Fy 15: ICU Annual Policy / Procedure Review
- 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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