Chapter 14 Rapid Response Teams and Transport of the Critically Ill Patient

Chapter 14  Rapid Response Teams and Transport of the Critically Ill Patient

Complete Chapter Questions And Answers
 

Sample Questions

1.
A nurse working in the ICU of a rural hospital is trying to make the case to the administration to create an RRT for the hospital. There have been a number of preventable deaths at the hospital recently. Which case provides the best support for the nurse’s argument that the hospital needs such a team?
A)
A patient died of cardiac arrest because medical staff did not respond quickly enough to his condition.
B)
A patient died of an overdose of medication due to a medication error.
C)
A patient died of an infection after a surgeon failed to scrub in properly before surgery.
D)
A patient died from head trauma after slipping on a wet surface in her room in the ICU.

2.
An RRT has just been created at a hospital. An RN from the ICU has been appointed as the leader and is planning a training session for other members of the RRT. Which topics would be appropriate to include in the training? Select all that apply.
A)
The benefits of early rescue
B)
Triage skills and advanced cardiac life support
C)
Equipment needed for air transport of a patient between facilities
D)
Expectations of RRT members when responding to a call
E)
EMTALA guidelines for requirements for evaluating a patient’s suitability for transfer
F)
Guided imagery to assist patients dealing with severe pain

3.
A patient must be transferred from one hospital to another due to lack resources at the sending hospital needed by the patient. Which of the following conditions would incline the transport team of the hospital to choose ground transport as opposed to air? Select all that apply.
A)
Heavy rainfall is in the area.
B)
The hospitals are 20 miles apart.
C)
The patient needs a time-sensitive intervention.
D)
Traffic on the ground is minimal.

4.
A patient with a spine injury is being transferred to another hospital. What special intervention should the nurse make to prepare the patient for air transport?
A)
Stabilize the patient’s back with a back board.
B)
Send the patient’s medical chart with him.
C)
Contact the receiving hospital to confirm that they have a bed for him.
D)
Conduct preflight screen for patient fear or anxiety related to flying.

5.
The medical director of hospital has received several requests for patient transfers to other facilities. Based on the Emergency Medical Transfer Active Labor Act, which of the following cases would justify interfacility transfer? Select all that apply.
A)
A patient requires emergency coronary angioplasty and the sending hospital is not equipped to perform this service.
B)
The family of a patient severely injured in a car wreck in another state requests that the patient be transferred to a facility where they live.
C)
The administration of the hospital requests that a patient who lacks health insurance be transferred to a facility that can better absorb the cost of his care.
D)
A surgeon at the receiving hospital has unique experience performing a procedure that the patient requires.

Answer Key

1.
B
2.
A, C, D
3.
B, C, D
4.
A
5.
A, B, C