CIR CIR Quality Assurance & Equipment Management 3

Question 1

A sentinel event in the cath lab involving wrong-site femoral access should trigger:

Accepted Answer

Root cause analysis (RCA) and corrective action plan

Answer

A verbal report to the attending only

Answer

Immediate equipment replacement

Answer

Only a billing correction

Question 2

Cath lab staff competency for high-risk equipment such as intra-aortic balloon pumps (IABP) should be validated:

Accepted Answer

Annually and after any significant equipment change

Answer

Once at initial hire only

Answer

Only if the device malfunctions

Answer

Every 5 years

Question 3

Which metric is most commonly used to benchmark cath lab efficiency and throughput?

Accepted Answer

Room turnover time between cases

Answer

Average contrast volume per case

Answer

Number of guidewires used per procedure

Answer

Radiation dose per physician

Question 4

Pressure manifolds used during cardiac catheterization require zeroing at the level of the:

Accepted Answer

Phlebostatic axis (fourth intercostal space, midaxillary line)

Answer

Patient's knee

Answer

Right shoulder

Answer

Top of the head

Question 5

Contrast media warmers in the cath lab are used primarily to:

Accepted Answer

Reduce contrast viscosity and improve injectability while reducing patient discomfort

Answer

Prevent bacterial contamination

Answer

Extend shelf life

Answer

Meet regulatory requirements

Question 6

An Automatic Implantable Cardioverter-Defibrillator (AICD) in a patient undergoing fluoroscopy-guided cath lab procedures should be:

Accepted Answer

Interrogated and reprogrammed by electrophysiology prior to the procedure

Answer

Removed before the procedure

Answer

Ignored if the patient is asymptomatic

Answer

Replaced with an external pacemaker only if symptomatic