ADN, / . Unit, / . 1, / . Exam, / . (Modules, / .
1-8)
1. Purpose,/.of,/.credentialing:,/.is,/.the,/.process,/.of,/.determining,/.and,/.maintaining,/.competence,/.in,/.nur
sing,/.practice.
2. Credentialing:,/.The,/.credentialing,/.process,/.is,/.one,/.way,/.in,/.which,/.the,/.nursing,/.profession,/.maintains,/.stand
ards,/.of,/.practice,/.and,/.accountability,/.for,/.the,/.educational,/.preparation,/.of,/.its,/.members.,/.Credentialing,/.includes,/.
licensure,,/.certification,,/.and,/.accreditation.
3. Credential-
,/. Licensure:,/. A,/.license,/.is,/.a,/.legal,/.permit,/.that,/.a,/.government,/.agency,/.grants,/.to,/.individuals,/.to
engage,/.in,/.the,/.practice,/.of,/.a,/.profession,/.and,/.to,/.use,/.a,/.particular,/.title.,/.Privilege,,/.not,/.a,/.right.
1. There,/.is,/.a,/.need,/.to,/.protect,/.the,/.public's,/.safety,/.or,/.welfare.,/.2.,/.The,/.occupation,/.is,/.clearly,/.delineated,/.as,/.a,/.
separate,,/.dis-tinct,/.area,/.of,/.work.
3. A,/.proper,/.authority,/.has,/.been,/.established,/.to,/.assume,/.the,/.obligations,/.of,/.the,/.licensing,/.process,,/.for,/.example,,/.in,/.nur
sing,,/.state,/.boards,/.of,/.nursing.
4. Credential-
,/.Certification:, / . Certification,/.is,/.the,/.voluntary,/.practice,/.of,/.validating,/.that,/.an,/.individual,/.nurse,/.has
met,/.minimum,/.standards,/.of,/.nursing,/.competence,/.in,/.specialty,/.areas,/.such,/.as,/.maternal-
child,/.health,,/.pediatrics,,/.mental,/.health,,/.gerontology,,/.and,/.school,/.nursing.
Certification,/.programs,/.are,/.conducted,/.by,/.the,/.American,/.Nurses,/.Association,/.(ANA),/.and,/.by,/.specialty,/.nursing,/.or
ganiza-tions.
5. Credential-,/.Accreditation:,/.Maintaining,/.voluntary,/.accreditation,/.is,/.a,/.means,/.of,/.informing,/.the,/.public
and,/.prospective,/.students,/.that,/.the,/.nursing,/.program,/.has,/.met,/.certain,/.criteria.,/.accredited,/.by,/.a,/.national,/.prof
essional,/.accrediting,/.agency,/.such,/.as,/.Accreditation,/.Commission,/.for,/.Education
in,/.Nursing,/.or,/.Commission,/.on,/.Collegiate,/.Nursing,/.Education.
6. Standards,/.of,/.Care:,/.The,/.purpose,/.of,/.standards,/.of,/.care,/.is,/.to,/.protect,/.the,/.public,/.(client,/.and,/.consu
mer).,/.Standards,/.of,/.care,/.are,/.the,/."skills,/.and,/.learning,/.commonly,/.possessed,/.by,/.members,/.of,/.a,/.profession.",/.Is,/.us
ed,/.to,/.evaluate,/.the,/.quality,/.of,/.care,/.nurses,/.provide,/.and,,/.therefore,,/.become,/.legal,/.guide-
lines,/.for,/.nursing,/.practice.
7. Nursing,/.standards,/.of,/.care:,/.Internal,/.and,/.External:,/.Internal,/.standards,/.of,/.care,/.include,/."t
he
nurse's,/.job,/.description,,/.education,,/.and,/.expertise,/.as,/.well,/.as,/.an,/.institution's,/.policies,/.and,/.procedures"
External,/.standards
• Nurse,/.practice,/.acts
• Professional,/.organizations,/.(e.g.,,/. ANA)
, ADN, / . Unit, / . 1, / . Exam, / . (Modules, / .
1-8)
• Nursing,/.specialty-practice,/.organizations,/.(e.g.,,/.Emergency,/.Nurses,/.Association,,/.Oncology,/.Nursing,/.Society)
• Federal,/.organizations,/.and,/.federal,/.guidelines,/.(e.g.,,/.The,/.Joint,/.Commission,/.and,/.Medicare)
8. OSHA:, / . Occupational,/.Safety,/.and,/.Health,/.Administration
, ADN, / . Unit, / . 1, / . Exam, / . (Modules, / .
1-8)
9. OSHA's,/.Purpose:,/.to,/.ensure,/.safe,/.and,/.healthful,/.working,/.conditions,/.for,/.workers,/.by,/.setting,/.and,/.enf
orcing,/.standards,/.and,/.by,/.providing,/.training,,/.outreach,,/.education,/.and,/.assistance.
