Observational Checklist: Waste Reduction and Prevention

in ICU
Instructions: This checklist is designed to assess green practices regarding waste management
among ICU nurses. Please observe nurses' actions and record your observations using a Yes/No
or Not Applicable (NA) rating for each item.

Part 1: Medication Dispensing and Administration

Category Description Yes No NA

Reduce
Medication
Waste
Does the nurse utilize barcoding technology for medication
1.1
verification when available?
Does the nurse calculate medication dosages accurately,
1.2
avoiding the need for remaking medication due to errors?
Does the nurse use standardized medication administration
1.3
protocols whenever possible (e.g., piggyback medications)?
Does the nurse advocate for the use of single-dose medication
1.4
packaging only when necessary?
Does the nurse collaborate with pharmacists to identify
1.5 opportunities for reducing medication waste (e.g., using
alternative medications with less waste)?
Proper
Medication
Disposal
Does the nurse dispose of unused medication in single-dose vials
1.6
following proper segregation protocols?
Does the nurse dispose of expired medication following proper
1.7
segregation protocols?
Does the nurse dispose of sharps (needles, syringes) in
1.8
designated sharps containers immediately after use?
Does the nurse dispose of medication labels from single-dose
1.9
medication pouches securely (e.g., shredding)?
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Part 2: Supplies and Equipment

 Category Description Yes No NA
Reduce Supply
Waste
Does the nurse utilize reusable equipment whenever possible (e.g.,
2.1
blood pressure cuffs) instead of disposables?
Does the nurse minimize the use of disposable towels and wipes
2.2
for cleaning by using reusable cloths when appropriate?
Does the nurse properly segregate recyclable materials (e.g.,
2.3
paper, cardboard) from other waste?
Does the nurse advocate for the use of energy-efficient equipment
2.4
in the ICU (e.g., lighting)?
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Part 3: Education and Awareness

Category Description Yes No NA

Education and
Promotion
Does the nurse educate patients about the importance of proper
3.1
medication adherence to minimize waste?
Does the nurse discuss green waste management practices with
3.2
colleagues and encourage their participation?
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Notes:

 This checklist is a starting point and can be adapted to fit the specific needs and waste
streams of your ICU.
 Consider including additional observations or comments in the designated space below.

Additional Observations:

Rater Name: __________________________________ Date:

__________________________________

create an observational checklist for Waste reduction and

prevention checklist: it is used to assess green practice
regarding waste management among ICU nurses, it is
adapted from (Practice Green Health Organization, 2011;
and world Health Organization, 2018)
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MCQ: Green Practices in ICU by Nurses (20 Questions)

Instructions: Please select the best answer for each question.

Medication Management (6 Questions)

1. Minimizing medication waste in the ICU contributes to a greener healthcare environment

by:

a) Reducing overall healthcare costs only.

b) Lowering the environmental impact of medication production, disposal, and
minimizing ICU waste streams. (Correct) c) Improving patient satisfaction scores
directly. d) Increasing the availability of medications for all patients without considering
waste.

2. A nurse in the ICU is preparing medication for a patient. To minimize waste, which
action should they take FIRST?

a) Draw up the entire vial contents even if only a partial dose is needed. b) Calculate and
draw up the exact medication dosage required for the patient. (Correct) c) Discard
any leftover medication in a sharps container. d) Reprocess and reuse single-use
medication vials (Not recommended due to sterility concerns).

3. Which of the following practices does NOT contribute to minimizing medication waste in
the ICU?

a) Utilizing single-dose medication packaging whenever possible. b) Discarding expired

medications without checking for potential use in research protocols. (Consider
inquiring about research protocols before discarding) c) Implementing standardized
medication administration protocols. (Correct) d) Advocating for the use of multi-dose
vials when appropriate.

4. A patient in the ICU requires a continuous infusion medication. Which practice promotes
green medication management?
 a) Disconnecting and discarding the entire IV tubing system with each medication
change. b) Utilizing a closed system medication transfer device (CMTD) to minimize
medication spills. (Correct) c) Venting medication bags unnecessarily during
administration. d) Disregarding proper sharps disposal protocols for used needles and
syringes.

5. Safe medication waste disposal in the ICU involves:

a) Disposing of all medications in a single waste bin regardless of type. b) Segregating

medication waste into appropriate designated containers ( sharps, cytotoxics, etc.)
(Correct) c) Flushing unused medications down the drain. d) Repurposing empty
medication vials for other purposes (Not recommended due to sterility concerns).

6. Nurses can advocate for green practices in medication management by:

a) Ignoring opportunities to discuss medication waste reduction with colleagues and

physicians. b) Collaborating with pharmacy and other departments to develop
protocols for minimizing waste. (Correct) c) Placing blame on patients for medication
non-adherence that leads to waste. d) Discouraging the use of electronic medication
administration records (EMAR) in favor of paper charts.

