SMQT Study Guide Well Researched Questions
with Correct Answers Package with ONE Thesis
Research Paper.
Appendix Q Contains what information? - ANSWERSDetermining Immediate Jeopardy
What are the three components of IJ? - ANSWERS1. Harm
a. Actual - was there an outcome of harm?
b. Potential - Is there the likelihood of potential harm?
2. Immediacy - Is the harm or potential harm likely to occur in the very near future?
3. Culpability -
a. did the entity know about the situation? If so, when did they first become aware?
b. Should the entity have known about the situation?
c. Did the entity thoroughly investigate the circumstances?
d. Did the entity implement corrective measures?
e. Has the entity re-evaluate the measures to ensure the situation was corrected?
Failure to protect from abuse triggers? - ANSWERS1. Serious injuries such as head trauma or
fractures
2.non-consensual sexual interactions
3.unexplained serious injuries that have not been investigated
4. staff striking or roughly handling an individual
5. staff yelling, swearing, gesturing or calling an individual derogatory names
6. bruises around the breast or genital area or suspicious injuries
Failure to prevent neglect triggers? - ANSWERS1. lack of timely assessment of individuals after
injury
,2. lack of supervision for individual with known special needs
3. failure to carry out dr orders
4. repeated occurrences such as falls which place the individual at risk of harm without
intervention
5. access to chemical and physical hazards by individuals who are at risk
6. access to hot water of sufficient temperature to cause tissue injury
7. non functioning call system without compensatory measures
8. unsupervised smoking by an individual with a known safety risk
9. lack of supervision of cognitively impaired individuals with known elopement risk
10. failure to adequately monitor individuals with known severe self-injurious behavior
11. failure to adequately monitor and intervene for serious medical/surgical conditions
12. use of chemical./physical restraints without adequate monitoring
13. improper feeding/positioning of individual with known aspiration risk
14. inadequate supervision to prevent physical altercations
Failure to protect from psychological harm triggers? - ANSWERS1. Application of
chemical/physical restraints without clinical indication
2. Presence of behaviors by staff such as threatening or demeaning resulting in displays of fear,
unwillingness to communicate and recent or sudden changes in behavior by individuals
3. Lack of interventions to prevent individuals from creating an environment of fear
Failure to protect from undue adverse medication consequences and/or failure to provide
medications as prescribed triggers - ANSWERS1. Administration of medication to an individual
with a known history of allergic reaction to that medication
2. Lack of monitoring and identification of potential serious drug interaction, side effects, and
adverse reactions
3. Administration of contraindicated medications
4. Pattern of repeated medication errors without intervention
,5. Lack of diabetic monitoring resulting or likely to result in serious hypoglycemia or
hyperglycemic reaction
6. Lack of timely and appropriate monitoring required for drug titration
Failure to provide adequate nutrition and hydration to support and maintain health triggers? -
ANSWERS1. Food supply inadequate to meet the nutritional needs for the individual
2. Failure to provide adequate nutrition and hydration resulting in malnutrition; eg severe
weight loss, abnormal lab values
3. withholding nutrition and hydration without advance directives
4. lack of potable water supply
Failure to protect from widespread nosocomial infections triggers? - ANSWERS1. pervasive
improper handling of bodily fluids or substances from an individual with an infectious disease
2.high number of infections or contagious diseases without appropriate reporting, intervention
and care
3. pattern of ineffective infection control precautions
4. high number of nosocomial infections caused by cross contamination from staff and/or
equipment/supplies
Failure to correctly identify individuals triggers? - ANSWERS1. blood products given to wrong
individual
2. surgical procedure/treatment performed on wrong individual or wrong body part
3. administration of medication or treatment to wrong individual
4. discharge of infant to wrong individual
Failure to safely administer blood products and safely monitor organ transplantation triggers? -
ANSWERS1. wrong blood type infused
2. improper storage of blood
3. high number of serious blood reactions
, 4. incorrect cross match
5. lack of monitoring
Failure to provide safety from fire, smoke and environment hazards and/or failure to educate
staff in handling emergency situations triggers? - ANSWERS1. nonfunctioning or lack of
emergency equipment and/or power source
2. smoking in high risk areas
3. incidents such as electrical shock, fires
4. ungrounded/unsafe electrical equipment
5. widespread lack of knowledge of emergency procedures by staff
6. widespread infestation by insects/rodents
7. lack of functioning ventilation, heating, or cooling system placing individuals at risk
8. use of non-approved space heaters in resident or patient areas
9. improper handling/disposal of hazardous materials, chemicals and waste
10. locking exit doors in a manner that does not comply with NFPA 101
11. obstructed hallways and exits preventing egress
12. lack of maintenance of fire or life safety systems
13. unsafe dietary practices resulting in high potential for food borne illnesses
Failure to provide initial medical screening, stabilization of emergency medical conditions and
safe transfer for individuals and women in active labor....not really applicable to the long term
care side so I chose not to include it. - ANSWERS
What is the definition of Immediate Jeopardy? - ANSWERSa situation in which the providers
noncompliance with one or more requirements of participation has caused, or is likely to cause,
serious injury, harm, impairment, or death to a resident
with Correct Answers Package with ONE Thesis
Research Paper.
