Friedman family assessment and safety assessment
Friedman family assessment and safety assessment
NURS 409 Community Health Nursing Practicum Home Safety Assessment Student: ____________________
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Date:_______________________ Assigned Agency:______________ Safety Hazard 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. Are medications safely stored and adequately labeled? Are throw rugs, area rugs, and flooring materials secured? Is there adequate lighting in each room? Are there telephone cords or electrical cords in walkways? Do the entry doors locks with deadbolts? Are combustibles, such as newspapers, stored at least three feet from stove, fireplace or heater? Is there adequate space around space heaters? Are there exposed heating pipes? Is the room/house heated cooled adequately and safely? Is water heater set at 120F or lower? Is there a portable fire extinguisher available in the kitchen? Do occupants who are smokers demonstrate safe handling of cigarettes, lighters and matches? Does the gas at the stove, furnace , and space heater work properly? Are walkways clear, sturdy and wide enough to walk safely (using assistive devices if necessary)? If burglar bars are present on doors and/or windows, will they bend for Emergency exit or is the key close by? Is there a phone within easy reach? Is there a working smoke detector near the kitchen and near each sleeping area? Dos the bathtub have a non-skid surface? If oxygen is in use in the hours, are all occupants aware of oxygen and cord safety? Are all occupants able to safely exit the home in five minutes or less? Are guns or weapons safely stored? Are there secure handrails on stairs? If a ramp is needed, is one present and safely constructed? Sanitation Hazards 1. Is there indoor running water? 2. Is food stored properly? 3. Are there indoor toilet facilities? 4. Do the stove and/or microwave operate properly? 5. Is trash picked up on a regular scheduled basis? 6. Is the water in the kitchen, bathroom and utility are working properly each room? 7. Are there signs of rodent or pest infestation? 8. Is there adequate refrigeration? 9. Comments: Yes No ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Modifications recommended after your assessment_____________________________________________________________ What surprised you when doing your home safety assessment? Why are home safety assessments important for a public health nurse to know and do? What kind of teaching/topics can you see would be important for a public health nurse to do as a result of a home safety assessment?
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