Safety and Oxygen Therapy – Flashcards
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oxygen therapy is used for
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prevention or relief of tissue hypoxia
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When do you administer oxygen?
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1) suspected MI or chest pain 2) pulmonary edema (fluid in the lungs) 3) pulmonary embolism ( clot in lungs) 4) acute respiratory failure 5) severe trauma 6) Hypoxemia 7) observable SOB
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Describe safety precautions when caring for a client who is using oxygen
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no open flames no smoking make sure all electrical equipment is functioning correctly check oxygen levels in portable tanks know where closest fire extinguishers are know fire procedures and emergency exits
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what is a Nasal Cannula and what considerations are needed?
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tubing that fits into the nares of the nose delivers the lowest amount of oxygen can dry nasal membranes can cause breakdown of tissue behind ears
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What is a venturi mask and what considerations are needed?
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delivers high concentration of oxygen is hot and confining, can irritate the skin interferes with eating and talking
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what is a simple face mask and what considerations are needed?
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for short term oxygen therapy can cause possible pressure areas on the face
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what is a non-rebreather mask and what considerations are needed?
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will give 100% oxygen can breath out but does not mix with ambient air can cause skin irritation and pressure areas
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what is an ambu-bag and what considerations are needed?
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a bag valve mask used to maintain oxygen levels in the possibility of needing to move the patient
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List and describe symptoms indicating a client needs to be suctioned
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1) upper or lower airway obstruction: check RR rate, listen to breathing 2) cyanosis: indicates low oxygen levels
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orthopnea
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difficulty breathing lying flat
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how do you identify a patient
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use 2 identifiers, usually name and DOB
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when labeling containers for specimens, always
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label in he presence of the patient and check the arm band to ensure info is correct
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2013 Patient Safety Goals
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Improve COmmunication Improve medication safety reconciling meds reduce HAI reduce fall risk
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Safety Goal for 2014
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Improve the safety of clinical alarm system
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Interventions that can ensure patient safety
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1) bed in low position 2) side rails up 3) call light in reach 4) bed wheels locked 5) clutter removed from patient room 6) ask patient if they need anything
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When should meds be reconciled
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admission discharge transfer
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4 categories of risk for a health care agency
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1) patient safety 2) fire safety 3) hospital safety 4) electrical safety
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interventions for patient safety
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pre-procedure verification fall risk assessment double and triple checks for meds rapid response team
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interventions for fire safety
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rescue patients activate the alarm contain the fire extinguish the fire/evacuate
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interventions for hospital safety
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code red: fire code blue: cardiac or respiratory arrest code pink: infant abduction clean up spills get help when needed
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interventions for electrical safety
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know hot to work equipment take out of service and label non-working equipment
