6. Q3. In what circumstances
temporary or emergency privileges
are granted?
4/19/2019 6
7. A3. Temporary or emergency privileges shall
be granted in the following situations:
1. Important patient care, treatment &
service need
2. When a new staff is awaiting review &
approval from the Privileging committee &
his/her application is compete & presents
no concerns.
4/19/2019 7
8. Q4. How many days temporary
privileges are valid?
4/19/2019 8
9. A4. Not to exceed 90 days and are
NOT RENEWABLE.
4/19/2019 9
10. Q5. Who is allowed to order blood
& blood products?
4/19/2019 10
12. Q6. Who will obtain the informed
consent for transfusion of blood &
blood products?
4/19/2019 12
13. A6. The attending physician will
obtain consent for transfusion of
blood & blood products.
4/19/2019 13
14. Q7. How many staff members
verify the patient’s identity prior to
blood drawing for cross match &
prior to the administration of blood?
4/19/2019 14
15. A7. TWO nursing staff will verify the
patient’s identity prior to drawing
blood for cross match from patient
and blood administration.
4/19/2019 15
17. A8. YES, but only in dire
emergencies and consent shall be
obtained from the family.
4/19/2019 17
18. Q9. How many minutes interval for
monitoring of vital signs for patients
having blood transfusion?
4/19/2019 18
19. A9. In the first hour : Vital signs are
recorded every 15 minutes
In the second hour till transfusion
completion: Vital signs are recorded
every 30 minutes.
4/19/2019 19
20. Q10. What is the process of
reporting of blood transfusion
reaction?
4/19/2019 20
21. • A10. 1.Stop transfusion of blood.
2. Immediately notify the doctor, nursing
supervisor, blood bank.
3. Using new IV set, start Normal saline infusing at
15 gtts/minute.
4. Observe the patient & take vital signs.
5. Assess for signs & symptoms of shock.
6. Save urine specimen, label & send to laboratory.
7. Complete the transfusion reaction form.
8. Send blood samples, transfusion reaction form
& blood bag with infusion set & tag attached to the
blood bank.4/19/2019 21
22. Q11. State at least 2 patient
identifiers used in identification
process?
4/19/2019 22
30. Q15. With whom does the
operating surgeon mark the
surgical site?
4/19/2019 30
31. A15. The surgical site is marked by
the operating surgeon along with
the patient or his/her family.
4/19/2019 31
32. Q16. When & where will the
operating surgeon mark the
surgical site?
4/19/2019 32
33. A16. The operating surgeon will
mark the site in the wards prior to
transfer of the patients to the OR.
Site marking should take place
prior to pre-medication.
4/19/2019 33
34. Q17. With what will the operating
surgeon mark the surgical site?
4/19/2019 34
35. A17. The operating surgeon will
mark the surgical site using
indelible ink.
4/19/2019 35
37. A18. 1. Surgical procedures involving single organs.
(Cesarean section, Cystectomy)
2. Surgical procedures around genitalia.
(Circumcision, D&C, Bartholin’s cyst excision,
Haemmoroidectomy)
3. Surgical procedures accessed from the mouth.
(Adeno- tonsillectomy)
4. Very obvious presentation (Fracture of right femur,
fracture of left forearm, Diabetic foot, large
wounds)
5. Surgical procedures involving teeth. (Marked on X
rays)
6. Surgical procedures performed on premature
infants. (For fear of tattooing on skin due to site
marking)
7. Surgical procedures done in life-saving situations.4/19/2019 37
38. Q19. What will you do if the patient
refuses site-marking?
4/19/2019 38
39. A19. 1. The operating surgeon will
document the refusal on the patient’s
operative consent form & shall refer to
the site description on the operative
consent form during the time-out
process.
2. An alternate process can be
used like a diagram.
4/19/2019 39
40. Q20. What are the phases of
verification process?
4/19/2019 40
41. A20. 1.Sign in : before induction of
anesthesia
2. Time out : before skin incision
3. Sign out : immediately after wound
closure
4/19/2019 41
42. • Q21. How long is the informed
consent valid?
4/19/2019 42
44. Q22. What is independent double
check?
4/19/2019 44
45. A22. A process involving 2
individuals in which the
responsibility of the 2nd individual is
to verify the work performed by the
1st one.
4/19/2019 45
46. Q23. Who can prescribe High-alert
medications?
4/19/2019 46
47. A23. Only Specialist or Consultants
can prescribe high alert
medications.
4/19/2019 47
48. • Q24. Is abbreviations allowed in
prescribing High-alert
medications?
4/19/2019 48
67. Q34. How do you report medication
error?
4/19/2019 67
68. A34. 1. Inform the treating doctor
2. Monitor the patient
3. Complete the medication error
form
4. Submit the medication error
form to supervisor on duty
4/19/2019 68
69. • Q35. Do you have to report
medication error using OVR form?
4/19/2019 69
70. A35. OVR form should be filled
whenever the medication error falls
in the D classification and beyond.
4/19/2019 70