Safety 1
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Questions and Answers

What is a key strategy in preventing falls for clients recovering from surgery?

  • Encourage clients to walk unassisted as soon as possible.
  • Keep bedside tables well stocked with items.
  • Provide bed alarms for all clients to prevent falls.
  • Monitor clients closely and encourage them to call for assistance. (correct)
  • Which of the following actions is NOT recommended for fall prevention when assisting clients?

  • Walking behind the client to provide support.
  • Positioning yourself to the side and back of the client.
  • Using a gait belt when assisting with ambulation.
  • Allowing clients to ambulate without supervision. (correct)
  • How should the bed position be managed to enhance client safety?

  • Always keep the bed at the highest position for easy access.
  • Change the bed height as per the client's request.
  • Lower the bed and lock the wheels except during care. (correct)
  • Only lock the wheels if the client is confused.
  • Which method is used to document safety measures for a client in their room?

    <p>Documenting the use of side rails and call light accessibility.</p> Signup and view all the answers

    What is the primary purpose of conducting fall risk assessments?

    <p>To identify the risk of falls based on clients' conditions.</p> Signup and view all the answers

    For which clients should side rails be used according to safety protocols?

    <p>Sedated, unconscious, or compromised clients.</p> Signup and view all the answers

    What is the significance of documenting the ambulation procedure for a client?

    <p>To verify the use of assistive devices and safety measures.</p> Signup and view all the answers

    Which of the following is an essential fall precaution specifically for children?

    <p>Keeping children supervised at all times.</p> Signup and view all the answers

    What should be done with cleaning supplies and medications in a home with children?

    <p>Secure them in locked cabinets out of children's reach.</p> Signup and view all the answers

    What is an essential safety measure for elderly clients at night?

    <p>Ensure they have hearing aids and use nightlights.</p> Signup and view all the answers

    How should safety reminder devices be utilized according to best practices?

    <p>They should only be used if less restrictive measures have failed.</p> Signup and view all the answers

    What are the requirements for using restraints in long-term care facilities?

    <p>Restraints require a healthcare provider's order and must detail the specific circumstances of use.</p> Signup and view all the answers

    Which of the following statements regarding safety reminder devices is true?

    <p>They must allow sufficient space to avoid skin irritation.</p> Signup and view all the answers

    What should be done during a seizure to ensure client safety?

    <p>Loosen any clothing that restricts their breathing.</p> Signup and view all the answers

    What action should be taken if a mercury spill occurs?

    <p>Evacuate the area and contact appropriate staff.</p> Signup and view all the answers

    How can workplace violence risks be minimized?

    <p>Implement safety precautions, including proper use of personal protective equipment.</p> Signup and view all the answers

    What should be monitored frequently when a client is in restraints?

    <p>The client's circulation, anxiety, and behavior.</p> Signup and view all the answers

    What is a vital element in managing patients undergoing radiation treatment?

    <p>Abide by time and distance limitations to minimize exposure.</p> Signup and view all the answers

    Why should staff avoid using heating pads for elderly clients?

    <p>They increase the risk of burns and skin damage in elderly clients.</p> Signup and view all the answers

    What is the recommended approach to handle agitation in clients?

    <p>Encourage diversional activities and exercise.</p> Signup and view all the answers

    What should be done if a client exhibits confusion?

    <p>Assign them to a room near the nurses' station for monitoring.</p> Signup and view all the answers

    Which factor is NOT associated with an increased risk of falling for clients?

    <p>Use of non-skid shoes</p> Signup and view all the answers

    What is considered a possible restraint when used in long-term care facilities?

    <p>Three-side rails</p> Signup and view all the answers

    When assessing environmental safety, which practice is least effective in preventing falls?

    <p>Using bright-colored signage</p> Signup and view all the answers

    Which action is inappropriate for high-risk clients in terms of fall prevention?

    <p>Allowing them to use full side rails</p> Signup and view all the answers

    Which of the following is NOT a recommended practice for maintaining a safe environment?

    <p>Positioning bedside tables out of reach</p> Signup and view all the answers

    What should be documented to ensure proper safety procedures are followed?

