p.11
Nursing Care Plans for Fall Risk Patients
What happened when assisting Mrs. Lloyd back to bed?
The alarm was not turned back on after the bathroom visit.
p.11
Nursing Care Plans for Fall Risk Patients
What lesson was learned regarding patient safety?
The importance of checking and double-checking for safety.
p.6
Nursing Care Plans for Fall Risk Patients
What type of alarm was applied to the patient to prevent falls?
A bed/chair monitor/position alarm.
p.8
Safety Risks for Nursing Staff
What should be reviewed before applying restraints?
The health-care provider’s order for the type of restraint, indications for use, site of application, and duration of use.
p.2
Body Mechanics and Proper Lifting Techniques
What should you do to prevent back strain when working?
Elevate your work to a comfortable level.
p.5
Nursing Care Plans for Fall Risk Patients
What reminders should be posted in the patient's room?
Reminders for the patient and family to call for help before getting up.
p.3
Radiation Safety Protocols
What does a film badge measure?
The amount of radiation exposure over time.
p.6
Nursing Care Plans for Fall Risk Patients
What precautions were taken immediately after the patient's admission?
The patient was placed on fall precautions, and signs were posted on her door.
p.4
Nursing Care Plans for Fall Risk Patients
What should be included in the planning phase for a patient at risk for falls?
Determine interventions to prevent the patient from trying to get out of bed alone.
p.9
Body Mechanics and Proper Lifting Techniques
What is the first step in using body mechanics for moving objects?
Determine the best way to move the object (push, pull, or slide).
p.11
Nursing Care Plans for Fall Risk Patients
Who noticed that the alarm was off?
Mrs. Lloyd's daughter-in-law.
p.9
Nursing Care Plans for Fall Risk Patients
What should be done to assist a patient while restrained?
Assist to the bathroom, offer food and fluids, and provide skin care.
p.1
Minimizing Physical Hazards in Nursing
What is one effective way to minimize physical hazards when lifting?
Using good posture and body mechanics.
p.8
Safety Risks for Nursing Staff
How should you explain the need for restraints to the patient and family?
Explain the need for restraint placement and the expected time frame for its use to encourage cooperation.
p.8
Safety Risks for Nursing Staff
What type of knot should be used to tie restraints?
A quick-release knot, also known as a half-bow knot.
p.8
Safety Risks for Nursing Staff
What should be assessed beneath the restraint?
Check for redness or chafing to ensure skin integrity.
p.4
Safety Risks for Nursing Staff
What is one key safety practice to prevent needlestick injuries?
Never recap a used needle and always use puncture-proof containers for disposal.
p.9
Nursing Care Plans for Fall Risk Patients
What should be evaluated regarding the use of restraints?
Effectiveness, comfort, safety, and potential circulatory impairment or skin breakdown.
p.1
Minimizing Physical Hazards in Nursing
What program did the American Nurses Association develop to help reduce nurse injuries?
The Handle With Care program.
p.1
Body Mechanics and Proper Lifting Techniques
What is the center of gravity in body mechanics?
The middle point of the body, below the umbilicus and above the pubis.
p.2
Body Mechanics and Proper Lifting Techniques
What is the recommended position for your feet when standing for long periods?
Feet shoulder-width apart, with one foot slightly ahead.
p.10
Body Mechanics and Proper Lifting Techniques
Why should you tense your leg and arm muscles when obtaining an item?
To avoid using your back muscles, which could cause injury.
p.11
Nursing Care Plans for Fall Risk Patients
What was the fortunate outcome during the alarm's downtime?
Mrs. Lloyd did not attempt to get out of bed.
p.1
Types of Hazards: Physical, Chemical, Biological
What are examples of physical hazards for nursing staff?
Injuries to back and joints, repetitive motion injuries, exposure to lasers, and radiation.
p.9
Nursing Care Plans for Fall Risk Patients
When should restraints be removed?
When they are no longer necessary to promote the least restrictive environment.
p.1
Workplace Violence and Reporting Procedures
What constitutes workplace violence in a nursing environment?
Physical aggression, bullying, sexual harassment, and physical assaults.
p.3
Biological Hazards and Infection Control
What guidelines have the CDC developed to reduce exposure to blood-borne pathogens?
Standard precautions and transmission-based precautions.
p.11
Nursing Care Plans for Fall Risk Patients
What issue occurred with the chair/position alarm?
It was not always effective and was accidentally turned off.
p.5
Nursing Care Plans for Fall Risk Patients
What should be done with the patient's call light?
Keep it within the patient's reach at all times.
p.1
Chemical Exposure and Safety Data Sheets (SDS)
What types of chemicals pose hazards to nursing staff?
