CORRECT ANSWERS
Purpose of certification - CORRECT ANSWER patient protection, cultivates qualified
healthcare professionals, continued competence
CRNI - CORRECT ANSWER certified registered nurse infusion, focuses on infusion
itself
AVA - CORRECT ANSWER Association for vascular access - position
paper/certification
CDC - CORRECT ANSWER guidelines
INS - CORRECT ANSWER standards/position papers/certification
AABB - CORRECT ANSWER American Association of blood banks - standards
ASHP - CORRECT ANSWER american society of health-system pharmacists -
standards
ASPEN - CORRECT ANSWER American Society for Parenteral and Enteral Nutrition
- standards and guidelines
APIC - CORRECT ANSWER Association for Professionals in Infection Control and
Epidemiology - guidelines (w/ CDC)
LITEVAN - CORRECT ANSWER League of intravenous therapy education vascular
access network
,ONS - CORRECT ANSWER oncology nurses society - guidelines
FDA Divisions - CORRECT ANSWER -Safe medical device act
-medwatch reporting
-device regulation/approval
-Manufacturers instruction for use
-product integrity / expiration date
-central venous catheter working group videos
Center for Device & Radiologic Health (CDRH) - CORRECT ANSWER Division of
the FDA
-device class: class 1 (lowest risk) - class 3 (high risk)
-review process: pre-market notification, pre-market approval, post-market surveillance
OSHA administrative laws - CORRECT ANSWER -bloodborne pathogen rule
-hazardous waste rule
-manufacturer & user facility device reporting
JCAHO (Joint Commission) - CORRECT ANSWER accreditation standards, quality
core measures
HIPAA - CORRECT ANSWER Health Insurance Portability and Accountability Act of
1996
Quality management - CORRECT ANSWER started with risk management in 1950
that had a negative focus, transitioned to quality assurance (1980s) which focused on
repairing loopholes in pt care. total quality management / assurance final product in 1990s
Philip Crosby - CORRECT ANSWER 1979 - do it right the first time
,J.M. Juran - CORRECT ANSWER 1989 - Juran trilogy (quality planning/quality
control/quality improvement)
Edward Deming - CORRECT ANSWER 1989 - 14 points for total quality management
(originated in manufacturing)
Bill Smith - CORRECT ANSWER 1990s - six sigma (continuous effort, always
improved, commitment from all especially top level management)
QA process - CORRECT ANSWER An absolute, multiple effort, structured program
process based on available resources which are utilized to monitor and evaluate the
appropriateness and quality of care
QA definition - CORRECT ANSWER Determines the level of reliability and care
provided; and strives to improve the quality of care directed toward positive outcomes
Goal of QA - CORRECT ANSWER to ensure the best IV care; decrease IV
complications and assure timely and appropriate interventions
Important Aspect of Care - CORRECT ANSWER the activities chosen are the ones
believed to be most important to the quality of patient care and service
Incident report - CORRECT ANSWER a factual statement that is for generated for any
unusual occurrence, which help to identify trends and document occurrences that may
involve potential liability; should not be part of the legal chart. not discoverable in a court of
law. An improvement forum
Job description - CORRECT ANSWER expected activities for personnel. performance
based, clinically sound, stated in measurable terms and reviewed and updated annually
Policy - CORRECT ANSWER A document that serves as a guide for operations
providing personnel with instruction and direction to deliver patient care. Should be
achievable, based on laws, guidelines, standards and regulations and updated annually
, Procedure - CORRECT ANSWER Described necessary steps to safely deliver care.
Reviewed and updated annually
Threshold - CORRECT ANSWER A level of value that must be reached for an effect
to be produced. Acceptable minimum or maximum for an important indicator or a care
measurement. May be 0% as in the occurrence of a sentinel event
Structure - CORRECT ANSWER Quality management process (1/5)- basis of the
program utilizing available resources, defined the rules of the organization, defines the IV
clinician function
Process - CORRECT ANSWER Quality management process (2/5)- actual
performance of care
Outcome - CORRECT ANSWER Quality management process (3/5)- final
result/criteria used to measure care
Corrective Action - CORRECT ANSWER Quality management process (4/5)-
education, communication, desire to change, performance reviews, and criteria change. Goal
is to achieve threshold. Unfreeze, moving, refreeze to change one's process
Re-evaluation - CORRECT ANSWER Quality management process (5/5)-Desired
results are achieved
Steps in Quality Management process - CORRECT ANSWER 1) Set standards
2) Monitor practice
3) Evaluate outcomes - determine why the variants occurred
4) Determine corrective action - performance deficiencies & knowledge deficiencies
CQI (continuous quality improvement) - CORRECT ANSWER Ongoing and
concurrent. Total Quality management and Quality Assurance