DQA SMQT
What is severity level 2 - ANSNoncompliance that has potential to cause more than minimal
harm that is not IJ
resident has no more than minimal discomfort,
their is a potential to compromise residents ability to reach highest practicable level,
shame/embarassment without loss of interest
minimal episodic pain,
facility has no system to prevent problems
The TC must complete which tasks during offsite prep? - ANSCreate/export shell from ACO
Import shell into ASE-q
Add team members
Complete offsite prep screen
Make unit assignments
Make mandatory task assignments
print documents
Share offsite prep with team
What documents are printed by the TC during offsite prep? - ANS1 matrix with instructions
1 entrance conference worksheet
3 beneficiary worksheets
What is the purpose of the initial pool process? - ANSTo briefly screen all residents and
observe, interview and complete initial record review.
When should you share data? - ANSAt the end of each day and when the team composition
changes.
What must be done prior to Sample Selection - ANSThe completed I.P data is shared and
the TC confirms that the data is complete.
What are the 7 LTSCP steps? - ANS1. Offsite prep
2. Facility entrance
3. Initial Pool Process
4. Sample Selction
5.Investigation
6. Ongoing and other survey activities
7. Potential Citations
Name 3 antipsychotics - ANSThorazine (chlorpromazine) Haldol (haloperidol) Abilify
(aripiprazole) Clozaril (clozapine) Zyprexa (olanzapine) Latuda (lurasidone) Seroquel
(quetiapine) Risperdal (risperidone)
Indications of unnecessary medication include? - ANSExcessive dose
, excessive duration
without adequate monitoring
without adequate indication for use
use in the presence of adverse consequences
What is a psychotropic drug? - ANSAny drug that affects brain activities associated with
mental processes and behavior-include anti-psychotic, antidepressant, anti-anxiety and
hypnotic medications
What is "anticholinergic side effect"? - ANSan effect of a medication that may cause dry
mouth, blurred vision, tachycardia, urinary retention, constipation, confusion, delirium,
hallucinations, flushed and increased blood pressure
What is Extrapyramidal symptoms" (EPS)? - ANSa neurological side effect that may occur
within a few day or years of treatment with antipsychotics. Includes various syndromes such
as
akathisia - ANSmedication-induced Parkinsonism, and dystonia.
What is akathesia ? - ANSa distressing feeling of internal restlessnesss that may appear as
constant motion, the inability to sit still, fidgeting, pacing or rocking.
What is Medication-induced Parkinsonism? - ANSSyndrome of symptoms like Parkinson's
tremor - ANSshuffling gait, slowness of movement, expressionless face, drooling, postural
unsteadiness and rigidity of muscles.
What is dystonia? - ANSacute, painful, spastic contraction of muscle groups (commonly the
neck, eyes and trunk) that often occurs soon after initiating treatment.
What is Neuroleptic Malignant Syndrome (NMS)? - ANSSyndrome related to the use of
antispychotics that presents with a sudden onset of diffuse muscle rigidity, high fever, labile
blood pressure, tremor, and cognitive dysfunction. Potentially fatal if not treated immediatley,
including stopping the offending medication.
What is serotonin syndrome? - ANSSerious clinical condition resulting from overstimulation
of serotonin receptors. Commonly related to the use of SSRI's, SNRI's, triptans, and
antibiotics. Restlessness, hallucinations, confusion, loss of coordination, fast heartbeat, rapid
changes in blood pressure, increased temperature, overactive reflexes, NV&D.
What is Tardive dyskinesia? - ANSabnormal, recurrent, involuntary movements that typically
present as lateral movements of the tongue or jaw, thrusting, chewing, frequent blinking,
brow arching, grimacing, and lip smacking. May be irreversible
Significant weight loss in 1 month? - ANS5% weight loss
Severe weight loss in 1 month? - ANSgreater than 5% weight loss
What is severity level 2 - ANSNoncompliance that has potential to cause more than minimal
harm that is not IJ
resident has no more than minimal discomfort,
their is a potential to compromise residents ability to reach highest practicable level,
shame/embarassment without loss of interest
minimal episodic pain,
facility has no system to prevent problems
The TC must complete which tasks during offsite prep? - ANSCreate/export shell from ACO
Import shell into ASE-q
Add team members
Complete offsite prep screen
Make unit assignments
Make mandatory task assignments
print documents
Share offsite prep with team
What documents are printed by the TC during offsite prep? - ANS1 matrix with instructions
1 entrance conference worksheet
3 beneficiary worksheets
What is the purpose of the initial pool process? - ANSTo briefly screen all residents and
observe, interview and complete initial record review.
When should you share data? - ANSAt the end of each day and when the team composition
changes.
What must be done prior to Sample Selection - ANSThe completed I.P data is shared and
the TC confirms that the data is complete.
What are the 7 LTSCP steps? - ANS1. Offsite prep
2. Facility entrance
3. Initial Pool Process
4. Sample Selction
5.Investigation
6. Ongoing and other survey activities
7. Potential Citations
Name 3 antipsychotics - ANSThorazine (chlorpromazine) Haldol (haloperidol) Abilify
(aripiprazole) Clozaril (clozapine) Zyprexa (olanzapine) Latuda (lurasidone) Seroquel
(quetiapine) Risperdal (risperidone)
Indications of unnecessary medication include? - ANSExcessive dose
, excessive duration
without adequate monitoring
without adequate indication for use
use in the presence of adverse consequences
What is a psychotropic drug? - ANSAny drug that affects brain activities associated with
mental processes and behavior-include anti-psychotic, antidepressant, anti-anxiety and
hypnotic medications
What is "anticholinergic side effect"? - ANSan effect of a medication that may cause dry
mouth, blurred vision, tachycardia, urinary retention, constipation, confusion, delirium,
hallucinations, flushed and increased blood pressure
What is Extrapyramidal symptoms" (EPS)? - ANSa neurological side effect that may occur
within a few day or years of treatment with antipsychotics. Includes various syndromes such
as
akathisia - ANSmedication-induced Parkinsonism, and dystonia.
What is akathesia ? - ANSa distressing feeling of internal restlessnesss that may appear as
constant motion, the inability to sit still, fidgeting, pacing or rocking.
What is Medication-induced Parkinsonism? - ANSSyndrome of symptoms like Parkinson's
tremor - ANSshuffling gait, slowness of movement, expressionless face, drooling, postural
unsteadiness and rigidity of muscles.
What is dystonia? - ANSacute, painful, spastic contraction of muscle groups (commonly the
neck, eyes and trunk) that often occurs soon after initiating treatment.
What is Neuroleptic Malignant Syndrome (NMS)? - ANSSyndrome related to the use of
antispychotics that presents with a sudden onset of diffuse muscle rigidity, high fever, labile
blood pressure, tremor, and cognitive dysfunction. Potentially fatal if not treated immediatley,
including stopping the offending medication.
What is serotonin syndrome? - ANSSerious clinical condition resulting from overstimulation
of serotonin receptors. Commonly related to the use of SSRI's, SNRI's, triptans, and
antibiotics. Restlessness, hallucinations, confusion, loss of coordination, fast heartbeat, rapid
changes in blood pressure, increased temperature, overactive reflexes, NV&D.
What is Tardive dyskinesia? - ANSabnormal, recurrent, involuntary movements that typically
present as lateral movements of the tongue or jaw, thrusting, chewing, frequent blinking,
brow arching, grimacing, and lip smacking. May be irreversible
Significant weight loss in 1 month? - ANS5% weight loss
Severe weight loss in 1 month? - ANSgreater than 5% weight loss
