question

Medication Administration -development, health status, and safety.

answer

A basic nursing function that involves skillful technique and consideration of the patient's ___(3)___

question

Medication Administration - names,preparations, classifications, adverse effects, and physiologic factors

answer

The nurse needs a knowledge base about drugs, including __(5)____that affect drug action.

question

Medication Administration -drug or medication

answer

is any substance that modifies body functions when taken into the body.

question

Medication Administration -primary treatment

answer

Medications are the____ ___ patients associate with restoration of health.

question

Pharmacology-

answer

study that deals with chemicals that affect the body's functioning.

question

Pharmacist-

answer

person licensed to prepare and dispense drugs.

question

Prescription-

answer

how a prescriber conveys medication plans to others.

question

Pharmacology

answer

Medication names Chemical name Generic name Trade or brand name Classification Medication forms

question

Chemical name

answer

ex- N-acetyl-para-aminophenol

question

Generic name

answer

ex- acetaminophen

question

Trade or brand name

answer

ex- Tylenol

question

Forms of Medication

answer

Oral Topical ◦ Parental

question

Oral

answer

◦ Capsule, pill, tablet, extended release, elixir, suspension, syrup

question

Topical

answer

Liniment, lotion, ointment, suppository, transdermal patch

question

Parental

answer

◦ Injectable

question

DRUG STANDARDS -safety, effectiveness

answer

Drugs must be thoroughly tested for ____and ___before being released to the public

question

DRUG STANDARDS -pure

answer

drugs must also be ___, of uniform strength and properly packaged and labeled

question

Drug Legislation -national standards for drug quality

answer

The National Formulary (NF) and the United States Pharmacopeia (USP) sets _______ The Pure Food and Drug Act Food and Drug Administration (FDA) Controlled Substances Act

question

Medication Legislation and Standards

answer

Government regulation Health care institutions and medication laws Medication regulations and nursing practice Nontherapeutic medication use

question

Pharmacokinetics as the Basis of Medication Actions

answer

The study of how medications ◦ Enter the body ◦ Reach the site of action ◦ Metabolize ◦ Exit the body

question

Absorption

answer

The passage of medications into the blood from the site of administration Five factors that influence absorption ◦ Route of administration ◦ Ability of the medication to dissolve ◦ Blood flow from the area of absorption ◦ Body surface area ◦ Lipid solubility of the medication

question

Distribution

answer

The rate and extent of distribution depend on the physical and chemical properties of medications and patient's physiology Three factors influence distribution ◦ Circulation ◦ Membrane permeability ◦ Protein binding

question

Metabolism

answer

Occurs after the medication reaches the site of action Biotransformation occurs when enzymes detoxify, degrade, and remove active chemicals ◦ Occurs in liver, lungs, kidneys, blood, and intestines

question

Excretion

answer

After metabolism, excretion occurs through ◦ Kidneys, liver, bowel, lungs, and exocrine glands Chemical structure of medication determines where excretion occurs

question

Types of Drug Actions

answer

Therapeutic effect Side Effect ◦ Adverse effect ◦ Toxic effect ◦ Idiosyncratic reaction ◦ Allergic reactions Anaphylactic reation

question

Medication Interactions

answer

Antagonist effect Synergistic effect Dietary supplements and herbal medications

question

Medication Dose Responses

answer

Drug Dosages Serum Drug Levels oTherapeutic range oPeak and Trough level oSerum concentration oHalf-life

question

Factors Affecting Drug Action

answer

Developmental considerations Weight Gender Genetics & Culture Psychological Pathology Environment Timing of Administration

question

Routes of Administration

answer

Oral Parenteral Topical Inhalation Intraocular

question

Healthcare Provider Roles 1.Pharmacists 2. Physician 3.Nurse-

answer

-1. licensed to prepare and dispense 2.- prescriptive authority 3.administers medication

question

Administering Medications

answer

Types of orders ◦ Standing ◦ prn ◦ Single one time ◦ STAT ◦ Now ◦ Prescriptions

question

Prescribers

answer

PHYSICIANS DENTIST PSYCHOLOGISTS PODIATRISTS ADVANCE PRACTICE NURSE PHYSICIAN'S ASSISTANT JCAHO requires a diagnosis, condition, or indication for each medication prescribed

question

Medication Order

answer

The prescriber must write the order on: ◦ Client's medical record ◦ In an order book ◦ On a legal prescription pad ◦ By a facsimile (fax) machine ◦ Computer prescriber order entry system May give verbal or telephone orders. Student nurses cannot take medication orders!

