Sunday, April 28, 2019

Patient safety: vigilance, network awareness and action

Regulatory requirements, such as the Joint Commission and the Occupational Safety and Health Administration, require regular safety checks to ensure patient safety. The Nurses Practice Act also requires nurses to safely operate all equipment and use medical equipment properly during patient care. When a new device is introduced into a patient care area, the proficiency verification should be linked to the person responsible for the device. This proficiency verification is usually retained in the employee's personnel file for future reference.

The nurse is taught at some point during the training to always view the wires of all equipment, as worn wires can cause a fire. This is still true. If the fluid is too hot or too cold, the temperature of the solution used to heat and cool the pad or blanket may also pose a risk of injury to the patient. Burns are guided by improper temperature regulation associated with various patient care devices. It sounds crazy, a simple non-invasive blood pressure cuff that causes damage to the patient. The device is inflated intermittently to extreme pressure over a period of time, causing permanent nerve damage to the patient's arm, resulting in a palm injury. List of devices that often involve patient care issues include, but are not limited to, the following: volume infusion pumps, patient controlled analgesic pumps, blood glucose testing equipment, heating pads, cooling/heating blankets, non-invasive blood pressure cuffs, nasal cannula, leg holders , patient lifts and continuous positive airway pressure ventilators. The injury of the Achilles tendon exposed to the elderly guided by the leg fixator. The patient's skin is not regularly checked and checked for malfunction as required by the doctor.

Network risk

Obviously, regular inspection of equipment and/or medical equipment is a patient safety issue. Further consideration should be given to checking or evaluating the proper functioning of medical equipment in the event of a rapid response event or immediately following a rapid response event. We live in a world of amazing network technologies, so healthcare providers must now consider the potential for technical equipment to fail, which may stem from network resources. This possibility has never been considered before. Hacking Healthcare IT was released in 2016 by the Critical Infrastructure Institute and describes devices that support Bluetooth and access the Internet, such as automated implantable cardioverter defibrillators and pacemakers, patient-controlled analgesic pumps and insulin pumps. When the risk is hacked or reprogrammed

Take action:

1. Be vigilant and open to the possibility of factors that have never been considered before.

2. Investigate the equipment in the room at the end of the event and check it as soon as possible after a quick response or specification. If in doubt, remove the device from circulation; send it to the Biomedical Engineering Department for inspection and record your actions in the incident report, incident report or difference report [whether your institution can call it a form] . Let professionals who have received biomedical engineering training determine when to return equipment to available inventory.

3. Carefully check the drug rate programmed in the infusion pump. Sometimes the programming is not correct, guess who will be held accountable? That is right for you! Check the pump carefully by calculating your own math.

4. Record the temperature of any equipment or equipment that shows the temperature. For example: fluid heaters, blanket/pad heaters, heating/cooling blankets, crib heaters, etc. When recording temperature, medical records indicate that healthcare providers are focusing on the details that will support your clinical capabilities. question.





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