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▪ Use safety devices such as floor pads, and bed or chair alarms that alert health
                    care personnel of the person getting out of bed or a chair.
                  ▪ Keep the bed in the low position with side rails adjusted to a safe position
                    (follow agency policy).
                  ▪ Lock all beds, wheelchairs, and stretchers.
                  ▪ Keep clients’ personal items within their reach.
                  ▪ Eliminate clutter and obstacles in the client’s room.

                  ▪ Provide adequate lighting.
                  ▪ Reduce bathroom hazards.
                  ▪ Maintain the client’s toileting schedule throughout the day.



               Box 13-3

               The Joint Commission: 2018 National Patient
               Safety Goals



                  ▪ Improve the accuracy of client identification.
                  ▪ Improve the effectiveness of communication among caregivers
                  ▪ Improve the safety of using medications
                  ▪ Focus on the risk points related to medication reconciliation
                  ▪ Reduce the harm associated with clinical alarm systems
                  ▪ Reduce the risk of health care–associated infections
                  ▪ Identify client safety risks

                  ▪ Prevent mistakes in surgery


               https://www.jointcommission.org/assets/1/6/NPSG_Chapter_HAP_Jan2018.pdfhttps://www.jointcommission.org/assets/1/6/2018_HAP_NPSG_goals_final.pdf



               Box 13-4

               Steps to Prevent Injury to the Health Care Worker
               When Moving a Client



                  ▪ Use available safety equipment.
                  ▪ Keep the weight to be lifted as close to the body as possible.
                  ▪ Bend at the knees.
                  ▪ Tighten abdominal muscles and tuck the pelvis.
                  ▪ Maintain the trunk erect and knees bent so that multiple muscle groups work
                    together in a coordinated manner.


               Adapted from Potter A, Perry P, Stockert P, Hall A: Fundamentals of nursing, ed 8, St.




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