Section I Unit I Lecture Notes Flashcards

Terms Definitions
Developmental Risk Factors For Injury
1) Toddler – poisoning
2) Teens – Motor vehicle crashes, accidents, suicide, risk behaviors e.g. drugs and ETOH, unsafe sex
3) Adults – stress, lifestyle habits e.g. smoking
4) Older Adults – falls, polypharmacy
Note – abuse is a risk for all stages of development e.g. child abuse, elder abuse, spousal abuse
Individual’s Risk Factors For Injury
1) Musculoskeletal Impairment – Mobility – gait and balance problems
2) Sensory Impairment
3) Communication Impairment
4) Lifestyle – drugs, ETOH, stress
5) Lack of Safety Awareness – keeping meds away from children
Environmental Risk Factors For Injury
1) Improper Heating Systems – carbon monoxide poisoning
2) Food – e-coli
3) Physical – stairs, throw rugs
4) Thermal – hot coffee
5) Chemical – drugs, cleaning agents
6) Radiation – sun
7) Microbial – immunosuppressed patient exposed to polio
8) Lead Paint
9) Temperature Extremes – heat exhaustion, hypothermia
Health Care Agency Risks For Injury
1) Falls account for up to 90% of all reported incidences in hospitals
2) Patient Inherent Accidents – seizures
3) Procedure Related Accidents – Medication Errors, breaking sterile technique
4) Equipment Related Accidents – misuse of equipment
5) Avoiding hospital readmissions- avoiding preventable readmissions for the same diagnosis
General Safety Rules
•Keep your mind on the present
•Manage your time
•Change boring routines
•Don’t take unnecessary risks
•Resist pressure to be unsafe
•Take personal responsibility
Body Mechanics; Strategies to Avoid Injuries Include
1) Remove clutter from work area
2) Plan Ahead
3) Patient Handling Policy – use equipment provided (example: ceiling mounted lifts); call lift team
4) Ask for help
5) Communicate – what you are planning to do with patient and other members of team
6) Use Good Body Mechanics
Radiation Safety
1) When you encounter a room posted with the radiation caution sign, check with the person in charge BEFORE entering the room
2) Stand at least 6 feet behind the portable X-ray machine
3) If you cannot move away from an X-ray machine when there is risk for exposure, put on a lead apron
Healthcare workers are exposed to potential hazards daily; Risks Include
1) Sick patients
2) Needle sticks
3) Hazardous chemicals/drugs
4) Infectious waste
5) Falls
6) Back injury
Assess the Patient’s Individual Risk Factors For Injury
1) Age
2) Level of Awareness (Normal is Alert & oriented to person, place, and time (x 3))
3) Sensory Perception
4) Psychological factors – stress
5) Physical condition e.g. mobility status
6) Medications – tricyclic antidepressants, loop diuretics, alpha agonists, alpha blockers, dopamine agonists, benzodiazepines
7) Assessment Tools e.g. Morse Fall Scale
Assess Environmental Factors For Injury
1) Adequate Lighting
2) Clutter – Decreasing Obstacles
3) Bathroom Hazards
4) Electrical and Fire Hazards
Assess Possibility of Bioterrorism – Related Outbreak
1) A rapidly (+) incidence of a disease in a normally healthy population
2) An unusual (+) in the number of people seeking care, especially with fever, respiratory, or GI complaints
3) An endemic disease rapidly emerging at an uncharacteristic time or in an unusual pattern
4) Lower attack rates among patients who had been indoors, in areas with filtered or closed ventilation, compared with people with had been outdoors.
5) Clusters of patients arriving from a single locale
6) Any patient presenting with a disease that is relatively uncommon and has bioterrorism potential
Fire Safety – RACE
Rescue, Individuals in immediate danger
Alarm, Activate the fire alarm
Contain, Fire by closing all doors
Extinguish or Evacuate, Extinguish the fire or evacuate if necessary
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