wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

MDIP Reporting

Total questions: 20

Worksheet time: 22mins

Name
Class
Date
1.

A Medical Device _______ is an actual or suspected device deficiency; an unexpected quality issue that may affect performance or safety; a failure in its labelling, instructions for use, or design

a)
Problem
b)

Incident

2.

A (a)   is an event that has the potential for harm and is intercepted before reaching the patient.

3.

Why should we report MIDPs? (select all that apply)

a)

Learning

b)

Quality improvement

c)

Evidentiary

d)

Mandated by Law

4.

Reporting MDIPs is mandatory.

a)

True

b)

False

5.

Completing an RLS - MDIP report automatically generates an MDIP report.

a)

True

b)

False

6.

An event that reasonably could or does result in unintended injury or complications arising from health care management, with outcomes that may range from (but are not limited to) death or disability to dissatisfaction with health care management or require a change in patient care. Events that reach the patient.

a)

Clinical Adverse Event

b)

Close Call

c)

Hazard

7.

This label should be filled out for process(es):

a)

A

b)

B

c)

C

8.

This label should be filled out this label for process(es):

a)

A

b)

B

c)

C

9.

Where would you quarantine a consumable or reusable device, OR piece of equipment, following process A

a)

Biomed

b)

Kiron's Office

c)

Wire shelf across from control desk

10.

Select the correct reporting process to follow for this scenario. You notice your room is low on povidone-iodine prep. You go to soiled holding to get more, and note that almost all of the bottles appear to have prep solution leaking out of the lids.

a)

Process A:

RLS MDIP Report

"CAE/HARM related" events

b)

Process B:

RLS MDIP Report

"Close call" events

c)

Process C:

MDIP Report

Hazards; Product complaints

11.

Select the appropriate reporting process for the following scenario. A stapler misfires on a patient intraoperatively.

a)

Process A

RLS MDIP

CAE/Harm Related events

b)

Process B

RLS MDIP

Close Call Events

c)

Process C

MDIP

Hazards/ Products complaints

12.

Select the appropriate process for the following scenario. The scrub nurse is trying to load a screw on a new Xia screwdriver. The locking mechanism on the screwdriver will not work properly, so the screw is not securely loaded. The scrub nurse immediately informs the circulator, and hands the screwdriver off of the set up.

a)

Process A:

RLS MDIP

CAEs/Harm Related Events

b)

Process B:

RLS MDIP

Close Call Events

c)

Process C:

MDIP

Hazard/Product Complaint

d)

None of the above. The medical device was re-usable and follows a different reporting process

13.

Select the appropriate process for the following scenario. A harmonic is opened and plugged into the generator as normal. The surgeon uses the harmonic once with no issues. When they attempt to use the harmonic again, an error message appears on generator stating that "device cannot be found". On visual inspection, there appears to be no damage to the harmonic hand piece.

a)

Process A:

RLS MDIP

CAE/Harm Related Event

b)

Process B:

RLS MDIP

Close Call Event

c)

Process C:

MDIP

Hazard/Product compliant

d)

None of the above. The event involves equipment which is reported through another channel.

14.

From the previous scenario (Harmonic malfunction), which should be quarantined:

a)

Harmonic hand piece only

b)

Harmonic generator only

c)

Harmonic generator and handpiece

d)

Neither need to be quarantined

15.

Select the most appropriate process for the following scenario. While preparing the theatre for a craniotomy, the nurse prepares the Doro skull clamp, and attaches the Doro skull clamp adaptor to the bed. The nurse completes all skull clamp adaptor safety checks and doesn't note any issues. Doro clamp is applied, patient is positioned, and surgery begins. Several minutes into the case the surgeon states that the doro is not secure and the patients positioning has been altered.

a)

Process A:

RLS MDIP

CAE/Harm Related Event

b)

Process B:

RLS MDIP

CLose Call Event

c)

Process C

MDIP Report

Hazard/Product Complaint

d)

None of the above. The medical devices is reprocessed and is therefore handled through another channel.

16.

Select the most appropriate process for the following scenario. During a laparotomy, the surgeon notes that the Metzenbaum scissors being used are dull and require sharpening.

a)

Process A

RLS MDIP

CAE/Harm Related Events

b)

Process B

RLS MDIP

Close Call Events

c)

Process C

MDIP

Product Complaints/Hazards

d)

None of the above. This item repair/deficiency is handled through an other channel.

17.

Select the most appropriate process for the following scenario. A brand-new piece of equipment has been brought into your department. While trying to familiarize yourself with the new equipment, you note that the two surgeon pedals, that perform vastly different functions are IDENTICAL (same size, shape, and colour), and using the wrong pedal could certainly cause patient harm.

a)

Process A:

RLS MDIP

CAEs/Harm Related Events

b)

Process B

RLS MDIP

Close Call Events

c)

Process C

MDIP

Hazards/Products

d)

None of the above are appropriate.

18.

Select the most appropriate process for the following scenario. You are scrubbed on a robotic prostatectomy and the surgeon states that one of the endowrist instruments is not rotating as expected, making suturing very challenging. The instrument is noted to be on its 2nd (of ten) use.

a)

Process A:

RLS MDIP

CAE/Harm Related Evetns

b)

Process B:

RLS MDIP

Close Call

c)

Process C:

MDIP

Hazard, Product complaint

d)

None of the above are appropriate

19.

Select the most appropriate process for the following scenario. You are scrubbed on a Left VATS for Left upper Lobectomy. The circulator dispenses a stapler and a staple load. You load the staple cartridge onto the stapler and note that the staples are raised, despite never having been fired. You immediately hand off the cartridge.

a)

Process A:

RLS MDIP

CAEs/Harm Related Events

b)

Process B:

RLS MDIP

Close Call Events

c)

Process C:

MDIP

Hazards/Product Complaints

d)

None of the above are appropriate.

20.

Following this in-service, I feel:

a)

pretty good about MDIP reporting!

b)

Better about MDIP reporting than before, but still a bit unclear.

c)

Still very confused about MDIP reporting.

d)

I am more confused about MDIP reporting than before.