SMQT STUDY GUIDE QUESTIONS
AND ANSWERS
Appendix Q Contains what information? - ans-Determining Immediate Jeopardy
sq sq sq sq sq sq sq sq
What are the three components of IJ? - ans-1. Harm
sq sq sq sq sq sq sq sq sq
a. Actual - was there an outcome of harm?
sq sq sq sq sq sq sq sq sq
b. Potential - Is there the likelihood of potential harm?
sq sq sq sq sq sq sq sq sq sq sq
2. Immediacy - Is the harm or potential harm likely to occur in the very near future?
sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq
3. Culpability -
sq sq
a. did the entity know about the situation? If so, when did they first become aware?
sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq
b. Should the entity have known about the situation?
sq sq sq sq sq sq sq sq sq sq
c. Did the entity thoroughly investigate the circumstances?
sq sq sq sq sq sq sq sq
d. Did the entity implement corrective measures?
sq sq sq sq sq sq sq
e. Has the entity re-evaluate the measures to ensure the situation was corrected?
sq sq sq sq sq sq sq sq sq sq sq sq sq
Failure to protect from abuse triggers? - ans-
sq sq sq sq sq sq sq
1. Serious injuries such as head trauma or fractures
sq sq sq sq sq sq sq sq
2.non-consensual sexual interactions sq sq
3.unexplained serious injuries that have not been investigated sq sq sq sq sq sq sq
4. staff striking or roughly handling an individual
sq sq sq sq sq sq sq
5. staff yelling, swearing, gesturing or calling an individual derogatory names
sq sq sq sq sq sq sq sq sq sq
6. bruises around the breast or genital area or suspicious injuries
sq sq sq sq sq sq sq sq sq sq
Failure to prevent neglect triggers? - ans-
sq sq sq sq sq sq
1. lack of timely assessment of individuals after injury
sq sq sq sq sq sq sq sq
2. lack of supervision for individual with known special needs
sq sq sq sq sq sq sq sq sq
3. failure to carry out dr orders
sq sq sq sq sq sq
4. repeated occurrences such as falls which place the individual at risk of harm without inter
sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq
vention
5. access to chemical and physical hazards by individuals who are at risk
sq sq sq sq sq sq sq sq sq sq sq sq
6. access to hot water of sufficient temperature to cause tissue injury
sq sq sq sq sq sq sq sq sq sq sq
7. non functioning call system without compensatory measures
sq sq sq sq sq sq sq
8. unsupervised smoking by an individual with a known safety risk
sq sq sq sq sq sq sq sq sq sq
9. lack of supervision of cognitively impaired individuals with known elopement risk
sq sq sq sq sq sq sq sq sq sq sq
10. failure to adequately monitor individuals with known severe self-injurious behavior
sq sq sq sq sq sq sq sq sq sq
11. failure to adequately monitor and intervene for serious medical/surgical conditions
sq sq sq sq sq sq sq sq sq sq
12. use of chemical./physical restraints without adequate monitoring
sq sq sq sq sq sq sq
13. improper feeding/positioning of individual with known aspiration risk
sq sq sq sq sq sq sq sq
14. inadequate supervision to prevent physical altercations
sq sq sq sq sq sq
, Failure to protect from psychological harm triggers? - ans-1. Application of chemical/
sq sq sq sq sq sq sq sq sq sq sq
physical restraints without clinical indication sq sq sq sq
2. Presence of behaviors by staff such as threatening or demeaning resulting in displays of
sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq
fear, unwillingness to communicate and recent or sudden changes in behavior by individua
sq sq sq sq sq sq sq sq sq sq sq sq
ls
3. Lack of interventions to prevent individuals from creating an environment of fear
sq sq sq sq sq sq sq sq sq sq sq sq
Failure to protect from undue adverse medication consequences and/
