Chapter 6

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Medicaid

A federal and state assistance program that pays covered medical expenses for low income individuals

Medicare

A federal medical insurance program that primarily serves those older than 65 years old

Best Practice

A method or technique that has consistently shown results superior to those achieved by other means.

The association of preoperative registered nurses (AORN) is:

A professional organization that writes guidelines for the OR

standard

A uniform method of defining basic parameters for processes, products, services, and measurements.

Enhances global competitiveness and quality of life by promoting standards and ensuring their integrity

American National Standards Institute (ANSI); Voluntary

Works to prevent healthcare-associated infections

Association for Professionals in Infection Control and Epidemiology (EPIC) ; Voluntary

Is considered one the major resources for healthcare guidelines

Association for the Advancement Of Medical Instrumentation (AAMI); voluntary

Develops nationally recognized guidelines for the preoperative setting

Association of pre-operative registered nurses (AORN); voluntary

promotes health by preventing and controlling disease

Centers for Disease and Prevention (CDC); voluntary

This organization uses unannounced inspections to monitor standards:

Centers for Medicare and Medicaid Services (CMS)

Which FDA classification is the most stringently regulated and requires a premarket approval (PMA)?

Class III devices

The U.S Department of Transportation (DOT) enforces statutes relating to the transportation of:

Cleaned instruments between facilities

This agency develops and enforces chemical regulations:

EPA

This agency imposes very strict labeling requirements on manufacturers of disinfectants used by Sterile Processing departments (SPDs):

EPA

The U.S food and drug administration (FDA) is responsible for:

Ensuring items can be properly cleaned and sterilized

Medical device reporting is regulated by the:

FDA

This organization issues regulations to help ensure medical devices are safe:

FDA

Medical device reporting is regulated by the:

FDA (U.S. Food and Drug Administration)

Chemical Indicator (CIs) are classified as:

FDA Class II medical devices

Heart valves and pacemakers are examples of:

FDA Class III medical devices

Provide state of the art specifications for product services and good practices

International organization for standardization (ISO); voluntary

The federal program designed for the voluntary reporting of device-related problems is called:

MedWatch

Develops international standards to reduce the risk of fire and other hazards

National Fire Protection Association (NFPA); voluntary

This agency may intervene in a matter of worker protection, even if there are no specific regulations covering the situation:

Occupational safety and health administration (OSHA)

Protect workers from occupationally cause illnesses and injuries

Occupational safety and health administration (OSHA); regulatory

Technical Information Reports (TIRs)

Reports developed by experts in the field that contain valuable information needed by the healthcare industry

The Centers for Disease Control and Prevention (CDC):

Response to health emergencies

Specializes in endoscopy issues and has established standards for the effective processing of flexible endoscopes

Society of Gastro, neurology, nurses, and associates (SGNA); voluntary

MedWatch

The FDA Safety Information and Adverse Event Reporting Program

Device-related problems or reported to the FDA through:

The MedWatch program

What is a consequence of a healthcare facility not following regulations and standards?

The facility can face legal consequences

Which organization conducts on site surveys of healthcare facilities?

The joint commission

Provide standards and evaluations for healthcare facilities; the evaluations are in the form of on-site surveys at least every three years

The joint commission (TJC); voluntary

enforces laws relating to the transportation of medical waste

U.S Department of Transportation (DOT); regulatory

Creates and enforces laws relating to cleaner water , air and land

U.S Environmental Protection Agency (EPA); Regulatory

Responsible for regulating ethylene oxide (EO) emissions

U.S Environmental Protection Agency (EPA); Regulatory

Responsible for the MedWatch program

U.S Food and Drug Administration (FDA); regulatory

responsible for premarket and postmarket medical medical device classification and recalls

U.S Food and Drug Administration (FDA); regulatory

Which governmental agency regulates emission standards for EO sterilization

U.S environment protection Agency (EPA)

Create and revises standards for processing water for irrigation

United States Pharmacopeia-National Formulary (USP-NF); Voluntary

Standards (AAMI)

Voluntary guidelines representing a consensus of AAMI members that are intended for use by healthcare facilities and manufacturers to help ensure that medical instrumentation is safe for patient use

furthers international cooperation in improving health conditions

World Health Organization (WHO); Voluntary

serious injury

an injury or illness that is life-threatening; resulting in permanent impairment of a body function or permanent damage to body structure; or necessitates medical or surgical intervention to preclude permanent impairment of a body structure

Standards and Regulations help set the SPD's levels of:

both quality and safety

under current regulations who is required to report suspected medical device- related deaths to the FDA?

healthcare facilities

Healthcare regulations and standards establish

minimal levels of quality and safety

Health Insurance Portability and Accountability Act (HIPAA)

provides federal protections for individually identifiable health information held by covered entities and their business associates and gives patients an array of rights with respect to that information

regulation

rules issued by administrative agencies that have the force of law

Premarket Approval (PMA)

the FDA process of scientific and regulatory review to evaluate the safety and effectiveness of Class III medical devices


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