    <p>The process of ambulation assistance</p> Signup and view all the answers

    Which of the following best describes the purpose of chair and bed sensors?

    <p>To notify when a client tries to get up unassisted</p> Signup and view all the answers

    In implementing fall precautions, which of the following is most crucial for elderly clients?

    <p>Spatial orientation to their environment</p> Signup and view all the answers

    What is the primary function of handrails in a facility?

    <p>To provide support and stability</p> Signup and view all the answers

    Which precaution should be observed when using call lights?

    <p>Educate clients on their use</p> Signup and view all the answers

    Which action is essential when responding to a mercury spill in a facility?

    <p>Evacuate the area except for appropriate personnel</p> Signup and view all the answers

    What is the correct method for extinguishing clothing fires?

    <p>Drop, stop, and roll on the ground</p> Signup and view all the answers

    In case of a fire, which action should NOT be taken during evacuation?

    <p>Take the elevator for a quicker escape</p> Signup and view all the answers

    What is a recommended precaution regarding smoke detectors in facilities?

    <p>Encourage installation in every room</p> Signup and view all the answers

    What should be done if a piece of fire safety equipment is found to be faulty?

    <p>Report the issue immediately</p> Signup and view all the answers

    What is the proper procedure for handling a fire drill in a facility?

    <p>Know and follow evacuation procedures</p> Signup and view all the answers

    Which of the following should be avoided when managing a mercury spill?

    <p>Using a broom to sweep the mercury</p> Signup and view all the answers

    Which option best describes an alternative to using candles for light or heat?

    <p>Utilizing battery-operated lamps</p> Signup and view all the answers

    When potentially exposed to smoke or fire, which action is least effective?

    <p>Taking deep breaths to calm nerves</p> Signup and view all the answers

    Which statement about reporting fires is accurate?

    <p>There must be a clear procedure and contact numbers</p> Signup and view all the answers

    What is the recommended practice to ensure safety during a seizure?

    <p>Place a padded object under their head</p> Signup and view all the answers

    Which of the following is considered a less restrictive measure before using restraints?

    <p>Direct supervision</p> Signup and view all the answers

    What should be done to maintain the safety of elderly clients while using heated items?

    <p>Avoid using heated items altogether</p> Signup and view all the answers

    Which statement best indicates compliance with safety measures in managing behavioral changes?

    <p>Promoting activities tailored to the client's abilities</p> Signup and view all the answers

    Which action is NOT recommended for ensuring children’s safety during bath time?

    <p>Leaving the room for a quick errand</p> Signup and view all the answers

    What is essential for the use of safety reminder devices (SRDs)?

    <p>A provider’s order detailing their type and use</p> Signup and view all the answers

    What aspect of using restraints requires continuous evaluation?

    <p>The client's ongoing needs and behavior</p> Signup and view all the answers

    Which safety device is used primarily for mobility restriction in clients?

    <p>Safety reminder devices (SRDs)</p> Signup and view all the answers

    What should be documented after a seizure occurs?

    <p>The duration, sequence, and type of movements</p> Signup and view all the answers

    Which of the following strategies does NOT enhance fire safety in healthcare settings?

    <p>Allowing clients to smoke in designated areas</p> Signup and view all the answers

    Study Notes

    General Safety Guidelines

    • Ensure clients, especially those recovering from surgery, receiving narcotics, or with unsteady gait, are closely monitored to prevent falls
    • Encourage clients to call for assistance when needed
    • Provide clients with non-slip slippers or shoes with good grips to prevent sliding or slipping.
    • Check handrails in bathrooms, hallways, and on stairs, reporting any loose or damaged rails.
    • In hospitals, use at least two bed side rails at all times.
    • Bed alarms can be helpful for confused patients and may come in pressure-sensitive or clip-on versions.
    • Keep the bed in a low position and locked at all times, except when providing client care.
    • Document that bed is low, wheels are locked, side rails are up, and the call light is in reach whenever leaving a client's room.
    • Maintain a clean environment free of clutter to prevent tripping.
    • Lock the wheels of wheelchairs and stretchers.
    • Orient clients to their surroundings, paying special attention to elderly clients who may be confused.
    • Place bedside tables and over-bed tables within reach, with frequently used items easily accessible.
    • Ensure adequate lighting in the room, even at night, using a nightlight if necessary.
    • Follow facility-specific fall precautions and policies.
    • Clean spills promptly to prevent falls.

