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Universities » Walters State Community College .. » NURS - Nursing » 1160 - Introduction to Nursing P.. » Flash Cards

Safety, Asepsis, Sensory - Flashcards

Flashcard Deck Information

Class:	NURS 1160 - Introduction to Nursing Process
Subject:	Nursing
University:	Walters State Community College
Term:	Spring 2010

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Factors Affecting Safety

-Developmental Considerations
-Lifestyle
-Mobility
-Sensory Perception
-Knowledge
-Ability to Communicate
-Physical Health State
-Psychosocial Health State

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RADAR

R- Routinely screen all patients over 14 for symptoms of abuse and stress-related complaints.
A- Ask simple, direct questions in a safe environment.
D- Document your findings.
A- Assess the safety of the victim and children.
R- Review options and referrals, including crisis hotlines, police numbers, and shelters.

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Restraint

Physical or chemical devices used to limit a patient's movement.

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Examples of Physical Restraints

- Side rails
- Geriatric chairs with attached trays
- Appliances tied at the wrist, ankle or chest.

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Chemical Restraints

- Sleeping pills
- Sedatives
- Tranquilizers

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Sentinel Event

an unanticipated event in a healthcare setting resulting in death or serious physical or psychological injury to a person or persons, or risk of injury.

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Restraint Alternatives

-pain relief
-reduced noise
-involve family in care
-check environment for hazards
-use an alarm system
-allow restless patient to walk
- half rails or side rails in down position
- bed in low position

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RACE

R-Rescue anyone in immediate danger
A- Activate the fire code and notify appropriate person
C- Confine fire by closing doors and windows
E- Evacuate patients and other people to safe area

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Mass Destruction

-Cyanide
-Pulmonary agents
- Vesicants
- Nerve Agents
- Incapacitating Agents

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Pathogen

a disease producing microorganism.

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Chain of Infection

1. Infectious Agent
2. Reservoir (human bodies, animals, food, water, insects)
3. Portal of Exit/Escape
4. Modes of Transmission
5. Portal of Entry
6. Susceptible Host

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Susceptibility Factors

Skin and Mucous Membranes
Normal pH levels of GU & GI tracts
WBC's
Age, sex, race, heredity
Immunization, natural or aqcuired
Fatigue, climate, general health

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Normal WBC count

5,000-10,000/mm^3

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Interventions

*Be infection control conscious
*WASH HANDS
*Use disinfected or sterile items
*Keep bodies, wounds/drains and rooms clean
*Cover mouth/nose & wear gloves
*Maintain skin integrity
*Use isolation precautions prn

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PPE

Gloves
Gown
Mask
Protective Eyewear

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Latex Allergy

FOLLOW LATEX FREE PATIENT PROTOCOL.

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Airborne Precautions

smaller droplets

TB, measles, Rubeola, chicken pox
<5 microns
USE ALL PPE

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Droplet Precautions

larger droplets

Pneumonia, meningitis, mumps, rubella

**Mask if within 3 FT of patient

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Contact Precautions

direct person contact.

Herpes Simplex, scabies, MRSA, VRE, or VISA

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Psych implications of isolation

Alteration in body image related to isolation:
-lonely
-guilty
-rejected
-angry
-"unclean"

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Medical Asepsis

Clean technique

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Surgical Asepsis

Sterile technique

absence of all microorganisms including spores

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exogenous

causative organism is acquired from other people

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endogenous

causative organism comes from a person's own microbes

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iatrogenic

infection occurs as a result of treatment or diagnostic procedure.

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Common Nosocomial Sites

-UT
-Surgical or traumatic wounds
-Respiratory
- Bloodstream (needles, IVs)

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Factors Affecting Safety	-Developmental Considerations -Lifestyle -Mobility -Sensory Perception -Knowledge -Ability to Communicate -Physical Health State -Psychosocial Health State
RADAR	R- Routinely screen all patients over 14 for symptoms of abuse and stress-related complaints. A- Ask simple, direct questions in a safe environment. D- Document your findings. A- Assess the safety of the victim and children. R- Review options and referrals, including crisis hotlines, police numbers, and shelters.
Restraint	Physical or chemical devices used to limit a patient's movement.
Examples of Physical Restraints	- Side rails - Geriatric chairs with attached trays - Appliances tied at the wrist, ankle or chest.

