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1
MedSURG
MED Surg EXAM
Exam 1
1
Joint Commission
Accrediting body for healthcare facilities
Publishes the National Patient Safety Goals
Developing factors that affect safety
Infants/toddlers
o MVA’s are leading cause of death for children ages 1-3
o Drowning, chocking (highest 6 months-3 yrs), SIDS
Preschoolers
o MVA’s are major cause of accidental death
o Drowning, fries, poisoning
o Falls are major cause of nonfatal injuries >3 years old
School age
o MVA’s are major cause of accidental death
o Falls are major concern for nonfatal injuries
o Injuries are often related to sports, skateboarding, bicycle riding
and playground injuries.
o Injuries outside of the home by other people increases (ex:
abductions)
Adolescent
o MVA’s leading cause of accidental death
o Homicides associated with alcohol and drugs
o Sports and recreational injuries including diving and drowning
incidents
o Peak for physical, sensory and psychomotor abilities gives them
strength and confidence, yet they lack wisdom and judgement of
adults
Adult
o 35-54 years of age, unintentional poisoning causes more deaths
that MVA’s
o Workplace injuries
o Injuries related to lifestyle include: alcohol abuse, stress,
carelessness, abuse, decline in strength and stamina.
Older Adult
o Physiological changes start to occur
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2
o Reduced muscle strength, joint mobility, slowing of reflexes,
decreased ability to respond to stimuli, sensory loss (hearing and
vision)
o These changes increase risks for falls, burns, car accidents and
other injuries (falls are the most common 65+)
Individual risk factors for injury
Lifestyle
o Smoking, alcohol abuse, risk-taking behaviors
Cognitive awareness
o Confusion due to stress and loss of short-term memory
Sensory and perceptual status
o Loss of senses
Impaired communication
o Impaired strength with problems in mobility, balance and
endurance
Physical and emotional well-being
o Reduced physical stamina and depression
Safety awareness
o Reduced cognitive awareness
Safety hazards in the home
Poisoning
Carbon Monoxide poisoning
Scalds and burns
Fries
Firearm injuries
Suffocation/Asphyxiation
Take-home toxins
Safety hazards in the community
MVAs
Pathogens (food-borne, vector-borne, animals, water-borne)
Pollution (air, water, noise, soil)
Electrical storms
Safety hazards in the healthcare facilities
Never Events
o Foreign objects left in pts after surgery
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1
MedSURG
MED Surg EXAM
Exam 1
1
Joint Commission
Accrediting body for healthcare facilities
Publishes the National Patient Safety Goals
Developing factors that affect safety
Infants/toddlers
o MVA’s are leading cause of death for children ages 1-3
o Drowning, chocking (highest 6 months-3 yrs), SIDS
Preschoolers
o MVA’s are major cause of accidental death
o Drowning, fries, poisoning
o Falls are major cause of nonfatal injuries >3 years old
School age
o MVA’s are major cause of accidental death
o Falls are major concern for nonfatal injuries
o Injuries are often related to sports, skateboarding, bicycle riding
and playground injuries.
o Injuries outside of the home by other people increases (ex:
abductions)
Adolescent
o MVA’s leading cause of accidental death
o Homicides associated with alcohol and drugs
o Sports and recreational injuries including diving and drowning
incidents
o Peak for physical, sensory and psychomotor abilities gives them
strength and confidence, yet they lack wisdom and judgement of
adults
Adult
o 35-54 years of age, unintentional poisoning causes more deaths
that MVA’s
o Workplace injuries
o Injuries related to lifestyle include: alcohol abuse, stress,
carelessness, abuse, decline in strength and stamina.
Older Adult
o Physiological changes start to occur
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2
o Reduced muscle strength, joint mobility, slowing of reflexes,
decreased ability to respond to stimuli, sensory loss (hearing and
vision)
o These changes increase risks for falls, burns, car accidents and
other injuries (falls are the most common 65+)
Individual risk factors for injury
Lifestyle
o Smoking, alcohol abuse, risk-taking behaviors
Cognitive awareness
o Confusion due to stress and loss of short-term memory
Sensory and perceptual status
o Loss of senses
Impaired communication
o Impaired strength with problems in mobility, balance and
endurance
Physical and emotional well-being
o Reduced physical stamina and depression
Safety awareness
o Reduced cognitive awareness
Safety hazards in the home
Poisoning
Carbon Monoxide poisoning
Scalds and burns
Fries
Firearm injuries
Suffocation/Asphyxiation
Take-home toxins
Safety hazards in the community
MVAs
Pathogens (food-borne, vector-borne, animals, water-borne)
Pollution (air, water, noise, soil)
Electrical storms
Safety hazards in the healthcare facilities
Never Events
o Foreign objects left in pts after surgery
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Distribution of this document is illegal
