Advanced Patient Care Final Exam Graded A+

A medical error that is so severe, it should trigger an investigation each time it occurs is classified as: Malpractice litigation Unusual occurrence Sentinel event Investigational trigger - Answer sentinel event Only what was directly observed should be documented on the incident report True False - Answer true Which of the following should be documented in the patient's chart when administering iodinated contrast? 1. Name of the drug, time of administration, dose & route of administration 2. Reaction to contrast agent 3. Brief patient history relevant to contrast allergies, appropriate lab values 4. Possible complications that may arise following injection 1 & 2 1 & 3 1, 2 & 3 1, 2, 3 & 4 - Answer 1, 2 and 3 Which of the following are considered protected health information (PHI)? 1. Race, ethnic background 2. Date of birth 3. E-mail address 4. Social security number 1 & 2 1, 2 & 4 2, 3 & 4 1, 2, 3 & 4 - Answer 2, 3 and 4 According to HIPAA: The information desk in a hospital may disclose a patients room number unless the patient provides written instruction opposing Disclosure of PHI is forbidden in all circumstances without patient consent Transmitting PHI over fax lines is acceptable All of the above More than one, but not all of the above - Answer More than one, but not all of the above A system for financial reimbursement that bases the money paid on a predetermined amount set by the 3rd party payer is called: Prospective payment system DRG coding HMO The demise of the HC industry - Answer Prospective payment system As a professional, which of the following should be done to reduce your risk of litigation? Strive to perform duties beyond your scope of practice to enhance patient care Point out unresolved hazardous conditions in the department to the patient Document the patient's condition before and after the procedure More than one, but not all of the above All of the above - Answer Document the patient's condition before and after the procedure An incident report should be completed by the supervisor on duty at the time of the incident True False - Answer false An incident report should be filed within 24 hours in the event of a patient injury True False - Answer true Which of the following are included in Public Law 104-191 (HIPAA)? 1. Increased efficiency of HC transactions2. Prevention of HC fraud 3. Security and confidentiality of PHI 4. Insurance portability 1 & 2 3 & 4 2, 3 & 4 1, 2, 3 & 4 - Answer 1, 2, 3 & 4 Documentation on an incident report should clearly indicate who is at fault True False - Answer False Which of the following situations does not require reporting to Risk Management via an Incident Report? A patients fingers were pinched in the Bucky tray after repeatedly being told not to grasp the edge of the table. A patient complains of severe dizziness and is assisted by the technologist onto a stretcher A visitor slips and falls while exiting the main elevator All of the above should be reported - Answer A patient complains of severe dizziness and is assisted by the technologist onto a stretcher According to ___________, all equipment malfunctions resulting in injury or death must be reported to the FDA. SMDA HIPAA Quality Improvement program Risk Management department All of the above - Answer SMDA Diagnostic images should be labeled with all of the following information except: Patient's name and /or ID number Type of procedure ordered Date of the procedure Name of the facility - Answer Type of procedure ordered In the event of a patient injury due to equipment malfunction... The RT should accept responsibility for causing the patient's injury and notify risk management immediately Attempt to make temporary repairs so the equipment can be used for the next case Report the malfunction and injury to risk management and biomedical engineering departments A and C All of the above - Answer Report the malfunction and injury to risk management and biomedical engineering departments The first part of HIPAA law to take effect was: Privacy Security Insurance Portability Transactions, Code Sets, and Identifiers - Answer Insurance Portability Which of the following is not one of the common medical record documentation formats discussed in the module content? Outcomes-based format Source-oriented format Problem-oriented format Integrated format - Answer Outcomes-based format Under HIPAA, mandatory reporting for certain conditions is: Left intact, and still must be done Modified, and is now optional Up to the patient Not required - Answer Left intact, and still must be done Which of the following are not acceptable uses for a patient's medical records? Provide communication and continuity of care between different providers Determination by the insurance provider of the medical necessity of procedures performed