safety

d. internal

a disaster situation occurs and involves an explosion in a hospital laundry. what would this be classified as: a. active b. external c. life threatening d. internal

c. call the poison control center

a mother calls a neighborhood nurse and tells the nurse that her 3 year old child has just invested liquid furniture polish. what action should the nurse instruct the mother to take first? a. induce vomiting b. call an ambulance c. call the poison control center d. bring the child to the ED

d. electrical

a type C fire extinguisher is required for which type of fire? a. paper b. cloth c. grease d. electrical

a. a school bus accident

during the 7AM to 3PM shift in the adult surgical unit, the code is announced for an external disaster emergency. which event best represents this type of situation? a. a school bus accident b. a bomb threat in the mail room c. a hostage taking event in the ED d. an electrical fire in the maintenance department

time of day scope, duration, nature of event prior readiness training extent of communication

factors affecting disaster response:

quick release ties

how are restraints tied?

side rails up X4

how many side rails have to be up to be a restraint?

every 15-30 minutes

how often do you have to monitor patients when they have restraints on?

every 2 hours

how often do you have to release restraints?

every 30 minutes

how often should you do nuerovascular checks on a patient who has restraints on?

how to clean spills what to do if ingested if it's combustible

instructions of material safety data sheets:

P pull the pin A aim at the base of fire S squeeze the handle S sweep back and forth

mnemonic for using a fire extinguisher:

R remove patients in immediate danger A alarm C contain the fire E extinguish

mnemonic for when a fire happens:

safety reminder device (SRD)

numerous devices used to immobilize a patient or part of the patients body such as arms and hands

keep chemicals stored in original container lock all cabinets do not refer medicine as "candy" medication boxes patient teaching

poison prevention includes:

national safety goals for hospital

published by joint commission that has guidelines for identifying patients correctly, improve staff communication, use medications safely, use alarms safely, prevent infection, identify patient safety risks, and prevent mistakes in surgery

nuclear terrorism

radiation poisoning occurs at 0.75 gy

material safety data sheet (MSDS)

safety sheet on each chemical in a facility

transfer to BSC transfer to wheelchair

the majority of patient falls occur during:

internal

type of disaster that is a extraordinary situation brought about by events within the healthcare facility example: fire

c. type C

what type of fire extinguisher should the nurse use when the oxygen concentrator machine malfunctions and causes an electrical fire? a. type A b. type B c. type C d. type D

c. a heating pad cord is taped when a frayed area is noted

when assessing a parings knowledge of the fire safety precautions. which action indicates the need for further fire safety instruction? a. fire exits and corridors are kept clear b. a NO SMOKING sign is listed when oxygen is in use c. a heating pad cord is taped when a frayed area is noted d. facility smoking policies are a part of the admission procedure

non caustic substances

when can ipecac syrup be used for poisoning:

bed frame

where are restraints attached to?

8 gy and above

When is a terrorism attack fatal?

b. assess the patient

a 63 year old patient is brought to the ED for treatment of an unintentional poisoning. what is the nurses first action in caring for this patient? a. induce vomiting b. assess the patient c. place the patient in a upright position d. notify the poison control center

d. an older adult who is postoperative following a below knee amputation

a charge nurse is assigning rooms for the clients to be admitted to the unit. to prevent falls, which of the following clients should the nurse assign to the room closest to the nurses station? a. a middle adult who is postoperative following a laparoscopic cholecystectomy b. a middle adult who requires telemetry for a possible MI c. a young adult who is postoperative following a open reduction internal fixation of the ankle d. an older adult who is postoperative following a below knee amputation

a. nursing assistant is walking on the patients strong side

a nurse instructs a nursing assistant about proper use of a gait belt and is observing return demonstration. what action by the nursing assistant should cause the nurse to intervene? a. nursing assistant is walking on the patients strong side b. nursing assistant is walking to the side of the patient c. nursing assistant is securing the gait belt securely around the patients waist d. nursing assistant is grasping the handles of the gait belt while the patient ambulates

c. make sure that the clients call light is within reach d. provide the client with nonskid footwear e. complete a fall risk assessment

a nurse is caring for a client who fell at a nursing home. the client is oriented to person, place, and time and can follow directions. which of the following actions should the nurse take to decrease the risk of another fall? a. place a belt restraint on the client when he is sitting on the BSC b. keep the bed in its lowest position with all side rails up c. make sure that the clients call light is within reach d. provide the client with nonskid footwear e. complete a fall risk assessment

a. complete a fall risk assessment

a nurse is caring for a client who has a history of falls. which of the following actions is the nurses priority? a. complete a fall risk assessment b. educate the client and family about fall risks c. eliminate safety hazards from the clients environment d. make sure the client uses assistive aids in the possession

b. " I will go to the nurses station for assistance."

