Fy 15: ICU Annual Policy / Procedure Review

40 Questions | Total Attempts: 81

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Fy 15: ICU Annual Policy / Procedure Review

Questions and Answers
  • 1. 
    This facilities'  organ procurment agency is:
    • A. 

      Life Point

    • B. 

      Death Star

    • C. 

      SCOPA

    • D. 

      LOPA

  • 2. 
    This facilities'  organ procurment agency is:
    • A. 

      Life Point

    • B. 

      Death Star

    • C. 

      SCOPA

    • D. 

      LOPA

  • 3. 
    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

  • 4. 
    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

  • 5. 
    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

  • 6. 
    Labeling blood tubes at the nurses' station is the proper place for this action.
    • A. 

      True

    • B. 

      False

  • 7. 
    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

  • 8. 
    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.

  • 9. 
    Here at the RHJ VAMC, a missing child alert is announced overhead as
    • A. 

      Amber Alert

    • B. 

      Ahsley Alert

    • C. 

      Code Adam

    • D. 

      Missing Child Alert

  • 10. 
    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

  • 11. 
    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

  • 12. 
    According to the Medication Reconcilliation CPM, what is the ICU's 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?

  • 13. 
    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?

  • 14. 
    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

  • 15. 
    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

  • 16. 
    Check below the types of patients who are at risk for aspiration and should be made NPO until evaluated by the speech pathologist: [CHECK ALL THAT APPLY]
    • A. 

      A patient experiencing a TIA / CVA

    • B. 

      A patient who was recently extubated after a long period of time

    • C. 

      A patient who is drooling after putting food in their mouth

    • D. 

      A patient who AAOx3

  • 17. 
    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

  • 18. 
    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

  • 19. 
    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?

  • 20. 
    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

  • 21. 
    A written order must be signed before a patient can be considered 'committed & placed on 1:1.
    • A. 

      True

    • B. 

      False

  • 22. 
    This is a latex free facility. TRUE / FALSE
    • A. 

      True

    • B. 

      False

  • 23. 
    Because this is the ICU and all our patients are HIGH RISK FOR FALLS, we do not need to document fall prevention interventions.
    • A. 

      True

    • B. 

      False

  • 24. 
    Please hold the tube feeding for 1hour before and 1hour after administration of medication[CHECK ALL THAT APPLY]
    • A. 

      Warfarin

    • B. 

      Monoamine Oxidase Inhibitors

    • C. 

      Phenytoin

    • D. 

      Disulfiram

  • 25. 
    According to the CPM for ADULT/CHILD VICTIMS OF ALLEGED ABUSE, all suspected abuse must be acted upon. Who is the RHJ VAMC's designated reporter?
    • A. 

      The MD

    • B. 

      The RN

    • C. 

      The Social Worker

    • D. 

      The Case Manager

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