October 2013 Tqip Educational Experience

5 Questions | Total Attempts: 402

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October 2013 Tqip Educational Experience

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Questions and Answers
  • 1. 
    A 45 year old male involved in a motorcycle crash was noted by EMS to be unresponsive at the scene.  Enroute to your facility the patient goes into PEA and ACLS is started.  Upon arrival to the ED on 10/1/13 at 2200, the patient is intubated, placed on a vent, and continues to receive CPR.  Within a few minutes of arrival, a weak thready pulse has returned. At 2212 he receives 2 units of PRBC’s.  At 2230 he receives 1 unit of FFP. He is admitted to the ICU at 2304, and continues to be resuscitated and on the vent. The patient has sustained multiple injuries, including a severe CHI.  At 0054 the patient goes into asystole, and CPR is started without success.  The patient is pronounced at 0106. Based on the above scenario, Pre-hospital cardiac arrest with resuscitative efforts by healthcare provider should be reported to NTDB/TQIP as a comorbid condition for this patient.
    • A. 

      True

    • B. 

      False

  • 2. 
    A 45 year old male involved in a motorcycle crash was noted by EMS to be unresponsive at the scene.  Enroute to your facility the patient goes into PEA and ACLS is started.  Upon arrival to the ED on 10/1/13 at 2200, the patient is intubated, placed on a vent, and continues to receive CPR.  Within a few minutes of arrival, a weak thready pulse has returned. At 2212 he receives 2 units or PRBC’s.  At 2230 he receives 1 unit of FFP. He is admitted to the ICU at 2304, and continues to be resuscitated and on the vent. The patient has sustained multiple injuries, including a severe CHI.  At 0054 the patient goes into asystole, and CPR is started without success.  The patient is pronounced at 0106. Based on the above scenario, the NTDS data field Total ICU Length of Stay and Total Ventilator Days should be reported with the null value Not Applicable, since the time for both was less than 24 hours.
    • A. 

      True

    • B. 

      False

  • 3. 
    A 45 year old male involved in a motorcycle crash was noted by EMS to be unresponsive at the scene.  Enroute to your facility the patient goes into PEA and ACLS is started.  Upon arrival to the ED on 10/1/13 at 2200, the patient is intubated, placed on a vent, and continues to receive CPR.  Within a few minutes of arrival, a weak thready pulse has returned. At 2212 he receives 2 units or PRBC’s.  At 2230 he receives 1 unit of FFP. He is admitted to the ICU at 2304, and continues to be resuscitated and on the vent. The patient has sustained multiple injuries, including a severe CHI.  At 0054 the patient goes into asystole, and CPR is started without success.  The patient is pronounced at 0106.  Based on the above scenario, how would you report the process measure Transfusion Blood (4 Hours) to NTDB/TQIP for this patient?
    • A. 

      2 units

    • B. 

      3 units

    • C. 

      0 units

    • D. 

      1 unit

  • 4. 
    A 45 year old male involved in a motorcycle crash was noted by EMS to be unresponsive at the scene.  Enroute to your facility the patient goes into PEA and ACLS is started.  Upon arrival to the ED on 10/1/13 at 2200, the patient is intubated, placed on a vent, and continues to receive CPR.  Within a few minutes of arrival, a weak thready pulse has returned. At 2212 he receives 2 units or PRBC’s.  At 2230 he receives 1 unit of FFP. He is admitted to the ICU at 2304, and continues to be resuscitated and on the vent. The patient has sustained multiple injuries, including a severe CHI.  At 0054 the patient goes into asystole, and CPR is started without success.  The patient is pronounced at 0106. Based on the above scenario, how would you report the process measure Transfusion Blood (24 Hours) to NTDB/TQIP for this patient?
    • A. 

      2 units

    • B. 

      3 units

    • C. 

      0 units

    • D. 

      1 unit

  • 5. 
    A 45 year old male involved in a motorcycle crash was noted by EMS to be unresponsive at the scene.  Enroute to your facility the patient goes into PEA and ACLS is started.  Upon arrival to the ED on 10/1/13 at 2200, the patient is intubated, placed on a vent, and continues to receive CPR.  Within a few minutes of arrival, a weak thready pulse has returned. At 2212 he receives 2 units or PRBC’s.  At 2230 he receives 1 unit of FFP. He is admitted to the ICU at 2304, and continues to be resuscitated and on the vent. The patient has sustained multiple injuries, including a severe CHI.  At 0054 the patient goes into asystole, and CPR is started without success.  The patient is pronounced at 0106. Based on the above scenario, the process measure Angiography would be reported using the null value Not Applicable.
    • A. 

      True

    • B. 

      False

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