Ethics and Patient Safety

Question 1

When should you consult ethics committee?

Answer 1

If patient does not have capacity and their living will is unclear

Question 2

When is a psych evaluation needed to assess capacity?

Answer 2

If UNCLEAR

Not obviously yes or obviously no (psychotic or delirious)

Question 3

What do you do if you are operating on one ovary and discover cancer in the other?

Answer 3

Wake patient to consent to R ovary procedure

Question 4

Gift Policy

Answer 4

Small gifts from patient okay if not in exchange for specific procedure

NOTHING from industry (except lunch associated w/ education)

Question 5

How do you prevent catheter associated UTI?

Answer 5

Early catheter removal (NO ANTIBIOTIC PPX)

Question 6

4 Stages of Pressure Ulcers

Answer 6

Stage 1 - skin intact, redness

Stage 2 - blister or break in dermis

Stage 3 - Involves muscle, may see subQ fat

Stage 4 - involves bone, tendon or joint

Question 7

Risk of St. John’s wort & red yeast rice

Answer 7

Both CYP3A4 inhibitors

Question 8

Side Effects of Ginseng

Answer 8

Interacts w/ MAOIs and warfarin