    Sentinel Events

    • Sentinel events are serious patient safety events that result in death, permanent harm, or severe temporary harm.
    • Most facilities have policies defining sentinel events, examples, and reporting procedures.

    Fall Prevention

    • Fall risk assessments are conducted on admission, at regular intervals, and when client conditions change.
    • Place clients at an increased fall risk closer to the nurses' station if possible.
    • Avoid using full side rails for clients who can get out of bed unassisted to prevent choking or entanglement.
    • Use side rails for sedated, unconscious, or compromised clients, following facility protocol.
    • Utilize bed or chair sensors for clients at risk of getting up without assistance.
    • Assist with ambulation using a gait belt, positioning yourself to the side and back of the client.
    • Walk beside the client, supporting their weaker side.
    • Keep your hips and knees flexed when ambulating to control falls.
    • Document the ambulation procedure, including the use of assistive devices and the number of people involved.

    Patient Safety Rules

    • Children: Never leave children unattended, especially infants and toddlers.
    • Secure all cleaning supplies and medications in locked cabinets out of children's reach.
    • Cover electrical outlets, secure cords, and turn pot handles facing the stove.
    • Never leave children unattended in a bathtub or pool.
    • Keep at least one hand on an infant when needing to get a supply.
    • For infants it is best to gather all needed supplies before starting care.

    Patient Safety Rules: Elderly

    • Be especially cautious with elderly clients, as they are at an increased risk for harm.
    • Use nightlights for elderly clients, especially at night, as they often have difficulty seeing.
    • Ensure elderly clients have their hearing aids and monitor for decreased strength, balance, depth perception, and reaction time.
    • Be aware of potential medication side effects in elderly clients, such as orthostatic hypotension or syncope.
    • Assist elderly clients with medications to prevent accidental overdosing or poisoning.
    • Use non-skid strips in bathrooms to prevent falls in the tub.
    • Avoid using heating pads.
    • Avoid scatter rugs and loose rugs.

    Safety Reminder Devices (formerly Restraints)

    • Facilities are moving toward restraint-free environments or using "safety reminder devices" for safety.
    • Safety reminder devices are used to protect the client or staff from potential harm.
    • Use of safety reminder devices must be authorized by a healthcare provider.
    • Safety reminder devices should be used for the shortest amount of time possible and only after less restrictive measures have failed.
    • Seclusion can be requested by the client and is a safe, private area for them to calm down on their own.
    • Restraints are considered a last resort and alternatives should always be explored first.
    • Restraints can be physical or chemical.
    • When using restraints, position the client on their side to prevent aspiration.

    Types of Safety Reminder Devices

    • Wrist and ankle restraints

    • Mitts

    • Restraint vests

    • Bed and chair alarms

    • Tray tables

    • Lap buddies

    • Medications

    • Provide clients with sensory stimulation, such as pictures, books, or radios, to help keep them occupied and prevent confusion.

    • Assign confused clients to rooms near the nurses' station for easy monitoring.

    Agitation Management

    • Encourage diversional activities, exercise, and ambulation for clients with agitation.
    • Evaluate medications as a potential cause of behavior changes.
    • Employ continuous ongoing assessment to monitor client status.

    Restraint Use

    • Restraints in long-term care facilities are regulated by the Omnibus Budget Reconciliation Act of 1987.
    • Restraints can only be used to ensure patient or resident safety.
    • Restraints require a provider's order detailing circumstances, duration, and specific reasons for use.
    • Restraints are never used as punishment or convenience.
    • Documentation of all interventions, other disciplines involved, and rationale for restraint use is essential.

