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Title: A sentinel event is usually one that results in an unexpected outcome for the patient and signals ... Post by: Giantmushroom on Mar 8, 2018 A sentinel event is usually one that results in an unexpected outcome for the patient and signals the need for investigation and response. Which of the following would be considered a sentinel event?
a. A patient with a brain tumor who falls and breaks his wrist after trying to get up by himself b. A 32-year-old woman with no significant health history who dies in the operating room during an elective surgical procedure c. A patient who self-extubates after cardiac surgery d. A patient who is given the wrong bolus of heparin that is corrected with the first prothrombin time Question 2 A nurse has administered the wrong medication to a patient. In investigating the root cause of the error, it is discovered that the nurse was unfamiliar with the medication and that the Pyxis was incorrectly loaded with the wrong medication. What should be the outcome of this process? a. The nurse should be educated on this medication. b. Pharmacy should develop a second check of medications prior to loading in the Pyxis. c. The nurse will not be allowed to pass medications without supervision until deemed safe. d. An incident report will be completed. Question 3 A unit secretary mistakenly enters the wrong medication into the MAR when transcribing orders. After a root cause analysis, it is determined that the cause is the illegibility of the physician's or-der. Which measure should be taken to prevent future incidences? a. The physician is required to carry a type-writer with him to type the orders onto the order sheet. b. The physician must either write legibly or orders will not be transcribed. c. The unit secretary must receive more training on transcribing orders. d. Introduction of a computer entry system for all physician orders will be instituted. Question 4 A nurse is learning about quality improvement measures taken by the hospital. Root cause analy-sis is a process for identifying the cause of an error. What is the greatest benefit to establishing the root cause? a. Prevention of future similar incidents b. Identification of the responsible person c. Allows corrective action to be taken d. Identification of cause Question 5 A nurse decides to use the ethical principle of utilitarianism to make clinical decisions. This prin-ciple is based on the greatest good for the greatest number. Which situation would most likely cause an ethical dilemma for this nurse? a. Triaging a disaster scene b. Maintaining ventilatory support on a pa-tient with six children c. Evacuation of all mobile patients during a flood d. Allowing a patient with influenza to return home from the clinic after diagnosis Title: A sentinel event is usually one that results in an unexpected outcome for the patient and signals ... Post by: clarebearrr on Mar 8, 2018 Content hidden
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