question

Parts of the Medication Order

answer

Patient FULL name Date & time it is written Name of drug Dosage Route to be administered Frequency Signature of person writing order

question

DOCTOR ORDERS

answer

Mel R. Gibson 40y M SSN-623738940 ACCT 00234576696__DOB 1-20- 71______ ◦ 8/23/11_0820_________________________ _ ◦ Vitamin C 100 mg_PO_QD_____________ ◦ _Nitrol Oint 1 inch to right eye Q 12Hr__________ ◦ Robitussin DM 10ml PO q4hr prn cough _______________Dr. Fain_______________

question

1. 2. 3. 4.

answer

What part of the medication order is missing? 1.Demerol 50 mg q 4 hours prn pain 2. Altace po bid 3. Phenergan 25 mg IM 4.Prevacid 20 mg daily

question

Abbreviations

answer

Abbreviations indicate dosage frequencies or times, routes of administration, & information for giving the medication. Common abbreviations used when writing orders Dangerous Abbreviations issued by JCAHO 2006 (www.jcaho.org) Institute of Safe Medicine Practice (www.ismp.org)

question

Pharmacist Role

answer

Prepares, distributes and dispenses medications and teaches clients Fills prescriptions accurately and makes sure prescriptions are valid. Main Task: Dispenses the correct medication, in the proper dosage and amount, with an accurate label.

question

Distribution Systems

answer

Unit dose ◦ Individual supply ◦ Medication cart Stock supply Automated medication dispensing systems ◦ Computerized medication system ◦ Bar coded medication cart

question

Nurse's Role

answer

Administer medications correctly Requires knowledge and skills unique to the nurse Assess the patient's ability to selfadminister Determine whether a client should receive medication at a given time

question

Nurse's Role

answer

Administer medications correctly without errors Monitors the effects of the medications Patient and family education Use the nursing process

question

Nursing Roles & Responsibilities

answer

& Safety Measures Legally responsible for Medication Administration Question orders if necessary Zero always precedes decimal (0.2) Not (.2)

question

Nursing Roles & Responsibilities

answer

No trailing zero (2) Not (2.0) Allergy band and place allergies clearly on chart Refuse to administer medication based on your knowledge (or lack thereof) and if it may harm patient

question

Nursing Roles & Responsibilities& Safety Measures, cont.

answer

Generic name is safest Be familiar with abbreviations Military time - LEARN IT!

question

Nursing Roles & Responsibilities& Safety Measures, cont.

answer

Schedule medication times - know your facility policy Good lighting Work alone NEVER leave medications unattended!!!

question

Nursing Roles & Responsibilities & Safety Measures, cont.

answer

Only the nurse who prepares the medication is to give the medication Keep medication cart locked when not in use and NEVER share your password or code Do not document on MAR until medication is given Controlled substances (Narcotics) - next slide.

question

Guidelines for Safe Narcotic Administration and Control

answer

Store in a locked cabinet or container. Nurses in charge carry keys or code for cabinet. During change of shift, all narcotics are counted with the nurse coming on duty and both nurses sign.

question

Guidelines for Safe Narcotic Administration and Control

answer

Discrepancies are reported immediately. Special inventory record is used each time a narcotic is dispensed, which provides an accurate, ongoing account of narcotics used and remaining. If only one part of a pre-measured dose is given, a second nurse witnesses disposal

question

Legal Responsibilities of the Nurse

answer

Legally empowered to give medications ordered by licensed health care provider Safe & accurate administration is YOUR responsibility Sufficient knowledge

question

Legal Responsibilities of the Nurse

answer

Delegate actions appropriately Monitor patient response Patient and Family Teaching

question

Drug Information Sources

answer

Pharmacology text Drug handbooks Journal articles Internet sites P7 of Abrams (strategies for studying Pharmacology)

question

Medication Errors

answer

Errors include ◦ Inaccurate prescribing ◦ Wrong medication, route, and time ◦ Extra doses or failing to administer Reporting procedures ◦ Written report within 24 hours of occurrence

question

Ways to Prevent Medication Administration Errors

answer

Prepare medications for only one patient at a time Read labels carefully and follow the 3 checks Follow the 8 rights of medication administration Know medications with similar names Question unusually large or small doses Unfamiliar or new medication...LOOK IT UP!!

