safety.pptx helpful presentation about safety

How to acheive pt safety

1. Patient safety Nada Abdelhay Abbas

2. What is patient safety? Patient safety is the absence of preventable harm to a patient during the process of health care . The discipline of patient safety is the coordinated efforts to prevent harm, caused by the process of health care itself, from occurring to patients.

3. Benefits Reduces length of stay & cost of treatment Reduces frequency of treatment Reduces potential for law suits Reduces the number of work-related injuries to personnel

4. A safe environment is one in which basic needs are met, physical hazards are reduced or eliminated, transmission of organisms is reduced and sanitary measures are carried out.

5. Falls Fall risk, especially in the elderly, is growing. In hospitalized patients, 4-12 falls occur per 1,000 bed days, ranking them among the 10 most common claims presented to insurance agencies Nursing Management, September 2002 30% of people 65 yrs and older (in the community) fall at least once each year.

6. Focus Assessment: To ensure patient safety – the nurse should conduct a focus assessment during every nurse-patient encounter which includes: A visual scan of the environment for potential hazards A quick appraisal of patient related factors

7. Strategies to help reduce falls: Physical environment Appropriate furniture and lighting Call bell easily accessible/personal items within reach Traffic areas free from obstruction Secure/remove loose carpets Grab bars in appropriate areas in washroom Handrails in the halls Keep bed in a low position – lock bed/wheelchairs/stretcher Identify clients at risk for falls. If a client experienced falls at home, they will likely continue to be at risk for falls in the hospital setting. Place them close to nsg station.

8. Strategies to help reduce falls: (Communication/Assessment) Orient client to physical surroundings Explain use of call bell Assess client ’ s risk for falling Alert all personnel to the client ’ s risk for falling Instruct client and family to seek assistance when getting up Maintain client ’ s toileting schedule Observe/assess client frequently Encourage family participation in client ’ s care

9. GOAL (1) Identify Patients Correctly GOAL (2) Improve Effective Communication GOAL (3) Improve the Safety of High-alert medications GOAL (4) Ensure Correct –Site, Correct Procedure , Correct Patient Surgery GOAL (5) Reduce the Risk of Health Care associated Infections GOAL (6) Reduce the Risk of Patient Harm Resulting from fall GOAL (7) Improve the Safety of Using Infusion Pump

10. (a)Use good body mechanics Using proper body mechanics in daily activities (b)Walk; avoid running It is sometimes imperative that you run, in a emergency, for example . Even in these times, however, remember that running is risky and leads to falls.

11. (c)Keep to the right in hallways It is easy to turn into someone else whose attention is diverted . Therefore, as a general practice, always walk to the right (d) Open doors slowly An opening door may easily strike someone on the other side . If open slowly, it is less likely to cause injury .

12. (e)Use stretchers properly When pushing a patient on stretcher, keep the patients head to ward your body .and looking away carefully. (f)Use brakes on beds, wheelchair and stretchers When beds, wheelchairs, and stretchers are stationary, apply the brake or brakes

13. (g)Safety in working spaces, halls, and corridors -LIGHTENING -FLOOR SURFACE -SHARP OBJECT&NEEDLE -ELECTRICAL APPLIANCE Lighten:-Ensure that working spaces are lighting well enough .

14. FLOOR SURFACE Surface should be smooth. Dropped materials, such as tissues or food substances, should be retrieved immediately, because they can cause a staff member, a visitor, or a patient to skid. wipe up liquid spills immediately

15. ELECTRICAL APPLIANCE -Ensure that all electrical appliances being used are in good working . -Damaged plug should never be used because it may cause sparks or fire. -All plugs should be the three pronged ground type . -Unused electrical outlets should have a safety cover in place to protect children from electrical shocks .

16. SHARP OBJECT&NEEDLE -Most needle sticks are sustained when the nurse is attempting to recap a needle you should develop the habit of NEVER RECAPPING any used needle . -Razor blades, scalpels (surgical knife blades ) and other small, sharp instruments may also be put in these sharps receptacles .

17. Safety in the patients room -Lighting -Floor surfaces -Oxygen -Medications and dangerous substances -Furniture Lighting:- Be sure that the patient rooms have enough light to see objects easily that may be in the way and allow staff to work without difficulty.

18. Floor surfaces Ensure that floors are smooth and in good repair . Cracked tiles, raised linoleum, or torn carpeting can easily lead to falls . Highly polished floors also can cause skidding ,falls, and injuries . Oxygen If the oxygen is in use, take special precautions to ensure that sparks and flames never occur in the vicinity.

19. - NO- SMOKING“ sign on the door of the room to remind the pt and visitors not to smoke -Don't used the bed electrical appliances -No fat ,nylons material . Furniture Be sure that all furniture in the pts room is arranged to allow easy access to the wash basin, bathroom, closet area, and door. This protects ambulatory patients and staff members from bumps or falls .

20. Medications and dangerous substances Remove medications and dangerous substances from the bedside to prevent a visitors or someone for whom they were not intended from ingesting them .

21. Protecting the dependent pt The dependent adult It is part of the nursing role to protect pts who are partially or completely unable to protect themselves . 1- Position of the bed Ensure that all occupied beds remain in the low position unless bed height is needed for care procedure .

22. 2- Side rails Side rails are reminder to the patient of the narrow boundaries of bed and may prevent falls and injury . 3- positioning The patients position should be changed every 2 hours to prevent pressure ulcers and maintain comfort . 4- eyes Routinely examine the eyes of

23. Comatose patient not only for irritation But for the presence of foreign bodies That may cause harm . 5- air passages Protect the patients airway at all costs . When patients are unable to swallow saliva, they should be positioned on their side .

24. The dependent child Because children are in the early stages of development, they may be at a higher risk for injury than adults .it is essential that staff acknowledge the responsibility to provide the same kind of safety precautions that are taught to parents .

25. Other safety considerations Other environmental consideration are important for those working and being cared for in healthcare settings -Stable temperature control -Adequate ventilation -Proper food preparation -Waste disposal

26. These should be every where

27. Blood sample tubes: RED tube for serology (6cc)- GREEN tube for chemistry (5cc) VIOLET tube for hematology (2cc) If doctor order- ( hormone) investigation use RED tube . ( pt,ptt ) investigation use BLUE tube.