INSTRUCTIONS SCIP core measures: Deep impact
* To take the test online, go to our secure website at http://www.nursingcenter.com/ce/nm.
* On the print form, record your answers in the test answer section of the CE enrollment form on page 31. Each question has only one correct answer. You may make copies of these forms.
* Complete the registration information and course evaluation. Mail the completed form and registration fee of $17.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.
* You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
* Registration deadline is May 31, 2013.
DISCOUNTS and CUSTOMER SERVICE
* Send two or more tests in any nursing journal published by LWW together and deduct $0.95 from the price of each test.
* We also offer CE accounts for hospitals and other health care facilities on nursingcenter.com. Call 1-800-787-8985 for details.
Lippincott Williams & Wilkins, publisher of Nursing Management, will award 1.9 contact hours for this continuing nursing education activity.
LWW is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.9 contact hours, the District of Columbia, and Florida #FBN2454. Your certificate is valid in all states.
The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers to its continuing nursing education activities only and does not imply Commission on Accreditation approval or endorsement of any commercial product.
SCIP core measures: Deep impact
GENERAL PURPOSE: To provide the professional registered nurse with an overview of the SCIP core measures. LEARNING OBJECTIVES: After reading the preceding article and taking the following test, you should be able to: 1. Discuss the SCIP core measure requirements. 2. Identify patient risks and adverse outcomes when SCIP core measures aren't met. 3. Describe implications for clinical practice to meet SCIP requirements.
1. The goal of the SCIP is to
a. decrease infection-related hospital costs by 25% by 2011.
b. decrease surgical complications by 25% by 2010.
c. decrease mortality by 52% by 2011.
d. decrease morbidity of all hospitalized patients by 25% by 2010.
2. The quality measures SCIP-INF-1, 2, and 3 are stratified for data collection based on specific ICD-9-CM codes, including
a. knee arthroplasty.
c. gastric bypass surgery.
d. spinal fusion.
3. Which prophylactic antibiotic is given within 2 hours of the incision?
4. The author suggests that your organization's success with adhering to the SCIP requirements can be facilitated by
a. creating a pocket guide for patients.
b. having protocols available in physician offices.
c. enlisting the family's help in surveillance.
d. collecting data on patient outcomes.
5. SCIP-INF-1 requires that most prophylactic antibiotics be
a. administered within 1 hour of cut time.
b. administered within 2 hours after surgery is completed.
c. delivered to the postanesthesia care unit within 1 hour after the patient arrives.
d. administered 1 day before surgery.
6. A retrospective study reviewing elective hip arthroplasty patients demonstrated that
a. 2.6% of the patients who received antibiotics after initial incision had an SSI.
b. 6.2% of the patients who received antibiotics before initial incision had an SSI.
c. 26% of the patients who received antibiotics after surgery had an SSI.
d. 62% of the patients who didn't receive antibiotics had an SSI.
7. To meet the SCIP-INF-1 measure, timely antibiotic administration may be facilitated by
a. having a stock supply of antibiotics available to anesthesia practitioners.
b. administration of the medication the night before surgery.
c. sending the medication to the OR with the patient from the inpatient unit.
d. documenting administration of the medication immediately before administration.
8. After cardiac surgery, SCIP-INF-3 requires antibiotics to be stopped
a. 24 hours after incision time.
b. 24 to 48 hours after completion of surgery.
c. 48 hours after incision time.
d. sometime during the second postoperative day.
9. Research has shown that patients undergoing coronary artery surgery are progressively at higher risk for infection with a history of
10. Patients undergoing cardiac surgery should maintain glucose levels no higher than
a. 120 mg/dL.
b. 150 mg/dL.
c. 170 mg/dL.
d. 200 mg/dL.
11. SCIP-INF-4 requires testing the cardiac surgery patient's blood levels for which factor at 6 a.m. on post-op day 1?
a. blood glucose
b. hemoglobin and hematocrit
c. antibiotic levels
d. international normalized ratio
12. Which statement about hair removal is correct?
a. It should be done in the surgical suite before the procedure.
b. Hair should be left in place whenever possible.
c. Hair removal should include a wide margin around the surgical site.
d. Shaving with a razor should be done 2 or 3 days in advance.
13. Approximately what percentage of UTIs is associated with indwelling catheters?
14. Studies have shown a reduction in UTIs in patients having total hip replacements by removing the urinary catheter by post-op day
15. All of the following nursing interventions will decrease the risk of UTIs except
a. using the largest appropriate lumen.
b. performing routine perineal care.
c. keeping the catheter below the level of the bladder.
d. securing the catheter.
16. A study found that patients who experienced mild hypothermia during surgery were more likely to experience all of the following except
a. positive cultures from the surgical site.
b. longer hospitalization.
c. elevated blood glucose levels.
d. delayed healing.
17. The recommendations for VTE prophylaxis include
a. avoiding early ambulation.
b. a continuous pneumatic compression device.
c. graduated compression stockings.
d. short-term heparin therapy for all patients.
© 2011 by Lippincott Williams & Wilkins, Inc.