a nurse manager is reviewing with nurses on the unit the care of a client who has had a seizure. which of the following statements via nurse requires further instruction? a. " I will place the client on his side." b. " I will go to the nurses station for assistance." c. " I will administer his medications." d. " I will prepare to insert an airway."0

c. move the clients who are nearby

a nurse observed smoke coming from under the door of the staffs lounge. which of the following actions is the nurses priority? a. extinguish the fire b. activate the fire alarm c. move the clients who are nearby d. close all the open doors on the unit

every 24 hours

a order for restraints may have to be written every:

identify residents correctly use medicine safely prevent infection prevent residents from falling prevent bed sores

national safety goals for long term care includes:

check gag reflex adequate warm water save emesis turn head to side

nursing interventions when using ipecac syrup for poisoning:

protect healthcare team and patient ensure environment is safe parent education for child safety client education for home safety

nursing responsibility for safety:

c. poison control center

the ED nurse admits a victim of poisoning. who should the nurse call to receive the best assistance for dealing with this victim? a. American Red Cross b. fire department paramedics c. poison control center d. civil defense office

b. activate the agency emergency response plan

the ED nurse receives a telephone call and is informed that a tornado has hit a local residential area and numerous casualties have occurred. the victims will be brought to the ED. which should be the initial nursing action? a. prepare the triage rooms b. activate the agency emergency response plan c. obtain additional supplies from the central supply department d. obtain additional nursing staff to assist with treating casualties

c. the patient becomes disoriented in the evening hours

the LPN is reviewing the admission information of a patient. which information is of most concern to the nurse that this patient is at high risk for falling? a. the patient has diabetes b. the patient had a stroke 3 years ago with no complications c. the patient becomes disoriented in the evening hours d. the patient wears eyeglasses and a hearing aid

c. accidental falls

the home health nurse is visiting an older adult patient and her husband. what safety concern is of the highest priority when the nurse is assessing this patients home environment? a. accidental poisoning b. electrical shock c. accidental falls d. thermal burns

d. developmental level

the home health nurse s assessing a child for the risk of injury. which factor places a child at greatest risk for specific types of injuries? a. gender of the child b. overall health c. educational level d. developmental level

c. place two fingers under the restraint to determine snugness

the nurse applies wrist restraints, prescribed to prevent a client from pulling out a NG tube. how should the nurse determine that the restraints are not too constructive? a. observe the skin in the wrist area for redness b. check the temperature of the skin in the hands c. place two fingers under the restraint to determine snugness d. remove the restraint and exercise the extremity in 2 hours

d. remove the patient from the area

the nurse discovers smoke in soiled utility room across the hall from a patients room. what should the nurses initial action be? a. sound the fire alarm b. disconnect the oxygen supply c. use any extinguisher on the fire d. remove the patient from the area

c. activate the fire alarm

the nurse enters a clients room and finds that the wastebasket is on fire. the nurse quickly assists the client out of the room. which is the next nursing action? a. call for help b. extinguish the fire c. activate the fire alarm d. confine the fire by closing the room door

a. aim at the base of the fire

the nurse enters the nursing lounge and discovers that a chair is on fire. the nurse s I ages the alarm, closes the lounge door, and obtains the fire extinguisher to extinguish the fire. the nurse pulls the pin on the fire extinguisher. which is the next action the nurse should perform? a. aim at the base of the fire b. squeeze the handle on the extinguisher c. sweep the fire from side to side with the extinguisher d. sweep the fire from top to bottom with the extinguisher

b. the specific type of SRD used

the nurse is documenting in a patient with an SRD. what information must the nurse include in this documentation? a. the nurses feelings about having to use the SRD b. the specific type of SRD used c. confirmation of a PRN order for the use of a SRD. d. evidence that the patient was assessed every 8 hours

maintenance department

who is responsible for checking existing alarms as sprinklers for fire safety?

safety committee

who is responsible for developing a fire prevention program and education personnel?

