00:01
Let's take a look at the safety and infection
control category on the NCLEX.
00:05
Now, remember, this category is a sub
category of safe and effective care
environment. It's worth approximately 10 to
16%.
00:14
So anything in between, there could be ten,
11, 12, 13, 14, 15 or 16% of your exam.
00:21
Remember, everyone's test has to follow the
same blueprint.
00:26
The topics that you'll experience in safety
and infection control seem pretty
straightforward. Your job in this section is
to answer questions and protect clients from
injury. Remember, that's a huge concept all
the way through the NCLEX is safety.
00:42
What keeps this particular patient in this
particular setting the safest?
That will include things like you want to
make sure that the treatment order is
appropriate as an option.
00:53
You're expected to be able to evaluate an
order and determine if it's safe or not for
that patient. In fact, you may see questions
that say, which of these orders would it be
important for the nurse to question?
You have to follow procedures for handling
bio hazardous and hazardous materials.
01:11
So you want to brush up on those because
that's part of the safety and infection
control section.
01:16
This last one gets a little sticky, but it's
really important in practice and on the end
checks. You do acknowledge what happened
even when it's a practice error or a near
miss. Now, you don't want to put any
subjective language in there.
01:30
You want to keep it just to the facts.
01:32
So the most clear, concise and objective
documentation is what you want here.
01:37
For example, you wouldn't say mettre
accomplished on this patient.
01:41
What you would say is patient received x
medication, whatever the medication was, the
dosage that they received, and you would
just state how you monitored the patient
afterwards. The hospital will have a
separate policy on what you need to do and
what you need to document, but you want just
clear, concise and objective documentation of
what happened with the patient.
02:03
You might also get a question about security
plans and procedures, particularly about
controlled access areas.
02:09
Maybe even with a newborn.
02:12
You have to be good at infection prevention.
02:15
So of course, simple things like hand
hygiene you're really strong in.
02:18
But they're also going to ask you questions
that involve sterile technique, what's
universal and standard barrier precautions.
02:25
So make sure you review those before you sit
for your exam.
02:29
In addition to following infection control
techniques and prevention measures, you'll
also be responsible for educating clients
and staff about those prevention measures.
02:40
The last part of safety infection control is
usually an area that students struggle with.
02:45
It's about restraints.
02:47
So let me give you just a few key tips now.
02:50
It would rarely, if ever, be the right
answer for a nurse to request to put
restraints on the patient.
02:58
Now, in the stem of the question, it says
the primary health care provider has ordered
these restraints.
03:05
Then your job is to make sure that the
patient is monitored safely and they are safe
in those restraints.
03:12
But if restraints is in the answer choice,
please look for anything else that you can do
to keep that patient safe besides putting on
a restraint.
03:23
Now, in this world, they tend to be more
acceptable with a vest restraint, which can
sometimes be called a pose restraint, and
that allows the patient to turn in bed.
03:34
But they can't get out wrist restraints or
legs restraints, what we call extremity
restraints. Those can make a patient
extremely combative.
03:43
I mean, think what it would feel like for
you to be tied down your nose itches, you
can't move. So more palatable to patients in
any world is to put a vest restraint what
some places call a posi restraint on your
patient.
03:56
Either way, these patients need extra
monitoring.
04:01
They need to be checked on.
04:02
And if you have an extremity restraint on,
you're going to check for pulses after that
restraint.