CREST CPSA COMPREHENSIVE EXAM SCRIPT COMPLETE QUESTIONS VERIFIED
SOLUTIONS
Question:
Safe Harbor.
Answer:
Must be invoked BEFORE care given Or anytime assignment has changed and pt may be in harm
Must notify in writing Supervisor can't refuse May use quick req form to make initial req.
Comprehensive request must be completed before leaving work setting
Question:
Quick Request Form.
Answer:
Written on blank piece of paper but must include Name/Signature Date/Time of request Location of
where it is to be completed Name of person making assignment Brief explanation of why safe
harbor is being req.
Question:
Chain after Safe Harbor Nurse completion.
Answer:
Nurse supervisor/administrator who gave assignment. Nurse administrator Peer Review Committee
Physician who reviews med reasonableness Nurse administrator who reviews PR findings Nurse
who initiated request
Question:
Mandatory Overtime.
Answer:
,Making you work extra shifts, you have the right to refuse. NOT when Emergency disasters
Ongoing procedure requires nurses presence Certain emergencies
Question:
Take Mandatory Overtime Concerns to.
Answer:
Unit manager Staffing Committee DSHS-if not addressed internally
Question:
Nurses duty is always.
Answer:
In the best interest of the patient
Question:
Patient Abandonment.
Answer:
NPA/BON do not define abandonment leaves employment-employment issue leaves
patient-licensure issue
Question:
Not abandonment.
Answer:
Resignation without notice- assuming shift has been completed Refusal to work additional shifts
either doubles or extra shifts on days off
Question:
Floating to an unfamiliar area.
, Answer:
Always responsible for providing safe patient care May request training prior to having to float May
invoke safe harbor May refuse assignment
Question:
What do I do if I question safety of assignment.
Answer:
1st- clear about what you are being asked to do 2nd- consider what can change during assignment
3rd- state concern to person making assignment, brainstorm ways to modify 4th- Listen to response
Question:
Disciplinary Action.
Answer:
Chemical Dependency Alcohol Dependency Mental Illness Even some prescription drugs
Question:
Red Flags.
Answer:
Lack of energy Frequent absences Spike in pt. need for pain meds Lateness to work Red Eyes
No/unusual documentation Frequently stands behind other nurses signing out meds
Question:
Unprofessional Conduct.
Answer:
Drug Diversion Unsafe practice Failure to pay student loans Dismissal peer assistance program
Drug related actions Criminal conduct
Question:
SOLUTIONS
Question:
Safe Harbor.
Answer:
Must be invoked BEFORE care given Or anytime assignment has changed and pt may be in harm
Must notify in writing Supervisor can't refuse May use quick req form to make initial req.
Comprehensive request must be completed before leaving work setting
Question:
Quick Request Form.
Answer:
Written on blank piece of paper but must include Name/Signature Date/Time of request Location of
where it is to be completed Name of person making assignment Brief explanation of why safe
harbor is being req.
Question:
Chain after Safe Harbor Nurse completion.
Answer:
Nurse supervisor/administrator who gave assignment. Nurse administrator Peer Review Committee
Physician who reviews med reasonableness Nurse administrator who reviews PR findings Nurse
who initiated request
Question:
Mandatory Overtime.
Answer:
,Making you work extra shifts, you have the right to refuse. NOT when Emergency disasters
Ongoing procedure requires nurses presence Certain emergencies
Question:
Take Mandatory Overtime Concerns to.
Answer:
Unit manager Staffing Committee DSHS-if not addressed internally
Question:
Nurses duty is always.
Answer:
In the best interest of the patient
Question:
Patient Abandonment.
Answer:
NPA/BON do not define abandonment leaves employment-employment issue leaves
patient-licensure issue
Question:
Not abandonment.
Answer:
Resignation without notice- assuming shift has been completed Refusal to work additional shifts
either doubles or extra shifts on days off
Question:
Floating to an unfamiliar area.
, Answer:
Always responsible for providing safe patient care May request training prior to having to float May
invoke safe harbor May refuse assignment
Question:
What do I do if I question safety of assignment.
Answer:
1st- clear about what you are being asked to do 2nd- consider what can change during assignment
3rd- state concern to person making assignment, brainstorm ways to modify 4th- Listen to response
Question:
Disciplinary Action.
Answer:
Chemical Dependency Alcohol Dependency Mental Illness Even some prescription drugs
Question:
Red Flags.
Answer:
Lack of energy Frequent absences Spike in pt. need for pain meds Lateness to work Red Eyes
No/unusual documentation Frequently stands behind other nurses signing out meds
Question:
Unprofessional Conduct.
Answer:
Drug Diversion Unsafe practice Failure to pay student loans Dismissal peer assistance program
Drug related actions Criminal conduct
Question:
