CE/CME questions and objectives
CE/CME questions
[For more information about participating in the continuing education program, please contact American Health Consultants, Customer Service, PO Box 740056, Atlanta, GA 30374. Telephone: (800) 688-2421 or (404) 262-7436. Fax: (800) 284-3291 or (404) 262-7837. E-mail: [email protected]. Web: www.ahcpub.com.)
19. Which of the following is recommended by new guidelines for pediatric care, Care of Children in the Emergency Department: Guidelines for Preparedness, which was jointly published by the American College of Emergency Physicians and the American Academy of Pediatrics?
A. The guidelines may legally be interpreted as standard of care, so there are liability risks if you don’t comply.
B. A critically ill or injured child should be sent with the first available transport team.
C. Physician and nursing coordinators for pediatric emergency care must be separate positions, not added roles for existing job positions.
D. There are no increased liability risks for noncompliance with the guidelines, because they are not mandated by law.
20. Which of the following is recommended regarding staff education about pediatric emergency care, according to Barbara Weintraub, RN, MPH, MSN, pediatric critical care nurse practitioner at Northwest Community Hospital?
A. The minimum recommendation for ED nurses is the Emergency Nurses Association’s Emergency Nursing Pediatric Course.
B. Only nurses who see a high volume of pediatric patients should take Pediatric Advanced Life Support (PALS) courses.
C. Resuscitation outcomes are generally better in children than adults.
D. If PALS courses are taken, pediatric-specific continuing education is not needed.
21. Which of the following is true regarding EMTALA requirements and patients being brought to the ED for screening of blood alcohol levels, according to Robert A. Bitterman, MD, JD, FACEP, director of risk management and managed care for the department of emergency medicine at Carolinas Medical Center?
A. No medical screening examination is needed, because intoxication is not an emergency medical condition.
B. The request for a medical screening examination must come from the patient.
C. Police officer’s request for blood alcohol testing may be considered a request for a medical screening examination.
D. Because the patient is not coming to the ED voluntarily, no medical screening examination is needed.
22. Which of the following is accurate regarding education of asthma patients in the ED, according to Patti LaMonica, RN, MSN, ED nurse manager at New Britain (CT) General Hospital?
A. There is no evidence that return asthma visits can be prevented with education.
B. The ED is not an appropriate setting for education of asthma patients.
C. Education efforts from the ED and respiratory therapists should be separate.
D. Consistent education can significantly reduce return visits.
23. Which of the following is true, regarding payments under ambulatory payment classifications (APCs) for procedures performed during observation, according to Candace E. Shaeffer, RN, MBA, vice president of coding/quality management for Lynx Medical Systems?
A. Procedures performed during observation cannot be separately billed.
B. Under APCs, there are site-of-service limitations that restrict payment based on where a procedure is performed.
C. When a patient has a procedure performed in observation, that procedure may be billed and reimbursed even if the observation visit is not.
D. Injections are the only procedures that may be billed separately.
24. Which of the following is true regarding EDs and noise levels, according to a study recently published in Journal of Emergency Nursing?
A. None of the EDs tested had noise levels at hazardous levels.
B. All of the EDs tested had noise levels at hazardous levels.
C. A 100-decibel level is considered acceptable for a work environment.
D. Noise levels of 100 decibels are not high enough to cause feelings of annoyance.
CE/CME objectives
After reading this issue of ED Management, the continuing education participant should be able to:
1. Identify four recommendations for pediatric emergency care from new guidelines from the American College of Emergency Physicians and the American Academy of Pediatrics. (See "Is your staff ready to care for critically ill children? Act now to comply with new pediatric guidelines" in this issue.)
2. List three recommendations for staff education regarding pediatric emergency care. (See "Is your staff ready to care for critically ill children? Act now to comply with new pediatric guidelines.")
3. Cite EMTALA requirements for patients brought by police to the ED for screening of blood alcohol levels. (See "EMTALA Q&A.")
4. Identify what an ED must do when transferring a patient to another ED in the same hospital system. (See "EMTALA Q&A.")
5. List three procedures that can be billed separately when performed while a patient is under observation. (See "Don’t miss out on payments.")
6. Identify three ways to reduce noise in the ED. (See "Journal Review.")
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