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Fundamentals of nursing safety quizlet
Fundamental of nursing safety
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Needle stick injuries (NSIs) raise a health hazard amongst many health care workers. NSIs are predominant in nurses due to the fact they work diligently with patients and handle needles regularly. NSIs occur when a needle stick or sharp instrument pierces the skin, causing a break, or when body fluids from the needle stick are expelled and come in contact with an open wound on the skin. There are many blood-borne pathogens that can be transmitted via needle sticks, the most common being hepatitis B, hepatitis C, HIV, and Zika. Despite numerous safety regulations and protocols to prevent NSIs, blood-borne pathogens continue to occur worldwide. According to recent reports from the Exposure Study of Occupational Practice, “bloodborne pathogen …show more content…
They must report their exposure to blood or any bodily fluid contracted following an NSI, evaluate the seriousness of the exposure, and treat them appropriately. The NSI can be reported to the accident insurance doctor. It is essential to note that even if the doctor states that the patient or patients were not infected with any diseases during the time of the NSI a course of injections and blood work should be administered to the healthcare worker to ensure they doesn’t obtain a disease regardless. EPINet (Exposure Prevention Information Network) is currently being introduced worldwide; it is the largest surveillance system that provides a standardized method for recording NSIs and establishes identification of how future injuries of this nature can be prevented (Wicker, Walcher, Wutzler, Stephan, & Marzi, 2012). Having this exposure prevention network is essential to handle NSIs because many times nurses and healthcare workers do not want to report the injury because they may feel embarrassed or think they may be punished for handling a needle or sharp device incorrectly. This should never be the case, mistakes happen and it is very important to address and speak out about these mistakes or incidents so they will not happen again. Since the EPINet system records NSIs and establishes methods of how injuries of this nature may be avoided reporting NSIs will only benefit other healthcare workers from making the same mistakes others have
Hospitals are busy places, and with so much going on it is hard to believe that mistakes are not made. However, there are some accidents that should never happen. Such events have been termed ‘never events’ because they are never supposed to happen. This term was first introduced by Ken Kizer, MD, in 2001 (US, 2012). The Joint Commission has classified never events as sentinel events and asks that hospitals report them. A sentinel event is defined as, “an unexpected occurrence involving death or serious physiological or psychological injury, or the risk thereof” (US, 2012). Never events are termed sentinel events because in the past 12 years 71% of the events reported were fatal (US, 2012). Because these events are never supposed to happen, many insurance companies will not reimburse the hospitals when they occur. A study in 2006, showed that the average hospital could experience a case of wrong-site surgery, one example of a never event, only once every 5 to 10 years (US, 2012). This study illustrates how rare a never event is. Hospitals do not want these never events to happen any more than a patient does. To help prevent these errors, hospitals have created policies that, if followed, will minimize the possibility of a mistake. The consequences of never events are devastating and because of this the goal is to make sure that they are eradicated from hospitals and medical facilities.
Bloodborne Pathogens are pathogenic microorganisms that can eventually cause disease. They are found in human blood and other bodily fluids such as synovial fluid, semen, vaginal secretions, cerebrospinal fluid and any other fluid that mixes or has contact with blood. The bloodborne pathogens are pathogenic, which means they are disease causing, and they are also microorganisms, which means that they are very small so the human eye cannot see them.
The instruments can carry a potential risk of contracting herpes simplex virus. Herpes simplex virus is an infection in the mouth, lips, and gums that causes small painful blisters commonly called cold sores or fever blisters. Contaminated instruments can also transmit Hepatitis B, C, and D. These infections can cause viruses that directly attack the liver. HIV is a virus an individual can contract from contaminated instruments, it attacks the body’s immune system and destroys CD4 cells. CD4 cells helps the body fight disease. Tetanus which is an acute, often fatal disease caused by exotoxin produced by the bacterium clostridium tetani can be also caused by contaminated instruments. It is characterized by generalized rigidity of convulsive spasms of the skeletal muscles. These different types of viruses can be transmitted from a contaminated work environment or needles.
...iately discovered and the patient was fine, but had there been proper communication between the healthcare staff, such blunders could have been avoided altogether (Dolanksy, 2013).
There is nothing traumatizing in the world has adding pain to where it already exists. This is the hell situation which every medical error victim is exposed. As the statistics are currently showing, the fatalities are increasing day by day. The trend seems to be hiding on the old ideology of “man is to error”. However this is not being tolerated any more and the American medical facilities are being held 100% accountable for the mistakes they make in their service delivery. Professional diligence is not a matter of negotiation in this generation and probably future generations. If a medical facility cannot treat people diligently, then the only better option remaining for that facility is to be made to account for the losses they have caused on affected patients and be closed down immediately.
