5 Questions |
By TQIP | Last updated: Jun 27, 2013
| Total Attempts: 350
Questions and Answers
A 26 y/o male that fell from a tree was diagnosed with a Grade V splenic laceration and was transferred to your facility for a higher level of care by EMS. The patient was taken to the OR for a splenectomy and the abdomen was closed. On post-op day 3 documentation in the chart states “pt has a stitch abscess located on abdomen.” The Hospital Complication Superficial Surgical Site Infection should be reported to the NTDB.
A 42 year old unrestrained female driver is admitted to ICU with the following injuries: multiple rib fractures, bilateral pulmonary contusions, grade IV liver laceration and an acetabular fracture. She is transferred from the ICU to a regular bed on hospital day 2. She developed severe respiratory distress and hypoxia on hospital day 3 and required intubation and return to the ICU for ventilatory support. The Hospital Complication(s) to be reported to NTDB include:
Unplanned Return to ICU
Both, Unplanned Return to ICU and Unplanned Intubation
33 year old non-helmeted male motorcyclist traveling 65 MPH strikes a tractor trailer. His evaluation in the trauma bay reveals multiple displaced right sided rib fractures, massive hemothorax, T1 –T9 transverse process fractures, bilateral distal forearm fractures and abrasions. His past medical history includes appendectomy, ORIF femur fracture, and occasional cigar smoking. He is currently on topical corticosteroids for his recent forearm poison ivy condition. The co-morbid condition(s) to be reported to NTDB include:
Both, Current Smoker and Steroid Use
Arriving at your facility on 4/2/13 @ 1200 is a 34 yr. old male motorcyclist that lost control of his bike. He is AAO x3 with stable vital signs. He is complaining of pain in his LE. He sustained a tib/fib fx, concussion with + LOC, occipital fx, and ptx. There was swelling of the fractured extremity and Ortho arrived in the ED to assess the patient at 1220. The pressures in the lower extremity were noted to be elevated. Ortho continued to monitor the pressures in the lower extremity and the decision was made to take the patient from the ED to the OR for surgery including a fasciotomy for compartment syndrome of the LE @ 1300….
Extremity Compartment Syndrome should be reported to NTDB as a Hospital Complication.
A 34 year old female is admitted to your facility for multiple traumatic injuries. She has a recent past medical history of diagnosed breast cancer, successfully treated with a lumpectomy and chemo. This pre-existing disease should be reported as a comorbid condition to the NTDB.
Questions: 5 | Attempts: 547 | Last updated: Feb 27, 2014
A 27 y/o male driver involved in a MVC vs tree is transferred to your facility for higher level of care via ambulance. Per EMS run sheet transferring to your facility, his vitals are BP 146/84, pulse 152, RR 30, GCS 3 and the initial assessment states “pt. unresponsive, bleeding from deep forehead laceration, no other obvious injuries noted”. Based on the information given, what field value options would be reported to NTDB for the variable Trauma Center Criteria?
20 yr. old male arrives at your facility via helicopter on July 4, 2013 @ 0230. The patient was found on the street with a GSW to the head. He is intubated and unresponsive on arrival. The flight crew reports that the patient was PEA upon their arrival, they were able to regain a pulse but he coded again enroute. He has received epi x3 and 2000 cc of NS. Upon arrival, the crew is performing compressions. CPR and a thoracotomy are performed in the ED. His pulse returns and then a short time later he codes again. The patient was pronounced in the ED @ 0300.
Based on the above information, you would submit the null value Not Applicable for Comorbid Conditions for this patient.
Questions: 5 | Attempts: 417 | Last updated: Oct 31, 2013
A 47 yr. old female is admitted to your facility after a MVC sustaining a SAH, skull fx, and femur fx. She underwent surgical fixation with Ortho hospital day #2. The patient did not receive VTE prophylaxis due to her head injuries. She was discharged home on hospital day #6 after an uneventful hospitalization.
The null value Not Applicable should be reported on this patient for the TQIP process measure Venous Thromboembolism Prophylaxis Type.