Exam (elaborations)
IV Pre test.
- Institution
- INSTITUTIONAL IV CERTIFICATION TEST
Exam of 8 pages for the course INSTITUTIONAL IV CERTIFICATION TEST at INSTITUTIONAL IV CERTIFICATION TEST (IV Pre test.)
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IV Pre testDefine "Standards" of nursing - ANS-The established "Norm" in which something can be
judged
Facility standards are developed based on the ANA (American Nurse's Association),
CDC, INS (Infusion Nurses Society), OSHA, and state nurse practice acts standards
What 3 organizations address infusion therapy ISSUES? - ANS-INS (Infusion Nurses
Society)
-Published "Infusion Nurses Standards of Practice", defines scope of practice,
standards, and educational requirements, and legal proceedings involving IV therapy
CDC (Center of Disease Control) - Infection control guidelines for IV therapy
OSHA (Occupational Safety and Health Admin)- Developed Blood-borne Pathogen
Standards and the Needle-stick Safety and Prevention Act
According to the FL law, what is the difference between "under the direction" of a RN, or
"under direct supervision" of a RN? - ANS-UNDER THE DIRECTION- means that the
RN has DELEGATED the IV therapy functions to a qualified LPN. The RN does NOT
have to be on the premisis
UNDER DIRECT SUPERVISION- means the RN is ON the premisis and is physically
available
Define "The Nurse Practice Act" - ANS-Defines the practice of RNs, LPN;s and
vocational nursed in each state
What should you do if a physician ordered a IV drug that is not on the facilitys approved
drug list? - ANS-Can not give unless it gets approved by the facilitie's administration (pg
6), must follow policies and procedures from the facility
List 2 (there is a total of 4) IV procedures that the LPN CAN perform UNDER THE
DIRECTION of the RN BEFORE completing a IV therapy course? - ANS-1. preform
calculation and adjust flow rate
2. observe and report subjective/objective signs of adverse reactions to a IV
administration
, 3. Inspect insertion site, change dressing, d/c needle or catheter
4. Hanging bags or bottles of hydrating fluids
What are the 4 criteria that has to be met for a malpractice suit to be claimed? -
ANS-Duty, Breach, Injury, Damages
Duty- when health care provider undertakes care or tx of pt
Breach- A duty was breached- the provider failed to preform standard of care
Injury- the breach caused a injury
Damages- without damages, either emotional or monetary, there is no basis for a claim,
regardless of whether the medical provider was negligent
What are 3 ways to help avoid a lawsuit? pg 12-14 - ANS-Know your states Nurse
Practice Act and facility's standards and procedures
Follow the 7 Rights
Know the fluid and drugs you are giving and SE
Is it possible to get sued when you did everything right but harm occurred to the patient
and you failed to document acuratley? - ANS-Yes, with negligence
What is the main source of bacteria responsible for IV infections? - ANS-skin organisms
pg 18
What are 4 risk factors ( 6 total) for IV infections? - ANS-Extended Cath dwell times
Type of needlessness catheter cap used (ex. pos pressure caps)
Length of time between bag and tubing changes (max time is 24hrs)
Patients age and condition
Personnel failure to follow standard precautions and to maintain aseptic technique
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