Fy 15: Acc Staff Annual Policy / Procedure Review

35 Questions | Total Attempts: 47

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Fy 15: Acc Staff Annual Policy / Procedure Review

Questions and Answers
  • 1. 
    There is no document available yet, please upload the document
  • 2. 
    Provider priviledges can be found on the U drive?
    • A. 

      True

    • B. 

      False

  • 3. 
    Patients being transferred to another faciliyt require consent? TRUE / FALSE
    • A. 

      True

    • B. 

      False

  • 4. 
    This facilities'  organ procurment agency is:
    • A. 

      Life Point

    • B. 

      Death Star

    • C. 

      SCOPA

    • D. 

      LOPA

  • 5. 
    When is necessary to call Life Point? [CHECK ALL THAT APPLY]
    • A. 

      For all discharges

    • B. 

      Patients who death is imminent

    • C. 

      Patients who are deceased

    • D. 

      For all admissions

  • 6. 
    How does one contact the Ethics Consultation Service? [CHECK ALL THAT APPLY]
    • A. 

      An urgent consultation request to the Ethics Consultation Service is to be by direct page to the designated Ethics Consultation Service Pager: 219-0143

    • B. 

      Non-urgent consultation requests to the Ethics Consultation Service can be made by a CPRS formal consult, direct call or page to the Ethics Consultation Service Coordinator, 789-7133, Pager: 449

    • C. 

      Non-urgent consultation requests to the Ethics Consultation Service can be made by calling theEthics Consultation Service Hotline: 789-6910.

    • D. 

      There is no ethics consultation service - don't call anyone - figure it out by yourself

  • 7. 
    Asking a patient their last name and last four digits of thier social security number constitutes proper identificaion? TRUE or FALSE
    • A. 

      True

    • B. 

      False

  • 8. 
    Labeling blood tubes at the nurses' station is the proper place for this action.
    • A. 

      True

    • B. 

      False

  • 9. 
    When completing the admission assessment - PRESSURE ULCER SECTION - if a score of less than 18 is tallied, then
    • A. 

      Interventions must be docuemented in the Admission Assessment flow sheet

    • B. 

      Move on to the next section

    • C. 

      Pressure ulcers do not exist in unit

    • D. 

      Write an incident report

  • 10. 
    According to the MISSING PATIENT POLICY, an "at risk patient"  [CHECK ALL THAT APPLY]
    • A. 

      Is legally committed.

    • B. 

      Has a court appointed legal guardian.

    • C. 

      Is considered dangerous to self or others.

    • D. 

      Lacks cognitive ability (either permanently or temporarily) to make relevant decisions.

    • E. 

      Has physical or mental impairments that increase their risk of harm to self or others.

  • 11. 
    Here at the RHJ VAMC, a missing child alert is announced overhead as
    • A. 

      Amber Alert

    • B. 

      Ashley Alert

    • C. 

      Code Adam

    • D. 

      Missing Child Alert

  • 12. 
    Accordng to the RHJ VAMC's  CMP for PROCEDURES FOR ACTIVE SHOOTER RESPONSE the employees' responsibilities include [CHECK ALL THAT APPLY]
    • A. 

      Immediately calling extension 7251, 7268 or 7911 to report the incident

    • B. 

      Immediately locking themselves in a secure room or evacuate if able to do so safely.

    • C. 

      Remaining in a secure location until the “All Clear” is given by VA or local Police

    • D. 

      following all instruction given by VA Police or local Police

  • 13. 
    According to the ORDERING AND REPORTING TEST RESULTS CPM, if the nurse takes a critical lab value from the lab, then the nurse will use what procedure? 
    • A. 

      Nurses never take critical lab reports

    • B. 

      Put the Lab on HOLD until the MD can be tracked down and told personally

    • C. 

      Write the lab value on a paper towel and tell the PCC to call the MD

    • D. 

      Read back process and records the name of the responsible provider to whom the results were reported and the time the result was communicated in the medical record

  • 14. 
    According to the Medication Reconcilliation CPM, what is the  nurses' role?
    • A. 

