NUR 112 Lecture - Safety (STUDENT Fall 24) PDF

SAFETY NUR 112 ASHLEY BALL, MSN, WHNP-BC  LEARNING READ YOURACTIVITIES FA DAVIS TEXTBOOK (CH. 20 & 21 OF VOLUME 1 & 2) TAKE NOTES DURING CLASS/REVIEW YOUR NOTES AFTER CLASS SAFETY, HIPAA, INFECTION CONTROL, AND CONFIDENTIALITY VIDEOS- TAKE NOTES! THIS INFO...

SAFETY NUR 112 ASHLEY BALL, MSN, WHNP-BC  LEARNING READ YOURACTIVITIES FA DAVIS TEXTBOOK (CH. 20 & 21 OF VOLUME 1 & 2) TAKE NOTES DURING CLASS/REVIEW YOUR NOTES AFTER CLASS SAFETY, HIPAA, INFECTION CONTROL, AND CONFIDENTIALITY VIDEOS- TAKE NOTES! THIS INFORMATION IS IMPORTANT! (OUTLINE PROVIDED) SAFETY QUIZ OPENS MON AT 4PM CLOSES THURS AT 4PM  SAFETY FREEDOM FROM PSYCHOLOGICAL AND PHYSICAL __________ MUST UNDERSTAND FACTORS THAT CONTRIBUTE TO A SAFE ENVIRONMENT AND THOROUGHLY _________ THE ENVIRONMENT THIS IS A _______ EFFORT! SAFETY, CONT’D… MISTAKES OR ERRORS HAPPEN __________ (UNINTENDED INJURIES): 3RD LEADING CAUSE OF DEATH _________ IMPACT OUR PATIENTS WHAT INFLUENCES SAFETY? ____________ COGNITIVE AWARENESS SENSORIPERCEPTUAL STATUS ABILITY TO ___________ ___________ STATUS SENSORY LOSSES (PARTICULARLY HEARING AND VISION LOSSES)  CREATING A CULTURE OF SAFETY QSEN (THE _______ AND ________ EDUCATION FOR NURSES) CREATING A CULTURE OF SAFETY REQUIRES NURSES & OTHER STAFF TO WORK TOGETHER TO CREATE A SAFE UNIT, _________ ________ WITHOUT FEAR & ADDRESS SAFETY CONCERNS  CREATING A CULTURE OF SAFETY SRES—_______ __________ ________, ALSO KNOWN AS NEVER EVENTS —ADVERSE EVENTS THAT SHOULD NEVER OCCUR IN A HEALTH CARE SETTING (________, UTI’S, PRESSURE ULCERS) CLEARLY IDENTIFIABLE & MEASURABLE SERIOUS _________________ AFFECT REIMBURSEMENT  RISK MANAGEMENT SYSTEM OF ENSURING APPROPRIATE, QUALITY HEALTH CARE __________ POSSIBLE ______ ACT TO ________ THE RISK GOAL—PATIENT SAFETY AND IMPROVED CARE DOCUMENTATION INCIDENT REPORT  SAFETY IN THE WORKPLACE VIDEO HTTPS://WWW.YOUTUBE.COM/WATCH?V=ZTW- 3BGXEFG TAKE NOTES!  PHYSICAL HAZARDS MOTOR VEHICLE ACCIDENTS (MVA)— CHILD SAFETY SEATS, SEATBELTS, TEENS, OLDER ADULTS SUFFOCATION & ASPHYXIATION POISONING ACCIDENTAL POISONING POISON CONTROL  FALLS PHYSICAL HAZARDS, LEADING CAUSE FIRES CONT’DOF… SMOKING IN THE UNINTENTIONAL HOME DEATH AMONG SMOKE ADULTS 64 AND DETECTORS OVER PLAN OF ACTION RISKS— IN CASE OF INADEQUATE FIRES LIGHTING, BARRIERS ALONG WALKING PATHS/STAIRS, LACK OF SAFETY DEVICES  PHYSICAL HAZARDS, HAZARDS TO CONT ’D… HEALTHCARE WORKERS IN THE HOSPITAL, CLINIC, OR