Psychiatric Nursing Safety Practices

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Questions and Answers

What type of accident is defined as a self-inflicted injury?

Self-inflicted accident (correct)

Procedure-related accident

Equipment-related accident

Negligent accident

Which risk factor is most likely associated with Mr. Natik's condition following cataract surgery?

Infection

Medication dependency

Falls (correct)

Pressure ulcers

Which of the following is an example of a procedure-related accident?

Equipment malfunction

Burn from heating pads

Medication administration error (correct)

Incorrect patient identification

In the context of nursing malpractice, what is a critical incident?

An event that could have been prevented by standard safety measures Signup and view all the answers

Which reporting requirement is critical for improving patient safety after an adverse event?

Submission of incident reports to quality assurance committees Signup and view all the answers

What constitutes a near miss in patient safety incidents?

An incident that did not reach the patient, causing no harm Signup and view all the answers

What is a critical incident in the context of nursing practice?

An incident that resulted in adverse outcomes for the patient Signup and view all the answers

What primary lesson can be learned from the case where a patient set herself on fire?

Nurses must implement actions based on their assessments for client safety Signup and view all the answers

What characterizes a no-harm incident in patient safety?

An occurrence that reaches the patient but causes no discernible harm Signup and view all the answers

What is the purpose of the Saskpoly Reporting Form for Adverse Events?

To serve as a learning tool without assigning blame Signup and view all the answers

Why is miscommunication often cited as a factor in patient safety incidents?

It frequently hinders effective nursing practices Signup and view all the answers

In the context of the nursing assessment regarding suicide risk, which statement is correct?

Nurses must take immediate action if assessments suggest a change in patient safety is required Signup and view all the answers

What percentage of reported situations were classified as near misses in the Saskpoly report?

53% Signup and view all the answers

What is not a characteristic of a critical incident as defined in the Saskatchewan Critical Incident Reporting Guideline?

It results primarily from the individual’s underlying health condition. Signup and view all the answers

Which of the following actions is most relevant for psychiatric nurses to ensure patient safety?

Following best practice guidelines for nursing practice. Signup and view all the answers

What type of health event qualifies as a serious adverse event requiring reporting?

An unexpected death that occurred during a health service. Signup and view all the answers

Which of the following strategies can enhance health promotion effectively?

Encouraging self-actualization in patients. Signup and view all the answers

Under which condition is an incident not considered a critical incident?

It resulted from a known risk inherent to treatment. Signup and view all the answers

Which of the following is a necessary component of mandatory reporting laws in health care?

Reporting serious adverse health events promptly. Signup and view all the answers

Which principle is vital in eliminating safety hazards in a health care setting?

Regular assessment and adaptation of safety practices Signup and view all the answers

What is the primary goal of primary disease prevention strategies?

To avoid the onset of disease. Signup and view all the answers

Study Notes

Psychiatric Nursing Litigation

Case 1: A psychiatric patient set herself on fire despite two previous attempts to do so. Staff allowed her to keep cigarettes and a lighter.
Case 2: A nurse assessed a client with depression as needing suicide watch, but a staff psychologist advised against it. The client later killed herself in a locked bathroom.
Lesson: Nursing assessments must be questioned when they differ from medical orders to ensure patient safety.

Reporting Safety Incidents

Saskpolytech Form: This form is student-focused, anonymous, and designed to be blame-free. It serves as a learning tool.
Near Miss: 53% of incidents reported were near misses, often involving medications and occurring in long-term care settings.
Miscommunication: The most common contributing factor to safety incidents.

Patient Safety Incident Types

Harmful Incident: Resulted in patient injury.
Near Miss: Did not reach the patient, causing no harm.
No-Harm Incident: Reached the patient but caused no discernible harm.

Critical Incident Report

Definition: A serious, undesired health event that occurs while receiving healthcare, and is not primarily caused by the patient’s underlying health condition or inherent risks of healthcare provision.
Criteria:
- Death, disability, injury or harm.
- Unplanned admission to a healthcare facility or an extended stay.
- Significant risk of substantial harm to the patient's safety, well-being, or health.

Achieving Patient Safety

Psychiatric Nurse Responsibility: Identifying and eliminating safety hazards.
Practices: Follow agency protocols, best practice guidelines, provide clear communication, and self-assess to ensure safe practice.

Protecting Yourself as a Psychiatric Nurse

Strategies:
- Follow agency policies and procedures.
- Practice good communication.
- Maintain a safe therapeutic environment.
- Identify and address potential safety hazards.
- Be aware of and respond appropriately to clients' needs and behaviors.

Health Determinants & Prevention

Health Promotion: Increasing well-being and self-actualization.
Disease Prevention (Primary Prevention): Actions to avoid or forestall illness/disease.
Self-Inflicted Burn: Referred to as a self-____________ accident.
Postural Hypotension: Can increase the risk of falls.
Procedure-Related Accidents: Medication administration errors, improper catheter insertions, application of incorrect bandages, incorrect transcription of telephone orders.

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Description

This quiz focuses on key aspects of psychiatric nursing litigation and reporting safety incidents. It examines case studies highlighting critical nursing assessments and the importance of communication in preventing harm to patients. Understanding these concepts is essential for enhancing patient safety and care quality in psychiatric settings.