SMQT STUDY GUIDE QUESTIONS AND ANSWERS

SMQT STUDY GUIDE QUESTIONS
AND ANSWERS

Appendix Q Contains what information? - ans-Determining Immediate Jeopardy
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What are the three components of IJ? - ans-1. Harm
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a. Actual - was there an outcome of harm?
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b. Potential - Is there the likelihood of potential harm?
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2. Immediacy - Is the harm or potential harm likely to occur in the very near future?
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3. Culpability -
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a. did the entity know about the situation? If so, when did they first become aware?
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b. Should the entity have known about the situation?
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c. Did the entity thoroughly investigate the circumstances?
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d. Did the entity implement corrective measures?
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e. Has the entity re-evaluate the measures to ensure the situation was corrected?
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Failure to protect from abuse triggers? - ans-
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1. Serious injuries such as head trauma or fractures
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2.non-consensual sexual interactions sq sq




3.unexplained serious injuries that have not been investigated sq sq sq sq sq sq sq




4. staff striking or roughly handling an individual
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5. staff yelling, swearing, gesturing or calling an individual derogatory names
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6. bruises around the breast or genital area or suspicious injuries
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Failure to prevent neglect triggers? - ans-
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1. lack of timely assessment of individuals after injury
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2. lack of supervision for individual with known special needs
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3. failure to carry out dr orders
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4. repeated occurrences such as falls which place the individual at risk of harm without inter
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vention
5. access to chemical and physical hazards by individuals who are at risk
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6. access to hot water of sufficient temperature to cause tissue injury
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7. non functioning call system without compensatory measures
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8. unsupervised smoking by an individual with a known safety risk
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9. lack of supervision of cognitively impaired individuals with known elopement risk
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10. failure to adequately monitor individuals with known severe self-injurious behavior
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11. failure to adequately monitor and intervene for serious medical/surgical conditions
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12. use of chemical./physical restraints without adequate monitoring
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13. improper feeding/positioning of individual with known aspiration risk
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14. inadequate supervision to prevent physical altercations
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, Failure to protect from psychological harm triggers? - ans-1. Application of chemical/
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physical restraints without clinical indication sq sq sq sq




2. Presence of behaviors by staff such as threatening or demeaning resulting in displays of
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fear, unwillingness to communicate and recent or sudden changes in behavior by individua
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ls
3. Lack of interventions to prevent individuals from creating an environment of fear
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Failure to protect from undue adverse medication consequences and/
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or failure to provide medications as prescribed triggers - ans-
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1. Administration of medication to an individual with a known history of allergic reaction to th
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at medication
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2. Lack of monitoring and identification of potential serious drug interaction, side effects, an
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d adverse reactions
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3. Administration of contraindicated medications
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4. Pattern of repeated medication errors without intervention
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5. Lack of diabetic monitoring resulting or likely to result in serious hypoglycemia or hypergl
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ycemic reaction sq




6. Lack of timely and appropriate monitoring required for drug titration
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Failure to provide adequate nutrition and hydration to support and maintain health triggers
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? - ans-1. Food supply inadequate to meet the nutritional needs for the individual
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2. Failure to provide adequate nutrition and hydration resulting in malnutrition; eg severe w
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eight loss, abnormal lab values
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3. withholding nutrition and hydration without advance directives
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4. lack of potable water supply
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Failure to protect from widespread nosocomial infections triggers? - ans-
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1. pervasive improper handling of bodily fluids or substances from an individual with an infe
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ctious disease sq




2.high number of infections or contagious diseases without appropriate reporting, intervent
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ion and care sq sq




3. pattern of ineffective infection control precautions
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4. high number of nosocomial infections caused by cross contamination from staff and/
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or equipment/supplies
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Failure to correctly identify individuals triggers? - ans-
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1. blood products given to wrong individual
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2. surgical procedure/treatment performed on wrong individual or wrong body part
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3. administration of medication or treatment to wrong individual
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4. discharge of infant to wrong individual
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Failure to safely administer blood products and safely monitor organ transplantation trigger
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s? - ans-1. wrong blood type infused
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2. improper storage of blood
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3. high number of serious blood reactions
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