Nursing Management of Clients with Stressors that Affect Safety. NUR101 Fall 2010 LECTURE # 3 K. Burger, MSEd , MSN, RN, CNE PPP By: Sharon Niggemeier RN MSN Revised kburger806,707. Therapeutic Environment.
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LECTURE # 3
K. Burger, MSEd, MSN, RN, CNE
PPP By: Sharon Niggemeier RN MSN
What is the first step in preventing falls and injury?
Who are the people @ greatest risk?
Used when client may cause harm to self or others
Used when alternative methods have failed
MD order needed
Must check 15min after applying
Must check every 30 min
Must REMOVE every 2 hours
Must DOCUMENT behavior justifying restraint & failure of alternative methodsProtective Devices(Physical Restraints)
Any device that prevents the pt. from freely moving is considered a restraint or protective device !!Types of Protective Devices
R- Remove patients, visitors and staff from immediate area
A- Alarm. Pull the fire alarm
C–Contain the fire. Close doors and windows
E- Extinguish the fire only if it is safe and practical
P- Pull the pin
A- Aim at base
S- Squeeze trigger
S- Sweep from side to side
so instructions can be heard
at the bottom of closed doors
to contain fire/smoke
What are the (4) major components of an Emergency Management Plan?
What immunizations are routinely recommended for the elderly?
What immunizations are routinely recommended for HCWs?
Asepsis -All activities to prevent infection or break the chain of infection
Practices used when caring for ALL patients when coming in contact with body fluids or secretions(except sweat), non-intact skin or mucous membranes
Safe injection practices
Respiratory Hygiene/Cough Etiquette(CDC 2007 update)Standard Precautions
In addition to using Standard Precautions
What PPE is required for:Airborne?Droplet ?Contact ?
What type of room is required for:Airborne?Droplet ?Contact ?
Mrs. Niles is 83 years old and lives alone. She has difficulty walking and relies on a church volunteer group to deliver lunches during the week. Her fixed income limits her ability to buy food. Last week, Mrs. Niles’ sister died. The two sisters had been very close.
As a home care nurse, explain the factors that might increase Mrs. Niles risk for infection
Ms Smiley was admitted to the hospital for foot surgery. Her roommate, Mrs. Sneezy, was in the hospital for an appendectomy. No one ever came to visit Mrs. Sneezy, yet she came down with the flu while in the hospital. None of the hospital personnel had the flu. Three days later, Ms Smiley was recuperating from her foot surgery. The wound on her foot is warm, red, and oozing pus. Nurse Sensitive calls the physician and informs him that the wound looks infected. He tells the nurse that during the surgery his glove tore, and he orders antibiotics for Ms Smiley. The next day, Nurse Sensitive calls in sick to work. She has the flu.
Fill in the blank with either:
Exogenous OR Endogenous OR Iatrogenic
Ms Smiley has a ________________nosocomial infection.
Mrs. Sneezy has a ______________nosocomial infection.
Nurse Sensitive has a ____________nosocomial infection.