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SEMINAR: SAFETY & QUALITY, QSEN questions with accurate answers

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2008, Centers for Medicare & Medicaid Services (CMS) developed a list of hospital-acquired conditions that would no longer be reimbursed at the regular level. Ans These conditions are considered to be preventable, e.g. falls, ulcers, surgical site infection, blood clot due to knee replacement, failing to control Blood sugar in hospital, Air embolism, object left in patients after surgery. As a nurse How should you screen older adults to see if they need a comprehensive falls evaluation? Ans Use the Get Up and Go test - ask the patient about falls. If they report a single fall or risk of factors conduct the assessment. Timed Up and Go test if indicated - if the patient is seeking care because of fall or if you observe any difficulty with ambulation... referred the patient to a physician so that he can do the Time UP and Go assessment. As a nurse, what can you do to help prevent injuring your back? Ans To prevent injury to your back, consistently use assistive devices when moving patients in and out of bed, use good body mechanics, and get help when moving patients or lifting heavy objects.

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SEMINAR: SAFETY & QUALITY, QSEN questions
with accurate answers
2008, Centers for Medicare & Medicaid Services (CMS) developed a list
of hospital-acquired conditions that would no longer be reimbursed at
the regular level. Ans🗸🗸🗸 These conditions are considered to be
preventable, e.g. falls, ulcers, surgical site infection, blood clot due to
knee replacement, failing to control Blood sugar in hospital, Air
embolism, object left in patients after surgery.


As a nurse How should you screen older adults to see if they need a
comprehensive falls evaluation? Ans🗸🗸🗸 Use the Get Up and Go test -
ask the patient about falls. If they report a single fall or risk of factors
conduct the assessment.
Timed Up and Go test if indicated - if the patient is seeking care because
of fall or if you observe any difficulty with ambulation... referred the
patient to a physician so that he can do the Time UP and Go assessment.


As a nurse, what can you do to help prevent injuring your back?
Ans🗸🗸🗸 To prevent injury to your back, consistently use assistive
devices when moving patients in and out of bed, use good body
mechanics, and get help when moving patients or lifting heavy objects.


Based on your theoretical knowledge and the scant patient data you
have, why do you think Teresa's toddler ( meet your patients, in volume
1 of your textbook) is at risk for accidents? What about Teresa's
grandmother? Ans🗸🗸🗸 Toddler. You have the theoretical knowledge
that toddlers are typically active and curious and that their motor skills
advance faster than their judgment and ability to recognize danger. You

,have the data that Teresa's toddler is typical in this respect: "into
everything." You also have Teresa's statement that it is becoming
difficult for her to provide enough supervision for the toddler.
Grandmother. You have the theoretical knowledge that older adults
often have motor and sensory losses that increase their risk for accidents.
You have the patient data that Teresa's grandmother has a mobility
problem (recovering from hip fracture) and that she is afraid of falling.


Diagnostic error is Ans🗸🗸🗸 the failure to (a) establish an accurate and
timely explanation of the patient's health problem(s) or (b) communicate
that explanation to the patient


Do you know Ans🗸🗸🗸 One in 10 patients experiences some form of
adverse event and One in 4 primary care patients experiences an adverse
event associated with a prescribed medication


Do you know? Ans🗸🗸🗸 One in 25 hospital patients acquires an
infection One in 20 adults seeking outpatient care experience diagnostic
error


Ebola Infection prevention and control in healthcare settings (CDC
Website) Ans🗸🗸🗸 A. Ebola viruses are transmitted through direct
contact with blood or body fluids/substances (e.g., urine, feces, vomit) of
an infected person with symptoms or through exposure to objects (such
as needles) that have been contaminated with infected blood or body
fluids.

, B. Strengthen and carefully apply standard precautions when providing
care to ALL patients regardless of the signs and symptoms they present
with.
C. Isolate suspected or confirmed hemorrhagic fever (HF) cases in single
isolation rooms or cohort them in specific confined areas while
rigorously keeping suspected and confirmed cases separate.
D. Assure restricted access and dedicated equipment to these areas.
E. Exclusively assign clinical and non -clinical personnel to HF patient
care areas.
F. Prior to entering the patient isolation rooms/areas, ensure that all
visitors and healthcare workers rigorously use personal protective
equipment (PPE) and perform hand hygiene as indicated in this
document.
G. PPE should include at least: gloves, gown, and boots/closed shoes
with overshoes, mask, and eye protection for splashes.
H. Ensure safety of injections and phlebotomy procedures and
management of sharps.
I. Ensure regular and rigorous environmental cleaning, decontamination
of surfaces and equipment, management of soiled linen and of waste as
indicated in this document.
J. Ensure safe processing of laboratory samples from suspected or
confirmed patients with HF.
K. Promptly evaluate, care for, and if necessary, isolate healthcare
workers or any person exposed to blood or body fluids from suspected
(adapted from World Health Organization 2014)

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