RNSG 1105 MODULE 4- PT safety and Quality/ Prevention
of Falls and Protective Restraints Questions With Complete
Solutions
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-The Joint Commission has identified misuse of protective
restraints as one of the main sentinel events (unexpected
occurrence involving death or serious physical or psychological
injury, or the risk thereof).
-Since the Joint Commission began tracking sentinel events in
1996, the Accreditation Committee of the Joint Commission's
Board of Commissioners has reviewed many cases related to
deaths of patients who were being physically restrained. Most of
the events occurred in psychiatric hospitals, followed by general
hospitals & long term care facilities. Correct Answer Legal
implication with Misuse of Protective Restraints
- Assessment of a PTs risk factors for falling is essential to
determine specific needs and develop targeted interventions to
prevent falls
-Many different fall risk-assessment instruments are available;
use the tool choosen by your health care agency
-Most tools include categories on age, fall history, elimination
habits, high-risk medication, mobility, and cognition
-t minimum the assessment needs to be completed on admission,
following a change in a PTs condition, after a fall, and when
transferred
-If it is determined that a PT is at risk for falling, regular
assessment always continues Correct Answer Fall Prevention,
Assessment
,- HC provided in a safe maner and a safe community
environment is essential for a PTs survival and well-being
-A safe environment reduces the risk for illness and injury nd
helps to contain the cost of health care by preventing extended
lengthens of TX and or hospitalization, improving or
maintaining a PTs functional status, and increasing a PTs sense
of well-being Correct Answer Patient centered safety
-The application of restraints may subject the nurse to
allegations of false imprisonment, battery, & lack of informed
consent so be sure to:
-Know agency specific policies and procedures
-Have a Health Care Providers (HCP)order
-Proper documentation
-Conduct ongoing assessment while using restraints Correct
Answer Legal Implications
(IOM) Institute of medicine Correct Answer Serves as an
independent, nonprofit organization that could undertake studies
and use knowledge for advising government, federal agencies
and other interested parties; ADVISOR
(IOM) The institute of Medicine Correct Answer serves as an
independent, non-profit organization that can undertake studies
and use knowledge for advising government, federal agencies,
and other interested parties
(TJC) The Joint Commission Correct Answer A national
agency that conducts surveys of inpatient and ambulatory
facilities and certifies their compliance with established quality
standards.
, a. Nursing Patients safety Goal Correct Answer Nurse must
communicate with the patient and family that it is
TEMPORARY and that it is only for the patients safety
Alternative to the use of Protective Restraints Correct Answer -
More frequent observations, social interactions such as
involvement of family.
*May ask family to help with the monitoring, but it is difficult
for family to commit to this amount of time. So nurses must
monitor every 15 minutes during use.
-Introduction of familiar and meaningful stimuli within the
environment.
*May need to bring items from home
-Use a bed alarm system
*sense when PTs gets out of bed
*Senses when PT steps on it when getting out of bed
Assessment for Falls Correct Answer §Following assessment,
if it is determined that the patient is at risk for falls, most
facilities apply yellow color-coded wristbands to patients' wrists
to communicate to all health care providers that a patient is a fall
risk. In 2008 the American Hospital Association issued an
advisory recommending that hospitals standardize wristband
colors: yellow for fall risk.
b. Regulations and protocols Correct Answer The application
of restraints may subject the nurse to allegations of false
imprisonment, battery, & lack of informed consent so be sure
to:Know agency specific policies and proceduresHave a Health
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