiple sclerosis, visual impairment, weakness, unsteady gait, orthostatic hypotension
    • Cognitive Influences: Sleep disorders, impulsiveness, disorientation, dementia, seizures
    • Environmental Factors: Room clutter, poor lighting, slippery floors, bathroom frequency nocturia, staffing level of the unit, attached to equipment (e.g., IV, tubes)

    Fall Precautions

    • Non-skid footwear, colored wristband
    • Keeping bed in low position, keep assistive devices nearby
    • Locking wheels of bed
    • Placing brakes on wheelchairs
    • Maintaining a clutter-free environment, eliminate safety hazards
    • Adequate lighting
    • Placing call light and belongings within reach
    • Fall prevention education for clients
    • Yellowband assessment upon admission

    Use of Restraints & Seclusion to Prevent Injury

    • Purpose: To limit client’s movement and function for their own safety and safety of others
    • Restrict movement as little as is necessary
    • Should be a last resort to achieve safety for the shortest duration necessary
    • Restraints should never interfere with treatment
    • Alternatives: Engage client in social interaction, diversional activities, de-escalate situation, place them closer to the nurses’ station, encourage family members’ presence at bedside, have a sitter at the bedside, use chair or bed alarms, remind and reorient the client to not get out of bed
    • Indications: Unnecessary movement that is considered unsafe, attempting to remove needed medical items (e.g., feeding tubes, IV, or indwelling catheters, breathing devices), aggression or combativeness, a danger to self or others

    Types of Restraints

    • Physical: Manually holding or immobilizing the client (short-term situation or procedure, can cause injury to the client)
    • Mechanical: Use of materials, straps, fabric to fasten around wrists or ankles, devices include mittens, four-point restraints
    • Chemical: Use of sedative medications to reduce movement or control behavior, monitor for side effects
    • Barrier: Restraining through a barrier to limit movement, examples include concave mattress, lapboards attached to chairs, bed enclosure
    • Seclusion: Placing client in a locked room without consent, found in inpatient psychiatric setting

    Nursing Interventions for Clients in Restraints

    • Explain the need for restraints
    • Physical injuries and psychosocial trauma may occur
    • Frequent assessment needed (circulatory, respiratory, skin checks, v/s) at least every 2 hours
    • Rights to maintain hygiene, eliminate, ROM exercises, receive adequate nutrition
    • Should be discontinued or revised as soon as possible
    • Need for restraint must be re-evaluated every 24 hours for mechanical restraints
    • Do not secure restraints by tying on side rail, use a quick release knot
    • Apply so that two fingers can be inserted between the restraint and the client’s skin
    • Documentation: Reasons for restraint, type of restraint, location of application, length of time of use, alternative measures to avoid restraints, time of application and removal, client’s behavior while in restraints, type of restraint and location, type & frequency of care provided, condition of body parts, client’s response

    Seizure Precautions

    • Definition: Abnormal electrical activity in the brain resulting in temporary brain dysfunction

    Pre-Seizure

    • Ensure suction equipment, oral airway, and oxygen are set up at bedside
    • Check baseline vital signs
    • Establish two IV sites
    • Ensure siderails are padded
    • Remove constrictive clothing, jewelry
    • Ask client to tell you if they feel an aura

    During a Seizure

    • Call for immediate help, note the onset time
    • Do NOT leave the client, assess at bedside (monitor, v/s, ABCs, mental status)
    • Place in side-lying position to prevent aspiration
    • Protect the head, maintain airway patency
    • Remove objects that may cause a danger, loosen tight or restrictive clothing around the neck
    • Do not hold the client down

    Post-Seizure

    • Obtain laboratory results as necessary (toxicology screen, drug level)
    • Assess gag reflex before giving anything to eat or drink
    • Imaging studies or electroencephalogram (EEG) as necessary

    Lifting & Moving

    • Assistive Devices: Hoyer lift, Ceiling lift, Slide board or turn sheet, Sit-to-stand lift
    • Safe Practices When Handling Lift Device: Clear the area, follow manufacturer's instructions, check maximum weight of the lift device, become comfortable with the device (hands-on training), know client capabilities and conditions, use a proper sling size, make sure client is centered, have another team member assist you, secure and lock brakes, never leave the client unsupervised while in the lift, perform a safety check before lifting

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    Description

    This quiz focuses on the assessment of home hazards to ensure a safe living environment for clients at risk of injury. It covers critical areas such as the bathroom, kitchen, and general home safety measures. Assess your understanding of effective strategies to mitigate risks associated with falls, surgeries, and cognitive impairments.

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