Questions and Answers 100% Pass
1. healthcare organizations
2. healthcare professionals
3. FDA - ✔✔should strengthen the focus of existing processes on patient safety issues
1. sense of trust among team members
2. development & support of proactive approach
3. dissemination & verification of receity of info to all levels of staff & management
4. sincere commitment to affirming safety as 1st priority - ✔✔Culture of Safety
skill-based behavior errors generally occur - ✔✔when our attention is diverted and we
fail to monitor the actions we are performing
ex: a nurse inadvertently hits the wrong control button - the correct button is near the
incorrect button
knowlege-based performance errors occur - ✔✔when a nurse misinterprets a situation
or incorrectly applies a rule
ex: misinterpretation of test results, or a nurse fails to respond to a device alarm
1. distraction (background noise, conversations, radios)
2. fatigue & sleep loss
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,3. drugs (including alcohol & caffeine)
4. juggling multiple activities
5. stress
6. boredom
7. frustration
8. anxiety
9. anger
10. physical stamina d/t occupational muskuloskeletal injury (back/shoulder) -
✔✔situational factors which play a significant role in medical errors
What precaution should be taken when microfibrillar collagen is used as a hemostatic
agent intraoperatively? - ✔✔Avoid using it with an autologous blood salvage unit
Drains that allow for passive drainage of fluid from the body: - ✔✔Penrose and T-tube
Benefits of a standardized count procedure: - ✔✔1. Assists accuracy
2. Assists efficiency
3. Human error studies have shown that many errors result from deviation
Type of dressing used to prevent drying of the wound and increase the proliferation of
epithelial cells: - ✔✔Occlusive
When handling hemostatic agents such as collagen or gelatin sponges: - ✔✔Must not be
injected or allowed to enter large vessels, as extensive intravascular clotting may occur.
pledget - ✔✔non-absorbable suture used when there is a possibility of sutures tearing
through tissue.
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, common uses of a pledget - ✔✔vascular closure, septal repair, myocardial closure, heart
valve suturing, hepatic repair
ligature aka "tie" - ✔✔strand of material tied around a vessel to occlude the lumen a nd
prevent bleeding
transfixion suture - ✔✔type of ligature = crisscross stitch placed to control bleeding
from a tissue surface or small vessel when it is tied
bone wax - ✔✔mixture of beeswax, isopropyl palmitate and a softening agent, which
provides a mechanical tamponade effect to stop oozing from cut bone surfaces.
common uses of bone wax - ✔✔orthopedic and neurosurgical procedures and on the
sternum during heart procedures
mechanical hemostasis methods - ✔✔bone wax
ligature
pledget
clamps
sutures staples
sponges
direct pressure
chemical hemostasis methods: pharmacological - ✔✔epinephrine
vitamin K
protamine
lysine analogues (aminocaproic & tranexamic acid)
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