Question

1101 U omunication You are asked to enter a patient's room to perform moming vital signs. When you approach the patient, you put the side rail of the bed down to allow better access to the patient. There is an intravenous (IV) pump on the same side on which you are standing. As you grab the IV pump to move it out of the way, you feel a mild tingling sensation in your hand. A. What would be your next actions? B. Why? 3. What would be the corrective actions for the following safety hazards? A. Water on the floor B. Patient found with side rails down C. A patient who is using nasal oxygen being transported for an MRI 4. How many patient identifiers should be used before administering any treatment or drug to a patient?

Answer 1

2, When there is tight gripping or pressure is applied on the top of the nerve on the hand and fingers the nerve can be pinched at any point along with the complex route. so there will be a tingling sensation in the thumb, middle and index finger. Nurse grab the IV pump to move to another way. so there is pressure on the top of the nerve in the hand which causes the tingling sensation.
a, Take care of the hand and provide rest to the hand and avoid immediate activity with the same hand and apply a cold pack if it is not relived can apply wrist splinting and consult the physician for medication and for further treatment.
b, This action can eliminate the symptoms and relieve pressure on the nerve, if it is not treated it can lead to hand weakness and poor coordination in thumb and finger.
3, Corrective actions:
a, Water on the floor:
Water on the floor cause wet floor injury by slipping on the wet floor due to water
Contact the in-house housekeeping in charge and sanitary supervisor for better supervision. Remain their responsibility and ensure it is not happening again and it should be corrected immediately with housekeeping staff.
b, Fall prevention is an important safety event in all the hospitals. put the side rails back and communicate with the nurse in charge to avoid such activity again in the future and make all the staff follow the safety precautions to avoid such events.
c, When patient going to MRI they need high flow oxygen supply. Because MRI makes the effects of o2 and co2 in the central circulation. There will be changes in central blood flow and vasculature. There will be respiratory challenges with modified paco2 and pao2 concentration. when a patient is with o2 support they need continuous 02. Apply fixed gas concentration through a non-rebreathing mask for the high flow oxygen in MRI. Nasal oxygen can provide supplemental oxygen that is low flow. educate the staff for MRI safety induction training for local guidelines.