question

Ways to Prevent Medication Administration Errors

answer

Double check all calculations Do not attempt to decipher illegible writing. Know clients with same last names; use at least 2 patient identifiers Do not confuse equivalents (mg or mL) Document all medications as soon as they are given

question

Preventing & Reporting Medication Errors

answer

Priority is safety of the patient If a medication error occurs: ◦ 1st-Check patient condition ◦ 2nd-Notify nurse manager & MD ◦ 3rd- Document description of error on patient record, including remedial steps ◦ 4th- Complete incident report within 24 hrs Medication reconciliation

question

Critical Thinking and Medication Administration Standards: 8 rights & 3 checks

answer

Maintaining patient's rights ◦ 1. Right medication ◦ 2. Right dose ◦ 3. Right patient ◦ 4. Right route ◦ 5. Right time ◦ 6. Right reason ◦ 7. Right documentation ◦ 8. Right to refuse

question

Critical Thinking and Medication Administration Three Checks of Medication Administration

answer

Read the label: ◦ When the nurse reaches for the container or unit dose package ◦ Compared with the MAR immediately before pouring or opening medication ◦ When replacing the container to the drawer or shelf or before giving the unit dose medication to the patient

question

Nursing Process and Medication

answer

Administration: Assessment History ◦ Allergies, medication, diet Patient's perspectives ◦ Current condition ◦ Attitudes about medication use ◦ Knowledge and understanding of medication use ◦ Learning needs ◦ Expectations

question

Diagnoses and Planning

answer

NANDA-I list Setting goals Establishing outcomes Setting priorities

question

Implementation

answer

Receiving, transcribing, and communicating medication orders Accurate dosage calculation and measurement

question

8 Rights &

answer

Medication Patient Dose Route Time Reason Documentation Refuse

question

3 Checks in Medication Administration

answer

1st- When you retrieve medication from drawer 2nd - Immediately before pouring 3rd- When replacing container and before giving to the patient

question

Correctly Prepare & Administer Medication

answer

Oral Enteral Sublingual Topical Ophthalmic Otic Nasal Vaginal Rectal Inhalant Intramuscular Subcutaneous

question

Identifying Patient

answer

ID band (arm band) Ask patient to state their FULL name and DOB Picture of resident at bedside (long term care) JCAHO- 2 identifiers should be used Remember - 3 out of 6 National Patient Safety Goals are related to Medications!

question

Administering Oral Medications

answer

Most common route of administration Available in solid and liquid form. Solid include tablets, capsules, and pills. Liquid include elixirs, suspensions, and syrups. Situations where oral medications would not be used: ◦ Difficulty swallowing ◦ Unconscious ◦ NPO ◦ Vomiting Check the medication has been swallowed before recording it has been taken.

question

Oral Medications

answer

Some tablets are scored for easy breaking if a partial quantity is needed. Unless scored, do not break - could result in an inaccurate dose. Do not chew or crush enteric coated tablets, extended-release forms, such as SR (sustained release), XL (extended release), CR or CRT (controlled release, SA (sustained action), or LA (long acting). Drugs that discolor teeth (liquid) should be taken through a drinking straw, followed by water.

question

Oral Medications,

answer

For patients who find it difficult to take liquids from a cup, the medication can be placed in the mouth directly using a plastic syringe without a needle. Place patient in the upright or side-lying position and place the medication between the gum and cheek and give slowly. Do not place the safety cap back over the syringe after drawing up the medication. This could have a potential for aspiration if the cap was accidentally injected into the mouth.

question

Administering Medications Through an Enteral Feeding Tube

answer

Use liquid medications or ones that can be crushed and combined with liquid. Room temperature - cold may cause discomfort. Elevate the head of the bed to prevent reflux. Remove the clamp from the tube and use the recommended procedure for checking tube placement before administration. Flush the tube with 15-30 mL water before and immediately after.

question

Enteral Tube Administration, cont.

answer

Give medications separately and flush with water between each drug. Review information about drugs; absorption can be affected by the tube feeding formulas. Document the water intake and liquid medication by tube on the intake and output record.

