Home / NCLEX-RN Exam / Accident/Error and Incident Prevention: NCLEX-RN. It is also reported to the client's physician. Unintentional injury accounts for 40 percent of childhood deaths annually, most commonly from motor vehicle crashes. Here are some of the significant findings from primary and secondary surveys of a patient involved in a motor vehicle accident: 19 male, student. For example, nurses collect data relating to past medication allergic responses and they also observe patients throughout the course of care to determine if the patient is experiencing an allergic response to a new medication. They are the leading cause of death among children, youth, and young adults (Centers for Disease Control and Prevention [CDC], 2005). Three hours later, a nurse from the step-down unit came to transfer the patient for continued monitoring. Commonly occurring allergies to radiocontrast media include allergies to ionic high osmolality contrast media and nonionic low osmolality contrast media. For example, rears facing infant seats are always installed in the back seat facing the rear of the car when the infant or baby is less than about 2 years of age and about 20 to 30 pounds. Broken patient equipment such as a broken wheelchair or cane can lead to falls. Client's personal electrical equipment, such as televisions, radios, electrical razors and computers, must also be inspected and approved as safe, by a person competent to do so, before it can be used by the client in the health care environment. Know the assessment, goals, related factors, and nursing interventions with rationale for fracture in this guide. Some of the factors that can positively impact on and influence injury and accident prevention include an age and developmental stage at which the person is able to understand safety and safe behavior; a normal, alert and awake level of consciousness, a level of cognitive ability and mental status that enables the person to have insight into safety and safe behaviors and fully aware and cognizant of their own limitations, strengths and weaknesses; and a lifestyle including exercise and an adequate diet that can enhance their health, well-being and level of safety. Room numbers are never used as unique identifiers. Adolescent injury and death from motor vehicle crashes continues to be a pressing public health concern. This can lead to a slip and fall. Seizures, which can be a primary diagnosis or a condition that results from another medical condition such as hypoglycemia, increased intracranial pressure and cerebrovascular accidents, result from abnormal electrical activity in the brain. As previously stated, all calls from clients must be responded to promptly in order to prevent falls as well as other incidents and accidents, many of which can lead to patient injury. Some of the commonly occurring injuries in healthcare facilities include burns, falls, electrical shock, accidental poisoning and events occurring from internal and external disasters. The proper identification of patients prevents many medical errors, including wrong patient surgery, medication errors and the provision of incorrect treatments and procedures to a patient. NIH PRE-HOSPITAL TRIAGE: Pre-hospital assessment and management by ambulance services now enables the initial triage of patients to regional or major trauma services. Admission diagnosis: altered mental status. Some have been more successful than others. More than 2.5 million Americans went to the emergency department (ED)—and nearly 200,000 were then hospitalized—for crash injuries in 2012. Nurses observe for and identify any possible allergies to the medications. When there is a utility failure, or another environmental factor such as the malfunction of the facility's call bell system, that disrupts the use of call bells, hand held bells or buzzers should be provided to the clients so they can communicate with nursing staff despite this electrical power loss or system malfunction. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of accident / error and incident prevention in order to: Patient, resident safety is a major concern in healthcare organizations. Which of the following nursing interventions is of highest priority in preventing infections in a multiple trauma victim? In addition to the use of two unique identifiers, some health care facilities also have bar coded patient identification bands, patient identification wrist bands that include any patient allergies and even wristbands to alert staff that the client is a do not resuscitate client. A fracture is the medical term used for a broken bone. Similar to latex allergic responses, the degree, intensity and seriousness of allergic responses to medications can be moderate or severe. As we previously discussed, accurate identification is necessary during all aspects of nursing care. When the nurse receives an order or prescription for a treatment or procedure that is questionable in terms of client appropriateness and safety, the nurse, as the nurse does with questionable medication orders, contacts the person who has prescribed the treatment or procedure and verifies the order before carrying this order out. Introduction: Psychological distress following a motor vehicle crash (MVC) is prevalent, especially when the person sustains an associated physical injury. Which of the following actions would be categorized as the fourth priority/disability assessment? Incontinent patients may leave feces and/or urine of the floor which they may slip on and/or they may be in such a hurry to get to the toilet that they fail to use proper lighting and other safety measures to prevent a fall. It is estimated that nearly 10% of people have a reaction to penicillin. range of interventions for road safety, examining what is known ab out their practicability, effectiveness, cost and acceptability to the public. Healthcare providers and healthcare facilities are mandated to protect clients, visitors and staff from injury. In addition to intrinsic, patient related factors that place clients at risk for falls, there are also a number of extrinsic and environmental factors that place clients at risk for falls. Nursing management of patients with orthopedic fractures resulting from motor vehicle accidents is a frequent challenge for nurses in an emergency department setting. Crashes, including those occurring on streets, highways, and private property, are the leading cause of death in the United States for those aged 2-33 years. Perioperative considerations in major orthopedic trauma: pelvic and long bone fractures. The client should also be protected from physical injury during the seizure. For example, some clients may only be affected with an immediate local contact dermatitis, the least severe of all the allergic reactions to latex, others can be affected with a delayed contact dermatitis, and still move can respond with a life threatening allergic reaction which can be signaled with itching and flulike symptoms and progress to tachycardia, hypotension, dyspnea, chest pain tremors, and anaphylactic shock. All broken equipment must be reported and immediately removed from service and not used until they are repaired and deemed safe to use. She arrived in the ED immobilized on a flat board with a hard cervical collar in place. A delayed and slow reaction time, a normal change associated with the aging process, places clients at greater risk than others, and often younger, clients. Under NO circumstances should such equipment be used even on a very temporary basis. For example, CPR and other life saving measures may be indicated when the client is affected with life threatening anaphylactic shock; and the nurse may have to administer corticosteroid medications with a doctor's order after an allergic response was communicated to the client's physician. Some diseases and disorders, particularly those that adversely affect the client's musculoskeletal and/or neurological status, place a client at risks for falls. She worked as a registered nurse in the critical care area of a local community hospital and, at this time, she was committed to become a nursing educator. I was supposed to come up with three most important nursing diagnosis for the trauma patient I've taken care in Red Zone. The signs and symptoms of anaphylaxis and anaphylactic shock, a type of distributive shock, are the massive collapse of venules and arterioles in the body's circulatory system, decreased cardiac output, histamine release, a drop in blood pressure, pooling of venous blood, laryngeal edema, respiratory distress, a rash, a rapid bounding heart beat, and death unless it is immediately treated. Motor Vehicle-Related Injury Prevention . The resource covers both clinical understanding of the condition and best practice in dealing with difficult ethical issues. A motor vehicle accident (MVA) can cause injury from the impact or from being thrown around inside the car. Most clients are able to signal staff with a call bell and light. Convertible safety seats can be both rear facing and front, or forward, facing. Discharge diagnosis summary: AMS / possible acute toxic encephalopathy, and SIRs. 72 year old woman was admitted following a motor vehicle accident. Nurses must implement seizure precautions for at-risk clients to protect them from injury. They may not react quickly enough to avoid a hazard, such as a wet floor, that they see. For example, clients at risk for incidents, accidents, and errors should be instructed about safety procedures and measures that they can use to prevent them. Rest. She graduated Summa Cum Laude from Adelphi with a double masters degree in both Nursing Education and Nursing Administration and immediately began the PhD in nursing coursework at the same university. Verbalized understaning Involved in a hit and run accident? 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