September 2013 Tqip Educational Experience

5 Questions | By TQIP | Last updated: Oct 31, 2013 | Total Attempts: 417

September 2013 Tqip Educational Experience

Questions and Answers

1.

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.
- A.
  
  True
- B.
  
  False
2.

73 year old male fell from a curb striking his head on an automobile’s bumper. He is transported by family to the ED complaining of dizziness and nausea. His admission trauma diagnoses include scalp laceration, intraparenchymal hematomas and basal cistern hemorrhages. His medical/surgical history includes: smokes 1ppd cigarettes, drinks 6 vodkas/day, recent band ligation for bleeding esophageal varices, and is bipolar. He is admitted to a telemetry unit and develops delirium tremens on hospital day 2. The comorbid conditions to be submitted to NTDB include:
- A.
  
  Current smoker, Esophageal varices, Cirrhosis
- B.
  
  Alcoholism, Current smoker, Major Psychiatric Illness, Esophageal varices, Cirrhosis
- C.
  
  Alcoholism, Current smoker, Major Psychiatric Illness
- D.
  
  Current smoker, Drug or Alcohol withdrawal, Esophageal varices, Major Psychiatric Illness
3.

24 year old male was injured at work and was taken to an urgent care facility for an evaluation. It was determined that the patient would require hand surgery and was taken by family to your facility. The above patient is considered an Inter-Facility Transfer.
- A.
  
  True
- B.
  
  False
4.

When reporting on the NTDS data field Race, only one field value may be reported.
- A.
  
  True
- B.
  
  False
5.

You have a patient that is admitted to your facility for their trauma related injuries. The first documented respiratory rate that you can find in the patient’s medical record is two hours after arrival to the hospital. Should this respiratory rate be reported to NTDB for the data element Initial ED/Hospital Respiratory Rate?
- A.
  
  Yes
- B.
  
  No

More Tqip Educational Experience Quizzes

February 2014 Tqip Educational Experience

Questions: 5 | Attempts: 547 | Last updated: Feb 27, 2014

Sample Question
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?

10 Open or depressed skull fracture

1 GCS < 14; 3 RR 29

Not known/Not recorded

1 GCS < 14; 3 RR 29; 4 All penetrating injuries to head, neck, torso, and extremities proximal to elbow or knee

July 2013 Tqip Educational Experience

Questions: 5 | Attempts: 441 | Last updated: Jul 22, 2013

Sample Question
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.

True

False

March 2013 Tqip Educational Experience

Questions: 5 | Attempts: 405 | Last updated: Apr 18, 2013

Sample Question
March 12, 2013, at 1900, a 17 year old male is involved in a motorcycle collision. EMS arrives at the scene at 1917. Patient responds to pain, SBP 84, RR 14, P 120. Patient is transported at 1929 to the nearest ED. Upon arrival, vitals are SPB 90, RR 16, P 110. The patient has a left femoral shaft fx, and CT shows a SDH. A decision was made to transfer the patient for a higher level of care. EMS arrived at the transferring facility at 2030. Vital signs upon transport were SBP 92, RR 14, P 100. Patient arrives at your facility at 2110. What should you report to NTDB for variable EMS Unit Arrival Time At Scene OR Transferring Facility?

2010

1917

2030

1929