question

Administering Sublingual and Buccal Medications

answer

Sublingual - under the tongue Buccal - between the cheek and gum These areas are rich in superficial blood vessels, which allow the drug to be rapidly into the bloodstream for quick effects Hold in place- do not swallow- so that complete absorption can occur To assure appropriate dissolving, before administration, offer the patient a drink of water (if permitted) or oral care (if NPO)

question

Special Considerations for Administering Medications

answer

Infants and children ◦ Age, weight, surface area ◦ Ability to absorb, metabolize, and excrete

question

Special Considerations

answer

Older adults ◦ Polypharmacy ◦ Swallowing ◦ Reading ◦ Arthritis

question

Topical Administration of Medications

answer

Transdermal disk (patch) Applying Insertion Instillation Irrigation Spraying Intraocular

question

Administering of Medications by Inhalation

answer

Bronchodilators Hand atomizer or nebulizer ◦ Hand-held, metered-dose inhaler (MDI) ◦ Nebulizer ◦ DPI

question

Administering Parental Medications

answer

Medications may be administered ◦ Subcutaneous—subq tissue ◦ Intramuscular—muscle tissue ◦ Intradermal—corium (under epidermis) ◦ Intravenous—vein

question

Medical Record Documentation

answer

Recording medication administration Each dose of medication—as soon as possible after it is given Intentional or inadvertently omitted drugs Refused drugs

question

Patient Teaching

answer

Taylor to patient level of understanding Written instructions as a reference Review techniques of medication administration Remind patient to take the medication as prescribed for as long as prescribed Instruct patient not to alter dosages without consulting physician Caution patient not to share medications Report any adverse reactions to the HCP

question

Evaluation

answer

Change in patient's condition Desired effect Adverse reactions Observation of physiological measures Changes in laboratory values

question

Safety

answer

Meet basic human needs; reduce transmission of pathogens; reduce physical hazards

question

Basic human needs

answer

Oxygen Nutrition Temperature Humidity

question

Critical thinking-Knowledge

answer

You will need a complete picture of a patient's situation: Physical Cultural Physiological Psychosocial Environmental Information in order to protect the patient from injury.

question

Critical thinking Knowledge

answer

Experience Attitudes Standards

question

Client Safety

answer

Is a basic human need. Freedom from psychological and physical injury *A primary responsibility of the nurse is to protect pt from harm

question

Importance of Safety in Health Care Delivery

answer

Reduce risk for accidents Helps contain health-care costs Decrease hospital length of stay Improves clients functional status Protects staff and allows for optimal performance

question

Factors Affecting Safety

answer

Developmental considerations Lifestyle Impaired mobility Sensory impairments Cognitive impairments Safety awareness Ability to communicate Physical health state Psychosocial health state

question

Developmental Considerations

answer

1.Infant, Toddler, Preschooler: injuries over age 1 cause more death and disability than do all diseases combined. 2.School-age Children: Potential hazards multiply as motor skills develop and environment expands Many childhood accidents are preventable 3.Adolescents: high-risk behaviors 4.Adult: related to life-style habits

question

Developmental con't

answer

See Box 27-8: "Care of the Older Adult" "Educating About Safety See Box 27-6: "Care of the Older Adult" "Physical Assessment Findings in the Older Adult that increase Risk for Accidents" Older adults: Polypharmacy Psychological factors Acute or chronic dx In 2005 almost 16,000 people age 65 and older died from unintentional fall-related injuries.

question

Impaired Mobility

answer

Any limitation in mobility is potentially unsafe. Unsteady gait Assistive devices Unfamiliar setting Paralysis Recent surgery Prolonged illness

question

Sensory impairments

answer

Any sensory impairment can reduce a person's sensitivity to the environment: Vision Hearing Smell Taste Touch Position Sense

question

Cognitive impairments

answer

Associated with delirium, dementia, and depression which contribute to altered concentration and attention span, impaired memory, and orientation changes.

question

Safety awareness

answer

Keeping medications, poisonous plants, or other poisons or chemicals away from children. Avoiding expired medications and foods.

question

receive and send

answer

Assessment of any factor that influences the patient's ability to ___&_____ messages.

question

Physical Health State

answer

Chronically ill or weakened state Consider safety factors in all phases of the illness and recovery experience. Prevention of complications and return to optimal level of functioning

question

Psychosocial Health State

answer

Stress Depression Social isolation

question

Focus of Safety Assessments

answer

The individual: Perform fall risk assessment The environment Specific risk factors

question

Nursing History

answer

Assess for history of falls or accidents Note assistive devices Be alert to history of drug or alcohol abuse Obtain knowledge of family support systems

question

Physical Examination

answer

Assess mobility status Assess ability to communicate Assess level of awareness or orientation Assess sensory perception Identify potential safety hazards Recognize manifestations of domestic violence or neglect

