Self-Assessment Test Improving IV Medication Safety Identifying the Risk Points

Self-Assessment TestImproving IV Medication Safety: Identifying the Risk PointsThis program is located at http://ashpmedia.org/symposia/IVsafetyThis self-assessment test has been provided as a study aid only.At the conclusion of the internet-based activity, click on “Take CE Test”to proceed to the ASHP Learning Center and take the on-line activitypost-test. You may print your CE statement immediately after successfulcompletion of the post-test.There are a total of 13 questions associated with this self-assessment test.1. Harmful wrong route errors include all EXCEPT:a. Oral liquid given intravenously (i.v.)b. i.v. given intrathecally.c. Tube feedings given po.d. Tube feedings given i.v.2. Risks associated with i.v. medications include all EXCEPT the following:a. Complexity of pharmaceutical calculations.b. Computerized prescriber order entry.c. Lack of knowledge and training in i.v. medication therapy.d. Wrong route of administration.3. IV Safety Solutions include all of the following EXCEPT:a. Labeling of i.v. lines.b. Storing oral syringes on pediatric units.c. TPN compounders.d. Standardizing dose units4. Which intravenous medication is most often associated with harm?a. Morphine.b. Vincristine.c. Diazepam.d. Natalizumab.5. Which of the following factors was independently associated with reduced risk ofparenteral medication administration errors according to the multinational studyconducted by the European Society of Intensive Care Medicine (ESICM) and theSentinel Events Evaluation (SEE) study reported in 2009?a. Routine i.v. checks at change of shift.b. Low rates of patient turnover.c. Larger intensive care units.d. Drugs centrally prepared by pharmacist (vs. nurse).e. Fewer different types of infusion devices.

Self-Assessment TestImproving IV Medication Safety: Identifying the Risk PointsThis program is located at http://ashpmedia.org/symposia/IVsafety6. Multiple overrides of safety features in medication safety technology by nurses is anindication fora. Structured consequences for violations.b. Mandated annual training.c. Study of failure modes and work flow.7. Which of the following concerns about ADC (automated dispensing cabinet)technology was NOT articulated by nurses according to the ISMP blog?a. Interruptions when selecting medications from ADC.b. Frequent overrides.c. Access of students to ADC.d. Removal of multiple patients’ drugs at the same time.8. The major safety issue in bolus injection isa. Failure to label syringes.b. i.v. infiltration.c. Excessive speed of injection.d. Break in aseptic technique.9. A CalNOC (Collaborative Alliance for Nursing Outcomes) best practice in medicationadministration isa. The seven rights of medication administration.b. Take the MAR to the bedside.c. Reconcile medication list at each transfer.d. Compare the drug to the MAR.10. Which substantial cause of medication administration error has been mostsuccessfully addressed by CPOE (computerized prescriber order entry)?a. Lack of decision support for nurses.b. Illegible handwriting.c. Communication among providers.d. Complexity of medication orders.11. The Japanese study of factors associated with near misses reported by Seki andassociates in 2006 suggests which statement is the best indicator a nurse is athigh risk of intravenous medication error?a. I am so busy that I’m late with most treatments.b. I have a larger patient assignment than usual.c. I felt really tired at the start of the shift.d. I have worked on this ward for years.

Self-Assessment TestImproving IV Medication Safety: Identifying the Risk PointsThis program is located at http://ashpmedia.org/symposia/IVsafety12. Of the following, which can be classified as an i.v. room preparation error?a. A nurse administers an i.v. medication at the incorrect time as ordered.b. A technician prepares an i.v. medication in an incorrect base solution.c. A pharmacist misinterprets a prescriber’s order for an i.v. medication.d. None of the above.13. Barcode technology can be used to enhance the safe delivery of compoundedsterile products (CSP) by providing a high reliability verification and feedback inreal time that the correct product is used to manufacture the CSP.a. True.b. False.