FACILITY SETTING _______ INJURIES NEEDLE STICK INJURIES _________ EXPOSURE VIOLENCE EXPOSURE TO HARMFUL _____________  EXAMPLES OF DISASTERS NATURAL DISASTERS FLOODS TSUNAMIS HURRICANES _____________ WILDFIRES IN THE EVENT OF A NURSES FIREPROTECTS CLIENTS FROM IMMEDIATE INJURY USE MNEMONIC RACE: R—_______ & REMOVE ALL CLIENTS IN IMMEDIATE DANGER A—_________ THE ALARM C—________ THE FIRE E—___________ THE FIRE  WORKPLACE SAFETY STANDARD PRECAUTIONS SAFE HANDLING OF ________ OR NEEDLES __________ PRECAUTIONS SAFE CLIENT HANDLING AGE GROUPS, RISKS, AND SAFETY MEASURES INFANT, INJURIESTODDLER, ARE THE LEADING & CAUSE PRESCHOOLER OF DEATH PRONE TO ACCIDENTS (MANY ARE _______________) ACCIDENT PREVENTION REQUIRES EDUCATION FOR PARENTS OR CAREGIVERS CORRECT USE OF _____ ______; USE OF SAFE, AGE- APPROPRIATE TOYS; PREVENTING ACCESS TO POISONOUS SUBSTANCES; COVER ELECTRICAL OUTLETS; IMMUNIZATIONS; PLACE INFANTS “______________”  SCHOOL-AGE REQUIRES CHILDREN EDUCATION ABOUT SAFE PLAY AND ______ ___________ PLAYGROUND SAFETY; _________; BICYCLE SAFETY; AVOID UNSAFE/ISOLATED AREAS; STAY AWAY FROM STRANGE DOGS; _________; STRANGER SAFETY  GREATER ___________ & ADOLESCENT SENSE OF IDENTITY MAY ENGAGE IN ___________ _________ (SMOKING, DRINKING ALCOHOL, USING DRUGS) MVA (TEACH SAFE DRIVING, SEATBELT USE, DRIVER’S EDUCATION CLASSES, NO TEXTING) SPORTS INJURY CONCUSSIONS SUICIDE  SAFETY OFTEN ADULTS RELATED TO __________ ________ SUCH AS ALCOHOL, DRUG USE, AND _________ GREATER RISK FOR ACCIDENTS AND STRESS-RELATED ILLNESSES DISTRACTED DRIVING  OLDER ADULTS AGE RELATED PHYSIOLOGICAL CHANGES, EFFECTS OF __________, PSYCHOLOGICAL FACTORS, ILLNESS AND ACCIDENTS (______, ENVIRONMENTAL HAZARDS, BURNS)  ALL AGES CLIENTS IN ALL DEVELOPMENTAL LEVELS MAY BE SUBJECT TO ____ TYPES—CHILD ABUSE, DOMESTIC VIOLENCE, ELDER ABUSE NURSES MUST BE AWARE OF SIGNS MUST BE ___________ IF ABUSE SUSPECTED MANDATORY REPORTER GOOD FAITH IMMUNITY IN MOST STATES  OTHER RISK FACTORS LIFESTYLE—USE OF DRUGS AND ALCOHOL, RISK TAKING BEHAVIORS ____________________ — IMMOBILIZATION, RISK FOR FALLS SENSORY IMPAIRMENTS—VISUAL, HEARING, TACTILE __________ IMPAIRMENTS—DELIRIUM, DEMENTIA, DEPRESSION SAFETY AWARENESS—SOME PATIENTS ARE UNAWARE OF SAFETY PRECAUTIONS  RISKS IN THE HEALTHCARE AGENCY ___________ EXPOSURE CHEMOTHERAPY AGENTS, ANESTHESIA GASES, CLEANING SOLUTIONS, DISINFECTANTS _______ _______ _______ (SDS)— PROVIDE INFORMATION ON CHEMICAL