10. DHHS:,/.Department,/.of,/.Health,/.and,/.Human,/.Services
11. DHHS's,/.Purpose:, / . To,/.enhance,/.the,/.health,/.and,/.well-
being,/.of,/.all,/.Americans,,/.by,/.providing,/.for,/.ettective,/.health, / . and,/.human,/.services.,/.Created,/.to,/.protect,/.the,/.he
alth,/.of,/.all,/.Americans,,/.focuses,/.on,/.preventions
12. DHSR:,/.Division,/.of,/.Health,/.Service,/.Regulation
13. DHSR's, / . Purpose:, / . Oversees,/.medical,,/.mental,/.health,/.and,/.adult,/.care,/.facilities,,/.emergency,/.medical,/
.services,,/.and,/.local,/.jails.,/.We,/.check,/.to,/.see,/.that,/.people,/.receiving,/.care,/.in,/.these,/.facilities,/.are,/.safe,/.and,/.rec
eive,/.appropriate,/.care.
14. CMS:,/.Centers,/.for,/.Medicare,/.and,/.Medicaid,/.Services
15. CMS's,/.Purpose:,/.seeks,/.to,/.strengthen,/.and,/.modernize,/.the,/.Nation's,/.health,/.care,/.system,,/.to,/.provide,/.acce
ss,/.to,/.high,/.quality,/.care,/.and,/.improved,/.health,/.at,/.lower,/.costs.
16. Licensure,/.Purpose:,/.Ensure,/.ongoing,/.competence,/.and,/.high,/.standards,/.of,/.practice.
17. Purpose,/.of,/.The,/.Joint,/.Commission,/.in,/.accreditation:,/.The,/.Joint,/.Commission,/.has,/.mandat
ed,/.that,/.hospitals,/.have
online,/.mechanisms,/.to,/.monitor,/.quality,/.indicators,,/.so,/.as,/.to,/.reduce,/.the,/.diflculty,/.and,/.time,/.involved,/.in,/.the,/.
accreditation,/.process.,/.Healthcare,/.agencies,/.must,/.maintain,/.databases,/.of,/.policies,/.and,/.procedures,,/.standards,/.o
f,/.care,,/.and,/.employee,/.accomplishment,/.of,/.The,/.Joint,/.Commission,/.requirements,/.such,/.as,/.continuing,/.education
,/.and,/.in-service,/.trainings.
IMPROVE,/. HEALTHCARE
18. Sentinel,/.Event:,/.Definition:, / . A,/.sentinel,/.event,/.is,/.an,/.unexpected,/.occurrence,/.involving,/.death,,/.perm
anent,/.harm,,/.or,/.severe,/.temporary,/.harm,/.and,/.intervention,/.required,/.to,/.sustain,/.life.,/.Requires,/.immediate,/.investi
gation,/.as,/.to,/.the,/.cause,/.and,/.determine,/.the,/.appropriate,/.response.
19. Incident,/.Report:,/."Unusual,/.Occurrence,/.Event"
Agency,/.record,/.of,/.an,/.accident,/.or,/.unusual,/.occurrence.,/.Incident,/.reports,/.are,/.used,/.to,/.make,/.all,/.facts,/.availabl
e,/.to,/.agency,/.personnel,,/.to,/.contribute,/.to,/.statistical,/.data,/.about,/.accidents,/.or,/.incidents,,/.and,/.to,/.help,/.health,/.
personnel,/.prevent,/.future,/.incidents,/.or,/.accidents.,/.All,/.accidents,/.are,/.usually,/.reported,/.on,/.incident,/.forms.
Do,/.not,/.record,/.in,/.the,/.client,/.record,/.that,/.an,/.incident,/.report,/.has,/.been,/.completed,/.because,/.the,/.facts,/.are,/.alread
y,/.documented,/.in,/.the,/.chart.,/.The,/.purpose,/.of,/.the,/.report,/.form,/.is,/.to,/.alert,/.the,/.risk,/.manager,/.to,/.the,/.event.
20. What,/.to,/.document,/.on,/.an,/.Incident,/.Report?:,/.•,/.Identify,/.the,/.client,/.by,/.name,,/.initials,,/.and,/.hospit
, ADN, / . Unit, / . 1, / . Exam, / . (Modules, / .
1-8)
al
or,/.identification,/.number.
• Give,/.the,/.date,,/.time,,/.and,/.place,/.of,/.the,/.incident.,/.•,/.Describe,/.the,/.facts,/.of,/.the,/.incident.,/.Avoid,/.any,/.conclusions,/.
or,/.blame.,/.Describe,/.the,/.incident,/.as,/.you,/.saw,/.it,/.even,/.if,/.your,/.impressions,/.ditter,/.from,/.those,/.of,/.others.