Personal Protective Equipment (PPE) (4 Questions)

7. Choosing reusable gowns over disposable gowns for appropriate procedures in the ICU
promotes:

a) Increased risk of healthcare-associated infections (HAIs) due to potential cross-

contamination. b) Reduced environmental impact and potentially lower waste
disposal costs. (Correct) c) Ignoring proper infection control protocols. d) Encouraging
the reuse of single-use PPE beyond their intended lifespan.

8. When selecting gloves for procedures in the ICU, a nurse should prioritize:

a) Using the thickest gloves available regardless of the procedure. b) Choosing gloves
that are appropriate for the task at hand, minimizing unnecessary waste. (Correct)
c) Disregarding glove size and fit, potentially compromising safety and dexterity. d)
Leaving gloves on and reusing them for multiple patients to save time.

9. Following proper doffing procedures for PPE helps to:

a) Increase the risk of spreading pathogens within the ICU environment. b) Minimize the
amount of contaminated PPE disposed of as waste. (Correct) c) Allow for reuse of
contaminated PPE without proper cleaning. d) Discourage the use of hand hygiene
practices.

10. Nurses can contribute to responsible PPE use by:

 a) Leaving used PPE lying around the ICU instead of disposing of it properly. b)
Educating patients and colleagues about the importance of proper PPE use and
disposal. (Correct) c) Encouraging the use of excessive amounts of PPE for all
procedures. d) Disregarding manufacturer's recommendations for extended wear times of
PPE.

Procedures and Waste Management (10 Questions)

11. Which of the following practices promotes green practices during central line insertion in
the ICU?

a) Using aseptic technique with excessive amounts of sterile drapes and towels. b)
Utilizing reusable sterile drapes whenever possible for appropriate procedures.
(Correct) c) Disregarding proper sharps disposal protocols for used needles and syringes.

d) Disposing of all materials used during central line insertion in a single waste bin. (Correct)

12. Sustainable practices during mechanical ventilation in the ICU involve:

a) Leaving the humidifier on high settings at all times regardless of patient needs. b)
Optimizing ventilator settings to minimize energy consumption while ensuring
patient comfort. (Correct) c) Disregarding proper cleaning and disinfection protocols for
ventilator circuits, leading to more frequent replacements. d) Disposing of used ventilator
tubing without considering recycling options (if available).

13. When performing suctioning procedures in the ICU, a nurse can promote green practices
by:

a) Using single-use suction catheters for every suctioning event, regardless of the
duration. b) Utilizating closed-suction systems whenever possible to minimize waste.
(Correct) c) Disconnecting and discarding the entire suction tubing system with each
suctioning event. d) Reusing single-use suction catheters after basic cleaning (Not
recommended due to infection risk).

14. A nurse is preparing for dialysis procedures in the ICU. Green practices involve:

a) Disposing of all used dialysate fluid down the drain after each treatment. b) Utilizing
reusable dialyzer components whenever possible and following proper reprocessing
protocols. (Correct) c) Ignoring proper disposal protocols for contaminated sharps used
during dialysis. d) Discouraging the use of automated dialysis machines to save energy.

15. Sustainable practices during blood transfusions in the ICU include:

a) Leaving blood tubing connected to the patient and blood bag after the transfusion is
complete. b) Utilizing blood filters and administration sets only once and disposing
of them properly. (Correct) c) Disregarding the blood storage temperature
 recommendations to save energy. d) Wasting blood products by drawing excessive
amounts for anticipated transfusions that may not be needed.

16. Safe waste management of sharps in the ICU requires:

a) Disposing of sharps in regular trash bins. b) Recapping used needles before disposal (a
safety hazard). c) Utilizing puncture-resistant sharps containers for safe disposal.
(Correct) d) Disposing of sharps containers when they are only half full.

17. Segregating waste streams in the ICU is important for:

a) Reducing the overall amount of waste generated. b) Facilitating proper recycling

and disposal of different waste types ( sharps, biohazardous, etc.) (Correct) c)
Ignoring specific disposal protocols for hazardous waste. d) Encouraging the incineration
of all ICU waste without proper filtering.

18. Nurses can promote sustainable practices in the ICU by:

a) Discouraging communication with waste management personnel about proper disposal

procedures. b) Educating patients and colleagues about the importance of waste
segregation and green practices. (Correct) c) Ignoring opportunities to identify and
reduce unnecessary waste generation in daily routines. d) Discouraging the use of
reusable supplies and equipment whenever possible.

