Any variant whether or not it involves risk or death
Any unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof
Any risk whether or not the person is in a hospital setting
All the risks and dangers that we encounter daily
The patient's overall safety in any health care environment has always been a primary concern of nursing.
Today, the focus on a safe environment has not changed and is still exactly as it was before.
A safe environment implied freedom from injury with focus on helping to prevent falls, electrical injuries, fires, burns, and poisoning.
The nurse's role is to be alert to potential safety problems, including workplace violence and to know how to report and respond when safety is threatened
Both protection and education are primary nursing responsibilities.
The Joint Commission
American Nurses Association
Occupational and Safety Hazards Agency
American Hospital Association
Orient patient to environment
Place bedside table and overbed table within reach
Clean spilled liquids, prevent litter, and provide adequate lighting
Always use side rails as a universal precaution regardless of facility policy
Lock wheels on beds, wheelchairs
Upon admission to the unit
Upon admission to the facility
After providing medication
Before providing medication
During ambulation exercises
During transfer to a dining room
During transfer to a bedside commode or to a wheel chair
When the patient is fast asleep
Application of SRD's
Care of patient receiving radiation therapy
Assessment and documentation of SRD sites
Setting up seizure precautions
Those who are receiving radiation therapy
Those who are suffering from HIV/AIDS
Those who are heavily sedated
Those who are blind
Apply gait belt securely around the patient's chest
Have patient support self by leaning on or holding your arm
Walk with your closest leg just behind the patient's knee
Walk with your knees and hips flexed
If patient is weak, walk alongside bed or heavy furniture, use hand rails if available, encourage patient to use furniture or rails for support.
Use of anesthesia, sedatives or narcotics
A Patient who just woke up
Problem with balance
Children do not obey instructions
Growth and acquisition of new motor skills
Children do not understand instructions
Restlessness and hyperactivity
Follow the child wherever he goes
Be sure to remove area rugs
Grab the child and bring him to another part of the house
Turn pot handles on a stove away from the child's reach
"I will keep side rails at all times when the baby is sleeping"
"I can put my 2 year old child in a tub to play with water while I take care of the baby"
"I will have to check the temperature of the water when I give the baby a bath".
"I will have to pay attention to the baby every time he cries"
Change in vision
Change in hearing
Change in cardiovascular system
Change in age
Drop of 25 mm Hg in systolic, drop of 10 mm Hg in diastolic
Drop of 10 mm Hg in systolic, drop of 25 mm Hg in diastolic
Drop of 15 mm Hg in systolic, drop of 5 mm Hg in diastolic
Drop of 5 mm Hg in systolic, drop of 15 mm Hg in diastolic
Any device used to support a patient or part of patient's body.
Any device used to mobilize a patient or part of patient's body.
Any device used to strengthen a patient or part of patient's body.
Any device used to immobilize a patient or part of patient's body.
Safeguard continuity of treatment
Prevents removal of intravenous lines
Prevents disoriented patients from wandering
Reduces the risk of patients falling from bed
Helps a patient safely ambulate
A soft safety restraining device commonly used
A device that alarms when a patient leaves bed
A mechanism that helps a patient do range of motion
A soft safety restraining device used for special occasions
Increased restlessness, agitation and powerlessness
May be a probable cause for incontinence
May cause skin and circulation problems
Diminishes risk for nosocomial infection
Contributes to patient immobility
Use relaxation techniques
Eliminate bothersome treatments as soon as possible
Orient patient and family to surroundings
Increase the use of sedatives to promote patient relaxation
Conduct ongoing assessment and evaluation of patient's care
Nursing interventions using SRD's include patient and family teaching
Documentation about the need for the SRD, the type of device used and the patient's response are all crucial
Use SRD's judiciously and with kindness
When the patient is confused or suffering from dementia, it is acceptable not to explain the use of SRD's
SRD Act of 1984
Other disciplines have been consulted for their assistance
A nursing unit of a mental health ward is short staffed
Supporting documentation has been completed
Other interventions have been attempted before the use of restraints
Release physical restraint at least every 2 hours
Routine exercise of extremities
Administer restraints as frequently as needed
Assess for circulation and skin integrity
A patient's sense of environmental control is a sensitive cultural issue
Evaluate your own attitudes and emotions toward providing nursing interventions for safety to patients from diverse sociocultural backgrounds
Before assessing the cultural background of a patient, isolate yourself and your own culture so as to be more objective
Use an interpreter or engage a family member if available
Patients from Western Europe and the British isle sometimes seem aloof in terms of space.