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 NABH-AAC Standard 2 Effective Solutions

jaswantkaurm@gmail.com07 mins
20 Elite terminologies related to NABH

 NABH-AAC Standard 2 Effective Solutions

NABH-AAC Standard 2 Effective Solutions

NABH 

(National Accreditation Board for Hospitals & Healthcare Providers)

6th Standards

NABH-AAC Standard 2 Effective Solutions

Access Assessment and Continuity of Care (AAC)

AAC – Standard 2 - The organisation has a well-defined registration and admission process

Objective Elements

a. The organisation uses written guidance for registering and admitting patients.*

Interpretation: Organisation shall prepare a document(s) detailing the mechanism for registration and admission of patients, which should also include unidentified patients. All patients who are assessed in the hospital shall be registered. The organisation could consider mechanisms to verify the identity of the patient during registration. All admissions must be authorized by a doctor. Additional documentation as required shall be included for foreign nationals. The written guidance addresses out-patients, day-care, in-patients and emergency patients. The patients and/or family are informed of the salient steps for registration/ admission. This could be done through appropriate displays/information on the website.
Commitment

b. A unique identification number is generated at the end of the registration.

Interpretation: The organisation shall ensure that every patient gets a unique number which is generated at the end of registration of the first interaction that the patient has with the organisation. This number shall be used for identification of the patient across the organisation and to ensure continuity of care across the organisation. All hospital records of the patient shall have this number. "Unique" implies that this is a one-time affair. Please note that a patient can have only one unique number. However, in the case of multiple visits (OP/IP), a different number could be generated in addition to the above-mentioned unique number. These numbers shall be linked to the unique number to ensure continuity of care.
CORE

c. Patients are accepted only if the organisation can provide the required service.

Interpretation: The staff handling registration and admission need to be aware of the services that the organisation can provide. It is also advisable to have a system wherein the staff is aware as to whom to contact if they need any clarification on the services provided. In case of emergency, life-saving treatment shall be initiated before any decision is taken regarding acceptance.

d. The written guidance also addresses managing patients during non- availability of beds.*

Interpretation: The organisation is aware of the availability of alternate organizations where the patients may be directed in case of non-availability of beds. In case the organisation admits these patients in a temporary holding area, it shall ensure that there is adequate infrastructure to take care of these patients. Further, the organisation shall define as to how long patients are kept on temporary beds before a decision to transfer out is taken. The guidance also addresses managing patients when the bed is not available in the desired bed category or unit, and the financial implications explained to the patient of the same.
Commitment

e. Access to the healthcare services in the organisation is prioritised according to the clinical needs of the patient. *

Interpretation: Patients with a clinical problem which warrant an earlier response are identified and prioritised in all care settings (outpatient, in-patient, emergency and diagnostic services). For example, a patient waiting in the OPD who complains of giddiness is seen as soon as possible; a vulnerable patient coming for a diagnostic test is fast-tracked. All the staff handling these activities should be oriented to the applicable guidelines.
Commitment
NABH-AAC Standard 2 Effective Solutions

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Policy & Procedure on Registration Process

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20 Elite terminologies related to NABH

NABH-AAC Standard 2 Effective Solutions

Implementing NABH (National Accreditation Board for Hospitals & Healthcare Providers) standards involves a comprehensive process of aligning healthcare practices with rigorous quality and safety criteria. Facilities seeking NABH accreditation must establish robust protocols, ensure staff training, and continuously monitor and evaluate their practices. This process includes preparing detailed documentation, conducting internal audits, and addressing any gaps in compliance. Successful implementation not only enhances patient care and safety but also fosters a culture of continuous improvement and operational excellence.

NABH – AAC Standard 2 Effective Solution

NABH – AAC Standard 2 Effective Solution

NABH-AAC Standard 2 Effective Solutions

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ABG Analysis

ABG Analysis

Mastering ABG analysis is essential for nursing practice and success on the NCLEX. Each question in this set emphasizes key concepts, including the identification of acid-base imbalances, physiological responses, and their implications for patient care. A strong grasp of these principles will enhance your ability to assess and respond effectively to patients' needs in various clinical situations.

The number of attempts remaining is 5

1 / 50

A patient presents with confusion and fatigue. Their ABG results show: pH 7.28, PaCO2 58 mmHg, HCO3- 22 mEq/L. What condition do these findings suggest?

2 / 50

If a patient’s ABG shows a pH of 7.28, what should the nurse suspect?

3 / 50

A patient with a history of COPD is experiencing respiratory acidosis. Which intervention is most appropriate?

4 / 50

A patient presents with a high HCO3- level and a pH of 7.50. What could this indicate?

5 / 50

A patient is experiencing respiratory distress and has an ABG result of pH 7.32, PaCO2 52 mmHg, HCO3- 24 mEq/L. What does this indicate?

6 / 50

A patient is hypoventilating after a drug overdose. What would their ABG likely show?

7 / 50

A patient in renal failure presents with pH 7.30 and HCO3- 15 mEq/L. What is the expected respiratory response?

