Fluff

Question 1

Function of National Patient Safety Goals

Answer 1

To try to prevent never events

Question 2

Function of the institute for healthcare improvement

Answer 2

Another form of joint commission that chimes in with ideas like:
Rapid response teams
Med reconciliation
Care bundles
*Ventilator associated pneumonia bundle

Question 3

What is the VAP bundle?

Answer 3

Ventilator associated pneumonia bundle = best practices to prevent VAP

Question 4

Website for evidenced based clinical practice guidelines

Answer 4

Guideline.gov

Question 5

2 examples of Professional networks to support nurses and critical care practice

Answer 5

American association of CC Nurses (AACN)
Society of CC medicine (SCCM)

Question 6

What is an ethics committee?

Answer 6

Moral authority with no bias to help make decisions.
Involved are nurses, pharmacy, billing, CFO and chief nurse.
Must have bioethics background

Question 7

Definition of negligence

Answer 7

Didn’t do something you were supposed to do

Question 8

Definition of malpractice

Answer 8

Being sued for negligence (must have proof of negligence)

Question 9

Definition of standard of care

Answer 9

The level at which the average, prudent provider at a given community would practice

Question 10

RNs role in informed consent

Answer 10

Witness the pt signature and sign that we witnessed it
Not our job to interpret or clarify

Question 11

3 things that must be documented to pronounce a patient brain dead

Answer 11

1 - bedside test
2- 24 hour EEG (brainwave study) - to see slowing or stopping of brainwaves
3 - Blood flow study

Question 12

3 bedside tests that may be done as part of pronouncing a patient as brain dead

Answer 12

*Babinski
Cold choleric
Doll’s eyes test

Question 13

Two types of blood flow studies to see slowing of blood in brain dead patients

Answer 13

Ventriculogram
Arteriogram

Question 14

Definition of brain death

Answer 14

Complete, irreversible cessation of brain function
(Life support can be terminated based on state laws)

Question 15

Definition of persistent vegetative state (PVS)

Answer 15

Person does not meet criteria for brain death but displays profound neurological impairment with little to no chance of recovery

Question 16

What is the difference between ordinary and extraordinary care

Answer 16

Ordinary = common, noninvasive, tested treatments
all things you would do for every patient
Extraordinary = complex, invasive, and experimental treatments
much of the care in ICU (ex: vent, CPR, dialysis, Lucus machine)

Question 17

What has to be done first if a patient has requested to be DNR?

Answer 17

Dr. Needs to put an order in for it.
Still need to code patient until the order is in

Question 18

When should a nurse report a patient to donor services?

Answer 18

• Every actual death
• Imminent death (brain death)

Question 19

Which network facilitates fair allocation of organs and tissue for transplant?

Answer 19

UNOS netowrk
(United Network of Organ Sharing)

Question 20

What are a critical care nurses roles for organ donation?

Answer 20

• Referral
• Caring for the family
• Assisting with consent
• Assisting with determination of brain death & appropriate time for withdrawing life support
• Providing humane EOL care