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General
JCAHO and YOU
Do Not use Abbrevs
National Patient Safety Goals
NCLEX
100
Fill in the blank: JCAHO MISSION STATEMENT "To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in provideing _____ and _____ of the highest quality and value."
Safe and Effective
100
How long will the Joint Commission survey UVA?
5 days
100
Is this an acceptable abbreviation? If no, what should be used instead? q.d.
No, write out daily instead.
100
This number of patient identifiers necessary to provide safe care, treatment, and services.
Two.
100
The nurse is caring for a client diagnosed with meningitis and implements which transmission-based precautions for this client? A. Private room or cohort client B. Personal Respiratory protection device C. Private room with negative airflow pressure. D. Mask work by staff when the client needs to leave the room
A. Meningitis is transmitted by droplet infection. You would do B and C for patients with airborne diseases. A mask should be worn by the patient and not the staff when the patient leaves the room.
200
True or False. Certification can be earned by an entire health care organization and lasts for 3 years.
False
200
How long does the health care team have to complete or update a patient's H&P after admission?
24 hours.
200
Is this an acceptable abbreviation? If no, what should be used instead? 0.8mg
Yes, it is acceptable.
200
You have just checked your patient's most recent lab results. The potassium level is 7 mEq/L. Is this considered a critical lab value and does it need to be reported?
Yes and Yes.
200
The charge nurse observes a new staff nurse who is changing a dressing on a surgical wound. After carefully washing her hands the nurse dons sterile gloves to remove the old dressing. After removing the dirty dressing, the nurse removes the gloves and dons a new pair of sterile gloves in preparation for cleaning and redressing the wound. The most appropriate action for the charge nurse is to: A. Interrupt the procedure to inform the staff nurse that sterile gloves are not needed to remove the old dressing. B. Congratulate the nurse on the use of good technique. C. Discuss dressing change technique with the nurse at a later date. D. Interrupt the procedure to inform the nurse of the need to wash her hands after removal of the dirty dressing and gloves.
D. Nonsterile gloves are adequate to remove the old dressing. However, the use of sterile gloves does not put the client in danger so discussion of this can wait until later. The staff nurse is doing two things incorrectly. Nonsterile gloves are adequate to remove the old dressing. The nurse should wash her hands after removing the soiled dressing and before donning sterile gloves to clean and dress the wound. The nurse should wash her hands after removing the soiled dressing and before donning the sterile gloves to clean and dress the wound. Not doing this compromises client safety and should be brought to the immediate attention of the nurse. The staff nurse is doing two things incorrectly. Nonsterile gloves are adequate to remove the old dressing. However, the use of sterile gloves does not put the client in danger so discussion of this can wait until later. However, the nurse should wash her hands after removing the soiled dressing and before donning sterile gloves to clean and dress the wound. Not doing this compromises client safety and should be brought to the immediate attention of the nurse.
300
Name a benefit of JCAHO accreditation for hospital staff.
-organized patient management -Improved team morale -insurance reimbursement and so many more!
300
For your clinical unit this semester, where can you find your Policy and Procedure manual?
????
300
Is this an acceptable abbreviation? If no, what should be used instead? 25.0 mg Zoloft
no, use 25 mg Zoloft instead. The trailing zero can be confusing.
300
Which of the following is not necessary for labeling patient medications? name, strength, quantity, diluent, volume, staff initials, preparation date, and expiration date at time of preparation
staff initials.
300
17. Jayson, 1 year old child has a staph skin infection. Her brother has also developed the same infection. Which behavior by the children is most likely to have caused the transmission of the organism? A. Bathing together. B. Coughing on each other. C. Sharing pacifiers. D. Eating off the same plate.
A. Direct contact is the mode of transmission for staphylococcus. Staph is not spread by coughing or through oral secretions. Direct contact is required.
400
How many Accreditation Programs does the Joint Commission offer?
8 Ambulatory Care Behavioral Health Care Critical Access Hospital Home Care Hospital Laboratory Services Long Term Care Office-Based Surgery
400
Name 1 advanced certification program recognized at UVA.
Chronic Obstructive Pulmonary Disease, Primary Stroke Center, Ventricular Assist Device
400
True or False: It is acceptable to use a trailing zero when reporting a lab value.
True.
400
You are caring for a patient on isolation precautions. After you put your gown and gloves on, you walk into the patient's room. Then, you realize you left the central line dressing change kit you need on the counter 10 feet away. You have not touched anything in the room yet, but there is no one around to help. According to JCAHO standards, what do you do?
Take the gown and gloves off, dispose of them in the patient's room, and walk out of the room to get the central line dressing change kit.
400
The nurse has just assisted a client back to bed after a fall. The nurse and physician have assessed the patient and have determined that the client is not injured. After completing the incident report,the nurse should take which action next. A. Reassess the client. B. Conduct a staff meeting to describe the fall. C. Document in the nurse's notes that an incident report was not completed. D. Contact the nursing supervisor to update information regarding the fall.
A. The client's fall should be treated as private information and shared on a "need to know" basis. Communication regarding the event should involve only those participating in the client's care. An incident report is a problem-solving document; however, its completion is not documented in the nursing notes. If the nursing supervisor has been made aware of the incident, the supervisor will contact the nurse if status update is desired. After a client's fall, the nurse must frequently reassess the patient because potential complications do not always appear immediately after the fall.
500
True or False. Evaluation by the Joint Commission is voluntary.
True.
500
What do you do if a Joint Commission surveyor asks you a question and you do not know the answer?
RELAX, be calm. If you don’t have the answer, let the surveyor know. If possible, indicate where or to whom you would go to find the information (i.e., a supervisor, policy manual, etc.) or offer to obtain the information within a specified time frame.
500
Is it acceptable to use the abbreviations for drug names when documenting in the chart?
Yes. Abbreviations for drug names are currently on a list of additional abbreviations to be potentially included on a future list of 'Do not use abbreviations." It is under consideration by the Joint Commission.
500
True or False. When two or more procedures are performed on the patient, a time-out is not necessary before each procedure is initiated, even if the person performing the procedure changes.
False. A time-out is necessary on the same patient for two different procedures performed by two different people.
500
The nurse calls the physician regarding a new medication order because the dosage prescribed is higher than the recommended dosage. The nurse is unable to locate the physician and the medication is due to be administered. Which action should the nurse take? A. Contact the nursing supervisor. B. Administer the dose prescribed. C. Hold the medication until the physician can be contacted. D. Administer the recommended dose until the physician can be located.
A. If the physician writes an order that requires clarification, the nurse's responsibility is to contact the physician for clarification. If there is no resolution regarding the order because the physician cannot be located or because the order remains as it was written after talking with the physician, the nurse should then contact the nurse manager or nursing supervisor for further clarification as to what the next step should be. Under no circumstances should the nurse proceed to carry out the order until obtaining clarification.