    Safety Reminder Devices

    • Safety reminder devices (SRDs) can never be used as punishment or convenience.
    • SRDs should never interfere with treatment or restrict complete movement.
    • SRDs must be a proper fit, allowing two fingers underneath the device.
    • SRDs require a doctor's order including type, location, duration of use, and client behaviors prompting their use.
    • Nurses can apply SRDs in emergencies but must obtain an order within one hour.
    • Orders for SRD use may need to be rewritten every 24 hours.
    • While the client is in restraints, assess skin every two hours for pressure points, tears, or scratches.
    • Monitor the client's circulation, anxiety, and behavior frequently.
    • Document precipitating events, alternative actions taken, and client and family explanations.
    • Use quick-release ties and attach to the movable part of the bed frame.

    Seizure Management

    • Ensure rescue equipment, including oxygen, airway management equipment, and suction, is at the bedside for clients with seizure history.
    • Assess airway, breathing, and circulation during seizures.
    • Protect the client's head from injury and trauma.
    • Do not put anything in the mouth of a client having a seizure.
    • Loosen any restrictive clothing around the neck.
    • Stay with the client and call for help.
    • Document duration, sequence, and type of movement of the seizure.

    Radiation Safety

    • Know the client's activity limitations and prescribed radiation treatment.
    • Abide by time and distance limitations to minimize radiation exposure.
    • Use personal protective equipment (PPE) including shields, gloves, and visors.
    • Follow facility policies for handling linens, trash, dietary supplies, specimens, and blood after radiation treatment.

    Mercury Spill Management

    • Know who to contact in the event of a mercury spill.
    • Evacuate the room except for appropriate staff.
    • Ventilate the area by closing interior doors and opening windows.
    • Do not vacuum the spill.
    • Contain the spill with approved cleaning agents and dispose of mercury according to local regulations.

    Workplace Safety

    • Recognize risk factors that increase the possibility of workplace violence, such as clients in police custody, substance abuse, and poorly lit areas.
    • Implement safety precautions such as wearing eye protection, maintaining vaccinations, using standard precautions, and proper needle disposal.

    Fire Safety

    • Follow facility fire prevention programs and evacuation protocols.
    • Report any faulty equipment.
    • Know the location of fire extinguishers and evacuation routes.
    • Never use elevators during a fire or drill.
    • Review fire safety instructions with clients in their homes, including smoke detectors, escape plans, and proper equipment use.

    General Safety Guidelines

    • Monitor clients who are recovering from surgery, receiving narcotics, or have unsteady gait closely to prevent falls.
    • Encourage clients to call for help when needed.
    • Provide clients with non-slip slippers or shoes.
    • Check handrails in bathrooms, hallways, and on stairs, reporting any loose or damaged rails.
    • Use at least two bed side rails in hospitals.
    • Bed alarms are helpful for confused patients, and come in pressure-sensitive or clip-on versions.
    • Keep the bed in a low position and locked at all times.
    • Document that the bed is low, wheels are locked, side rails are up, and the call light is in reach whenever leaving a client's room.
    • Maintain a clean environment free of clutter.
    • Lock the wheels of wheelchairs and stretchers.
    • Orient clients to their surroundings, especially elderly clients who may be confused.
    • Place bedside tables and over-bed tables within reach.
    • Ensure adequate lighting in the room, even at night.
    • Follow facility-specific fall precautions and policies.
    • Clean spills promptly to prevent falls.

    Sentinel Events

    • Sentinel events are serious patient safety events that result in death, permanent harm, or severe temporary harm.
    • Most facilities have policies defining sentinel events, examples, and reporting procedures.

    Fall Prevention

    • Fall risk assessments are conducted on admission, at regular intervals, and when client conditions change.
    • Place clients at an increased fall risk closer to the nurses' station if possible.
    • Avoid using full side rails for clients who can get out of bed unassisted; this may prevent choking or entanglement.
    • Utilise bed or chair sensors for clients at risk of getting up without assistance.
    • Assist with ambulation using a gait belt, positioning yourself to the side and back of the client.
    • Walk beside the client, supporting their weaker side.
    • Keep your hips and knees flexed when ambulating to assist with falls.
    • Document the ambulation procedure, including the assistive devices used and the number of people involved.

