Initial nursing assessment should be completed within 8 hours of admission.
✅ JCI YAN! AOP
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15
A physician gives a telephone order. You write it down but do not read it back because the line is busy
❌ JUSKO! IPSG 2 Read-back is a safety requirement that confirms the accuracy of verbal and telephone orders.
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15
KAKANTA NA YAN!!!
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15
The surveyor asks, “How do you reduce patient falls in your unit?” The nurse replies, “We assess, reassess, implement interventions, and document.”
✅ JCI YAN!
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15
Before giving insulin, you ask the patient to state their full name and date of birth, then compare these with the wristband and medication record.
✅ JCI YAN!
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15
Room number is an acceptable patient identifier.
❌ JUSKO! IPSG Room numbers may change and are not unique identifiers. JCI requires at least two patient identifiers, preferably the patient’s full name and date
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15
Fall risk is assessed only once during admission.
❌ JUSKO! AOP Fall risk must be reassessed whenever the patient’s condition changes, after surgery, medication changes, or other factors that may increase fall r
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15
Pain assessment is optional.
❌ JUSKO! AOP Pain is considered the fifth vital sign and must be routinely assessed using validated tools to guide effective pain management.
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15
Basic Life Support can wait until the Code Team arrives.
❌ JUSKO! COC Immediate initiation of Basic Life Support significantly improves survival and should begin without delay while awaiting advanced resuscitation.
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15
Room availability determines patient priority.
❌ JUSKO! ACC Patient priority is determined by clinical urgency through triage, not by room availability.
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baam
Lose 25 points!
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15
An elderly patient becomes confused after surgery. Since confusion is common after anesthesia, no reassessment is performed.
❌ JUSKO!
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15
The nurse documents assessments at the end of the shift from memory.
❌ JUSKO!
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heart
Other team wins 20 points!
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shark
Other team loses 20 points!
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fairy
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baam
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15
The Emergency Department is crowded. A patient with chest pain waits because all treatment cubicles are occupied.
❌ JUSKO! Rationale: Patient priority is determined by clinical urgency through triage, not by bed availability.