sq sq sq sq sq sq sq sq
or failure to provide medications as prescribed triggers - ans-
sq sq sq sq sq sq sq sq sq
1. Administration of medication to an individual with a known history of allergic reaction to th
sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq
at medication
sq
2. Lack of monitoring and identification of potential serious drug interaction, side effects, an
sq sq sq sq sq sq sq sq sq sq sq sq sq
d adverse reactions
sq sq
3. Administration of contraindicated medications
sq sq sq sq
4. Pattern of repeated medication errors without intervention
sq sq sq sq sq sq sq
5. Lack of diabetic monitoring resulting or likely to result in serious hypoglycemia or hypergl
sq sq sq sq sq sq sq sq sq sq sq sq sq sq
ycemic reaction sq
6. Lack of timely and appropriate monitoring required for drug titration
sq sq sq sq sq sq sq sq sq sq
Failure to provide adequate nutrition and hydration to support and maintain health triggers
sq sq sq sq sq sq sq sq sq sq sq sq
? - ans-1. Food supply inadequate to meet the nutritional needs for the individual
sq sq sq sq sq sq sq sq sq sq sq sq sq
2. Failure to provide adequate nutrition and hydration resulting in malnutrition; eg severe w
sq sq sq sq sq sq sq sq sq sq sq sq sq
eight loss, abnormal lab values
sq sq sq sq
3. withholding nutrition and hydration without advance directives
sq sq sq sq sq sq sq
4. lack of potable water supply
sq sq sq sq sq
Failure to protect from widespread nosocomial infections triggers? - ans-
sq sq sq sq sq sq sq sq sq
1. pervasive improper handling of bodily fluids or substances from an individual with an infe
sq sq sq sq sq sq sq sq sq sq sq sq sq sq
ctious disease sq
2.high number of infections or contagious diseases without appropriate reporting, intervent
sq sq sq sq sq sq sq sq sq sq
ion and care sq sq
3. pattern of ineffective infection control precautions
sq sq sq sq sq sq
4. high number of nosocomial infections caused by cross contamination from staff and/
sq sq sq sq sq sq sq sq sq sq sq sq
or equipment/supplies
sq
Failure to correctly identify individuals triggers? - ans-
sq sq sq sq sq sq sq
1. blood products given to wrong individual
sq sq sq sq sq sq
2. surgical procedure/treatment performed on wrong individual or wrong body part
sq sq sq sq sq sq sq sq sq sq
3. administration of medication or treatment to wrong individual
sq sq sq sq sq sq sq sq
4. discharge of infant to wrong individual
sq sq sq sq sq sq
Failure to safely administer blood products and safely monitor organ transplantation trigger
sq sq sq sq sq sq sq sq sq sq sq
s? - ans-1. wrong blood type infused
sq sq sq sq sq sq
2. improper storage of blood
sq sq sq sq
3. high number of serious blood reactions
sq sq sq sq sq sq
AND ANSWERS
Appendix Q Contains what information? - ans-Determining Immediate Jeopardy
sq sq sq sq sq sq sq sq
What are the three components of IJ? - ans-1. Harm
sq sq sq sq sq sq sq sq sq
a. Actual - was there an outcome of harm?
sq sq sq sq sq sq sq sq sq
b. Potential - Is there the likelihood of potential harm?
sq sq sq sq sq sq sq sq sq sq sq
2. Immediacy - Is the harm or potential harm likely to occur in the very near future?
sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq
3. Culpability -
sq sq
a. did the entity know about the situation? If so, when did they first become aware?
sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq
b. Should the entity have known about the situation?
sq sq sq sq sq sq sq sq sq sq
c. Did the entity thoroughly investigate the circumstances?
sq sq sq sq sq sq sq sq
d. Did the entity implement corrective measures?
sq sq sq sq sq sq sq
e. Has the entity re-evaluate the measures to ensure the situation was corrected?
