Which task related to the use of patient restraints can be delegated to assistive personnel Quizlet
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Medical Terminology: Learning Through Practice1st EditionPaula Manuel Bostwick 1,562 solutions • Nursing practice is governed by laws and professional standards. • What a nurse can do depends on the state's nurse practice (and province/territory's nursing act) in which the nurse is licensed. o S-B-A-R (situation, background, assessment, recommendation) technique • An effective leader modifies his/her style according to situational conditions. • To avoid
negligence: • The only employee of a health care organization who may be the legal witness to the signing of an advance directive is a clinical social worker. • Ethics guide the nurse toward client advocacy and the development of a therapeutic relationship. • In most situations, individuals have the right to accept or refuse treatment. ANS: D Numerous factors increase the risk of falls, including a history of falling, being age 65 or over, reduced vision, orthostatic hypotension, lower extremity weakness, gait and balance problems, urinary incontinence, improper use of walking aids, and the effects of various medications (e.g., anticonvulsants, hypnotics, sedatives, certain analgesics). DIF:Understand (comprehension)REF:375 | 388 OBJ: Describe assessment activities designed to identify a patient's physical, psychosocial, and cognitive status as it pertains to his or her safety. TOP: Assessment MSC: Safety and Infection Control ANS: B Patients who are confused, disoriented, and wander or repeatedly fall or try to remove medical devices (e.g., oxygen equipment, IV lines, or dressings) often require the temporary use of restraints to keep them safe. Restraints can be used to prevent interruption of therapy such as traction, IV infusions, NG tube feeding, or Foley catheterization. Refusing to call for help, although unsafe, is not a reason for restraint. Getting confused at night regarding the time or not sleeping and bothering the staff to ask for items is not a reason for restraint. DIF:Apply (application)REF:391 OBJ: Describe assessment activities designed to identify a patient's physical, psychosocial, and cognitive status as it pertains to his or her safety. TOP: Assessment MSC: Safety and Infection Control 18. The nurse is monitoring for the four categories of risk that have been identified in the health care environment. Which examples will alert the nurse that these safety risks are occurring? a. Tile floors, cold food, scratchy linen, and noisy alarms b. Dirty floors, hallways blocked, medication room locked, and alarms set c. Carpeted floors, ice machine empty, unlocked supply cabinet, and call light in reach d. Wet floors unmarked, patient pinching fingers in door, failure to use lift for patient, and alarms not functioning properly ANS: D Specific risks to a patient's safety within the health care environment include falls, patient-inherent accidents, procedure-related accidents, and equipment-related accidents. Wet floors contribute to falls, pinching finger in door is patient inherent, failure to use the lift is procedure related, and an alarm not functioning properly is equipment related. Tile floors and carpeted or dirty floors do not necessarily contribute to falls. Cold food, ice machine empty, and hallways blocked are not patient-inherent issues in the hospital setting but are more of patient satisfaction, infection control, or fire safety issues. Scratchy linen, unlocked supply cabinet, and medication room locked are not procedure-related accidents. These are patient satisfaction issues and control of supply issues and are examples of actually following a procedure correctly. Noisy alarms, call light within reach, and alarms set are not equipment-related accidents but are examples of following a procedure correctly. DIF:Apply (application)REF:379 OBJ: Describe the four categories of safety risks in a health care agency. TOP: Evaluation MSC: Safety and Infection Control 30. The nurse enters the patient's room and notices a small fire in the headlight above the patient's bed. In which order will the nurse perform the steps, beginning with the first one? 1. Pull the alarm. 2. Remove the patient. 3. Use the fire extinguisher. 4. Close doors and windows. a. 2, 1, 4, 3 b. 1, 2, 4, 3 c. 1, 2, 3, 4 d. 2, 1, 3, 4 ANS: B, C, E, F Proper documentation, including the behaviors that necessitated the application of restraints, the procedure used in restraining, the condition of the body part restrained (e.g., circulation to hand), and the evaluation of the patient response, is essential. Record nursing interventions, including restraint alternatives tried, in nurses' notes. Record purpose for restraint, type and location of restraint used, time applied and discontinued, times restraint was released, and routine observations (e.g., skin color, pulses, sensation, vital signs, and behavior) in nurses' notes and flow sheets. Straps are not attached to side rails. Comments about the activities of one family member are not necessarily required in nursing documentation of restraints. DIF:Apply (application)REF:392 | 403 OBJ:Identify the factors to assess when a patient is in restraints. TOP: Communication and Documentation MSC: Safety and Infection Control Which tasks related to the use of patient restraints can be delegated to assistive personnel?Which task related to use of patient restraints can be delegated to nursing assistive personnel (NAP)? Routinely applying or checking on a restraint can be delegated to appropriately trained nursing assistive personnel (NAP).
Can application of restraints be delegated?The application and routine checking of a restraint, however, can be delegated to NAP. The Joint Commission (TJC, 2009a) requires that anyone who monitors a restrained patient, including NAP, be trained in first aid.
Which reason would support the use of patient restraints quizlet?Rationale: Physical restraints are used (temporarily) when a patient is confused and disoriented to prevent the risk of falls.
Which reason would support the use of patient restraint?The most common reasons for restraints in health care agencies are to prevent falls, to prevent injury to self and/or others and to protect medically necessary tubes and catheters such as an intravenous line and a tracheostomy tube, for example.
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