"Preventing Exposures to Bloodborne Pathogens among Paramedics." Workplace Solutions (2010): n. pag. National Institute for Occupational Safety and Health. Web. 9 Feb. 2014.
Healthcare workers working in close proximity with infected patients are required to take various standard precautions. These standard precautions include hand hygiene, wearing personal protective equipment, appropriate management of sharps and waste and appropriate decontamination of the working environment. For their own protection, a healthcare worker must assume that all blood, body fluids and secretions from patients are potentially hazardous and my cause infection. If the appropriate precautions are taken, healthcare workers can prevent becoming infected with TB themselves (HSE/HSPC, 2010).
Blunt force trauma is defined as a traumatic event caused by the introduction of any blunt instrument forcefully, causing injury to the body or head. The Severity of injury is determined by various factors. It may be due to mechanical force such as compression, traction, torsion or shear. Impact of the injury and severity depends on object and movement of victim. Injuries occurred may be internal such as lacerations of internal tissues, organs, fractures of bones or may be external such as abrasion, avulsion, contusion and laceration (Pollak & Saukko, 2009). Severity also depends on anatomical site impacted for ex: Lacerations have irregular margin, hanging causes abrasions, contusions and hyoid bone fractures, Ocular hemorrhages in case of blunt trauma to eyes or Fracture of ribs when hit on chest by a blunt object (Ressel, Hetzel, & Ricci, 2016). Severity is also determined by the duration of time and amount of force applied. Nature of trauma is of importance in forensic medicine. It helps in
In my back home we just had syringes without safety cap at the hospital, so lots of my peers experienced needlestick injuries. These injuries could occur at any time when nurses use, disassemble, or dispose of needles. I was injured by contaminated needles at least three times as I remember. When my lab class instructor was explaining about the syringes which are used by nurses in Canada, I noticed that
Needle sticks injuries (NSIs) are one of common injuries in the hospitals and medical place. NSIs commonly occur during needle recapping, drawing blood, administering an intravenous drug, performing other procedures involving sharp injuries (SI), passed needles between personnel, needles penetrate the glove and skin of the during surgery, place needles in an overfilled or poorly located sharps container and failure to use appropriate personal protective equipment (1-5). In the recent years, NSIs is one of the most important threats that mention in health workers (HCWs) (6). A major concern about percutaneous exposure incidents (PEIs) such as NSIs and SI are Blood borne infections (BBIs) (6-9). Based on report center for disease control and prevention(CDC) in the United States, each year 600000 to 800000 cases of NSIs occur among HCWs (6, 9-11). US
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
Healthcare-associated infections can occur in any type of healthcare facility. It usually begins from cross contamination from healthcare providers to the patient, however, it can come from other patients, hazardous medical procedures, and contaminated surgical tools too. Healthcare workers play the leading role in preventing healthcare-associated infections. Srigley et al. (2013) stated that “Healthcare worker (HCW) hand hygiene is considered to be one of the most important interventions for the prevention of HAIs and AROs. However HCW hand hygiene is typically poor, with a median compliance of 40%, and few interventions have been demonstrated to result in significant and sustained improvement” In order to
(2014) shed light on two key components for infection control, which includes protecting patients from acquiring infections and protecting health care workers from becoming infected (Curchoe et al., 2014). The techniques that are used to protect patients also provide protection for nurses and other health care workers alike. In order to prevent the spread of infections, it is important for health care workers to be meticulous and attentive when providing care to already vulnerable patients (Curchoe et al., 2014). If a health care worker is aware they may contaminate the surroundings of a patient, they must properly clean, disinfect, and sterilize any contaminated objects in order to reduce or eliminate microorganisms (Curchoe et al., 2014). It is also ideal to change gloves after contact with contaminated secretions and before leaving a patient’s room (Curchoe, 2014). Research suggests that due to standard precaution, gloves must be worn as a single-use item for each invasive procedure, contact with sterile sites, and non-intact skin or mucous membranes (Curchoe et al., 2014). Hence, it is critical that health care workers change gloves during any activity that has been assessed as carrying a risk of exposure to body substances, secretions, excretions, and blood (Curchoe et al.,
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
The IC Model will be designed to prepare nurse faculty to teach clinical staff the fundamental principles of IPC focusing on the chain of infection (COI), transmission routes, standard precautions, transmission-based precautions, donning/doffing of personal protective equipment (PPE), and post-exposure management (PEM) procedures. The purpose of the IC Model is to provide faculty a comprehensive overview of IPC strategies based upon scientific evidence, which can be incorporate...