Instructions:
* Read the article. The test for this CE activity can only be taken online at http://www.nursingcenter.com/ce/JNCQ. Tests can no longer be mailed or faxed.
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* There is only one correct answer for each question. A passing score for this test is 12 correct answers. If you pass, you can print your certificate of earned contact hours and access the answer key. If you fail, you have the option of taking the test again at no additional cost.
* For questions, contact Lippincott Professional Development 1-800-787-8985.
Registration Deadline: December 2, 2022.
Provider Accreditation:
Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity.
Lippincott Professional Development 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 1.0 contact hour. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, Florida, West Virginia, New Mexico, and South Carolina, CE Broker #50-1223.
Payment:
* The registration fee is $9.00 for CNLA members and $12.95 for nonmembers.
Disclosure Statement:
The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
CE TEST QUESTIONS
Purpose: To provide information on merging evidence-based practice (EBP) and Lean Six Sigma methodology to decrease hospital-acquired pressure injuries (HAPI).
Learning Objectives/Outcomes: After completing this continuing education activity, you should be able to:
1. Examine issues related to HAPI and results from a quality improvement project focused on improving the rate of HAPI.
2. Identify models for quality improvement and methods employed to decrease the incidence of HAPI.
1. The California Department of Public Health, as directed by the Centers for Medicare and Medicaid Services, requires that hospital organizations report for investigation and assessment any Unstageable HAPI and HAPI that are
a. Stages 1 - 2.
b. Stages 3 - 4.
c. Stages 1 - 4.
2. As noted in the article, the formation of a pressure injury is dependent on multiple variables, including
a. infection.
b. dehydration.
c. friction.
3. The DMAIC model for improvement includes
a. Communicate.
b. Control.
c. Cause(s).
4. Lean principles focus on
a. improving resilience.
b. eliminating waste in work.
c. increasing speed.
5. Six Sigma principles focus on
a. reducing variation within a process.
b. analyzing root causes.
c. improving cost effectiveness.
6. The 6 A's EBP Model includes
a. Acquiring.
b. Accommodating.
c. Achieving.
7. In the facility described in this article, the most common locations of HAPI were on the patient's sacrum and
a. hips.
b. scapulae.
c. heels.
8. The most common low scoring categories on the Braden scale at the project facility included all of the followingexcept
a. mobility.
b. moisture.
c. friction.
9. The visual map used by the authors to illustrate separate processes according to different functions, departments, or individuals is a
a. bypass stream.
b. parallel mode.
c. swim lane.
10. The project team initiated the 6 A's EBP model after which stage of the DMAIC model was complete?
a. Define
b. Measure
c. Analysis
11. The T3 Program that the team developed to address the areas of concern included
a. Touch.
b. Talk.
c. Teach.
12. What did the team do to address the lack of situational awareness of the team about the level of acuity on the unit and the timely cleaning of the patient and changing of the linen?
a. purchased additional moisture barrier products
b. redesigned the nurses' team assignments
c. increased the staffing level on the unit
13. Compared to 22 HAPI in the previous 2 quarters, the HAPI rate in the quarter following implementation of the program was
a. 0.
b. 4.
c. 6.
14. The reduction of HAPI at the project facility resulted in a total care cost avoidance for HAPI of
a. $152,796.
b. $379,767.
c. $524,329.
15. Qualitative results from the project post survey indicated improvement in all of the followingexcept
a. patient satisfaction.
b. teamwork.
c. communication.
16. To sustain and control efforts at the project facility, a control plan was created to include
a. rounding each shift by the clinical nurse specialist.
b. debriefing after each defect.
c. a HAPI report at each staff meeting.