COMPLETE SOLUTIONS VERIFIED LATEST UPDATE GRADED A+
safety pt safety, med safety(5 rights), falls, infection
control (handwash), 2 identifiers, safe handoff
communication
medication 5 rihgts right pt, drug, dose, route, time
sentinel events unexpected death or server physical injury
-wrong-site, wrong pt, wrong procedure
-requires urgent investigation
National pt safety goals created by the Joint Commission
-tackles most urgent and high risk pt safety
problems
pain assessments location, quality, intensity, duration, radiation,
history, comprehensive and focused
assessment done at admission
pain scales numeric 1-10, visual, wong-baker FACES scale,
CPOT (critical care)
medications for pain levels 1-3 acetaminophen (tylenol)
, NSAIDS: ibuprophren, naproxen (gi bleed, renal
risk)
Moderate pain 4-6 acetaminophen + NSAIDS combo
Weak opiods: tramadol,
hydrocodone/acetaminophen
server pain 7-10 strong opiods:
morphine, fetanyl
-iv administration postop
IM injections -deep muscle (faster)
sites: deltoid
(vaccines),
ventrogluteal angle:
90
needle: 1-1.5 inch adults
SQ injections -slow, absorb into
fatty tissue
-insulin, heprin, some vaccines
sites: abdomen (best absorb), outer
upper arm, anterior thighs angle:
45-90
needle: 3/8-5/8 inch
, intradermal injections -very slow absorption- TB,
allergy, local anesthetics
site: inner forearm, upper
back
needle: 5-15
do not massage, tb read 48-72 hrs
medication administration oral- tab, caps, liquids
sublingual/buccal- absorb
quickly, dont swallow
topical- remove old,
rotate sites
IV- assess site, push at recommended rate
communication verbal, nonverbal, active listening
therapeutic communication open ended questions, reflecting,
clarification, summarizing, presence, provide
info, silence, empathy, validation
errors in healthcare med error, communication, diagnostic,
treatment