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Nursing Management:
doi: 10.1097/01.NUMA.0000397996.63175.fa
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SCIP core measures: Deep impact

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INSTRUCTIONS SCIP core measures: Deep impact

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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.

b. mastectomy.

c. gastric bypass surgery.

d. spinal fusion.

3. Which prophylactic antibiotic is given within 2 hours of the incision?

a. metronidazole

b. cefoxitin

c. clindamycin

d. vancomycin

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

a. hypertension.

b. diabetes.

c. hyperlipidemia.

d. anemia.

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?

a. 20%

b. 40%

c. 60%

d. 80%

14. Studies have shown a reduction in UTIs in patients having total hip replacements by removing the urinary catheter by post-op day

a. 1.

b. 2.

c. 3.

d. 4.

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.

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