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GNUR 238 Safety Exam Latest Update
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GNUR 238 Safety Exam Latest Updatewhat are 7 risks within the health care environment? - Answer medical errors, mistaken
client identification, falls, client-inherent accidents, procedure related incidents,
equipment related incidents, and medication errors
what constitutes for 90% of all reported incidents? - Answer falls
what is an example of a client-inherent accident? - Answer seizure
how many medical errors happen per annum? - Answer 44,000-98,000
what are 7 national patient safety goals? - Answer identify clients correctly, improve
staff communication, medication safety, use alarms safely, prevent HAI's, identify client
safety risks, and universal protocol to reduce surgical errors
what is an example of a client safety risk that the national patient safety goals are
working to reduce? - Answer working to reduce patient suicides
what are the four ways of improving staff communication? - Answer report critical
results promptly, follow facility guidelines and standards for reporting, document, and
do not give critical results via voicemail
what are critical results? - Answer lab or diagnostic procedure results that are outside
expected reference range
what do you do instead of giving critical results via voicemail? - Answer convey directly
to provider in person or by telephone
what are two things that are implemented for medication safety? - Answer labels and
medication reconciliation
what does medication reconciliation mean? - Answer assess current home meds and
compare to newly prescribed meds for discrepancies
when does medication reconciliation have to happen? (4 times) - Answer admission,
discharge, transfer to another level of care, and change in provider
what are two things that can happen to nurses with clinical alarm systems? - Answer
alarm fatigue and sensory overload
what is the AACN recommendation for clinical alarm systems (for when you are
supposed to check them - 3 things)? - Answer check alarm settings at the start of every
shift, with any change in patient condition, and any change in caregiver
what is another name for a hospital associated infection (HAI)? - Answer nosocomial
infections
what are the most common types of HAI's? - Answer central line associated
, bloodstream infection (CLABSI), catheter-associated urinary tract infection (CAUTI),
surgical-site infection (SSI), and ventilator-associated pneumonia (VAP)
how old does someone have to be to screen for suicidal ideation? - Answer 12 or older
why would someone (a child) be screened for suicidal ideation? - Answer if they have a
primary admission diagnosis for a behavioral health condition
what is an example of how to prevent adverse events in surgery? - Answer safety
checks
what is a safety check during surgery? - Answer using two client identifiers to establish
the client's identity, marking the surgical site if possible, performing a time out in the
operating or procedure room
what are some examples of having a culture of safety? - Answer hourly rounding,
bedside shift report, having a rapid response team, ISBARR communication tool
what does ISBARR stand for? - Answer identity, situation, background, assessment,
recommendation, and read-back
what does a RRT (rapid response team) respond to? (6 things) - Answer a sudden
change in vital signs, low oxygen saturation despite efforts to oxygenate, chest pain
despite the administration of nitroglycerine, seizure, medical professional has a deep
concern about the clients condition, sudden variation in the client's mental status
what do you administer for chest pain? - Answer nitroglycerine
what do you administer for low oxygen saturation? - Answer oxygen
what does identity stand for with ISBARR? - Answer introduce yourself and where you
are calling from
what does situation stand for with ISBARR? - Answer client name and age,
administering diagnosis, and chief complaint or urgent need for the rapid response to
be called
what does background stand for with ISBARR? - Answer medical history including
current medications and advanced directives (if any)
what does assessment stand for with ISBARR? - Answer general client impression and
significant findings through assessment, diagnostic tests, lab work, and vital signs
what does recommendations stand for ISBARR? - Answer treatment provided and the
client's response to the treatment
what does read back stand for ISBARR? - Answer read back the message or
prescription from the provider, which allows for any clarification of any
miscommunication
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