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Safety Concept

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

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  1. Safety Concept National Patient Safety Goals Environmental Safety Injury/Illness Prevention

  2. National Patient Safety Goals (NPSG) • See handouts

  3. 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

  4. Physical Safety • Decreases procedure-related accidents • Meds/IVs • Catheters • Diagnostics • Surgery • Decreases equipment related accidents • Pumps • O2 • Monitors • Lifts • Restraints

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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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