question

Risk Factor Assessments

answer

Falls Restraints Fires Poisoning Bioterrorism Electrical hazards

question

Factors That Contribute to Falls Age

answer

>65 History of falls Impaired vision or balance Altered gait or posture, impaired mobility Medication regimen Postural hypotension Slowed reaction time Confusion or disorientation Unfamiliar environment

question

Fall Prevention

answer

Explain how to use call light or intercom system Always place call light close to patient Respond quickly to call lights Remove clutter and equipment Wear rubber-soled shoes or slippers Keep rooms well lit Inspect assistive device connections

question

FALL ASSESSMENT TOOL

answer

History of Falls 15 Confusion 5 Age (over 65) 5 Impaired Judgment 5 Sensory Deficit 5 Unable to ambulate independently 5 Decreased level of cooperation 5 Increased anxiety/emotional liability 5 Incontinence/urgency 5 Medications affecting blood pressure 5 Postural hypotension with dizziness 5 Attached equipment (e.g. IV pole, oxygen) 5

question

Answer Answer: B. False A nurse whose behavior is reasonable and prudent and similar to the behavior that would be expected of another nurse in similar circumstances is unlikely to be found liable if a patient falls, even if injury occurs.

answer

Question Tell whether the following statement is true or false. A nurse whose behavior is reasonable and prudent and similar to the behavior that would be expected of another nurse in similar circumstances is still likely to be found liable if a patient falls. A. True B. False

question

Restraints

answer

Restraints are NOT a solution to a problem. They are a temporary means to maintain safety. Can be chemical or physical. Chemical: Medications Physical is defined as any manual method, physical or mechanical device, material or equipment that immobilizes or reduces the ability of a patient to move arms, legs, body, or head freely.

question

Restraints

answer

A restraint free environment, either physical or chemical, is your 1st goal for all patients. If a restraint must be used, remember the goal is to remove the restraint at the earliest possible time. Side rails Remember: Side Rails are a restraint if they immobilize or reduce the ability of a patient to move freely such as getting out of bed.

question

Fires

answer

Assessment for potential causes of fire in the home. Health care agencies required by law to establish safety boards and inspect the facility regularly for possible hazards. Nurses must be aware of agency policies for proper equipment functioning and drills.

question

Poisoning

answer

Common agents in childhood poisoning page 736 Safety assessment must consider person's developmental stage. Younger children: household chemicals Preschoolers: lead Adolescents and young adults: drugs Older persons: overdose Toxic fumes from improper mixing of household chemicals Carbon Monoxide Poison Control Center

question

Bioterrorism

answer

Preparedness is the first focus The first priority is to ensure your own personal safety and that of other team members. Rapid response is crucial

question

Electrical hazards

answer

Hospital beds Infusion pumps Ventilators

question

Nursing Diagnoses

answer

Risk for Injury Risk for Poisoning Risk for Suffocation Risk for Trauma Impaired Home Maintenance Risk for Disuse Syndrome Knowledge Deficit

question

Outcomes and Planning

answer

Nursing interventions focus on meeting safety needs. Expected outcomes promote safety and prevent injuries.

question

Patient Outcomes for Safety

answer

Identify real and potential unsafe environmental situations Implement safety measures in the environment Use available resources for safety information Incorporate accident prevention practices into ADLs Remain free of injury

question

Implementing

answer

Acquiring First-Aid Knowledge Teaching to Promote Safety Preventing Falls Use of Restraints Preventing Injury

question

Safety Considerations for Neonate

answer

Avoid behaviors that might harm the fetus Never leave the infant unattended Use crib rails Monitor setting for objects that are choking hazards Use car seats properly

question

Safety Considerations for Toddler/Preschooler

answer

Childproof home environment Prevent poisoning Be alert to manifestations of child abuse Use car seats properly

question

Safety Considerations for School-Age Child

answer

Help to avoid activities that are potentially dangerous Provide interventions for safety at home, school, and neighborhood Teach bicycle safety Teach about child abduction Wear seat belts

question

Safety Considerations for Adolescents

answer

Teach safe driving skills Teach avoidance of tobacco and alcohol Teach risk of infection with body piercing Teach about guns and violence

question

Safety Consideration for Adults

answer

Remind them of effects of stress on lifestyle and health Counsel about unsafe health habits (reliance on drugs and alcohol) Counsel about domestic violence

question

Safety Considerations for Older Adults Prevent accidents

answer

Orient person to surroundings (avoid falls) Maintain vehicle in working order, schedule eye exams, and keep noise at a minimum Promote safe environment at home (avoid fires) Use medication trays (avoid poisoning)

