Questions For Nursing
Questions For Nursing
Questions For Nursing
NURSING
DR EMAD KOTB
QUALITY MANAGEMENT DIRECTOR
NR.54.EC5 There is compliance with patient
restraint
policy.
Observation
2. MS.24.EC2 Crash carts which contain
intubation
equipment.
Observation
3. MS.24.EC3 Crash carts contain venous
access equipment. Observation
4. MS.24.EC5 There is crash cart
adequately equipped &
available in all the critical areas , that are age
specific (e.g. neonate, infant, child, adult).
5. MS.24.EC6 Defibrillator that are in
good working order. Observation
6. MS.24.EC7 Availability of oxygen
cylinder in all the critical
areas.
Observation
7. MS.24.EC8 Availability of portable
suction machine in all
the critical areas.
Observation
8. MS.87.EC2 Availability of fully
equipped Ambulance. Observation
9. NR.3.EC2 Nursing staff can state the
nursing
department mission, vision, values and goals.
Interview
10. NR.5.EC2 Operational plan is prepared
with nursing
leaders (head nurses) participation.
Interview
11. NR.14.EC2 Implementation of patient
care delivery
system functional team, total care.
Observation
12. NR.18.EC2 Allocating staff is according to
patient type
and acuity on unit.
Interview
QM.18.EC1 Observation in the patient care areas (ICU,
ER, OR, L&D etc.) of IV free-flow protection.
Interview
14. NR.21.EC1 Delegation to non-nursing staff
assignments
under supervision of registered nurse.
Interview
15. NR.29.EC1 Availability of all adequate basic
supplies and
equipment of unit stock (patient scales,
stretchers with safety straps,vital sign
equipment,wheelchairs with safety straps,
sharp box, foot stools, lifting device, soft
restraint, bed rails, devices equipment to
prevent skin breakdown, patient call bells,
oxygen and suction, emergency call).
Observation
16. NR.31.EC1 Availability of all reference manual
and/or
policies in each nursing unit (policy ad
procedure manual, current nursing practice
books, infection control, safety manual,
operating manuals for equipment, lab
information, dietary).
Observation
17. NR.33.EC1 Nursing staff adhere patient and family
rights
policies (informed consent, communication of
patient/family concern and documentation in
the medical record).
Interview
18. NR.34.EC1 Availability of patient spaces to ensure
patients privacy with male and female rooms
identified.
Observation
19. NR.36.EC1 Nurse are aware of and implement
the OVR
system (able to complete the report/form).
Interview
20. AN.34.EC2 Availability of one registered nurse
who is
certified with BCLS and preferably ACLS /
PALS is at the patient side constantly and
continuously monitors the patient.
Observation
21. NR.37.EC1 Nurse are aware of and implement
the
sentinel event system (able to complete the
report/form, nurses must know sentinel
event definition, who to contact for sentinel
event).
Interview
NR.39.EC2 Nurses are aware of and implement
patients
protection process (vulnerable children,
disabled individuals, and the elderly
populations).
Observation
23. NICU.14.EC1 NICU staff encourages
mother-infant bonding
(e.g. breast feeding).
Interview
24. NR.40.EC1 Nurses orientation of
medical equipment use,
trouble shooting and report of malefunctioning.
Interview
25. NR.45.EC2 Implementation of
preoperative preparation
policy.
Observation
26. L&D.10.EC2 The Midwives are
allowed to deal with only
uncomplicated deliveries, and physician back
up is immediately available.
Interview
27. NR.46.EC2 Implementation of
medication administration
policies.
Observation
28. NR.47.EC1 Implementation of
medication administration
policies emphasizing the 7 rules of medication
administration.
Interview
29. NR.53.EC2 There is proper patient
identification process
(two identifiers - medical record number and
patients name).
Observation
30. NR.53.EC3 There is verification of
patient identity by two
hospital staff prior to blood drawing for cross
match and prior to administration of blood.
Observation
31. NR.55.EC2 There is compliance with
newborn
identification policy.
Observation
32. NR.56.EC2 Keeping the patient
covered when attending
to his/her physical needs.
Observation
33. NR.59.EC1 Nursing awareness of end of
life care and
assessment and documentation in the
response to the psychological, emotional,
spiritual and cultural concerns of the patient
and family.
Interview
34. NR.66.EC2 There is awareness of nursing
staff about
safety, security and medical equipment
operation and maintenance.
Interview
35. NR.67.EC2 There is awareness of nursing
staff on their
role during mock event.
Interview
36. QM.15.EC1 Observations of lab
specimens and
medications to be administered (have two
patient identifiers).
Interview
37. QM.15.EC2 Hospital staff are aware about
the two
patient identifiers and when to be used.
Interview
38. PFE.1.EC1 The education department has
adequate
resources to carry out its mandate (enough
space, office equipment, computers, health
publications, educational pamphlets and
adequate staff [diabetic educator, patient
educator]).
