Sherpath- Hand-off and Incident Reporting

Match the documentation needs to the type of incident. -Patient name, outcome, labeling, written prescription, responsible person -Location, date and time, fall circumstances, injury level -Location, date and time, event description, injuries, harm level -Date and time, chronology, witness names, injury severity, person disposition a. Patient fall b. Equipment malfunction c. Staff injury d. Medication error

Patient name, outcome, labeling, written prescription, responsible person: d. Medication error Location, date and time, fall circumstances, injury level: a. Patient fall Location, date and time, event description, injuries, harm level: b. Equipment malfunction Date and time, chronology, witness names, injury severity, person disposition: c. Staff injury

Which components comprise the I-PASS hand-off process? Select all that apply. a. Identifying patient acuity b. Time for the receiving nurse to ask question c. Identifying the next required medication d. Patient treatment plan e. Providing time for health care provider discussion

a. Identifying patient acuity b. Time for the receiving nurse to ask question d. Patient treatment plan

Which statements exemplify the core principles of incident reporting? Select all that apply. a. Incident reporting provides an opportunity to learn from errors. b. Incident reporting is a punitive process. c. All individuals must be able to report an incident without blame. d. Incident reporting should result in positive changes related to patient care and safety. e. Incident reporting should be done at the end of the shift so that the response to the incident can be included.

a. Incident reporting provides an opportunity to learn from errors. c. All individuals must be able to report an incident without blame. d. Incident reporting should result in positive changes related to patient care and safety.

The nurse is caring for a postoperative patient. Which documentation would be needed when an unexpected opioid-related event requires the completion of an incident report? Select all that apply. a. Original pain medication prescription b. Nurse's suspicion that the patient provided false statements to obtain a different medication c. Date and time of the incident d. Name of the nurse who administered the medication e. Nurse's note related to the incident report in the patient's record

a. Original pain medication prescription c. Date and time of the incident d. Name of the nurse who administered the medication

Which situations require an incident report? Select all that apply. a. Respiratory distress caused by ventilator malfunction b. Cardiac arrest of a patient in the emergency department c. Nurse slips and falls on a wet floor d. Adult patient expires while on life support e. Incorrect opioid dosage administration

a. Respiratory distress caused by ventilator malfunction c. Nurse slips and falls on a wet floor e. Incorrect opioid dosage administration

Which hand-off processes could reduce the potential of a sentinel event? Select all that apply. a. Standardization of critical data b. Taped shift hand-offs c. Increased communication between shifts d. Provision of health care provider contact information e. Accurate and up-to-date patient summaries

a. Standardization of critical data c. Increased communication between shifts e. Accurate and up-to-date patient summaries

Which description best characterizes the hand-off process? a. Transfer and acceptance of patient responsibility b. Transfer of nursing notes from one nurse to another c. Acceptance of responsibility for patient documentation d. Transfer and acceptance of patient assignment

a. Transfer and acceptance of patient responsibility

Which information should be included in an ANTICipate hand-off report? Select all that apply. a. Previous patient hospitalizations b. Details about the patient's intubation procedure c. Planned treatment if the patient's condition worsens d. Change in the patient's status from "critical" to "serious" e. Information about the patient's next of kin

b. Details about the patient's intubation procedure c. Planned treatment if the patient's condition worsens d. Change in the patient's status from "critical" to "serious"

In which way can nurses perform effective hand-off reporting? a. Ensure that the hand-off report is performed quickly. b. Include the minimum amount of information necessary. c. Ensure that complete and accurate information is conveyed. d. Include all information about the patient's past hospitalizations and treatments.

c. Ensure that complete and accurate information is conveyed.

Which phrase describes the main purpose of completing an incident report? a. Records the incident for legal purposes b. Ensures that the patient's record contains all information regarding the incident c. Records details of an incident and begins the process of a quality improvement investigation d. Ensures that all staff members are aware of the incident

c. Records details of an incident and begins the process of a quality improvement investigation

Which rationales explain how an incident report is used for constructive analysis? Select all that apply. a. To punish the responsible person b. To document the incident report in the patient's record c. To provide a framework for implementing change d. To provide information to guide solutions e. To disseminate information regarding the incident

c. To provide a framework for implementing change d. To provide information to guide solutions e. To disseminate information regarding the incident

Which is an accurate representation of all elements contained in "SBAR?" a. Summary, Basic needs, Acuity, and Response b. Summary, Baseline, Acuity, and Recommendation c. Subjective data, Background, Assessment, and Response d. Situation, Background, Assessment, and Recommendation

d. Situation, Background, Assessment, and Recommendation