You are educating clinical managers in your healthcare facility on how to
identify appropriate events for conducting a Root Cause Analysis. Which
event provides the best opportunity for an RCA? ~CORRECT
ANSWER~a. A post-op patient removes his own IV causing a skin tear
from the tape
b. A patient with no known allergies experiences an anaphylactic reaction
to an antibiotic requiring transfer to ICU.
c. The biopsy samples from a colonoscopy are never received by pathology
after the procedure
d. There have been 3 occurrences of depressed respirations in the same
department in the last 4 months related to sedation
The answer is C. The biopsy samples from a colonoscopy are never
received by pathology after the procedure ~CORRECT ANSWER~
The instrument count is incorrect at the conclusion of a surgical procedure.
The hospital policy does not stipulate that the surgeon remain on the
premises until an x-ray is obtained. The surgeon leaves the hospital to catch
a flight. The x-ray reveals a retained instrument. Another surgeon is
contacted to remove the retained instrument. What should leadership do
, next? ~CORRECT ANSWER~a. Create a process map of how instruments
are managed during surgery looking for latent flaws
b. Revise the hospital policy to make it clear that surgeons must stay in the
OR until instrument count issues are resolved
c. Counsel the surgeon about customary clinical standards for a surgeon
using appropriate accountability system
d. Reeducate the OR nursing staff on keeping track of instruments on the
sterile field
The answer is C. Counsel the surgeon about customary clinical standards
for a surgeon using appropriate accountability system ~CORRECT
ANSWER~
A nurse on a medical-surgical unit does not comply with barcode
medication administration (BCMA) while caring for one of her patients.
What should her supervisor do? ~CORRECT ANSWER~a. Ask staff if
there are adequate scanners to meet their needs
b. Counsel the nurse on the importance of following policy