Quality Assurance & Compliance Flashcards
7 cards from real CBN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Assurance & Compliance flashcards as text
A bariatric program's data shows surgical site infections cluster among cases handled by one instrument tray workflow. Which quality tool best displays the frequency of contributing causes in descending order?
Answer: Pareto chart
A Pareto chart ranks causes by frequency, highlighting the 'vital few' contributors to focus improvement efforts.
Which action by a bariatric nurse violates the federal Anti-Kickback Statute?
Answer: Accepting cash payments from a device vendor for steering patients toward its gastric band
Accepting remuneration in exchange for patient referrals to a product or service billed to federal programs violates the Anti-Kickback Statute.
A bariatric center's low case volume threatens its MBSAQIP accreditation level. Why do accreditation standards include annual volume requirements?
Answer: Higher procedural volume is associated with better outcomes and maintained team competency
Evidence links adequate surgical volume to lower complication rates and sustained team proficiency, which is why accreditation sets volume thresholds.
During an internal audit, a nurse finds bariatric wheelchairs and beds are unavailable on a unit that regularly admits patients with BMI over 50. This deficiency most directly threatens compliance with which standard?
Answer: Safe patient handling and appropriately sized equipment requirements of bariatric accreditation
Bariatric accreditation standards require appropriately sized equipment and furniture throughout the patient care pathway.
A near miss occurs when a bariatric patient nearly receives another patient's insulin dose, but the error is caught at the bedside barcode scan. Why should this event still be reported?
Answer: Near-miss data reveals system weaknesses so they can be corrected before harm occurs
Near-miss reporting identifies latent system failures and supports a proactive safety culture without waiting for patient harm.
Which element must be included when obtaining informed consent for bariatric surgery to meet legal and accreditation standards?
Answer: Discussion of risks, benefits, and alternatives including nonsurgical options
Valid informed consent requires disclosure of risks, benefits, and reasonable alternatives, including nonoperative management.
A bariatric coordinator wants to monitor month-to-month variation in postoperative nausea scores over two years to see if a protocol change worked. Which display is most appropriate?
Answer: Run chart or control chart
Run and control charts display data over time, revealing trends and whether variation is due to the intervention or random chance.