biomed

who is responsible for inspecting all mechanical equipment yearly for fire safety?

closest to the nurses station

where should you place patients who are at risk for falls?

children older adult hospitalized patients

who are at greatest risk for poisoning?

poisoning

condition produced by ingestion, injection, inhalation, or exposure to a poisonous substance

a. the UAP lossy fastens the gait belt around the patients waist d. the UAP fastens the belt around the arm of the chair to prevent the resident from slipping out of the chair

the nurse is observing the UAP who is assisting a resident in a long term care facility ambulated with a gait belt. which action by the UAP indicates to the nurse that further instruction is necessary? (select all that apply) a. the UAP lossy fastens the gait belt around the patients waist b. the UAP places the gait belt on the resident before assisting the resident to a standing position c. the UAP grasps the gait belt while assisting the patient out of bed d. the UAP fastens the belt around the arm of the chair to prevent the resident from slipping out of the chair e. the UAP explains to the resident that the gait belt is used to prevent injury to the resident and the UAP when assisting with ambulation

d. " I will ice my child syrup of ipecac if he ingests a poisonous substance that is not caustic."

the nurse is providing home poison control instruction to a parent of a 2 year old boy. which statement by the parent indicates the need for further teaching? a. " I will call the National poison control center if my child ingests a poisonous substance." b. " I will call 911 immediately if my child ingests medication that is not intended for him." c. " child safety caps on household cleaner can still be opened by some children." d. " I will give my child syrup of ipecac if he ingests a poisonous substance that is not caustic."

b. the restraint straps are safely secured to the side rails

the nurse obtains a prescription to restrain a client using a belt restraint and instructs the UAP to apply the restraint. which observation, if made by the nurse, indicates unsafe application of the restraint? a. a safety knot is made in the restraint strap b. the restraint straps are safely secured to the side rails c. the restraint strap does not tighten when force is applied against it d. the restraint is secure, and the client is able to turn from back to side

external

type of disaster that originated outside the health care facility and results in an influx of casualties examples: train accident, hurricanes, floods, tornadoes, bombings, arson, riots, hostage situation, terrorism

type B

type of extinguisher that puts our flammable liquids, grease, and anesthetic fires

halogen

type of extinguisher that puts out computer fires

type A

type of extinguisher that puts out paper, wood, cloth fires

type ABC

type of fire extinguisher gusher that puts out all fires

type C

type of fire extinguisher that puts out electrical fires

chemical restraint

type of restraint that is a form of medication that causes the patient to be numb and non reactive

soft

type of restraints that are called posey restraints that are used in hospitals and long term care

internal external

types of disasters

type A type B type C type ABC halogen

types of extinguisher

soft Geri chair table tops chemical

types of restraints:

disaster

unexpected, uncontrollable, psychologically shocking event

sharing medications changes in eye sight memory impairment changes in absorption and exception

what are the reasons older adults are one of the risk for accidental poisoning?

b. turn on handles on stoves away from reach

what important safety precautions should the home health nurse teach parents in order to prevent burns to small children? a. never leave them unattended b. turn on handles on stoves away from reach c. turn hot water on first when filling the bath tub d. keep side rails up on crib

place everything on their left side

what is a rule for patient safety when providing care for a left handed patient?

under 5 years old

what is the age that is a major cause of death in accidental poisoning for children?

put everything in their mouth by exploring environment

what is the reason behind children being one of the greatest risk or accidental poisoning?

exposure to hazardous substances medication errors

what is the reason behind hospitalized patients being one of the risk for accidental poisoning?

c. get a physicians order

what must the nurse do before applying a safety reminder device (SRD)? a. get permission from the family b. assess patients skin condition c. get a physician order d. explain the SRD to the patient

reason type location length of time type of client behaviors

what should be included in the doctors order for a restraint?

patient safety maintaining treatment prevention of wandering restrict movement of aggressive patient fall risk patients

when can restraints be used?

sweep

when reinforcing the PASS acronym for fire extinguisher use, the nurse reminds the staff that the final S stands for:

upon admission regular intervals when patient has a change of condition

when should a fall risk assessment be done?

convenience punishment extremely physically or mentally unstable who cannot tolerate the decrease stimulation or seclusion of room

when should restraints not be used?

caustic substances unconscious

when should you not induce vomiting for poison intervention?

distal to restraints

where should you do nuerovascular checks when a patient has restraints on?