ALEXANDERS CARE OF THE PATIENT IN SURGERY 16TH EDITION BY ROTHROCK
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Course
PHS MISC
Institution
PHS MISC
MULTIPLE CHOICE
1. Governmental and professional agencies and organizations, whether voluntary or involuntary,
have a significant influence on patient safety policies in the healthcare setting. Select the
agency or organization statement that presents a true reflection of its focus or purpose.
...
alexanders care of the patient in surgery 16th edition by rothrock
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Alexander's Care of the Patient in Surgery 16th Edition Rothrock Test Bank
CHAPTER 02: PATIENT SAFETY AND RISK MANAGEMENT
Chapter 02: Patient Safety and Risk Management
ROTHROCK: ALEXANDER'S
Rothrock: CARE
Alexander’s Care of the PatientOF THE PATIENT
in Surgery, 16th Edition SURGERY,16TH
EDITION
MULTIPLE CHOICE
1. Governmental and professional agencies and organizations, whether voluntary or involuntary,
have a significant influence on patient safety policies in the healthcare setting. Select the
agency or organization statement that presents a true reflection of its focus or purpose.
a. The Joint Commission (TJC): Nonvoluntary bureau that tests healthcare
institutions against evidence-based elements of performance
b. Surgical Care Improvement Project (SCIP): Trends surgical site infection statistics
c. American Society of Anesthesiologists (ASA): Professional organization of
anesthesia providers and technologists
d. World Health Organization (WHO): United Nations (UN)–based and supported
authority on health throughout most of the world
ANS: D
The UN created WHO to function as its health oversight and coordination authority for all UN
member nations who in turn have joined WHO. In 2004, WHO launched the World Alliance
on Patient Safety, by which it began to examine patient safety in acute as well as in primary
care settings relevant to all WHO member nations. WHO was created by and functions within
the UN as the directing and coordinating authority for health throughout UN member nations.
2. Since its organization and establishment as a professional nursing association in the early
1950s, the Association of periOperative Registered Nurses (AORN) continues its endeavor to:
a. promote guidelines influencing patient safety
b. create professional operatingU room
S N(OR) T nursing
O care delivery models.
c. interpret healthcare statistics critical to perioperative nursing care.
d. ensure risk reduction strategies are the foundation of perioperative education.
ANS: A
AORN provides an array of standards, recommended practices (RPs), guidelines,
publications, videos, and tool kits that specifically address patient safety from the
perioperative team’s point of view.
3. A healthy 32-year-old nursing student is scheduled for excision of a left-sided subglottal cyst
with frozen section and possible radical neck dissection. The preoperative verification process
provides the opportunity to collect and verify information about the patient to ensure patient
safety. Among the patient data that must be verified are:
a. emergency contact name.
b. laboratory and imaging results.
c. advance directive on file.
d. immunization records.
ANS: B
Preprocedure verification process ensures that all relevant documents (e.g., the history and
physical examination, surgical consent, required laboratory studies) and imaging studies
(properly labeled and displayed) are available before the start of the procedure. Preprocedure
verification is best conducted when the patient can be involved and should be completed
before the patient leaves the preprocedure area.
This study source was downloaded by 100000849838140 from CourseHero.com on 09-16-2022 02:36:19 GMT -05:00
, Alexander's Care of the Patient in Surgery 16th Edition Rothrock Test Bank
4. A patient was positioned, prepped, and draped following general endotracheal anesthesia
induction. The team assembled to perform the time-out as described in the WHO surgical
checklist. Successful employment of the time-out can only be ensured when:
a. the time-out is initiated by the surgeon.
b. each member of the team has an equal role and voice.
c. perioperative services have a physician champion and surgeon buy-in.
d. the checklist is committed to memory by all team members.
ANS: B
All members of the team must introduce themselves by name and role and participate in
sharing critical elements of care. The team includes the surgeon, anesthesia provider, and
nursing staff, plus any allied or ancillary care providers contributing to the procedure when
the time-out is performed.
5. When unexpected events occur that have, or could have, compromised patient safety, a
systematic investigatory process takes place. Significant information is gained through this
meticulous exploration. The primary motive for carrying out a root cause analysis is to:
a. establish cause and trends based on who was involved.
b. determine precisely what happened and why.
c. find out what needs to take place to prevent a recurrence of the event.
d. uncover factors that contributed to the environment and the event.
ANS: C
Root cause analysis is a systematized process to identify variations in performance that cause,
or could cause, a sentinel event. The analysis phase of root cause analysis progresses from
―why‖ questions to ―what can be done to prevent this‖ questions that flow and ultimately
result in an action plan. Root cause analysis concentrates on systems and processes, not
individuals.
6. The Joint Commission (TJC) designates sentinel events as unexpected occurrences involving
death or risk of serious physical or psychologic injury. In 2003, TJC mandated the Universal
Protocol to address perioperative sentinel events. This protocol includes:
a. improving the safety of using medications.
b. reporting critical results of tests in a timely manner.
c. performing a preprocedure verification process.
d. establishing alarm system safety as a priority.
ANS: C
Preprocedure verification process ensures that all relevant documents (e.g., the history and
physical examination, surgical consent, required laboratory studies) and imaging studies
(properly labeled and displayed) are available before the start of the procedure. Preprocedure
verification is best conducted when the patient and/or guardian can be involved and should be
complete before the patient leaves the preprocedure area. The surgical team must agree that
this is the correct patient and the planned procedure on the specified side and site. The
preprocedure verification process also includes confirming availability of necessary
equipment, implants and prostheses, which is reconfirmed during the time-out.
This study source was downloaded by 100000849838140 from CourseHero.com on 09-16-2022 02:36:19 GMT -05:00
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