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Safety Concept. National Patient Safety Goals Environmental Safety Injury/Illness Prevention. National Patient Safety Goals (NPSG). See handouts. Benefits of Safety. Reduces episodes of illness and injury Prevents extended length of stay or treatment

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Safety concept

Safety Concept

National Patient Safety Goals Environmental Safety

Injury/Illness Prevention



Benefits of safety
Benefits of Safety

  • Reduces episodes of illness and injury

  • Prevents extended length of stay or treatment

  • Improves and maintains functional status

  • Decreases physical hazards

  • Decreases pathogen transmission

  • Involves sanitation and pollution control

  • Validates a sense of well-being

  • Meets a basic human need


Physical safety
Physical Safety

  • Decreases procedure-related accidents

    • Meds/IVs

    • Catheters

    • Diagnostics

    • Surgery

  • Decreases equipment related accidents

    • Pumps

    • O2

    • Monitors

    • Lifts

    • Restraints


Prevent falls
Prevent Falls

  • See Box 26-4

  • Assess patient thru thorough hx

  • Use standardized risk assessment tool (634)

  • Post indicators of fall risk

  • Keep items WIR

  • Assess environment each time you round

  • Bed alarms; garment alarms; sitters; family; room location


Restraints
Restraints

  • See Box 26-5 and 26-6

  • Restraints are discouraged.

  • Have to have rationale and orders that are renewedacc’d to policy.

  • Patient needs to be assessed q1-2h if restrained and removed periodically.

  • Chemical restraints


Seizure precautions
Seizure Precautions

  • Assess risk

  • Pad siderails

  • Never restrain a patient

  • Protect from injury

  • Turn patient to side

  • Nothing in the mouth

  • Ensure ABCs

  • Oxygen, suction, or airways may be needed if seizure is lengthy


Fire safety
Fire Safety

  • Inspect electrical and O2 equipment

  • Know location of smoke detectors and fire alarms

  • Know your facility’s plan for evacuation:

    • RACE = Remove pt, Alarm pulled, Contain fire, Extinguish

  • Know fire extinguishers:

    • Types: ABC = Average, Boom, Currents

    • PASS = Pull, Aim, Squeeze, Sweep


Incident reports
Incident Reports

  • Used to record accidents, errors, or variances in the standard of care

  • Has to be filled out by the person who discovered the problem. Be sure to remain objective without assumptions and blame.

  • Used by Risk Management to track errors and modify procedures

  • Confidential, facility-driven documents, not part of the patient’s record. Do not document that an incident report was filled out.


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