SOLUTIONS
/What is severity level 2 - Answer-Noncompliance 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? - Answer-Create/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? - Answer-1 matrix with
instructions
1 entrance conference worksheet
3 beneficiary worksheets
/.What is the purpose of the initial pool process? - Answer-To briefly screen all residents
and observe, interview and complete initial record review.
/.When should you share data? - Answer-At the end of each day and when the team
composition changes.
/.What must be done prior to Sample Selection - Answer-The completed I.P data is
shared and the TC confirms that the data is complete.
/.What are the 7 LTSCP steps? - Answer-1. 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 - Answer-Thorazine (chlorpromazine) Haldol (haloperidol)
Abilify (aripiprazole) Clozaril (clozapine) Zyprexa (olanzapine) Latuda (lurasidone)
Seroquel (quetiapine) Risperdal (risperidone)
/.Indications of unnecessary medication include? - Answer-Excessive dose
excessive duration
without adequate monitoring
without adequate indication for use
use in the presence of adverse consequences
/.What is a psychotropic drug? - Answer-Any 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"? - Answer-an 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)? - Answer-a neurological side effect that
may occur within a few day or years of treatment with antipsychotics. Includes various
syndromes such as
/.akathisia - Answer-medication-induced Parkinsonism, and dystonia.
/.What is akathesia ? - Answer-a 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? - Answer-Syndrome of symptoms like
Parkinson's
/.tremor - Answer-shuffling gait, slowness of movement, expressionless face, drooling,
postural unsteadiness and rigidity of muscles.
/.What is dystonia? - Answer-acute, 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)? - Answer-Syndrome 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? - Answer-Serious 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,