nursing- implement monitor and evaluate nursing care flashcards

All 20 cards

1. Card 1

   Define manual handling and explain why it can be hazardous in a healthcare setting.

   Manual handling involves using your body to exert force for tasks like lifting, lowering, pushing, pulling, carrying, moving, holding, or restraining objects or people. In healthcare, it's hazardous because nurses frequently perform transfers and mobilizations, leading to a high incidence of back injuries, as seen in statistics where manual handling accounts for a significant percentage of injuries.

2. Card 2

   What are the four steps in the risk management process?

   The four steps in the risk management process are: identify hazards, assess risks, control risks, and review. This process aims to maintain a safe workplace by actively evaluating the environment, consulting with colleagues, and implementing effective control measures.

3. Card 3

   How does the Safe Patient Handling policy aim to improve safety in healthcare?

   The Safe Patient Handling policy aims to improve safety by eliminating the manual lifting of patients wherever possible. This policy was developed in response to a high number of manual handling injuries among nurses, which were costing the healthcare system millions of dollars annually, by promoting safer approaches to client handling.

4. Card 4

   In what situations would you apply manual handling techniques in a healthcare setting?

   Manual handling techniques are applied in various situations in healthcare, including on-bed transfers like repositioning clients or assisting with hygiene, and off-bed transfers such as standing or hoist transfers to chairs or commodes. It also includes sliding transfers to move a client to another bed or trolley, and providing support or supervision during client ambulation.

5. Card 5

   What is the difference between static and dynamic posture?

   Static posture refers to how you hold your body when stationary, such as standing, sitting, or lying down. Dynamic posture, in contrast, describes how you hold yourself while in motion, including activities like walking and lifting objects. Both are crucial for long-term health and injury prevention.

6. Card 6

   Why is maintaining good posture important for long-term health?

   Maintaining good posture is important for long-term health because it can prevent various issues such as pain in the jaw, neck, shoulder, and back, as well as muscular and joint injuries. Additionally, poor posture can negatively impact digestion and respiration, making good posture essential for overall well-being.

7. Card 7

   What are some key considerations when assessing risks related to manual handling in the physical environment?

   When assessing risks in the physical environment for manual handling, key considerations include evaluating the layout of the space, identifying any obstacles, and determining what manual handling equipment is available. It's also crucial to check that equipment is in good working order, there's enough space for maneuvering, brakes are locked before transfers, and safety harnesses are secured.

8. Card 8

   Explain the purpose of positioning devices in client care.

   Positioning devices are used in client care to help individuals maintain proper body alignments. Their purpose is to aid in recovery, provide protection and comfort, and prevent further injury. These devices are essential for supporting clients who may have limited mobility or specific positioning needs.

9. Card 9

   How can healthcare professionals provide mobility support to clients?

   Healthcare professionals can provide mobility support to clients by encouraging regular ambulation and range of movement (ROM) exercises. Depending on the client's condition and the situation, this support may involve supervision or more hands-on assistance to help them regain independence and aid in their recovery.

10. Card 10

    What is the four-stage process model for assessing the risks of falls?

    The four-stage process model for assessing the risks of falls involves screening for the risk of falls using a Fall Risk Assessment Tool (FRAT), conducting a risk assessment by identifying specific risk factors, implementing strategies to reduce these fall risks, and responding appropriately when a fall occurs.

11. Card 11

    Why is it important to assess both client-related and environmental factors when evaluating the risk of falls?

    It is important to assess both client-related and environmental factors when evaluating the risk of falls because falls are often multifactorial. Client-related factors, such as medical conditions or mobility issues, interact with environmental factors, like obstacles or poor lighting, to increase fall risk. Addressing both categories allows for a comprehensive and effective prevention strategy.

12. Card 12

    In what situations might a nurse need to reposition clients in bed?

    A nurse might need to reposition clients in bed for several reasons, including providing comfort, aiding in recovery, or assisting with hygiene tasks like replacing bedpans. Proper positioning is crucial for preventing pressure injuries and ensuring client well-being.

13. Card 13

    How does the 'No Lift' campaign relate to the current Safe Patient Handling policy?

    The 'No Lift' campaign, initiated by a Victorian nurse, was a direct precursor to the current Safe Patient Handling policy. It advocated for the elimination of manual patient lifting due to the high incidence of nurse injuries and significant healthcare costs. The campaign's success led to the implementation of the 'No Lift' policy, which evolved into the comprehensive Safe Patient Handling policy.

14. Card 14

    What are some common pieces of manual handling equipment used in healthcare?

    Common pieces of manual handling equipment used in healthcare include bed mechanics, slide sheets, hoists, standing machines, wheelchairs, and hover jacks. These tools are designed to assist with client transfers and positioning, reducing the need for manual lifting and minimizing injury risk for both clients and staff.

15. Card 15

    Why is it crucial to check manual handling equipment before use?

    It is crucial to check manual handling equipment before use to ensure it is in good working order and safe for both the client and the operator. This includes verifying that brakes are locked before transfers, safety harnesses/belts are secured, and there is sufficient clear space for maneuvering the equipment and client.

16. Card 16

    Describe the impact of falls on older people.

    The impact of falls on older people can be devastating, significantly reducing their independence, function, and quality of life. A high percentage of falls result in serious injury, including fractures, and many older adults, especially those with hip fractures, do not regain their previous level of mobility.

17. Card 17

    What is the primary goal of the risk management process in work health and safety?

    The primary goal of the risk management process in work health and safety is to keep the workplace safe for all individuals. This involves systematically identifying potential hazards, assessing their risks, consulting with colleagues for best practices, and implementing effective control measures to prevent injuries and maintain a secure environment.

18. Card 18

    How does reflecting on 'yourself, your team, and your client' contribute to risk assessment in manual handling?

    Reflecting on 'yourself, your team, and your client' contributes to risk assessment in manual handling by encouraging an evaluation of individual capabilities, team dynamics, and client-specific needs. This self-awareness helps assess personal limits, leverage team strengths, and understand the client's ability to assist, leading to a more comprehensive and safer approach to transfers and positioning.

19. Card 19

    What is the significance of the 1988 statistics regarding nurse injuries and manual handling?

    The 1988 statistics, which showed over 1000 nurses on worker's compensation due to manual handling injuries and nurses manually lifting 1.8 tonnes per shift, highlighted the severe occupational hazard of manual lifting. These figures were significant in demonstrating the urgent need for policy changes, ultimately leading to the 'No Lift' campaign and the Safe Patient Handling policy to protect healthcare workers.

20. Card 20

    What are some potential health issues that can arise from poor posture?

    Poor posture can lead to a range of potential health issues, including pain in the jaw, neck, shoulder, and back. It can also cause muscular and joint injuries, and negatively impact vital bodily functions such as digestion and respiration, affecting overall long-term health and well-being.

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