Apex- Patient Safety

Question 1

Match each regulatory agency with the standards it sets:

Answer 1

Question 2

What is the #1 cause of anesthetic mortality

Answer 2

Human error

accounts for 51-77% of all anesthetic related deaths

Question 3

The ASA estimates anesthetic mortality as it relates to ASA classification: range:

ASA 1 is how many deaths per 10,000 anesthetics
ASA 4 is how many deaths per 10,000 anesthetics

Answer 3

ASA 1 = 0.04
ASA 4 = 5.5

Question 4

According to closed claims analysis, the most common cause of injury that results in claims filed is what?

Answer 4

Regional anesthesia!
20%

Question 5

T/F: the ASA created the anesthesia machien pre-use checkout procedures list

Answer 5

False -FDA

ASA has pre-anesthetic checkout procedure recommendations and state the tasks should be completed before every case vs once a day

Question 6

Ferromagnetic objects are not allowed starting in which zone of the MRI suite

what are the 4 safe metals

Answer 6

Zone 4

Stainless steel, titanium, aluminum, copper

Question 7

Rank the order of the most common causes of injury that result in claims filed :

CV events, Resp events, Regional anesthesia, equipment failure

Answer 7

1. Regional anesthesia (20%)
2. Repiratory events (17%)
3. CV events (13%)
4. Equipment failure (10%)

Question 8

According to the ASA Pre-Anesthesia checkout proccedure recommendations, the o2 monitor must be calibrated how often?

Answer 8

once a day

Question 9

What does the document ASTM F1850 set the standards for

Answer 9

the required compontents on the anesthesia machine

Question 10

What is the most common side effect of IV contrast media

Answer 10

nausea

think- if someons getting contrast, another ponv drug

Question 11

t/f: the rate of allergic reaction to IV contrast is <1%

Answer 11

true

Question 12

T/F: T-wave and ST segment artifacts can be caused by MRI

Answer 12

true

Question 13

Zones 1 thru 4 of MRI area

Answer 13

1- hallway
2- enterance into suite
3- control room
4- MRI scanner room

Question 14

All of the following are assessed by the modified Aldrete scoring system EXCEPT:

-quality of respiration
-PONV
-o2 sat
-level of consciousness

Answer 14

PONV

quantifies readiness from dischcarge from the PACU

5 components:
-activity, respiration, circulation, consciousness, o2 sat

Question 15

What does the modified aldrete scoring system assess for?

what are the 5 components and how are each scored

Answer 15

readiness for d/c from the PACU

activity, respiration, circulation, consciousness, o2 sat
-0 to 2 points awareded to each category
a score of 9 or greater = readiness for discharge from PACU

Question 16

Aldrete score - a score of what suggests readiness for d/c from PACU

Answer 16

9 or greater

Question 17

label

Answer 17

Question 18

label-aldrete

Answer 18

Question 19

label

Answer 19

Question 20

label

Answer 20

Question 21

label

Answer 21