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Safety, Asepsis, Sensory - Flashcards

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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
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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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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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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 Factors Affecting Safety-Developmental Considerations
-Lifestyle
-Mobility
-Sensory Perception
-Knowledge
-Ability to Communicate
-Physical Health State
-Psychosocial Health State
 RADARR- 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 Eventan 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
 RACER-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
 Pathogena disease producing microorganism.
 Chain of Infection1. 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 FactorsSkin 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 count5,000-10,000/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
 PPEGloves
Gown
Mask
Protective Eyewear
 Latex AllergyFOLLOW LATEX FREE PATIENT PROTOCOL.
 Airborne Precautionssmaller droplets

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

Pneumonia, meningitis, mumps, rubella

**Mask if within 3 FT of patient

 Contact Precautionsdirect person contact.

Herpes Simplex, scabies, MRSA, VRE, or VISA
 Psych implications of isolationAlteration in body image related to isolation:
-lonely
-guilty
-rejected
-angry
-"unclean"
 Medical AsepsisClean technique
 Surgical AsepsisSterile technique

absence of all microorganisms including spores
 exogenouscausative organism is acquired from other people
 endogenouscausative organism comes from a person's own microbes
 iatrogenicinfection 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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