FLU & VTE PROPHYLAXIS
VTE
Stroke
Tobacco
Potpourri
100
Should be done on arrival and faxed to pharmacy. Every ages 6 months and older are eligible if they meet the criteria.
What is screen all patients for the flu vaccine
100
VTE patient must have 5 days of this with INR greater or equal to 2 prior to discontinuation.
What is overlap or bridge therapy
100
This type of medication for high cholesterol should be ordered for every stroke patient
What is a statin
100
Screening must be complete by day 3 of admission
What is tobacco assessment
100
Another term for blood clots, this new Core Measure will apply to every inpatient
What is VTE
200
Hospital patients are at an increased risk for developing blood clots. A patient must a mechanical or pharmacological __________ to decease the risk.
What is VTE prophylaxis
200
If discharged on warfarin, patient must be notified when to follow up for this. There has to be clear documentation in the chart that the patient or care giver received this information.
What is PT/INR
200
This should include information about EMS activation, signs and symptoms, medications, risk factors and follow-up care with the physician
What is Stroke Education
200
Cognitive impairment must be documented begin day 1 after admission. The day of arrival is considered day
What is day 0
200
All patients that use tobacco in the past 30 days must receive practical counseling. Education includes basic information, dangerous situations, and coping skills.
What is Face to Face Tobacco Counseling
300
Contraindications or refusal of a VTE prophylaxis must be documented by the end of day 2. True or False
What is true
300
If patient receives less than 5 days of overlap therapy or if they received 5 days of overlap therapy and the INR is less than 2, the patient must be discharged on Warfarin and ___________.
What is parenteral therapy
300
Thrombolytic therapy for stroke patients would most often be managed here
What is the emergency department
300
Age that must be screened for this measure
What is 18 and older
300
A standardized set of valid, reliable, evidence based measures that can be easily measured. Used by JC and CMS to compare hospitals. It is also used to track the quality of care in a hospital.
What is a Core Measure
400
If patient is in observation and then admitted, the VTE prophylaxis must be addressed again by the end of day 2 of admission. True or False
What is true
400
Overlap therapy is excluded if the patient receives one of these TWO medications during stay and is discharged home on one of them
What are xarelto or eliquis
400
Stroke patients should receive prophylaxis for this within 24 hours
What is VTE
400
Basic information, Dangerous situations, and coping skills
What is tobacco education
400
A tool that is used to improve Core Measure Scores. It should be initiated as soon as you receive the patient and reviewed daily.
What is Core Measure Check Sheet
500
Patient was transferred from floor to ICU. The VTE prophylaxis must be readdressed and documented by the end of day 1. True of False
What is false. It must be addressed by the end of day 2 of admission or transfer to the ICU unit.
500
Discharge instructions for Warfarin includes: Compliance-importance of taking as instructed and monitoring PT/INR with scheduled blood draw. Adverse Drug Reactions/Interactions-meds can affect the PT/INR level; do not discontinue any meds except on advice from MD or pharmacist. Diet- what type of Vitamin K diet
What is a consistent amount
500
A stroke patient should receive this if they have atrial fib/flutter
What is anticoagulation therapy
500
E-cigarettes, hookah pipes, and/or illegal drugs are included in the tobacco measure
What is false
500
This is the overall goal of Core Measures
What is improving patient care
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