Observation
39. PFE.2.EC2 Medical and nursing staff
interviewed can
state their role in patient education.
Interview
40. PFE.5.EC1 Patient can state the name
of his/her
attending physician.
Interview
41. AN.15.EC1 Recovery room equipment
(pulse oximetry,
automated blood pressure monitor, EGG
machine, crash cart with defibrillator, wall
suction or suction equipment, oxygen).
Observation
42. AN.21.EC1 Written criteria on patient
discharge from the
Recovery room.
Interview
43. AN.22.EC1 Effective emergency call
system in Recovery
room.
Observation
44. ICU.11.EC1 Availability of all ICU
essential equipment and
supplies (ventilators, tracheostomy set,
defilbrillators, pulse oximetry, vital signs
monitor, transfusion pumps).
Observation
45. ICU.12.EC2 Regular inspection of
intubations, ventilation
tools and equipments.
Observation
46. ICU.12.EC1 Availability of functional
tools and equipment
for intubation and ventilation.
Observation
47. ICU.13.EC2 Implementation of
infection control
guidelines.
Observation
48. ICU.13.EC1 Availability of ICU
isolation room for patients
with infectious or communicable diseases.
Observation
49. CCU.6.EC1 Availability of all CCU
essential equipment
(ventilators, tracheostomy set, defibrillator,
pulse oximetry, transfusion pumps).
Observation
50. CCU.11.EC1 Availability of functional
tools and equipment
for intubation and ventilation.
Observation
51. CCU.12.EC2 Implementation of
infection control
guidelines in CCU.
Observation
52. CCU.12.EC1 Availability of CCU isolation room for
patients
with communicable diseases or infections.
Observation
53. CCU.15.EC1 Availability of equipped and accessible
crash
cart.
Observation
54. NICU.11.EC1 Availability of all essential NICU
equipment
and supplies (Ventilators, Pulse oximetry,
Infant resuscitator, Incubators, Portable
incubators with portable ventilators, Infusion
pump/syringe pumps, Trach sets).
Observation
55. NICU.12.EC1 Availability of functional tools and
equipment
of intubation and ventilation in NICU.
Observation
NICU.12.EC2 Regular inspection of NICU tools
and
equipment of intubation and ventilation.
Observation
57. NICU.13.EC1 Availability of NICU
isolation area for
neonates with communicable diseases or
infections.
Observation
58. NICU.13.EC2 Implementation of
infection control
guidelines.
Observation
59. OR.5.EC2 The patient is accepted into
the OR only after
proper identification, checking consent form
for completion, checking operation
procedures and surgeon name, surgery site,
x-ray jacket, lab results, pre-anesthesia
sheet,
history and physical exam, and reserved
blood.
Interview
60. OR.9.EC2 Strict implementation of
sponge count
(sponge count log sheet or form to check).
Observation
61. OR.9.EC3 There is an instrument count
(instrument log
sheet or form to check).
Observation
62. L&D.12.EC1 Availability of all L&D necessary
equipment
"Vital signs monitor, Pulse oximetry, Infusion
pump, Glucometer, CTG monitor/CTg for
twins, Amnihook, Assist delivery instruments ,
Forceps and ventose, Infant resuscitator".
Observation
63. ER.18.EC1 Availability of all essential
Emergency Room
equipments (Crash cart with defibrillator, and
emergency drugs, pulse oximetry, intubation
equipment and chest tubing).
Observation
64. ER.19.EC1 Availability of all essential
Emergency Room
equipment (portable x-ray, abdominal lavage
set, infusion pumps, oxygen, suction,
immobilization device, delivery set, IV access
set, poison antidotes and thrombolytics).
Observation
65. ER.25.EC1 Daily check of essential
ambulance
equipment including oxygen, intubation set,
C-spine cuff, spinal board, and suction
machine (log book).
Observation
72. DT.5.EC2 There is staff compliance
with the manual
guidelines.
Observation
93. NR.49.EC2 Compliance with narcotics
and
controlled substances
management policy.
Interview
94. NR.49.EC3 Availability of narcotic
safe box
/storage spaces, secure with double /doors
locks.
Observation
22 ER.13.EC1 ER staff are able to receive
STAT lab results
within 30 minutes for critical cases.
Log sheet STAT lab results within 30
minutes for critical cases.
ER.13.EC2 ER staff are able to receive
Lab results within
one hour for urgent cases.
23 LB.22.EC1 Accessible and approved,
current or reviewed
(every 2 year) lab procedure manual.
Procedure manuals e.g. sectional
policies
NR.53.EC1 Availability of written
multidisciplinary policy
and procedure on Blood and Blood Products
(handling,
use, administration, 2 patient identifiers, 2
nurses verify patient identity prior to blood
drawing and
administration).
Issuing and administration of Blood
and Blood Products multidisciplinary policy
and procedure