Fy 15: Emergency Dept. RN Annual Policy / Procedure Review
- 1.This facilities' organ procurment agency is:
- A.
Life Point
- B.
Death Star
- C.
SCOPA
- D.
LOPA
- 2.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
- 3.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
- 4.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
- 5.Labeling blood tubes at the nurses' station is the proper place for this action.
- A.
True
- B.
False
- 6.What is the ED's responsibility during a Dr. Assit? [CHECK ALL THAT APPLY}
- A.
Emergency Department staff will be responsible for assessing and meeting the immediate needs of the individual/s.
- B.
In response to the overhead page, at a minimum, one Emergency Department nurse and provider will go to the designated site with a stretcher equipped with a scoop board
- C.
Once on site, the Emergency Department staff members will assume charge of the situation assessing and initiating the appropriate medical interventions.
- D.
If additional emergent medical assistance is required, a “Dr. Heart” may be called.
- 7.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.
- 8.Here at the RHJ VAMC, a missing child alert is announced overhead as
- A.
Amber Alert
- B.
Ashely Alert
- C.
Code Adam
- D.
Missing Child Alert
- 9.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
- 10.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
- 11.According to the ED's Clinical Practice Guideline, Management of Intoxicated Patients in the ED, what is the nurses' role?
- A.
Triage the patient
- B.
Conduct a breathalizer test
- C.
Draw blood
- D.
Notifiy the police if the patient intends to leave and continues to show signs of being impaired.
- E.
All of the above
- 12.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?
- 13.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
- 14.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
- 15.In the ED, patients experiencing signs and symptoms of a stroke should be made NPO until
- A.
He received TPA
- B.
The CT of the head rules a stroke in or out
- C.
A dysphagia screen is performed
- D.
The NIHSS is completed
- 16.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
- 17.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
- 18.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?
- 19.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
- 20.A written order must be signed before a patient can be considered 'committed & placed on 1:1.
- A.
True
- B.
False
- 21.This is a latex free facility. TRUE / FALSE
- A.
True
- B.
False
- 22.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
- 23.Every effort will be made communicate with hearing impaired Veterans and non–English speaking family members to assure Veterans are afforded every available treatment and service to which they are entitled. This Medical Center will be properly equipped with TTY telephones to communicate effectively with hearing impaired Veterans and request sign interpreters when necessary. Non-English speaking individuals, generally Veterans’ family members or persons acting on their behalf, will be offered the services of a language interpreter when necessary. What's a nurse to do to get this assistance to this patient / family?
- A.
Change the assignment - surely the new nurse learned this in orientation
- B.
Look up the CPM for COMMUNICATION WITH HEARING IMPAIRED/NON-ENGLISH SPEAKING INDIVIDUALS
- C.
Intubate the patient so they can't speak
- D.
Use a picture boad
- 24.According the Patient Clothing, Valuables, Incidentals and Services CPM, patient's belongings only need to be inventoried upon arrival / admission to the hospital.
- A.
True
- B.
False
- 25.According to the CPM, CONSERVATION OF MEDICAL CENTER LINENS, how can we ensure the control of linens within our areas to prevent pilferage, loss and misuse? [CHECK ALL THAT APPLY]
- A.
Linen storage closets will be closed and locked when not in use. Only authorized employees are allowed in linen storage closets.
- B.
Linen carts should be covered at all times.
- C.
When patients are to be transported from the medical center to another location by ambulance, the VA employee responsible for the patient transfer will ensure that ambulance drivers exchange linens. VA linens are to remain in the medical center
- D.
Do not wear patient clothing such as pajama tops, gowns or robes.
- E.
Do not use linens for anything else but paient care
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