COMPOSITION OF A MATERIAL, FIRST AID FOR EXPOSURE, AND PROPER DISPOSAL  RISKS IN THE HEALTHCARE AGENCY PROCEDURE-RELATED ACCIDENTS ___________ & FLUID ADMINISTRATION _________, IMPROPERLY PERFORMING PROCEDURES, NOT PUTTING DEVICES ON CORRECTLY EQUIPMENT-RELATED ACCIDENTS ELECTRICAL HAZARD OR __________, MISUSE, OR DISREPAIR OF EQUIPMENT  FALLS IN THE HEALTHCARE AGENCY PATIENT RELATED FACTORS VISION DISTURBANCES, URINARY/STOOL FREQUENCY OR ____________, MENTAL IMPAIRMENT, GAIT AND BALANCE DISTURBANCES, POLYPHARMACY, OLDER AGE ENVIRONMENTALLY RELATED FACTORS ROOM ________, LOOSE ELECTRICAL CORDS, ________, IMPROPER LIGHTING ASSESSMENT FALL RISK ASSESSMENT TOOL  PROCESS FOR REPORTING BREACHES IN SAFETY AND SECURITY ETHICS COMMITTEE CHAIN OF COMMAND ___________ ___________ —RISK MANAGEMENT TOOL AN INCIDENT REPORT IS NOT DOCUMENTED IN THE PATIENT CHART HEALTH INSURANCE ____________ AND ______________ ACT (HIPAA) INFECTION CONTROL & PREVENTION VIDEO -Please take notes! This is important!  TRANSMISSION OF PATHOGEN—ANY PATHOGENS MICROORGANISM CAPABLE OF COMMUNICABLE _________ AN DISEASE—INFECTIOUS ILLNESS DISEASE TRANSMITTED INFECTION—INVASION FROM ONE PERSON TO ANOTHER; OF A SUSCEPTIBLE ___________ ________ BY MICROORGANISMS SYMPTOMATIC— RESULTING IN DISEASE SHOWING CLINICAL S&S COLONIZATION— ASYMPTOMATIC— PRESENCE & CLINICAL S&S NOT _________ OF PRESENT MICROORGANISMS IN A HOST  IMMUNITY—THEOF TRANSMISSION QUALITY OF BEING INSUSCEPTIBLE PATHOGENS TO OR UNAFFECTED BY A IMMUNIZATION— PARTICULAR DISEASE OR PROCESS BY CONDITION WHICH ___________ TO _______ ________ : AN INFECTIOUS RESULTS FROM HAVING A DISEASE IS CERTAIN DISEASE OR PRODUCED OR INCREASED, THIS ADMINISTRATION OF A OFTEN REDUCES OR VACCINE PREVENTS TRANSMISSION OF _______ IMMUNITY : DISEASE FROM ACQUISITION OF AN PERSON TO ANTIBODY FROM ONE PERSON PERSON TO ANOTHER (SUCH AS BY BREASTFEEDING) CHAIN OF INFECTION INFECTIOUS AGENT OR PATHOGEN __________ PORTAL OF EXIT MODE OF __________ PORTAL OF _______ HOST SUSCEPTIBILITY  STAGES OF INFECTION INCUBATION—PATHOGEN BEGINS REPLICATION, NO S/S PRESENT PRODROMAL—_________ BEGIN TO APPEAR, USUALLY NON-SPECIFIC ILLNESS STAGE—MORE SPECIFIC S/S, PATHOGEN PROLIFERATES & DISSEMINATES QUICKLY DECLINE—CLINICAL MANIFESTATIONS BEGIN TO _____ CONVALESCENT STAGE—PROBLEM _________; RETURNED TO HEALTH OR CHRONIC STATE OR DEATH  DEFENSES AGAINST INFECTION NORMAL _________ BODY SYSTEM DEFENSES SKIN AND _______ __________ IMMUNE