ECC Quality Assurance & Improvement 3

Question 1

In ECC QI programs, what does 'no-flow time' refer to?

Accepted Answer

Duration with no chest compressions during cardiac arrest

Answer

No-flow time is the total duration during a cardiac arrest when chest compressions are not being delivered, which worsens outcomes.

Question 2

Which approach best supports a culture of continuous improvement in an ECC program?

Accepted Answer

Structured, non-punitive debriefing after every resuscitation event

Answer

Non-punitive debriefing after each event encourages honest reflection and team learning without fear of blame.

Question 3

A QI team discovers that ACLS-trained nurses are frequently unsure which compression rate to use. According to current AHA guidelines, what is the target rate?

Accepted Answer

100–120 compressions per minute

Answer

The AHA recommends a compression rate of 100–120 per minute for high-quality CPR in adult patients.

Question 4

When reviewing resuscitation data, which finding would MOST concern a QI coordinator focused on ventilation quality?

Accepted Answer

Average ventilation rate of 22 breaths per minute during CPR

Answer

Hyperventilation (>10 breaths/min) during CPR increases intrathoracic pressure, reduces venous return, and worsens survival outcomes.

Question 5

A hospital's QI data shows that epinephrine administration during cardiac arrest is frequently delayed beyond 5 minutes. What system-level change would BEST address this?

Accepted Answer

Embedding a designated medication nurse role in the resuscitation team

Answer

Assigning a dedicated medication nurse within the team structure eliminates confusion and reduces delays in drug delivery during arrest.

(ECC) Emergency Cardiovascular Care Certification Practice Test

(ECC) Emergency Cardiovascular Care Certification Practice Test

ECC Quality Assurance & Improvement 3