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Zorluk: ZorAccident, Error, and Injury Prevention

During routine environmental rounds on a rehabilitation unit, a practical nurse observes the care environment of an older adult client. The client has right-sided hemiparesis from a recent stroke, is at high fall risk, and requires contact precautions. Which observations indicate that the staff has implemented appropriate accident and error prevention measures? Select all that apply.

  1. The bedside commode is positioned securely on the client's left side with the locking casters engaged.Cevap
  2. B
    All four side rails on the bed are elevated to the highest position while the client is sleeping.
  3. C
    A staff member removes their isolation gown and face shield prior to removing their contaminated gloves.
  4. The client's frequently used personal items and water pitcher are arranged on a table on their left side.Cevap
  5. E
    The client's sudden onset of disorientation this morning is managed by dimming the lights, as this is expected for their age.
  6. A pressure-sensitive bed exit alarm is engaged and the call bell is placed within the client's immediate grasp.Cevap

Cevap

The correct observations that indicate proper safety measures are positioning the commode and personal items on the client's strong (left) side, and utilizing a bed alarm with an accessible call light.
Implementing least-restrictive fall precautions (such as bed alarms), accommodating physical deficits by placing necessary items on the client's strong side, and maintaining clear access to communication devices are fundamental standards for preventing client injury and promoting a safe care environment.

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1
Analyze the client's specific clinical risk factors.
The client is at risk due to right-sided hemiparesis, high fall risk, older age, and contact precautions.
Identifying individual deficits is required to evaluate whether the environment is safe.
2
Evaluate the placement of objects in the room relative to the client's physical deficits.
Items and the commode are placed on the left side, which is safe because the right side is weak.
Clients must use their unaffected side for bearing weight and reaching to prevent falls.
3
Assess the restraint and monitoring interventions observed.
Using a bed alarm is a safe, least-restrictive alternative, whereas using four side rails is an unsafe physical restraint.
Safety standards mandate the use of least-restrictive measures to prevent injury.
4
Review the staff behaviors regarding infection control and cognitive assessment.
Doffing gloves last is a PPE sequence error. Normalizing sudden confusion is a clinical judgment error.
Improper PPE sequence risks pathogen transmission, and ignoring acute confusion delays treatment for potentially life-threatening delirium.

Anahtar Kavram

Accident, Error, and Injury Prevention in the Rehabilitation Environment
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Konular

Accident, Error, and Injury Prevention

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