TTC NUR 219 Test Two Questions and Correct Answers
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Course
NURS 219
Institution
NURS 219
Quality in Nursing Not one concept Based on research and evidence, not opinion Constantly changing since evidence changes
Examples of Quality in Nursing Scanning all medication barcodes Timely and complete patient assessments documented Reassessing pain following medication administration Interven...
TTC NUR 219 Test Two Questions and
Correct Answers
Quality in Nursing ✅Not one concept
Based on research and evidence, not opinion
Constantly changing since evidence changes
Examples of Quality in Nursing ✅Scanning all medication barcodes
Timely and complete patient assessments documented
Reassessing pain following medication administration
Intervening when patient trends decline
Evidence-based practice is used to: ✅Support and form standards, measures, and
rules
Patient-centered, value-based interventions
American Nurses Association (ANA) ✅Nursing data
Agency for Healthcare Research and Quality (AHRQ) ✅Supports research and houses
EBP data on various healthcare measures
American Nurses Credentialing Center (ANCC) magnet program ✅Recognizes
hospitals that support nurses who improve the patient outcomes in their organization
Centers for Medicare and Medicaid Services (CMS) ✅Monitors Medicaid programs in
each state; reimburses quality care when Medicare is used
Hospital Quality Alliance (HQA) ✅Provides easily understood information about
hospital performance; works with the ANA and Hospital Compare to incorporate nurse-
sensitive measures
The Joint Commission (TJC) ✅Quality improvement and patient safety in healthcare
T/F- Essential oils are considered medication. ✅True IF used to relieve pain, it is NOT
a medication if used to provide a healing environment (aromatherapy, etc.)
How often do restraint orders have to be renewed? ✅Every 24 hours
Core Measures- based on evidence and research ✅Example- AMI Core Measure
Sheet
1- Aspirin at arrival
2- Aspirin prescribed at DC
3- ACEI or ARB for LVSD
, 4- Adult smoking cessation advice
7- Median time to fibrinolysis
Surgical Care Improvement Project (SCIP) Core Measures ✅Ex- 3) Antibiotics should
be DC'ed to prevent secondary infections (C. diff)
9) Remove catheter post-op day one or two (the sooner the better)
VTE 1) VTE prophylaxis for all surgery patients
What does it mean when a performance measure is dropped from the list? ✅The
measure has been hard-wired into the majority of the hospital protocols and policies.
National Patient Safety Goals (NPSG) 2021 ✅1) ID patients correctly through 2
identifiers
2) Improve staff communication
3) Use medicines safely- label properly, pay attention to patients on blood thinners,
compare hospital prescriptions to at-home prescriptions
4) Use alarms safely
5) Prevent infection- HAND HYGIENE
6) ID patient safety risks- reduce the risk for suicide
7) Prevent mistakes in surgery- proper "time-outs"
Why should EBP be used in nursing? ✅Prevents bias when problem-solving, provides
patient-centered care, patient autonomy, uses proven clinical solutions, patient
outcomes are known, reduces expenses
Clinical Practice Guidelines ✅Suggested options to ID what might be going on when
the patient presents with symptoms. This helps to diagnose symptoms based on lab
work, diagnostic tests, and manifestations (objective and subjective data)
EX- abdominal pain
Bundled Care ✅Identified stategies and interventions that work together to decrease a
problem. Use with clinical practice guidelines to decrease problems!
Medicaid/Medicare do NOT pay for: ✅Low-quality care; insurance will not cover
avoidable patient problems.
Nurse-triggered protocols help to reduce: ✅Errors and costs; responsibility is shared
between the nurse and provider to recognize early symptoms, monitor, intervene, and
follow-through for outcomes.
Root Cause Analysis ✅Meeting held to address and avoidable event that resulted in
patient injury, transfer to a higher level of care, or a sentinel event.
Sentinel Event ✅A patient safety event that results in death, permanent harm, or
severe temporary harm and intervention is required to sustain life.
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