sq sq sq sq sq sq sq sq sq sq sq sq sq
Failure to protect from abuse triggers? - ans-
sq sq sq sq sq sq sq
1. Serious injuries such as head trauma or fractures
sq sq sq sq sq sq sq sq
2.non-consensual sexual interactions sq sq
3.unexplained serious injuries that have not been investigated sq sq sq sq sq sq sq
4. staff striking or roughly handling an individual
sq sq sq sq sq sq sq
5. staff yelling, swearing, gesturing or calling an individual derogatory names
sq sq sq sq sq sq sq sq sq sq
6. bruises around the breast or genital area or suspicious injuries
sq sq sq sq sq sq sq sq sq sq
Failure to prevent neglect triggers? - ans-
sq sq sq sq sq sq
1. lack of timely assessment of individuals after injury
sq sq sq sq sq sq sq sq
2. lack of supervision for individual with known special needs
sq sq sq sq sq sq sq sq sq
3. failure to carry out dr orders
sq sq sq sq sq sq
4. repeated occurrences such as falls which place the individual at risk of harm without inter
sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq
vention
5. access to chemical and physical hazards by individuals who are at risk
sq sq sq sq sq sq sq sq sq sq sq sq
6. access to hot water of sufficient temperature to cause tissue injury
sq sq sq sq sq sq sq sq sq sq sq
7. non functioning call system without compensatory measures
sq sq sq sq sq sq sq
8. unsupervised smoking by an individual with a known safety risk
sq sq sq sq sq sq sq sq sq sq
9. lack of supervision of cognitively impaired individuals with known elopement risk
sq sq sq sq sq sq sq sq sq sq sq
10. failure to adequately monitor individuals with known severe self-injurious behavior
sq sq sq sq sq sq sq sq sq sq
11. failure to adequately monitor and intervene for serious medical/surgical conditions
sq sq sq sq sq sq sq sq sq sq
12. use of chemical./physical restraints without adequate monitoring
sq sq sq sq sq sq sq
13. improper feeding/positioning of individual with known aspiration risk
sq sq sq sq sq sq sq sq
14. inadequate supervision to prevent physical altercations
sq sq sq sq sq sq
, Failure to protect from psychological harm triggers? - ans-1. Application of chemical/
sq sq sq sq sq sq sq sq sq sq sq
physical restraints without clinical indication sq sq sq sq
2. Presence of behaviors by staff such as threatening or demeaning resulting in displays of
sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq
fear, unwillingness to communicate and recent or sudden changes in behavior by individua
sq sq sq sq sq sq sq sq sq sq sq sq
ls
3. Lack of interventions to prevent individuals from creating an environment of fear
sq sq sq sq sq sq sq sq sq sq sq sq
Failure to protect from undue adverse medication consequences and/
sq sq sq sq sq sq sq sq
or failure to provide medications as prescribed triggers - ans-
sq sq sq sq sq sq sq sq sq
1. Administration of medication to an individual with a known history of allergic reaction to th
sq sq sq sq sq sq sq sq sq sq sq sq sq sq sq
at medication
sq
2. Lack of monitoring and identification of potential serious drug interaction, side effects, an
sq sq sq sq sq sq sq sq sq sq sq sq sq
d adverse reactions
sq sq
3. Administration of contraindicated medications
sq sq sq sq
4. Pattern of repeated medication errors without intervention
sq sq sq sq sq sq sq
5. Lack of diabetic monitoring resulting or likely to result in serious hypoglycemia or hypergl
sq sq sq sq sq sq sq sq sq sq sq sq sq sq
ycemic reaction sq
6. Lack of timely and appropriate monitoring required for drug titration
sq sq sq sq sq sq sq sq sq sq
Failure to provide adequate nutrition and hydration to support and maintain health triggers
sq sq sq sq sq sq sq sq sq sq sq sq
? - ans-1. Food supply inadequate to meet the nutritional needs for the individual
sq sq sq sq sq sq sq sq sq sq sq sq sq
2. Failure to provide adequate nutrition and hydration resulting in malnutrition; eg severe w
sq sq sq sq sq sq sq sq sq sq sq sq sq
eight loss, abnormal lab values
sq sq sq sq
3. withholding nutrition and hydration without advance directives
sq sq sq sq sq sq sq
4. lack of potable water supply
sq sq sq sq sq
Failure to protect from widespread nosocomial infections triggers? - ans-
sq sq sq sq sq sq sq sq sq
1. pervasive improper handling of bodily fluids or substances from an individual with an infe
sq sq sq sq sq sq sq sq sq sq sq sq sq sq
ctious disease sq
2.high number of infections or contagious diseases without appropriate reporting, intervent
sq sq sq sq sq sq sq sq sq sq
ion and care sq sq
3. pattern of ineffective infection control precautions
sq sq sq sq sq sq
4. high number of nosocomial infections caused by cross contamination from staff and/
sq sq sq sq sq sq sq sq sq sq sq sq
or equipment/supplies
sq
Failure to correctly identify individuals triggers? - ans-
sq sq sq sq sq sq sq
1. blood products given to wrong individual
sq sq sq sq sq sq
2. surgical procedure/treatment performed on wrong individual or wrong body part
sq sq sq sq sq sq sq sq sq sq
3. administration of medication or treatment to wrong individual
sq sq sq sq sq sq sq sq
4. discharge of infant to wrong individual
sq sq sq sq sq sq
Failure to safely administer blood products and safely monitor organ transplantation trigger
sq sq sq sq sq sq sq sq sq sq sq
s? - ans-1. wrong blood type infused
sq sq sq sq sq sq
2. improper storage of blood
sq sq sq sq
3. high number of serious blood reactions
sq sq sq sq sq sq
