Policies And Procedures Update Quiz
Dept. Of Ob/Gyn policies and procedures have been updated. Do you know what they are?
- 1.Policy: Triage of Obstetrical Patients Immediate notification by the nurse and evaluation by a physician of a patient in triage should occur if the patient presenting complaint is?
- A.
Heavy vaginal bleeding
- B.
Category 2-3 FHT
- C.
Respiratory distress or complaint of SOB or chest pain
- D.
SBP>160 or DBP> 110
- E.
All of the above
- 2.Policy: Triage of Obstetrical Patients Patients with less urgent complaints should be seen in what following time period.
- A.
Within 10 minutes
- B.
Within 30 minutes
- C.
Within 1 hour
- D.
Whenever someone can come to see her
- 3.Policy: Code Crimson Activating Code Crimson will activate the massive transfusion protocol? True or False?
- A.
True
- B.
False
- 4.Policy: Code Crimson Code Crimson should be activated any time there is a potential or an identified massive hemorrhage in an obstetric patient, and any team member can activate the system. True or False?
- A.
True
- B.
False
- 5.Policy: OB Rapid Response Team - RRT Obstetric and post partum RRT is activated by calling essential team members through the ASCOM phone system. These team member include:
- A.
MFM In-House at ext 5491
- B.
Chief Resident of Obstetric Service at ext 5368
- C.
L&D Charge nurse at ext 0456
- D.
L&D CRNA at ext 0463
- E.
NICU Team at ext 7853
- F.
All of the above
- 6.Policy: Oxytocin The infusion rate of oxytocin that is similar to spontaneous labor is?
- A.
4-6 mu/min
- B.
10-12 mu/min
- C.
20 mu/min
- D.
30 mu/min
- 7.Policy: Oxytocin The maximum dose for oxytocin infusion at LVHN L&D is?
- A.
10 mu/min
- B.
20 mu/min
- C.
30 mu/min
- D.
40 mu/min
- 8.Policy: Oxytocin For tachysystole with FHR changes, all of the following should occur EXCEPT?
- A.
Place patient in lateral lie
- B.
Administer IV fluid bolus of 500 mls.
- C.
Increase oxytocin as to " push through" the tachysystole
- D.
Notify the obstetrical provider responsible for the patient
- 9.General Principles Policies and CPG'S are meant to be guidelines. Clinical situations may exist where deviation from the policy/CPG may be clinically appropriate. In these situtations, the clinician must document the rationale for this management. True or False?
- A.
True
- B.
False
- 10.Policy: HIV Assessment Protocol Rescreening for HIV is done at 36 weeks or in labor for women who ?
- A.
Declined initial testing
- B.
Choose to be rescreened
- C.
Have risk factors for HIV infection
- D.
All of the above
- 11.Policy: HIV Assessment Protocol Patients who present for admission to PNU or L&D should be offered which test?
- A.
Routine HIV testing
- B.
Rapid HIV testing
- C.
ELISA
- D.
Western blot
- 12.General Knowledge/ Practice :Surgical Prep A level 1 c-section has been called due to cord prolapse. What type of abdominal prep should the circulating nurse do?
- A.
Chloraprep and let it dry as usual
- B.
Scrub abdomen with betadine solution
- C.
Pour betadine over abdomen, "splash and dash"
- D.
Chloraprep and wipe off
- 13.Policy: Cesarean Delivery Level Recommendations A level 3 c-section has been called for your patient. As the bedside nurse, your responsibility is to?
- A.
Keep track of the time
- B.
Monitor mother and fetus for clinical changes
- C.
Notify physician of any changes in maternal or fetal status
- D.
All of the above
- 14.Policy: Use and Administration of Terbutaline Sulfate Terbutaline can be used in the following clinical situation EXCEPT?
- A.
Prior to external cephalic version
- B.
Preterm contractions
- C.
Uterine tachysystole
- D.
All of the above
- 15.Policy: Use and Administration of Terbutaline Sulfate Following administration of terbutaline, how long should a patient be monitored closely (continuous fetal monitoring, frequent blood pressure, pulse oximetry)?
- A.
5 minutes
- B.
15 minutes
- C.
30 minutes
- D.
60 minutes
- 16.Policy: Fetal Monitoring During Administration of Regional Anesthesia/ Analgesia The goals of the fetal monitoring during administration of anesthesia/analgesia policy are to ensure which of the following?
- A.
The fetal heart rate is traced at all times
- B.
Continuous awareness of fetal well being and encourage members of the team to seek additional assistance to ensure fetal well being.
- C.
Prolong the anesthesia/analgesia administration
- D.
All of the above
- 17.Fetal Monitoring During Administration of Regional Anesthesia/ Analgesia: When preparing a patient for a scheduled cesarean delivery, when should external fetal monitoring be applied and when discontinued?
- A.
Only a "heart rate check" after the spinal is placed. These patients do not need continuous monitoring.
- B.
As soon as the patient is placed in the supine position/just prior to the surgical prep
- C.
As soon as the paitent is placed in the supine position/ after the time out.
- D.
All of the above
- 18.Policy: Fetal Monitoring During Administration of Regional Anesthesia/ Analgesia When preparing a patient for a cesarean delivery, when should internal fetal monitoring be discontinued?
- A.
Whenever possible once the patient is in the Operating room.
- B.
Before the surgical skin prep
- C.
After the surgical skin prep, just prior to draping
- D.
After the "Time Out"
- 19.Policy: CPN Can you place your patient into the CPN system prior to the patients arrival? True or False?
- A.
True
- B.
False
- 20.When you cannot reconcile your fetal monitor strip in CPN a pink/red sticker must be placed on the paper strip and sent to medical records. True or False?
- A.
True
- B.
False
- 21.Policy: Fetal Monitor Strip Compliance Does the obstetrical nurse need to verify that the fetal monitor strip has been archived correctly at the beginning and end of their shift during shift report. True or False?
- A.
True
- B.
False
- 22.Policy: Abortion ( Induced Termination of Pregnancy or Delivery) Following the signing of an elective termination consent, how long must you wait until you are able to perform the procedure?
- A.
12 hours
- B.
24 hours
- C.
36 hours
- D.
48 hours
- 23.Policy: Abortion ( Induced Termination of Pregnancy or Delivery) You have the right to make any staff member participate in the performance of an elective termination. True or False
- A.
True
- B.
False
- 24.Policy: Abortion ( Induced Termination of Pregnancy or Delivery) An elective termination of pregnancy can be performed at LVHN when the gestational age is greater than 24 weeks? True or False
- A.
True
- B.
False
- 25.Policy: Gestational Carrier Is early notification of a gestational carrier important for the hospital obstetric team to be aware of? Yes or No
- A.
Yes
- B.
No
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