Chapter 76: Medication Safety & Quality Improvement

Question 1

The most important medication error reduction tool

Answer 1

Barcoding; follows the drug through the medication use process

Question 2

Which medications should not be put into automated dispensing cabinets?

Answer 2

insulin, warfarin, and high-dose narcotics

Question 3

It is a requirement by ____ that friends and family members should not administer PCA doses

Answer 3

TJC

Question 4

Common types of hospital-acquired (nosocomial) infections

Answer 4

• UTIs from indwelling catheters
• blood stream infections from IV lines and catheters
• C. diff
• Pneumonia

Question 5

Which IV line has the highest risk of blood stream infection

Answer 5

central lines

Question 6

Contact precautions are recommended for patients colonized or infected with ___, ____, and _____

Answer 6

MRSA, VRE, and C. Diff

Question 7

Airborne precautions are recommended for patients with ____, ___ or ____

Answer 7

active pulmonary TB, measles, or varicella virus (chickenpox)

Question 8

Besides proper aseptic technique, how can you reduce the risk of catheter-related bloodstream infections (CRBSI)

Answer 8

Use antiseptics like 2% chlorhexidine and antibiotic impregnated central venous catheters

Question 9

T/F: After caring for a patient with diarrhea or known C. Diff or spore-forming organism, one should use alcohol-based hand rubs instead of soap and water

Answer 9

False; alcohol-based hand rubs have poor activity against spores