Safety

T or F: Errors do not need to be documented as long as they are corrected.

False

T or F: The first action recommended in the event of ingestion of a poison is to use ipecac.

False

T or F: Workplace violence is always physical.

False

Dementia

a slowly progressive decline in mental abilities, including memory, thinking, and judgment, that is often accompanied by personality changes

poison

a substance that causes illness, injury or death if taken into the body or produced within the body.

codes

a system of notification to be transmitted rapidly

FBAO

foreign body airway obstruction

base of support

the space between the feet that bears the weight of the body

Ergonomics

the study of the human factors that affect the design and operation of tools and the work environment

The patient care technician is observing the nurse conducting a fall risk assessment on an elderly patient who is moving into an assisted-living center. What questions does the PCT expect the nurse to ask?

-Have you had any falls in the past year? -Do you feel unsteady when you stand up? -Are you able to independently walk from room to room? -Do you use a cane or other assistive device?

The PCT is talking to a young mother who has an infant who has just started to crawl. Based on knowledge of growth and development, which safety issue is currently the most important to discuss with the mother?

-What to do when using pots and pans on the stove -How to ensure backyard pool safety -How to manage electrical sockets and cords

No one younger than ____ of age or who is pregnant may visit someone receiving internal radiation therapy.

18 years

For the care of a patient who has an SRD in place, which task can be delegated to a UAP? 1. Observe for circulation distal to the SRD 2. Check for respiratory effort and breathing 3. Provide range-of-motion exercises 4. Determine when the SRD can be removed

3. Provide range-of-motion exercises

hazard

A danger or risk.

Safety reminder device (SRD)

A device used to immobilize a patient or a part of the patient's body

A policy which requires that every patient be evaluated on admission to determine the degree of likelihood for a potential fall is called:

A fall precaution

terrorism

Acts of violence designed to promote a specific ideology or agenda by creating panic among an enemy population

Which occurrence is most likely to be investigated as a "sentinel event"?

An older patient sustains a broken arm related to the use of an SRD

hazardous chemical

Any chemical that is a health hazard or a physical hazard

CDC

Centers for Disease Control and Prevention

CMS

Centers for Medicare and Medicaid Services

What is the 3rd step in a mercury spill cleanup procedure?

Close interior doors and open any outside windows.

What is the 5th step in a mercury spill cleanup procedure?

Dispose of collected mercury according to a local environment safety regulations.

The patient is using an older thermometer at home that contains mercury. The thermometer is dropped and breaks, releasing mercury onto the floor. What is the priority action?

Evacuate everyone from the room; Close the interior doors and open windows

What is the first step in a mercury spill cleanup procedure?

Evacuate the room except for a housekeeping crew (if available).

Which vaccine helps prevent women from cardiovascular disease?

Flu Shot

fear of retribution

Having a fear of being punished

HCS

Hazard Communication Standard

What is the rationale for flexing knees and keeping the feet shoulder-width apart when lifting a patient?

Increases stability

What is the rationale for using a pull sheet when moving a patient?

Keeps workload to a minimum

MSDS

Material Safety Data Sheet

What is the 4th step in a mercury spill cleanup procedure?

Mop the floor with a mercury-specific cleanser (see agency policy)

Which agency provides guidelines for violence identification and prevention programs?

NIOSH

NIOSH

National Institute for Occupational Safety and Health

The ______ applies SRDs and removes SRDs.

Nurse

OSHA

Occupational Safety and Health Administration

Disaster drills are part of which disaster planning intervention?

Planning

PASS

Pull, Aim, Squeeze, Sweep

alignment

Relationship of various body parts to one another

incident

Something that happens in real life or in a story; an event, often of little importance.

Disaster manual

Sometimes called the emergency response plan or emergency management plan

ground

The part of a pattern that does not command attention; the background.

T or F: A sentinel event is any unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.

True

T or F: A written order by the physician must detail the duration and circumstances under which safety reminder devices (SRDs) are to be used.

True

T or F: Electrical accidents can be prevented by reporting frayed or broken electrical cords or any shocks felt when using equipment.

True

T or F: Fire prevention includes good housekeeping, maintenance, the elimination of all combustible material, and employee discipline.

True

T or F: Items such as books, magazines, and shoes may be hazards that could cause the patient to fall.

True

T or F: Oxygen is combustible.

True

T or F: Radiation and radioactive materials are used in the diagnosis and treatment of patients.

True

T or F: SRDs are primarily used in long-term care facilities.

True

T or F: The vast majority of occupational injuries requiring days away from work are classified as musculoskeletal disorders.

True

What is the 2nd step in a mercury spill cleanup procedure?

Ventilate the area

Which instructions should be given to the UAP who is assigned to assist in the care of a patient who is being treated with internal radiation?

Wear a mask, eye shield, and isolation gown when entering the room

elopement

When a person leaves the agency without staff knowledge

OSHA (Occupational Safety and Health Administration)

a federal organization for safety

workplace violence

abuse of staff by other staff members, residents, or visitors

The focus on a safe environment has expanded to include _____________ that come in contact with patients.

all individuals

AED

automated external defibrillator

According to OBRA, all other interventions should be attempted ________ the use of restraints.

before

Sources of mercury exposure in health care facilities include _____________ ___________________ and sphygmomanometers.

broken thermometers

C0

carbon monoxide

CPR

cardiopulmonary resuscitation

DOB

date of birth

EMS

emergency medical services

A safe environment implies freedom from injury with focus on:

falls, electrical injuries, fires, burns, and poisoning

F

farenheight

Centers for Disease Control and Prevention (CDC)

federal government agency responsible for improving the overall health and safety of the people of the United States

ID

identification

MRN

medical record number

paraplegia

paralysis from the waist down

quadriplegia

paralysis of all four limbs

tetraplegia

paralysis of all four limbs

hemiplegia

paralysis of one side of the body

RACE

rescue, alarm, contain, extinguish

Examples of ___________ _____________ include medication errors and errors in procedures and treatments that led to the death of an individual and inappropriate application of SRDs.

sentinel events

disaster

something that causes great damage or harm

Coma

state of profound unconsciousness

paralysis

temporary or permanent loss of motor control

Base of support

the area on which an object rests

Bioterrorism

the deliberate spread of pathogenic organisms into a community to cause widespread illness, fear, and panic

disaster situation

uncontrollable, unexpected, psychologically shocking event

sentinel event

unexpected occurrence involving death or serious injury

suffocation

when breathing stops from the lack of oxygen

electrical shock

when electrical current passes through the body

A patient's fall risk assessment is completed:

whenever there is a significant change in the patients condition