Flashcards
Chapter 26: safety, Security, and Emergency Preparedness Vocabulary
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- 1When performing a safety assessment the nurse focuses on 3 categoriesperson, environment, and specific risk factors
- 2leading cause of injury fatality among adults older than 65falls
- 3most common reason for admissions to hospitals for injuries in older adultsfalls
- 4the most common injuries that result from a fall includehip or other fractures, head trauma, or soft tissue injury
- 5falls can be categorized as1. accidental
2. an anticipated physiologic fall
3. unanticipated physiologic fall
4. intentional falls - 6accidental fallclutter or a spill causes a person to trip
- 7anticipated physiologic falla direct consequence of gait imbalances, effects of medication, or dementia
- 8unanticipated physiologic fallcaused by an unknown or unexpected medical issues such as stroke or seizure
- 9intentional fallswhen patient acts out behaviorally with intent to fall
- 10accidental poisoning from ingestion of medications is now responsible formore than half of the childhood poisoning deaths
- 11factors in accidental poisoning in older adults areConfusion, forgetfulness and poor vision
- 12the third most common cause of death from toxicity in the UScarbon monoxide toxicity
- 13use booster seats for children until they are4'9" tall and weigh between 80 and 100 pounds
- 14Use this to determine when a child may safely use a seat belt without a boosterSafety Belt Fit Test
- 15All children under the age of what should ride in the back seat to eliminate the risk of an air bag deployment12 and under
- 16TBItraumatic brain injury: results from a blow, bump, or jolt to the head that causes disruption in brain function
- 17Common manifestations of concussions: Physical:headache, vomiting, problems w/balance, fatigue, dazed or stunned appearance
- 18Common manifestations of concussions: Cognitive:mentally foggy, difficulty concentrating/remembering, confusion, forgets recent activities
- 19Common manifestations of concussions: Emotional:irritability, nervousness, very emotional behavior
- 20Common manifestations of concussions: Sleep:drowsiness, difficulty falling asleep, sleeping more or less than usual
- 21evaluation immediately following a concussion includesABC: assessment of airway, breathing and circulation
- 22treatment for an uncomplicated concussion includesphysical and cognitive rest
- 23cognitive restentails avoidance of reading, watching TV and playing games of any kind
- 24number one cause of death for adolescentsmotor vehicle accidents
- 25DAMEused by home health care workers to assess the risk for falling in older adults at home
D - drug and alcohol use
A - Age-related physiologic status
M - Medical problems
E - Environment - 26the following play supportive role in reducing fall risk in the older populationcalcium supplementation, vitamin D, a regular walking regimen, tai chi
- 27tool which helps identify hopitalized patients at risk for fallingHendrich II Fall Risk Model
- 28Get up and Go Testmeasures a person's ability to rise from a seated position
- 29programs to safeguard patients from fallsFSI: fall scene investigations, Hourly Patient Rounding, Root Cause Analysis (RCA)
- 30FSIfall scene investigations: examines the scene where the fall occurred and explore possible causes
- 31Hourly Patient Roundingproactive approach involving hourly visits during day/evening hours and 2 hour visits during the night to address patient concerns that may result in a fall
- 32RCARoot Cause Analysis: investigation of the environment, collection of evidence regarding the contributing factors, drawing of the fall scene, revisiting of the inciden
- 33Adverse effects related to the specific medication categories of antiepileptics and benzodiazepine drugs aremore predictive of falling
- 34Negative outcomes of restraint use includeskin break down and contractures, incontinence, depression, delirium, anxiety, aspiration and respiratory difficulties, and even death
- 35patients in restraints must be monitored/assessed at leastevery hour or according to agency policy
- 36An inpatient psychiatric patient in restraints requirescontinual observation, including specific assessments every 15 minutes
- 37activated charcoalconsidered the most effective agent for preventing absorption of the ingested toxin. not recommended for storage or use at home.
- 38safety event report(incident report) objectively describes the circumstances of the accident or incident. details the patient's response & the examination/treatment of the patient after event. completed immediately after. NOT A PART OF THE MEDICAL RECORD.
- 39chemical agents act rapidly and immediatedecontamination is crucial before patients are transported to a hospital
- 40BLIblast lung injury: a direct consequence of the blast wave from a high explosive detonation
- 41RACER - rescue anyone in immediate danger
A - activate the fire code system and notify the appropriate person
C - confine the fire by closing doors and windows
E - evacuate patients and other people to a safe area
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- UNIT VI: Actions Basic to Nursing Care Chapter 26: safety, Security, and Emergency Preparedness Vocabulary
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