RESPONSE DEFENSES AGAINST INFECTION ◦____________ ◦A protective reaction that __________ pathogens and repairs body cells and tissues ◦ Vascular & Cellular Response ◦ Inflammatory Exudate ◦ Tissue Repair SIGNS OF INFECTION LOCAL SIGNS & SYMPTOMS: (SPECIFIC TO ONE AREA) __________, REDNESS, _______, PAIN OR TENDERNESS, OR LOSS OF FUNCTION IN THE AFFECTED BODY PART SYSTEMIC SIGNS & SYMPTOMS: (BODY WIDE) _______, _____________, MALAISE, ANOREXIA, N/V, LYMPH NODE ENLARGEMENT  DIAGNOSTIC VALUES R/T INFLAMMATION & INFECTION ______—WHITE BLOOD CELL COUNT (5,000-10,000/MM³) _______ IN THE PRESENCE OF AN INFECTION WHEN SOMEONE HAS A HEALTHY IMMUNE SYSTEM ESR—ERYTHROCYTE SEDIMENTATION RATE _________ WITH INFLAMMATION IRON LEVELS _________ IN CHRONIC INFECTIONS (ANEMIA)  DIAGNOSTIC VALUES R/T INFLAMMATION & __________INFECTION CULTURES IDENTIFIES THE MICROORGANISM CAUSING AN INFECTION WOUND, SPUTUM, THROAT CULTURES IDENTIFIES THE MICROORGANISM CAUSING AN INFECTION ___________ & URINE CULTURE IDENTIFIES THE MICROORGANISM CAUSING AN INFECTION  OSHA GUIDELINES FOR HEALTHCARE PROVIDERS STANDARD PRECAUTIONS SHOULD BE OBSERVED TO PREVENT CONTACT WITH BLOOD OR BODY FLUID (___________ ____________ MATERIAL) ACCESSIBLE HAND-WASHING FACILITIES HAND-HYGIENE PRACTICES (SOAP AND WATER WHEN HANDS ARE _________ ________, OR ALCOHOL-BASED HAND SANITIZER)  ________ WORN STANDARD WHEN PRECAUTIONS TOUCHING BLOOD OR __________ _________ MASKS WORN FOR SPLASH OCCURRENCES GOWNS WORN IF SOILING OF CLOTHING LIKELY EQUIPMENT CLEANED PROPERLY DISCARD ___________ PROPERLY _____________ ETIQUETTE AND PROPER DISPOSAL OF RESPIRATORY SECRETIONS  TRANSMISSION BASED PRECAUTIONS _________ PRECAUTIONS— GLOVES & GOWN (______ OR C. DIFF) __________ PRECAUTIONS— MASK (INFLUENZA, ________) __________ PRECAUTIONS— RESPIRATOR MASK & NEGATIVE PRESSURE AIRFLOW (TB, VARICELLA, _____________)  SUSPECT A PATIENT HAS TB IF THEY TUBERCULOSIS (TB) HAVE: A PRODUCTIVE, PERSISTENT COUGH FOR __ _______ OR MORE CHEST PAIN BLOODY SPUTUM UNEXPLAINED UNINTENTIONAL ________ _______ FEVER ________ ________ A PATIENT WITH THESE SYMPTOMS WOULD BE PUT ON AIRBORNE PRECAUTIONS UNTIL IT’S DETERMINED THEY DO NOT HAVE TB  MAINTAINING A PROTECTIVE ENVIRONMENT PROTECTIVE ENVIRONMENT (PROTECTIVE ISOLATION OR ________ ISOLATION)— GLOVES, MASK, GOWN (STEM CELL TRANSPLANT, _________) PERSONAL PROTECTIVE EQUIPMENT (PPE) ________—PREVENTS TRANSMISSION OF PATHOGENS BY DIRECT OR INDIRECT _______ ________—PREVENTS SOILING OF CLOTHING FULL FACE PROTECTION (EYE SHIELD, FACE SHIELD, OR _________)—WHEN SPLASHING MAY OCCUR PPE DONNING AND DOFFING ORDER FOR ORDER FOR ________ _______ (APPLYING): (REMOVING): 1.GOWN 1.GLOVES 2. MASK 2. FACE SHIELD OR EYE PROTECTION 3. FACE SHIELD OR EYE PROTECTION 3. GOWN 4. GLOVES 4. MASK  TYPES OF ASEPSIS ASEPSIS IS THE ________ OF PATHOGENIC _____________ MEDICAL ASEPSIS (_______ TECHNIQUE) —INCLUDES PROCEDURES TO REDUCE & PREVENT THE SPREAD OF MICROORGANISMS SURGICAL ASEPSIS (_________ TECHNIQUE)  MEDICAL ASEPSIS HAND HYGIENE ALCOHOL- BASED WATERLESS ___________ CLEAN DRESSING PROCEDURES HAND HYGIENE STEPS 1. ________ YOUR HANDS AND FOREARMS PAGE 303 2. TURN ON _______ WATER 3. WET YOUR HANDS AND WRISTS WITH CLEAN, RUNNING WATER. KEEPS ________ _________ WRISTS AND FOREARMS (AVOID TOUCHING THE INSIDE OF THE SINK) 4. APPLY ENOUGH LIQUID SOAP TO COVER ALL HAND SURFACES  HAND HYGIENE STEPS 5. VIGOROUSLY PAGE ____ 303 HANDS TOGETHER FOR AT LEAST ____ SECONDS 6. CLEAN UNDER __________ 7. RINSE HANDS THOROUGHLY 8. DRY HANDS THOROUGHLY 9. TURN OFF THE ______ WITH PAPER TOWEL HEALTH CARE EXPOSURE EXPOSURE TO BLOOD, SECRETIONS, OR BLOOD REQUIRES ___________ __________ MINIMIZE EXPOSURE BY: WASHING HANDS OR FLUSHING THE AREA CONTACT INFECTION PREVENTIONIST OR _________ ________ NURSE COMPLETE AN INCIDENT REPORT SEEK MEDICAL CARE  HIPAA VIDEO TAKE NOTES!  CONFIDENTIALITY VIDEO HTTPS://WWW.YOUTUBE.COM/WATCH?V=XEVN MHLFHR0 TAKE NOTES! WHAT’S WRONG WITH THIS PHOTO? ADDITIONAL BENEFICIAL VIDEOS HTTPS://WWW.YOUTUBE.COM/WATCH?V=IBX3 JJ2UUJO HTTPS://WWW.YOUTUBE.COM/WATCH?V=J2FA VJW1GQQ  PATIENTS MAY REQUEST A COPY OF ATHEIR FEW KEY POINTS PERSONAL PHI OR MEDICAL RECORDS IF YOU ARE PROVIDING PATIENT CARE AND YOUR GLOVES BECOME SOILED, YOU SHOULD CHANGE YOUR GLOVES AND WASH YOUR HANDS BEFORE FINISHING YOUR PATIENT CARE DISPOSE OF HAZARDOUS MATERIAL (BLOOD OR BODY FLUID) IN RED BIOHAZARDOUS BAGS OR CONTAINERS DISPOSE OF NEEDLES OR SHARPS IN A DESIGNATED PUNCTURE PROOF SHARPS DISPOSAL CONTAINER A FEW KEY POINTS WHAT WOULD YOU DO IF YOU ENCOUNTER BROKEN EQUIPMENT: REPORT IT, REMOVE IT FROM THE CARE AREA, AND PUT A WARNING LABEL ON IT AVOID RECAPPING A NEEDLE AND NEVER RECAP A DIRTY NEEDLE: ACTIVATE THE SAFETY DEVICE AND DISCARD IN THE SHARPS CONTAINER FIRE SAFETY: PASS AND RACE HANDWASHING IS THE BEST PRECAUTION YOU CAN USE FOR YOUR OWN PROTECTION WHAT PPE IS REQUIRED FOR COMMON CONDITIONS