FACTORS AFFECTING ABILITY TO PROTECT DEVELOPING FETUS

SELF FROM INJURY

1. X-ray
1. Age and development 2. Certain pesticides
2. Lifestyle 3. Exposure to maternal smoking,
3. Mobility and health status alcohol consumption, addictive
4. Sensory-perceptual alterations drugs.
5. Cognitive awareness
6. Emotional state NEWBORNS AND INFANTS
7. Ability to communicate
1. Falling
8. Safety Awareness
2. Suffocation in cribs
9. Environmental Factors
3. Choking from aspirated milk or
ASSESSING CLIENTS AT RISK FOR INJURY ingested objects
4. Burns from hot water or other spilled
1. Nursing history and physical hot liquids
examination 5. Motor vehicle crashes
2. Risk assessment tools 6. Cribs or playpen injuries
3. Assessment of client’s home 7. Electric shock
environment 8. Poisoning

NATIONAL PATIENT SAFETY GOALS TODDLERS

1. Improve the accuracy of patient 1. Physical trauma from any injuries

identification. 2. Motor Vehicle Crashes
2. Improve the effectiveness of 3. Burns
communication among caregivers. 4. Poisoning
3. Improve the safety of using medications. 5. Drowning
4. Reduce the risk of surgical fires. 6. Electric Shock
5. Reduce the risk of patient harm resulting
from falls. PRESCHOOLERS
6. Reduce the risk of health-care
1. Injury from traffic, playground
associated infections.
equipment, and other objects
7. Prevent health care-associated pressure
2. Choking, suffocation, and
ulcers.
obstruction of airway or ear canal by
8. Accurately and completely reconcile
foreign objects; poisoning
medications across the continuum of
3. Drowning
care.
4. Fire and burns
9. Reduce the risk of influenza and
5. Harm from other people or animals
pneumococcal disease in
institutionalized older adults. ADOLESCENTS
10. Implement applicable NPSG and
associated requirements by components 1. Motor vehicle or bicycle crashes
and practitioner sites. 2. Recreational injuries
11. Encourage the active involvement of 3. Firearms
patients and their families in the 4. Substance Abuse
patient’s care as a patient safety
strategy.

COMMON POTENTIAL HAZARDS

 OLDER ADULTS Firearm safety

1. Falling Protecting Against Radiation

2. Burns
3. Motor vehicle crashes and Planning for Bioterrorism
pedestrian injuries
Measures to Prevent Falls
NURSING DIAGNOSES FOR Potential Environmental Causes of Falls
CLIENTS AT RISK FOR INJURY
1. Risk for Injusry - Inadequate lighting
2. Risk for Poisoning - Presence of electrical cords, loose rugs,
3. Risk for Suffocation clutter and slippery floors
4. Risk for Trauma - Absent or unsteady railings
5. Latex Allergy Response - Uneven step height or surfaces
6. Risk for Aspiration - Unsteady base on furniture
7. Deficient Knowledge
8. Injury Prevention

DESIRED OUTCOMESFOR CLIENTS WITH

SAFETY RISKS

1. Prevent injury
2. Often need to change health behavior
3. Modifying their environment
4. Desired outcomes depend on individual
client

NURSING INTERVENTIONS FOR CLIENT

AT RISK FOR INJURY

1. Identify environmental hazards in home

and community
2. Demonstrate safety practices
appropriate to home health care agency,
community, and workplace
3. Experience a decrease in the frequency
or severity of an injury
4. Demonstrate safe childrearing practices
and lifestyle practices

Preventing Agency Fires

Preventing Home Fires

Preventing Poisoning

Preventing choking and suffocation

Minimizing excessive noise

Reducing electrical hazards