question

Nursing Interventions to Prevent Falls

answer

Complete a risk assessment Indicate risk for falling on patient's door and chart Keep bed in low position Keep wheels on bed and wheelchair locked Leave call bell within patient's reach Answer call bells promptly Leave a night light on Provide nonskid footwear

question

Nursing Interventions to Prevent Falls

answer

Eliminate all physical hazards in the room (clutter, wet areas on the floor) Leave water, tissues, bedpan/urinal within patient's reach Document and report any changes in patient's cognitive status to the physician and other nurses at the change of shift Use alternative strategies when necessary instead of restraints If restraint is applied, assess patient at the required intervals

question

Using restraints in healthcare facilities

answer

Physical devices used to limit a patient's movement. Side rails, geri-chairs with attached trays, wrist, ankle, and waist are types of physical restraints. Drugs that are used to control behavior and are NOT included in normal medication regimes are considered chemical restraints. 50% of restrained elderly patients fall and sustain injuries while in physical restraints.

question

Physiologic hazards associated with restraints

answer

Suffocation from entrapment-side rails or improperly applied vest Impaired circulationAltered skin integrity-pressure ulcers, abrasions, skin tears, bruises Diminished muscle and bone mass Fractures Altered nutrition and hydration Aspiration and breathing difficulties Incontinence Changes in mental status-combativeness, depression, anger

question

Use of restraints

answer

Side rails (not considered a restraint if patient asks for them to be raised)document-follow agency policy Alternatives to restraints - 734 Using restraints as a LAST RESORT Follow protocols and agency policies Page 733 Restrained adults must be monitored every 2 hours and every (1) hour for children.

question

Preventing Fires and Maintaining Fire Safety

answer

Most common causes of hospital fires: Careless smoking, faulty electrical equipment, combustion of anesthetic agents Nurses are responsible for patient safety RACE ABC Fire Extinguishers (PASS)

question

Answer Answer: D. Evacuate patients and other people to a safe area Rationale: The RACE acronym includes the following priorities: Rescue anyone in immediate danger Activate the fire code and notify appropriate person Confine the fire by closing doors and windows Evacuate patients and other people to a safe area

answer

Question Which of the following is a priority emphasized in the RACE acronym guide to fire safety? A. Run to the nearest fire alarm B. Act in a calm manner to prevent panic C. Confine the fire by opening doors and windows D. Evacuate patients and other people to a safe area

question

Prevention Poisoning

answer

Childproofing Poison Control Center Material Safety Data Sheets (MSDS) Carbon Monoxide Detector

question

Suffocation

answer

Health education Parental supervision Start emergency measures without delay

question

Injury from Firearms

answer

Raise awareness and help reduce high-risk behavior

question

Decreasing Equipment-Related Accidents

answer

Use only for intended use and be familiar with equipment Handle equipment with care so as not to damage it Use three-prong plugs Do not twist or bend electric cords Be alert to signs that equipment is faulty Be alert to wet surfaces

question

Preventing Procedure-Related Accidents

answer

Follow correct procedures when administering care Safe-guard to prevent errors Use all available resources

question

Maintaining Emergency Preparedness

answer

Nurses need to be aware of their role when an emergency or disaster occurs Biological, Chemical, and Nuclear threats Mass Trauma Terrorism Identify Disaster Resources Address Psychological Aspects of Disasters

question

2011 Hospital National Patient safety goals-

answer

See joint commission website Identify patients correctly: Improve staff communication Use medicines safely Prevent infection Check patient medicines Identify patient safety risks www.jointcommission.org/patientsafet/nationalpatientsafetygoals/

question

2011 Long term care national patient safety goals

answer

Identify residents correctly Use medicines safely Prevent infection Check resident medicines Prevent residents from falling Prevent bed sores

question

Evaluation

answer

If expected patient outcomes are met, the patient should be able to accomplish: Correctly identify real and potential unsafe environmental situations Implement safety measures in the environment Use available resources to obtain safety information Incorporate accident prevention practices into activities of daily living Remain free of injury. Refer to page 724 Best practices.

question

Basic Human Needs-oxygen

answer

Enviromental hazard is improper functioning heating system.

question

Basic Human Needs-oxygen

answer

A furnace, stove, and fireplace that is not properly vented present co2.

question

carbon monoxide

answer

colorless odor less poisonous gas produced by the combustion of organic fuels

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