The nurse receives the report for a client recovering from a repair of a fractured hip, who is being transferred to the orthopedic care area. The following information was obtained in the telephone report:
Report received 14:00 hours: 76-year-old female; ORIF of right hip caused by falling in the home; receiving Morphine sulfate 2 mg IV every 4 to 6 hours for pain; difficult to keep turned on non-operative site; indwelling urinary catheter in place; Hgb 10 after 2 units PRBCs post-operatively.
Which National Patient Safety goals should the nurse make a priority for this client? (Select all that apply.)
1. Prevent wrong site/procedure/person surgery.
2. Prevent health-care associated pressure ulcers.
3. Improve the accuracy of patient identification.
4. Reduce the risk of patient harm resulting from falls.
5. Reduce the risk of health care-associated infections.
Correct Answer: 2, 4, 5
Because the client is difficult to keep turned on the non-operative site, the goal to prevent health-care associated pressure ulcers (decubitus ulcers) should be a priority. Because the client has fallen in the home and is recovering from surgery to repair a fracture from a fall, the goal to reduce the risk of patient harm resulting from falls should be a priority. Because the client has an indwelling urinary catheter, the goal to reduce the risk of health care-associated infections should be a priority. Preventing wrong site, wrong procedure, and wrong person surgery would have been appropriate preoperatively. There is no reason to think that the accuracy of patient identification needs to be improved for this client.
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