Latent error placement
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Potential contributing factors that are hidden and lie inactive in healthcare
delivery system, originating at more remote aspects of the healthcare
system, far removed from active end
,Intramuscular injections are inserted at what degree
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90 degrees
Error of ommission
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not doing the right thing
Sentinel event
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unexpected occurrence involving death or serious physical or
psychological injury or "risk there of" (process variation for which re-
occurrence would carry a significant chance of serious adverse outcome)
Examination of eyes includes assessment of
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, visual acuity (ability to see small details), visual fields, extra ocular
movements, and external and internal eye structures
After opening of a vial, what do we need to do
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-put sticker with expiration date
-if no expiration date is given, assume 30 days
-see if vial needs to be refrigerated ?
A patient's rights regarding medication
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-to be informed about a med
-refuse a med
-have med history
-properly advised about experimental nature of med
-receive labeled meds safely
-receive appropriate supportive therapy
-to not receive unnecessary medications
-to be informed if the medications are part of a research study
What amount of med can be used in the deltoid
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, Less than 2 mL
What kinds of things increase the risk for a fall
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65 years or older, reduced vision, orthostatic hypotension, lower-extremity
weakness, gait and balance problems, urinary incontinence, improper use
of walking aids, and the effects of various medications (anticoagulants,
diuretics, hypnotics, sedatives, certain analgesics)
What are the 5 Ps
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Pain
Position
Potty
Possessions
Plan of care
The hub of a needle
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fits in tip of syringe
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Potential contributing factors that are hidden and lie inactive in healthcare
delivery system, originating at more remote aspects of the healthcare
system, far removed from active end
,Intramuscular injections are inserted at what degree
Give this one a try later!
90 degrees
Error of ommission
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not doing the right thing
Sentinel event
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unexpected occurrence involving death or serious physical or
psychological injury or "risk there of" (process variation for which re-
occurrence would carry a significant chance of serious adverse outcome)
Examination of eyes includes assessment of
Give this one a try later!
, visual acuity (ability to see small details), visual fields, extra ocular
movements, and external and internal eye structures
After opening of a vial, what do we need to do
Give this one a try later!
-put sticker with expiration date
-if no expiration date is given, assume 30 days
-see if vial needs to be refrigerated ?
A patient's rights regarding medication
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-to be informed about a med
-refuse a med
-have med history
-properly advised about experimental nature of med
-receive labeled meds safely
-receive appropriate supportive therapy
-to not receive unnecessary medications
-to be informed if the medications are part of a research study
What amount of med can be used in the deltoid
Give this one a try later!
, Less than 2 mL
What kinds of things increase the risk for a fall
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65 years or older, reduced vision, orthostatic hypotension, lower-extremity
weakness, gait and balance problems, urinary incontinence, improper use
of walking aids, and the effects of various medications (anticoagulants,
diuretics, hypnotics, sedatives, certain analgesics)
What are the 5 Ps
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Pain
Position
Potty
Possessions
Plan of care
The hub of a needle
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fits in tip of syringe
