Solved Correctly 2025-2026 Updated.
What are never events? - Answer Never events, or Serious Reportable Events, are
preventative events that happen in healthcare.
Examples:
Surgical events
product or device events
patient protection events
care management events
environmental events
criminal events
Reason for using a restraint - Answer Confusion
Agitation
Harmful to self/others
Removing medical equipment
Wandering
Falls
(NOT FOR NURSES CONVIENIENCE)
What kind of restraints are there? - Answer Manual
Mechanical
Material
Chemical
Seclusion
Electronic
Some examples: soft wrist, mittens, elbow, bedsheet, full side rails, vest, bed alarm, etc
Alternative restraints - Answer this is the least restrictive method of restraint -
monitoring, reorienting, reminding to call for help, pt close to nursing station, diversional
activities, etc.
, Rules for restraints - Answer Nurse must have a reason for restraint, as well as the type, the
time, and the pt behaviors that constitutes a restraint. The HCP must see the pt within an hour,
and the order only lasts 24 hours. **HCP HAS TO APPROVE FIRST**
The pt must be checked every 2 hours for ROM, and documentations
Must be CURRENT behavior
Types of fall risks - Answer History of falls
medication side effects
walking aid
iv pole or equipment
unsteady walk
may forget or choose not to call
over 65
reduced vision
orthostatic hypotension
incontinence
clutter
small animals
Intervention for fall risks - Answer communicate
walking aids
toileting schedule
bed alarm / assistance out of bed
fall protocol
fall band
no slip socks
hourly rounding
education
assistive devices
assess pts perception of fall rish
S.P.L.A.T.T
S.P.L.A.T.T. - Answer Symptoms
Previous falls
Location