1-8)
1. Purpose,/.of,/.credentialing:,/.is,/.the,/.process,/.of,/.determining,/.and,/.maintaining,/.competence,/.in,/.nur
sing,/.practice.
2. Credentialing:,/.The,/.credentialing,/.process,/.is,/.one,/.way,/.in,/.which,/.the,/.nursing,/.profession,/.maintains,/.stand
ards,/.of,/.practice,/.and,/.accountability,/.for,/.the,/.educational,/.preparation,/.of,/.its,/.members.,/.Credentialing,/.includes,/.
licensure,,/.certification,,/.and,/.accreditation.
3. Credential-
,/. Licensure:,/. A,/.license,/.is,/.a,/.legal,/.permit,/.that,/.a,/.government,/.agency,/.grants,/.to,/.individuals,/.to
engage,/.in,/.the,/.practice,/.of,/.a,/.profession,/.and,/.to,/.use,/.a,/.particular,/.title.,/.Privilege,,/.not,/.a,/.right.
1. There,/.is,/.a,/.need,/.to,/.protect,/.the,/.public's,/.safety,/.or,/.welfare.,/.2.,/.The,/.occupation,/.is,/.clearly,/.delineated,/.as,/.a,/.
separate,,/.dis-tinct,/.area,/.of,/.work.
3. A,/.proper,/.authority,/.has,/.been,/.established,/.to,/.assume,/.the,/.obligations,/.of,/.the,/.licensing,/.process,,/.for,/.example,,/.in,/.nur
sing,,/.state,/.boards,/.of,/.nursing.
4. Credential-
,/.Certification:, / . Certification,/.is,/.the,/.voluntary,/.practice,/.of,/.validating,/.that,/.an,/.individual,/.nurse,/.has
met,/.minimum,/.standards,/.of,/.nursing,/.competence,/.in,/.specialty,/.areas,/.such,/.as,/.maternal-
child,/.health,,/.pediatrics,,/.mental,/.health,,/.gerontology,,/.and,/.school,/.nursing.
Certification,/.programs,/.are,/.conducted,/.by,/.the,/.American,/.Nurses,/.Association,/.(ANA),/.and,/.by,/.specialty,/.nursing,/.or
ganiza-tions.
5. Credential-,/.Accreditation:,/.Maintaining,/.voluntary,/.accreditation,/.is,/.a,/.means,/.of,/.informing,/.the,/.public
and,/.prospective,/.students,/.that,/.the,/.nursing,/.program,/.has,/.met,/.certain,/.criteria.,/.accredited,/.by,/.a,/.national,/.prof
essional,/.accrediting,/.agency,/.such,/.as,/.Accreditation,/.Commission,/.for,/.Education
in,/.Nursing,/.or,/.Commission,/.on,/.Collegiate,/.Nursing,/.Education.
6. Standards,/.of,/.Care:,/.The,/.purpose,/.of,/.standards,/.of,/.care,/.is,/.to,/.protect,/.the,/.public,/.(client,/.and,/.consu
mer).,/.Standards,/.of,/.care,/.are,/.the,/."skills,/.and,/.learning,/.commonly,/.possessed,/.by,/.members,/.of,/.a,/.profession.",/.Is,/.us
ed,/.to,/.evaluate,/.the,/.quality,/.of,/.care,/.nurses,/.provide,/.and,,/.therefore,,/.become,/.legal,/.guide-
lines,/.for,/.nursing,/.practice.
7. Nursing,/.standards,/.of,/.care:,/.Internal,/.and,/.External:,/.Internal,/.standards,/.of,/.care,/.include,/."t
he
nurse's,/.job,/.description,,/.education,,/.and,/.expertise,/.as,/.well,/.as,/.an,/.institution's,/.policies,/.and,/.procedures"
External,/.standards
• Nurse,/.practice,/.acts
• Professional,/.organizations,/.(e.g.,,/. ANA)
, ADN, / . Unit, / . 1, / . Exam, / . (Modules, / .
1-8)
• Nursing,/.specialty-practice,/.organizations,/.(e.g.,,/.Emergency,/.Nurses,/.Association,,/.Oncology,/.Nursing,/.Society)
• Federal,/.organizations,/.and,/.federal,/.guidelines,/.(e.g.,,/.The,/.Joint,/.Commission,/.and,/.Medicare)
8. OSHA:, / . Occupational,/.Safety,/.and,/.Health,/.Administration
, ADN, / . Unit, / . 1, / . Exam, / . (Modules, / .
1-8)
9. OSHA's,/.Purpose:,/.to,/.ensure,/.safe,/.and,/.healthful,/.working,/.conditions,/.for,/.workers,/.by,/.setting,/.and,/.enf
orcing,/.standards,/.and,/.by,/.providing,/.training,,/.outreach,,/.education,/.and,/.assistance.