    Patient Safety Rules (Children)

    • Never leave children unattended, especially infants and toddlers.
    • Secure cleaning supplies and medications in locked cabinets out of children's reach.
    • Cover electrical outlets, secure cords, and turn pot handles facing the stove.
    • Never leave children unattended in a bathtub or pool.
    • Keep at least one hand on an infant when needing to get a supply.
    • Gather all needed supplies before starting care for infants.

    Patient Safety Rules ( Elderly)

    • Be cautious with elderly clients, as they are at an increased risk for harm.
    • Use nightlights for elderly clients, especially at night, as they often have difficulty seeing.
    • Ensure elderly clients have their hearing aids and monitor for decreased strength, balance, depth perception, and reaction time.
    • Be aware of potential medication side effects in elderly clients, such as orthostatic hypotension or syncope.
    • Assist elderly clients with medications to prevent accidental overdosing or poisoning.
    • Use non-skid strips in bathrooms to prevent falls in the tub.
    • Avoid using heating pads.
    • Avoid scatter rugs and loose rugs.

    Safety Reminder Devices (formerly Restraints)

    • Facilities are moving toward restraint-free environments.
    • Safety reminder devices are used to protect the client or staff from potential harm.
    • Use of safety reminder devices must be authorized by a healthcare provider.
    • Safety reminder devices should be used for the shortest amount of time possible, and only after less restrictive measures have failed.
    • Seclusion can be requested by the client and is a safe, private area for them to calm down on their own.
    • Restraints are considered a last resort and alternatives should always be explored first.
    • Restraints can be physical or chemical.
    • When using restraints, position the client on their side to prevent aspiration.

    Types of Safety Reminder Devices

    • Wrist and ankle restraints
    • Mitts
    • Restraint vests
    • Bed and chair alarms
    • Tray tables
    • Lap buddies
    • Medications

    Agitation Management

    • Encourage diversional activities, exercise, and ambulation for clients with agitation.
    • Evaluate medications as a potential cause of behaviour changes.
    • Employ continuous ongoing assessment to monitor client status.

    Restraint Use

    • Restraints in long-term care facilities are regulated by the Omnibus Budget Reconciliation Act of 1987.
    • Restraints can only be used to ensure patient or resident safety.
    • Restraints require a provider's order detailing circumstances, duration, and specific reasons for use.
    • Restraints are never used as punishment or convenience.
    • Documentation of all interventions, other disciplines involved, and rationale for restraint use is essential.

    Safety Reminder Devices

    • Safety reminder devices (SRDs) can never be used as punishment or convenience.
    • SRDs should never interfere with treatment or restrict complete movement.
    • SRDs must be a proper fit, allowing two fingers underneath the device.
    • SRDs require a doctor's order including type, location, duration of use, and client behaviors prompting their use.
    • Nurses can apply SRDs in emergencies but must obtain an order within one hour.
    • Orders for SRD use may need to be rewritten every 24 hours.
    • Assess skin every two hours for pressure points, tears, or scratches while the client is in restraints.
    • Monitor the client's circulation, anxiety, and behavior frequently.
    • Document precipitating events, alternative actions taken, and client and family explanations.
    • Use quick-release ties and attach to the movable part of the bed frame.

    Seizure Management

    • Ensure rescue equipment, including oxygen, airway management equipment, and suction, is at the bedside for clients with seizure history.
    • Assess airway, breathing, and circulation during seizures.
    • Protect the client's head from injury and trauma.
    • Do not put anything in the mouth of a client having a seizure.
    • Loosen any restrictive clothing around the neck.
    • Stay with the client and call for help.
    • Document duration, sequence, and type of movement of the seizure.

    Radiation Safety

    • Know the client's activity limitations and prescribed radiation treatment.
    • Abide by time and distance limitations to minimize radiation exposure.
    • Use personal protective equipment (PPE) including shields, gloves, and visors.
    • Follow facility policies for handling linens, trash, dietary supplies, specimens, and blood after radiation treatment.

    Mercury Spill Management

    • Know who to contact in the event of a mercury spill.
    • Evacuate the room except for appropriate staff.
    • Ventilate the area by closing interior doors and opening windows.
    • Do not vacuum the spill.
    • Contain the spill with approved cleaning agents and dispose of mercury according to local regulations.