Cytotoxic medications, chemotherapy agents, and cleaning fluids.
p.3
Radiation Safety Protocols
What should nurses do if assigned to care for a patient with internal radiation?
Limit the amount of time spent with these patients.
p.4
Safety Risks for Nursing Staff
What is an example of a potential unsafe situation in nursing?
A patient attempting to get out of bed alone.
p.2
Body Mechanics and Proper Lifting Techniques
What is one way to establish a solid base of support?
Keep your feet shoulder-width apart.
p.7
Nursing Care Plans for Fall Risk Patients
What should be done before assisting the patient out of bed or chair?
Disconnect the alarm to prevent unnecessary sounding.
p.5
Nursing Care Plans for Fall Risk Patients
What should be applied to alert if a patient tries to get up?
A bed/chair monitor, leg monitor, or position alarm.
p.3
Safety Risks for Nursing Staff
What type of assistance is available to nurses for addressing problems?
Peer assistance programs.
p.5
Nursing Care Plans for Fall Risk Patients
What should be done if the interventions are not effective?
Determine what went wrong and devise improved interventions.
p.3
Chemical Exposure and Safety Data Sheets (SDS)
What is required for every chemical used in a facility?
A safety data sheet (SDS).
p.2
Body Mechanics and Proper Lifting Techniques
How does a wider base of support affect your center of gravity?
It lowers your center of gravity.
p.7
Nursing Care Plans for Fall Risk Patients
Where should the pad for the bed/chair/position alarm be placed?
Beneath the patient’s buttocks.
p.7
Nursing Care Plans for Fall Risk Patients
Why should the control unit be connected to the call light?
To allow staff to respond more quickly to alarms.
p.2
Fatigue and Its Impact on Nursing Practice
What should you do if you suspect a coworker is impaired?
Speak confidentially with your instructor.
p.10
Body Mechanics and Proper Lifting Techniques
What is the first step to move a patient up in bed?
Raise the bed to about your waist level to prevent strain on your back muscles.
p.11
Nursing Care Plans for Fall Risk Patients
What does this incident help to understand?
How Mrs. Lloyd's earlier fall occurred.
p.6
Nursing Care Plans for Fall Risk Patients
What was the patient's score on the Morse Fall Scale on Day 1?
75, indicating a high fall risk.
p.4
Nursing Care Plans for Fall Risk Patients
What nursing diagnosis is appropriate for a patient at risk for falls due to weakness and confusion?
'Risk for adult falls related to left-sided weakness and confusion.'
p.4
Safety Risks for Nursing Staff
Why is it important to be vigilant about your own safety as a nurse?
To ensure both your safety and the safety of your patients.
p.9
Body Mechanics and Proper Lifting Techniques
What should be considered if lifting an object is necessary?
Determine whether a lifting device can be used or how much help is required.
p.8
Safety Risks for Nursing Staff
What is the correct way to apply a waist restraint?
Place the restraint around the patient’s waist without wrinkles.
p.8
Safety Risks for Nursing Staff
Why should restraints never be tied to side rails?
To prevent injury or discomfort when the head of the bed is raised.
p.7
Nursing Care Plans for Fall Risk Patients
How can you help prevent falls after assisting a patient?
Reactivate the alarm by reconnecting it to the sensor.
p.10
Body Mechanics and Proper Lifting Techniques
What is the recommended position for carrying an item after lifting it?
Hold the item close to your body at waist level with your elbows flexed.
p.1
Safety Risks for Nursing Staff
What are the three broad categories of safety risks for nursing staff?
Physical, chemical, and biological hazards.
p.4
Nursing Care Plans for Fall Risk Patients
How can you assess a patient's risk for falls?
Use a fall assessment rating scale or other assessment tool.
p.6
Nursing Care Plans for Fall Risk Patients
What should be done immediately in response to the monitor alarm?
Respond to the monitor alarm immediately to prevent a fall.
p.6
Nursing Care Plans for Fall Risk Patients
What should be checked to ensure patient safety with the monitor?
Check to be sure the alarm is working correctly.
p.2
Body Mechanics and Proper Lifting Techniques
What should you avoid doing to prevent low back strain?
Avoid twisting your body.
p.2
Fatigue and Its Impact on Nursing Practice
How can fatigue impact nursing practice?
It can lead to errors that may harm you or a patient.
p.10
Body Mechanics and Proper Lifting Techniques
Why is it important to flex your hips and knees when lifting from a low shelf?
To keep your back straight and lower your center of gravity, avoiding strain on your back muscles.
p.9
Nursing Care Plans for Fall Risk Patients
What type of range of motion should be performed on restrained extremities?