8 / 50

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

9 / 50

A patient with renal failure shows ABG results of pH 7.25, PaCO2 40 mmHg, HCO3- 16 mEq/L. This indicates:

10 / 50

A patient presents with tachycardia and muscle cramps. ABG analysis shows: pH 7.50, PaCO2 38 mmHg, HCO3- 30 mEq/L. What should the nurse assess for?

11 / 50

In a patient with a suspected pulmonary embolism, what ABG changes might you expect?

12 / 50

If a patient is experiencing metabolic alkalosis, which ABG result might be expected?

13 / 50

A nurse reviews an ABG report: pH 7.35, PaCO2 55 mmHg, HCO3- 22 mEq/L. Which nursing diagnosis is appropriate?

14 / 50

The nurse is interpreting ABG results: pH 7.50, PaCO2 30 mmHg, HCO3- 24 mEq/L. What condition is indicated?

15 / 50

A patient with chronic kidney disease shows signs of acidosis. What ABG change would be expected?

16 / 50

Which of the following ABG results would indicate metabolic acidosis?

17 / 50

A patient’s ABG indicates a pH of 7.50, what should the nurse suspect?

18 / 50

If a patient is experiencing metabolic acidosis, what would you expect the respiratory compensation to be?

19 / 50

A nurse notices a patient has rapid, shallow breathing. The patient’s ABG shows: pH 7.45, PaCO2 30 mmHg, HCO3- 22 mEq/L. What is the likely diagnosis?

20 / 50

What is the normal range for arterial blood pH?

21 / 50

A patient with a history of excessive alcohol consumption presents with ABG results: pH 7.30, PaCO2 40 mmHg, HCO3- 15 mEq/L. What is the likely diagnosis?

22 / 50

A nurse is assessing a patient with potential metabolic acidosis. Which sign would be most indicative?

23 / 50

ABG results show: pH 7.47, PaCO2 38 mmHg, HCO3- 29 mEq/L. The nurse should assess for which of the following?

24 / 50

A patient with renal failure presents with ABG results: pH 7.32, PaCO2 42 mmHg, HCO3- 16 mEq/L. What does this indicate?

25 / 50

In a patient with respiratory acidosis, what is the expected change in the kidneys?

26 / 50

The nurse is caring for a patient with COPD. Which ABG result would indicate respiratory acidosis?

27 / 50

ABG results show: pH 7.38, PaCO2 48 mmHg, HCO3- 26 mEq/L. This indicates which type of compensation?

28 / 50

A patient with severe dehydration would likely exhibit which of the following ABG results?

29 / 50

A patient has a pH of 7.30, PaCO2 30 mmHg, HCO3- 18 mEq/L. What is the most likely diagnosis?

30 / 50

A patient with diabetic ketoacidosis has the following ABG results: pH 7.25, PaCO2 30 mmHg, HCO3- 15 mEq/L. What is the primary acid-base imbalance?

31 / 50

ABG results show: pH 7.48, PaCO2 42 mmHg, HCO3- 30 mEq/L. What does this indicate?

32 / 50

Which patient condition would most likely cause metabolic alkalosis?

33 / 50

A patient presents with tachypnea and lightheadedness. Which ABG finding would be expected?

34 / 50

Which of the following can lead to metabolic alkalosis?

35 / 50

A patient presents with confusion and lethargy. ABG analysis reveals pH 7.34, PaCO2 55 mmHg, HCO3- 26 mEq/L. Which of the following interventions is the priority?

36 / 50

A patient with chronic kidney disease has a pH of 7.35 and HCO3- of 18 mEq/L. What is the likely diagnosis?

37 / 50

A nurse is reviewing ABG results: pH 7.35, PaCO2 50 mmHg, HCO3- 25 mEq/L. Which condition is most likely?

38 / 50

ABG results show: pH 7.40, PaCO2 32 mmHg, HCO3- 19 mEq/L. Which acid-base balance does this indicate?

39 / 50

ABG results show: pH 7.45, PaCO2 35 mmHg, HCO3- 21 mEq/L. What is the interpretation?

40 / 50

A patient with diabetes presents with a fruity odor on their breath. ABG results show: pH 7.25, PaCO2 40 mmHg, HCO3- 15 mEq/L. What condition is this indicative of?

41 / 50

A patient’s ABG shows: pH 7.45, PaCO2 48 mmHg, HCO3- 36 mEq/L. What condition does this most likely indicate?

42 / 50

Which of the following ABG values would indicate respiratory alkalosis?

43 / 50

What is a common cause of metabolic acidosis?

44 / 50

A patient with an acute asthma attack is likely to have which of the following ABG results?

45 / 50

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

46 / 50

A patient has the following ABG results: pH 7.30, PaCO2 50 mmHg, HCO3- 24 mEq/L. What is the primary acid-base disturbance?

47 / 50

Which of the following scenarios would likely lead to respiratory alkalosis?

48 / 50

A patient with chronic respiratory acidosis may develop:

49 / 50

In which condition would you expect to see a decreased HCO3- level?

50 / 50

A patient is hyperventilating due to anxiety. What would you expect their ABG results to show?

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