1. Assessing the Care Environment for a Client Who is Experiencing Suicidal
Ideations
-Search the client's belonging with the client present. Remove all glass, metal silverware,
electrical cords, vases, belts, shoelaces, metal nail files, tweezers, matches, razors, perfume,
shampoo, plastic bags, and other potentially harmful items from the client's room and vicinity
-Allow the client to use only plastic eating utensils. Count utensils when brought into and out of
the client's room
-Check the environment for possible hazards (windows that open, overhead pipes that are easily
accessible, non-breakaway shower rods, non-recessed shower nozzles)
-Ensure that the client's hands are always visible, even when sleeping
2. Caring for a Client Who Has Immunosuppression
monitor skin and mucous membranes for infection (breakdown, fissures, and abscess)
3. Developing an Emergency Preparedness Plan
The Hospital Incident Command System (HICS) for disaster management offers a clear structure
for disaster management at the facility level.
4. Identifying Reportable Diseases
-Nurses are also mandated to report to the proper agency (local health department, state health
department) when a client is diagnosed with a communicable disease
-A complete list of reportable diseases and a description of the reporting system are available
through the Centers for Disease Control and Prevention website. Each state mandates which
diseases must be reported in that state. There are more than 60 communicable diseases that must
be reported to public health departments to allow officials to do the following: ensure appropriate
medical treatment of diseases (tuberculosis), monitor for common-source outbreaks (foodborne:
hepatitis A), plan and evaluate control and prevention plans (immunizations for preventable
diseases), identify outbreaks and epidemics, determine public health priorities based on trends,
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