Appendix Q Contains what information? - ANSWERSDetermining Immediate Jeopardy
What are the three components of IJ? - ANSWERS1. Harm
a. Actual - was there an outcome of harm?
b. Potential - Is there the likelihood of potential harm?
2. Immediacy - Is the harm or potential harm likely to occur in the very near future?
3. Culpability -
a. did the entity know about the situation? If so, when did they first become aware?
b. Should the entity have known about the situation?
c. Did the entity thoroughly investigate the circumstances?
d. Did the entity implement corrective measures?
e. Has the entity re-evaluate the measures to ensure the situation was corrected?
Failure to protect from abuse triggers? - ANSWERS1. Serious injuries such as head trauma or
fractures
2.non-consensual sexual interactions
3.unexplained serious injuries that have not been investigated
4. staff striking or roughly handling an individual
5. staff yelling, swearing, gesturing or calling an individual derogatory names
6. bruises around the breast or genital area or suspicious injuries
Failure to prevent neglect triggers? - ANSWERS1. lack of timely assessment of individuals after
injury
,2. lack of supervision for individual with known special needs
3. failure to carry out dr orders
4. repeated occurrences such as falls which place the individual at risk of harm without
intervention
5. access to chemical and physical hazards by individuals who are at risk
6. access to hot water of sufficient temperature to cause tissue injury
7. non functioning call system without compensatory measures
8. unsupervised smoking by an individual with a known safety risk
9. lack of supervision of cognitively impaired individuals with known elopement risk
10. failure to adequately monitor individuals with known severe self-injurious behavior
11. failure to adequately monitor and intervene for serious medical/surgical conditions
12. use of chemical./physical restraints without adequate monitoring
13. improper feeding/positioning of individual with known aspiration risk
14. inadequate supervision to prevent physical altercations
Failure to protect from psychological harm triggers? - ANSWERS1. Application of
chemical/physical restraints without clinical indication
2. Presence of behaviors by staff such as threatening or demeaning resulting in displays of fear,
unwillingness to communicate and recent or sudden changes in behavior by individuals
3. Lack of interventions to prevent individuals from creating an environment of fear
Failure to protect from undue adverse medication consequences and/or failure to provide
medications as prescribed triggers - ANSWERS1. Administration of medication to an individual
with a known history of allergic reaction to that medication
2. Lack of monitoring and identification of potential serious drug interaction, side effects, and
adverse reactions
3. Administration of contraindicated medications
4. Pattern of repeated medication errors without intervention
,5. Lack of diabetic monitoring resulting or likely to result in serious hypoglycemia or
hyperglycemic reaction
6. Lack of timely and appropriate monitoring required for drug titration
Failure to provide adequate nutrition and hydration to support and maintain health triggers? -
ANSWERS1. Food supply inadequate to meet the nutritional needs for the individual
2. Failure to provide adequate nutrition and hydration resulting in malnutrition; eg severe
weight loss, abnormal lab values
3. withholding nutrition and hydration without advance directives
4. lack of potable water supply
Failure to protect from widespread nosocomial infections triggers? - ANSWERS1. pervasive
improper handling of bodily fluids or substances from an individual with an infectious disease
2.high number of infections or contagious diseases without appropriate reporting, intervention
and care
3. pattern of ineffective infection control precautions
4. high number of nosocomial infections caused by cross contamination from staff and/or
equipment/supplies
Failure to correctly identify individuals triggers? - ANSWERS1. blood products given to wrong
individual
2. surgical procedure/treatment performed on wrong individual or wrong body part
3. administration of medication or treatment to wrong individual
4. discharge of infant to wrong individual
Failure to safely administer blood products and safely monitor organ transplantation triggers? -
ANSWERS1. wrong blood type infused
2. improper storage of blood
3. high number of serious blood reactions
, 4. incorrect cross match
5. lack of monitoring
Failure to provide safety from fire, smoke and environment hazards and/or failure to educate
staff in handling emergency situations triggers? - ANSWERS1. nonfunctioning or lack of
emergency equipment and/or power source
2. smoking in high risk areas
3. incidents such as electrical shock, fires
4. ungrounded/unsafe electrical equipment
5. widespread lack of knowledge of emergency procedures by staff
6. widespread infestation by insects/rodents
7. lack of functioning ventilation, heating, or cooling system placing individuals at risk
8. use of non-approved space heaters in resident or patient areas
9. improper handling/disposal of hazardous materials, chemicals and waste
10. locking exit doors in a manner that does not comply with NFPA 101
11. obstructed hallways and exits preventing egress
12. lack of maintenance of fire or life safety systems
13. unsafe dietary practices resulting in high potential for food borne illnesses
Failure to provide initial medical screening, stabilization of emergency medical conditions and
safe transfer for individuals and women in active labor....not really applicable to the long term
care side so I chose not to include it. - ANSWERS
What is the definition of Immediate Jeopardy? - ANSWERSa situation in which the providers
noncompliance with one or more requirements of participation has caused, or is likely to cause,
serious injury, harm, impairment, or death to a resident