    Workplace Safety

    • Recognize risk factors that increase the possibility of workplace violence, such as clients in police custody, substance abuse, and poorly lit areas.
    • Implement safety precautions such as wearing eye protection, maintaining vaccinations, using standard precautions, and proper needle disposal.

    Fire Safety

    • Follow facility fire prevention programs and evacuation protocols.
    • Report any faulty equipment.
    • Know the location of fire extinguishers and evacuation routes.
    • Never use elevators during a fire or drill.
    • Review fire safety instructions with clients in their homes, including smoke detectors, escape plans, and proper equipment use.

    General Safety Guidelines

    • Clients with specific conditions are at a higher risk of falling: clients recovering from surgery, receiving narcotics, experiencing unsteady gait and extended bedrest.
    • Use non-slip slippers or non-skid shoes to prevent slipping and falling.
    • Ensure proper placement and functionality of handrails in bathrooms, hallways, and stairs.
    • Maintain at least two side rails in hospitals, three are acceptable but four are considered a restraint.
    • Side rails in long-term care facilities are considered a restraint and should only be used per order.
    • Bed alarms can be helpful for confused patients.
    • Keep the bed in the lowest position and locked for client safety.
    • Document safety procedures ensuring call bell is within reach, bed is low, wheels are locked and rails are up (hospital).
    • Immediately clean spills to minimize the risk of falls and ensure a safe environment.

    Environmental Safety

    • Reduce clutter to mitigate the risk of tripping.
    • Lock wheelchair wheels to prevent accidental movement and potential injury.
    • Orient patients to their environment, particularly important for the elderly who may disorient in new settings.
    • Place bedside and overbed tables within reach to improve accessibility, reducing reaching and potential falls.
    • Maintain adequate lighting using nightlights to improve visibility and reduce the risk of falls.
    • Adhere to the facility’s fall precautions policy.

    Fall Prevention

    • Conduct fall-risk assessments upon admission and periodically based on the client’s condition.
    • Promptly respond to call lights to prevent clients from trying to assist themselves and increase the risk of falls.
    • Assign high-risk clients near the nurses’ station for closer monitoring and reduced fall risk.
    • Avoid using full side rails for clients who get out of bed unassisted as this may increase the risk of falls due to attempted climbing over them.
    • Utilize chair and bed sensors to signal when a client attempts to get out of bed or chair.
    • Assist with ambulation using a gait belt for support and safety, position yourself on the client’s weaker side and walk with flexed hips and knees.
    • Document ambulation assistance including use of a gait belt and the number of personnel involved.

    Safety Guidelines for Children

    • Never leave children unattended, especially infants and toddlers.
    • Secure all cleaning supplies and medications in a locked cabinet.
    • Cover electrical sockets and secure cords out of reach.
    • Turn pot handles inwards toward the back of the stove.
    • Never leave young children unattended in the bathtub or pool.
    • Keep one hand on the infant during care tasks.

    Safety Guidelines for the Elderly

    • Use nightlights for improved visibility considering their decreased vision, especially at night.
    • Ensure they are using hearing aids to improve communication and safety.
    • Be aware of decreased strength, balance and depth perception increasing fall risk.
    • Mindful of circulation changes as they can lead to orthostatic hypotension or syncope.
    • Use caution with heated items as they may have difficulty sensing hot temperatures.
    • Provide medication organizers to promote safety and adherence.
    • Avoid scatter rugs and loose rugs as tripping hazards.
    • Use non-skid strips in the bathtub to prevent slipping and falls.
    • Be aware of slower reaction times and reflexes.
    • Avoid heating pads.

    Safety Reminder Devices

    • Used to mobilize the client or a part of the client's body to protect them or others.
    • Usage and guidelines are defined by federal, state, and facility policies.
    • Require a provider’s order for authorization.
    • Only used for the shortest duration possible when less restrictive measures fail.
    • Types include: wrist/ankle restraints, mitts, vests, bed/chair alarms, tray tables, lap buddy.
    • Seclusion is a room used for self-calming, with no furniture, requested by the patient.
    • Chemical restraints are medications used to restrain the client, requiring a provider’s order.
    • Less restrictive measures include distraction, removal from the environment, and moving the client to their room.
    • Orient and explain all restraint procedures especially in a restraint-free environment.
    • Encourage involvement of family and friends.
    • Assign confused clients near the nurses’ station for increased supervision.
    • Provide visual and auditory stimuli to reduce confusion and provide distractions.