      Nothing, that's the pharmacist's job

    • B. 

      Nothing, that's the MD's job

    • C. 

      Reinforce medication teaching & documenting it in the Pt -Family Education Note

    • D. 

      What's med rec?

  • 15. 
    How should the nurse respond to VIEW ALERTS? [CHECK ALL THAT APPLY]
    • A. 

      Ignore them - that's not my job

    • B. 

      Acknowledge them by signing them

    • C. 

      Sign them - even if it was sent erronously

    • D. 

      What's view alert?

  • 16. 
    Veteran’s state portable orders for “Do Not Resuscitate” (DNR) and /or other life sustaining treatment are recognized by this VA. TRUE / FALSE
    • A. 

      True

    • B. 

      False

  • 17. 
    According to the CPM for ADULT VICTIMS OF ALLEGED ACUTE SEXUAL ASSAULT, this VA treats acute alleged sexual assaults. TRUE / FALSE
    • A. 

      True

    • B. 

      False

  • 18. 
    Signs and symptoms of blood transfusion reaction include [CHECK ALL THAT APPLY]
    • A. 

      Fever with or without chills

    • B. 

      Tachycardia and/or tachypnea and dyspnea

    • C. 

      Hives or rash to the patient's trunk and back

    • D. 

      Sudden change in BP

    • E. 

      Wheezing

    • F. 

      Improvement of the hemoglobin and hematocrit values

  • 19. 
    What are the nurse's actions for a patient experiencing a blood transfusion reaction? [CHECK ALL THAT APPLY]
    • A. 

      Stop the transfusion

    • B. 

      Notifiy the MD and Blood Bank

    • C. 

      Obtain four, seven ml lavender tubes from a site distant from the infusion. Label as immediate post-transfusion reaction with patients full name, full social security number, and signature of the person drawing the blood with date and time

    • D. 

      Return the blood bag, transfusion set and patient samples to the Blood Bank with the completed Blood Transfusion Record Form

    • E. 

      Report the suspected reaction to Quality Management by calling the Patient Safety Hotline

  • 20. 
    When asking a patient about suicide risk, the nurse should ask what? [CHECK ALL THAT APPLY]
    • A. 

      Do you have thoughts of hurting yourself?

    • B. 

      Do you have a plan?

    • C. 

      What is the plan? (assertain if it is doable)

    • D. 

      What did you have for lunch today?

  • 21. 
    Once a patient has been deteremined to be 'at risk' for suicide, what are the nurses' actions? [CHECK ALL THAT APPLY]
    • A. 

      Report any suicidal self-harm behaviors or threats to the Nurse Manager and physician

    • B. 

      Placed on one to one observation pending a mental health provider’s determination that suicidal precautions are necessary or until such time as these orders are rescinded.

    • C. 

      Allow the patient to use the restroom in privite to maintain patient privacy.

    • D. 

      Remove all patient belongs from the room

  • 22. 
    A written order must be signed before a patient can be considered 'committed' & placed on 1:1.
    • A. 

      True

    • B. 

      False

  • 23. 
    This is a latex free facility. TRUE / FALSE
    • A. 

      True

    • B. 

      False

  • 24. 
    All patients received from specialty areas (GI, cardiac cath, or other interventional procedures) will be considered at risk for falls based on contributing factors such as medications received, change in level of consciousness, and procedure performed. 
    • A. 

      True

    • B. 

      False

  • 25. 
    What patients can be admitted to the ACC? [CHECK ALL THAT APPLY]
    • A. 

      Outpatients undergoing an ambulatory procedure that may or may not require sedation and/or general anesthesia to include, but not limited to interventional radiology procedures, cardiac catheterizations, MRIs, bronchoscopies, colonoscopies, EGDs, liver biopsies and appropriate surgical procedures .

    • B. 

      Post procedure patients who require Phase II Recovery

    • C. 

      Inpatients who undergo procedures requiring Moderate Sedation will undergo post procedure recovery

    • D. 

      Any patient who cannot find a ride home will be admitted to the ACC overnight.

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