10. DHHS:,/.Department,/.of,/.Health,/.and,/.Human,/.Services
11. DHHS's,/.Purpose:, / . To,/.enhance,/.the,/.health,/.and,/.well-
being,/.of,/.all,/.Americans,,/.by,/.providing,/.for,/.ettective,/.health, / . and,/.human,/.services.,/.Created,/.to,/.protect,/.the,/.he
alth,/.of,/.all,/.Americans,,/.focuses,/.on,/.preventions
12. DHSR:,/.Division,/.of,/.Health,/.Service,/.Regulation
13. DHSR's, / . Purpose:, / . Oversees,/.medical,,/.mental,/.health,/.and,/.adult,/.care,/.facilities,,/.emergency,/.medical,/
.services,,/.and,/.local,/.jails.,/.We,/.check,/.to,/.see,/.that,/.people,/.receiving,/.care,/.in,/.these,/.facilities,/.are,/.safe,/.and,/.rec
eive,/.appropriate,/.care.
14. CMS:,/.Centers,/.for,/.Medicare,/.and,/.Medicaid,/.Services
15. CMS's,/.Purpose:,/.seeks,/.to,/.strengthen,/.and,/.modernize,/.the,/.Nation's,/.health,/.care,/.system,,/.to,/.provide,/.acce
ss,/.to,/.high,/.quality,/.care,/.and,/.improved,/.health,/.at,/.lower,/.costs.
16. Licensure,/.Purpose:,/.Ensure,/.ongoing,/.competence,/.and,/.high,/.standards,/.of,/.practice.
17. Purpose,/.of,/.The,/.Joint,/.Commission,/.in,/.accreditation:,/.The,/.Joint,/.Commission,/.has,/.mandat
ed,/.that,/.hospitals,/.have
online,/.mechanisms,/.to,/.monitor,/.quality,/.indicators,,/.so,/.as,/.to,/.reduce,/.the,/.diflculty,/.and,/.time,/.involved,/.in,/.the,/.
accreditation,/.process.,/.Healthcare,/.agencies,/.must,/.maintain,/.databases,/.of,/.policies,/.and,/.procedures,,/.standards,/.o
f,/.care,,/.and,/.employee,/.accomplishment,/.of,/.The,/.Joint,/.Commission,/.requirements,/.such,/.as,/.continuing,/.education
,/.and,/.in-service,/.trainings.
IMPROVE,/. HEALTHCARE
18. Sentinel,/.Event:,/.Definition:, / . A,/.sentinel,/.event,/.is,/.an,/.unexpected,/.occurrence,/.involving,/.death,,/.perm
anent,/.harm,,/.or,/.severe,/.temporary,/.harm,/.and,/.intervention,/.required,/.to,/.sustain,/.life.,/.Requires,/.immediate,/.investi
gation,/.as,/.to,/.the,/.cause,/.and,/.determine,/.the,/.appropriate,/.response.
19. Incident,/.Report:,/."Unusual,/.Occurrence,/.Event"
Agency,/.record,/.of,/.an,/.accident,/.or,/.unusual,/.occurrence.,/.Incident,/.reports,/.are,/.used,/.to,/.make,/.all,/.facts,/.availabl
e,/.to,/.agency,/.personnel,,/.to,/.contribute,/.to,/.statistical,/.data,/.about,/.accidents,/.or,/.incidents,,/.and,/.to,/.help,/.health,/.
personnel,/.prevent,/.future,/.incidents,/.or,/.accidents.,/.All,/.accidents,/.are,/.usually,/.reported,/.on,/.incident,/.forms.
Do,/.not,/.record,/.in,/.the,/.client,/.record,/.that,/.an,/.incident,/.report,/.has,/.been,/.completed,/.because,/.the,/.facts,/.are,/.alread
y,/.documented,/.in,/.the,/.chart.,/.The,/.purpose,/.of,/.the,/.report,/.form,/.is,/.to,/.alert,/.the,/.risk,/.manager,/.to,/.the,/.event.
20. What,/.to,/.document,/.on,/.an,/.Incident,/.Report?:,/.•,/.Identify,/.the,/.client,/.by,/.name,,/.initials,,/.and,/.hospit
, ADN, / . Unit, / . 1, / . Exam, / . (Modules, / .
1-8)
al
or,/.identification,/.number.
• Give,/.the,/.date,,/.time,,/.and,/.place,/.of,/.the,/.incident.,/.•,/.Describe,/.the,/.facts,/.of,/.the,/.incident.,/.Avoid,/.any,/.conclusions,/.
or,/.blame.,/.Describe,/.the,/.incident,/.as,/.you,/.saw,/.it,/.even,/.if,/.your,/.impressions,/.ditter,/.from,/.those,/.of,/.others.