Passive and active range of motion.
p.1
Biological Hazards and Infection Control
What are some biological hazards nursing staff may encounter?
Contaminated blood and body fluids, influenza viruses, and exposure to epidemics.
p.6
Nursing Care Plans for Fall Risk Patients
What reminders were posted in the patient's room?
Reminders for the patient and family to call for help before getting up.
p.6
Nursing Care Plans for Fall Risk Patients
What was the patient's condition on Day 2 regarding mobility?
The patient was able to get up to the bathroom with assistance and was less unsteady on her feet.
p.10
Body Mechanics and Proper Lifting Techniques
What is the first step to safely obtain an item from a high shelf?
Use a step stool or other safe method to comfortably reach the object.
p.5
Nursing Care Plans for Fall Risk Patients
What should be done to assist the patient to the bathroom?
Assist her every 2 hours and do not leave her alone.
p.2
Body Mechanics and Proper Lifting Techniques
What does the base of support refer to in body mechanics?
Your feet and lower legs.
p.9
Body Mechanics and Proper Lifting Techniques
What is important to focus on when planning to move a patient or object?
The safety of the patient and staff.
p.7
Nursing Care Plans for Fall Risk Patients
What does the leg alarm indicate?
That the patient’s leg is in a dependent position, suggesting an attempt to stand.
p.8
Safety Risks for Nursing Staff
What should be checked to ensure circulation is not impaired in wrist or mitt restraints?
Check distal pulses and assess skin for warmth, color, and any complaints of numbness or tingling.
p.10
Body Mechanics and Proper Lifting Techniques
How should you carry an item after obtaining it from a high shelf?
Carry the object close to your body at waist level with your elbows flexed.
p.10
Body Mechanics and Proper Lifting Techniques
How can you evaluate the effectiveness of good posture and body mechanics?
By the absence of back pain and injuries.
p.5
Nursing Care Plans for Fall Risk Patients
What should be posted according to facility policy?
Fall precautions on the door, in the Kardex, and in the patient’s chart.
p.3
Chemical Exposure and Safety Data Sheets (SDS)
What is a critical safety precaution when working around oxygen?
No smoking or open flame is allowed.
p.6
Nursing Care Plans for Fall Risk Patients
What is a key assessment step before using a monitor for fall prevention?
Determine the need for a monitor to promote patient safety.
p.2
Body Mechanics and Proper Lifting Techniques
What is the safest way to carry an object?
Hold it close to your body with your elbows bent.
p.7
Nursing Care Plans for Fall Risk Patients
What should be assessed before using restraints?
The patient’s response to restraint alternatives and the need for restraints.
p.10
Body Mechanics and Proper Lifting Techniques
Why should you stand with your feet shoulder-width apart when moving a patient?
To widen your base of support, which gives you stability.
p.8
Safety Risks for Nursing Staff
What is the goal when selecting a restraint?
To obtain the least restrictive restraint to prevent injury.
p.8
Safety Risks for Nursing Staff
How tight should restraints be applied?
You should be able to slide two fingers between the restraint and the patient.
p.10
Body Mechanics and Proper Lifting Techniques
What should you do with the item after obtaining it from a high shelf?
Lower the item to waist level for balance.
p.10
Body Mechanics and Proper Lifting Techniques
What should you do after moving the patient up in bed?
Lower the bed to its lowest level for patient safety.
p.7
Nursing Care Plans for Fall Risk Patients
What must be done for the monitors to function?
Attach control units to the monitor pads.
p.7
Nursing Care Plans for Fall Risk Patients
What should you do when moving a patient from chair to bed?
Move the alarm sensor pad first to ensure it is in the new location.
p.2
Body Mechanics and Proper Lifting Techniques
How should you lift heavy objects from a lower level?
Bend your knees, not your back, and keep your back straight.
p.2
Fatigue and Its Impact on Nursing Practice
Why is mandatory overtime a concern for nurses?
It can contribute to unsafe practice due to lack of rest.
p.10
Body Mechanics and Proper Lifting Techniques
What should you do to prevent injury when lifting an item?
Lift the item with smooth, coordinated movements.
p.10
Body Mechanics and Proper Lifting Techniques
What is the first step to safely obtain an item from a low shelf or the floor?
Place your feet shoulder-width apart to widen your base of support.
p.10
Body Mechanics and Proper Lifting Techniques
What should you consider when using good decision-making in patient care?
Getting help and/or using lift devices when appropriate.
p.10
Body Mechanics and Proper Lifting Techniques
What should you do with your foot closest to the head of the bed when moving a patient?
Turn it so that your toes point toward the headboard to avoid twisting your back.
