FFICM Clinical Standards and Guidelines 2

Question 1

According to the Surviving Sepsis Campaign guidelines, what is the recommended duration for the initial resuscitation bundle in septic shock?

Accepted Answer

1 hour

Answer

3 hours

Answer

6 hours

Answer

12 hours

Question 2

The NICE guideline CG83 on rehabilitation after critical illness recommends that a structured rehabilitation program begin at which point?

Accepted Answer

As soon as the patient is medically stable in ICU

Answer

Only after ICU discharge

Answer

Within the first 24 hours of ICU admission

Answer

Only when transferred to a step-down unit

Question 3

Which core safety standard from NHS England mandates that all ICUs have a minimum staffing ratio of one nurse per how many patients for level 3 care?

Accepted Answer

1:1

Answer

1:2

Answer

1:3

Answer

1:4

Question 4

The Faculty of Intensive Care Medicine's 'Care at the End of Life' guidelines emphasize which ethical principle as the primary driver for withdrawal of life-sustaining treatment decisions?

Accepted Answer

Autonomy and best interests of the patient

Answer

Beneficence only

Answer

Non-maleficence above all else

Answer

Justice and resource allocation

Question 5

According to ICNARC standards, what is the benchmark target for ICU standardised mortality ratio (SMR) quality monitoring?

Accepted Answer

SMR approaching 1.0 with confidence intervals crossing 1

Answer

SMR < 0.5

Answer

SMR > 1.5 triggers mandatory review

Answer

SMR is not used as a quality benchmark

Question 6

Which document sets out the minimum dataset that UK ICUs must submit to the Case Mix Programme (CMP)?

Accepted Answer

ICNARC CMP Data Specification

Answer

FICM Quality Standards 2019

Answer

NHS England Commissioning Standards

Answer

BTS/ICS Weaning Guidelines

Question 7

The NICE quality standard QS61 for infection prevention in ICU specifically recommends which intervention to reduce central line-associated bloodstream infections (CLABSI)?

Accepted Answer

Chlorhexidine-impregnated dressings and daily review of line necessity

Answer

Routine antibiotic prophylaxis at insertion

Answer

Replacing all central lines every 72 hours

Answer

Using femoral access preferentially