    Managing Behavioral Changes

    • Encourage activities like ambulation and exercise tailored to the client’s capabilities.
    • Assess potential causes like toileting needs, medication adjustments, or underlying medical conditions.
    • Consider involving physical and occupational therapists for targeted interventions.

    Restraints in Long-Term Care

    • Restraints are regulated under the Omnibus Budget Reconciliation Act of 1987.
    • Use of restraints requires a physician’s order detailing the reason, duration, and specific circumstances.
    • Restraints should only be used when all other interventions have failed and are documented in detail.
    • Restraints should never be used as punishment or for convenience.
    • Continuous assessment of the client’s needs and behavior is crucial for determining the necessity of restraint use.

    Safety Reminder Devices (SRDs)

    • SRDs should only be used to minimize movement when necessary.
    • SRDs should not interfere with treatment or restrict complete movement.
    • Proper fit is crucial for maximizing safety and comfort.
    • SRDs must be ordered by a physician specifying the type, location, and duration of use.
    • Nursing care includes regular assessment, circulation checks, skin inspection, food and fluid provision, and behavior monitoring.

    Managing Seizures

    • Ensure rescue equipment is readily available at bedside.
    • Assess the client’s airway, breathing, and circulation during and after a seizure.
    • Protect the client’s head from injury during a seizure.
    • Avoid placing objects in the client’s mouth during a seizure, except for airway management.
    • Loosen any restrictive clothing.
    • Document the duration, sequence, and type of movements associated with the seizure.

    Radiation Safety

    • Clients receiving radiation therapy may have activity limitations.
    • Facilities use dosimeters to track staff radiation exposure.
    • Time and distance limitations should be strictly observed minimizing staff radiation exposure.
    • Personal protective equipment (PPE) should be utilized, including shields, gloves, and visors.
    • Policies should be followed for handling linens, trash, dietary supplies, specimens, and blood.

    Workplace Safety

    • Risk factors for workplace violence include clients under police custody, long emergency department waits, substance abuse, low staffing, poorly lit areas, and lack of staff training.
    • Ensure proper eye protection when splashing is a risk.
    • Maintain current vaccination schedules for all staff.
    • Practice standard precautions including handwashing, gloves, and masks.
    • Use needle safety devices and dispose of used needles appropriately.

    Fire Safety

    • A Safety Committee develops fire prevention programs and educates staff.
    • Maintenance checks fire alarms and sprinklers regularly.
    • Biomed inspects mechanical equipment annually.
    • Electrical items brought in by clients must be inspected and approved by maintenance.
    • Encourage a strict no-smoking policy, especially when oxygen is used.

    Home Safety

    • Provide detailed instructions on equipment use and monitoring.
    • Review smoking practices emphasizing no smoking while asleep or in bed.
    • Encourage installation of smoke detectors, fire alarms, and carbon monoxide detectors.
    • Teach clients how to extinguish clothing fires using “drop, stop, and roll.”
    • Avoid using candles for heat or light.
    • Report faulty equipment immediately.

    Fire Safety Procedures

    • Know the procedure for reporting a fire including contact numbers and codes.
    • Know the location of fire extinguishers and evacuation routes.
    • Never use the elevator during a fire or drill.
    • Know how to safely evacuate clients in case of fire.

    Mercury Spill

    • Know who to contact if a mercury spill occurs.
    • Evacuate the room, except for appropriate staff.
    • Ventilate the area closing interior doors and opening windows.
    • Do not vacuum the spill.
    • Contain the mercury using approved cleaning agents and dispose of it according to local regulations.

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    Description

    This quiz focuses on essential safety guidelines for providing care to clients, especially those who are vulnerable following surgery or with mobility challenges. It covers monitoring protocols, the use of safety equipment, and environmental safeguards to prevent falls and accidents in various settings.

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