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Chemical Restraints	- Sleeping pills - Sedatives - Tranquilizers
Sentinel Event	an unanticipated event in a healthcare setting resulting in death or serious physical or psychological injury to a person or persons, or risk of injury.
Restraint Alternatives	-pain relief -reduced noise -involve family in care -check environment for hazards -use an alarm system -allow restless patient to walk - half rails or side rails in down position - bed in low position
RACE	R-Rescue anyone in immediate danger A- Activate the fire code and notify appropriate person C- Confine fire by closing doors and windows E- Evacuate patients and other people to safe area

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Mass Destruction	-Cyanide -Pulmonary agents - Vesicants - Nerve Agents - Incapacitating Agents
Pathogen	a disease producing microorganism.
Chain of Infection	1. Infectious Agent 2. Reservoir (human bodies, animals, food, water, insects) 3. Portal of Exit/Escape 4. Modes of Transmission 5. Portal of Entry 6. Susceptible Host
Susceptibility Factors	Skin and Mucous Membranes Normal pH levels of GU & GI tracts WBC's Age, sex, race, heredity Immunization, natural or aqcuired Fatigue, climate, general health

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Normal WBC count	5,000-10,000/mm^3
Interventions	Be infection control conscious WASH HANDS Use disinfected or sterile items Keep bodies, wounds/drains and rooms clean Cover mouth/nose & wear gloves Maintain skin integrity *Use isolation precautions prn
PPE	Gloves Gown Mask Protective Eyewear
Latex Allergy	FOLLOW LATEX FREE PATIENT PROTOCOL.

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Koofers.com

Airborne Precautions	smaller droplets TB, measles, Rubeola, chicken pox <5 microns USE ALL PPE
Droplet Precautions	larger droplets Pneumonia, meningitis, mumps, rubella **Mask if within 3 FT of patient
Contact Precautions	direct person contact. Herpes Simplex, scabies, MRSA, VRE, or VISA
Psych implications of isolation	Alteration in body image related to isolation: -lonely -guilty -rejected -angry -"unclean"

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Medical Asepsis	Clean technique
Surgical Asepsis	Sterile technique absence of all microorganisms including spores
exogenous	causative organism is acquired from other people
endogenous	causative organism comes from a person's own microbes

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Koofers.com

iatrogenic	infection occurs as a result of treatment or diagnostic procedure.
Common Nosocomial Sites	-UT -Surgical or traumatic wounds -Respiratory - Bloodstream (needles, IVs)

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Koofers.com

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	Front	Back
	Factors Affecting Safety	-Developmental Considerations -Lifestyle -Mobility -Sensory Perception -Knowledge -Ability to Communicate -Physical Health State -Psychosocial Health State
	RADAR	R- Routinely screen all patients over 14 for symptoms of abuse and stress-related complaints. A- Ask simple, direct questions in a safe environment. D- Document your findings. A- Assess the safety of the victim and children. R- Review options and referrals, including crisis hotlines, police numbers, and shelters.
	Restraint	Physical or chemical devices used to limit a patient's movement.
	Examples of Physical Restraints	- Side rails - Geriatric chairs with attached trays - Appliances tied at the wrist, ankle or chest.
	Chemical Restraints	- Sleeping pills - Sedatives - Tranquilizers
	Sentinel Event	an unanticipated event in a healthcare setting resulting in death or serious physical or psychological injury to a person or persons, or risk of injury.
	Restraint Alternatives	-pain relief -reduced noise -involve family in care -check environment for hazards -use an alarm system -allow restless patient to walk - half rails or side rails in down position - bed in low position
	RACE	R-Rescue anyone in immediate danger A- Activate the fire code and notify appropriate person C- Confine fire by closing doors and windows E- Evacuate patients and other people to safe area
	Mass Destruction	-Cyanide -Pulmonary agents - Vesicants - Nerve Agents - Incapacitating Agents
	Pathogen	a disease producing microorganism.
	Chain of Infection	1. Infectious Agent 2. Reservoir (human bodies, animals, food, water, insects) 3. Portal of Exit/Escape 4. Modes of Transmission 5. Portal of Entry 6. Susceptible Host
	Susceptibility Factors	Skin and Mucous Membranes Normal pH levels of GU & GI tracts WBC's Age, sex, race, heredity Immunization, natural or aqcuired Fatigue, climate, general health
	Normal WBC count	5,000-10,000/mm^3
	Interventions	Be infection control conscious WASH HANDS Use disinfected or sterile items Keep bodies, wounds/drains and rooms clean Cover mouth/nose & wear gloves Maintain skin integrity *Use isolation precautions prn
	PPE	Gloves Gown Mask Protective Eyewear
	Latex Allergy	FOLLOW LATEX FREE PATIENT PROTOCOL.
	Airborne Precautions	smaller droplets TB, measles, Rubeola, chicken pox <5 microns USE ALL PPE
	Droplet Precautions	larger droplets Pneumonia, meningitis, mumps, rubella **Mask if within 3 FT of patient
	Contact Precautions	direct person contact. Herpes Simplex, scabies, MRSA, VRE, or VISA
	Psych implications of isolation	Alteration in body image related to isolation: -lonely -guilty -rejected -angry -"unclean"
	Medical Asepsis	Clean technique
	Surgical Asepsis	Sterile technique absence of all microorganisms including spores
	exogenous	causative organism is acquired from other people
	endogenous	causative organism comes from a person's own microbes
	iatrogenic	infection occurs as a result of treatment or diagnostic procedure.
	Common Nosocomial Sites	-UT -Surgical or traumatic wounds -Respiratory - Bloodstream (needles, IVs)

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