19. Technology can contribute to green practices in the ICU by:

a) Printing excessive amounts of paper charts and reports. b) Utilizing electronic health
records (EHR) and digital documentation to reduce paper waste. (Correct) c)
Leaving monitors and equipment on standby mode when not in use. d) Disregarding
routine equipment maintenance protocols to save energy.

20. Continuous improvement in green practices requires:

a) Relying solely on individual efforts without seeking feedback or making adjustments.

b) Monitoring waste generation patterns and implementing changes to minimize
waste over time. (Correct) c) Blaming specific departments for waste generation without
collaborative solutions. d) Disregarding new research and innovations in sustainable
healthcare practices.

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MCQ: Medication Waste Classification (10 Questions)

Instructions: Please select the best answer for each question.

1. Which category of medication waste includes expired medications, unused medications,

and contaminated medications?

a) Cytotoxic waste b) Expired/unused/contaminated medications (Correct) c) Sharps

waste d) Pharmaceutical packaging waste

2. Leftover medication from a single-use vial after administering a partial dose falls under
which category of medication waste?

a) Reusable medication b) Expired/unused/contaminated medications (Correct) c)

Spilled medication d) Pharmaceutical packaging waste

3. Medications that can harm healthy cells, such as chemotherapy drugs, are classified as:

a) Expired/unused/contaminated medications b) Sharps waste c) Cytotoxic waste

(Correct) d) Pharmaceutical packaging waste

4. Unused or contaminated medication containers, such as blister packs and vials, are
classified as:

a) Cytotoxic waste b) Expired/unused/contaminated medications c) Sharps waste d)

Pharmaceutical packaging waste (Correct)

5. Needles, syringes, lancets, and intravenous (IV) catheters used for medication
administration are classified as:

a) Expired/unused/contaminated medications b) Cytotoxic waste c) Sharps waste

(Correct) d) Pharmaceutical packaging waste

6. Medication accidentally spilled during preparation or administration is categorized as:

 a) Cytotoxic waste b) Expired/unused/contaminated medications c) Spilled medication
(Correct) d) Pharmaceutical packaging waste

7. Medications contaminated with bodily fluids, such as used inhalers or topical creams, fall
under which category?

a) Expired/unused/contaminated medications b) Cytotoxic waste c) Contaminated

medications (Correct) d) Pharmaceutical packaging waste

8. Empty medication vials that were previously sterilized and used for medication
preparation are considered:

a) Expired/unused/contaminated medications b) Cytotoxic waste c) Sharps waste d) Non-

hazardous pharmaceutical waste (May vary by facility, check local regulations)

9. Medication waste generated during research trials that are not intended for patient use
belong to which category?

a) Expired/unused/contaminated medications b) Research medication waste (May have

specific disposal protocols) c) Cytotoxic waste d) Pharmaceutical packaging waste

10. Controlled substances, such as opioids or stimulants, that are expired, unused, or
contaminated are classified as:

a) Expired/unused/contaminated medications b) Cytotoxic waste c) Sharps waste d)

Controlled substance waste (May have specific disposal protocols)

MCQ: Medication Waste Segregation (10 Questions)

Instructions: Please select the best answer for each question.

1. The primary purpose of segregating medication waste is to:

a) Reduce the overall amount of waste generated. b) Facilitate proper disposal and
minimize environmental impact. (Correct) c) Save money on waste disposal costs. d)
Repurpose expired medications for future use.

2. Which type of container should be used for expired or unused medications?

a) Regular trash bin b) Designated sharps container (Incorrect) c) Clearly labeled

container for expired/unused medications (Correct) d) Cytotoxic waste container

3. How should needles, syringes, and lancets used for medication administration be
disposed of?
 a) Regular trash bin b) Puncture-resistant sharps container (Correct) c) Container for
expired/unused medications d) Cytotoxic waste container

4. Contaminated medication containers, such as blister packs with unused medication,

should be disposed of in:

a) Regular trash bin b) Sharps container c) Container for expired/unused medications

(Correct) d) Cytotoxic waste container

5. Spilled medication should be:

a) Left to dry and then disposed of in regular trash. b) Cleaned up with appropriate
absorbent materials and disposed of according to the medication category. (Correct)
c) Reprocessed and reused if possible. d) Discarded down the drain.

6. Medications classified as cytotoxic waste, such as chemotherapy drugs, require disposal

in:

a) Regular trash bin b) Sharps container c) Container for expired/unused medications d)

Designated cytotoxic waste container (Correct)

7.

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7. Empty medication vials that were previously sterilized and used for medication
preparation should be disposed of in:

a) Regular trash bin b) Sharps container c) Container for expired/unused medications

d) Designated non-hazardous pharmaceutical waste container (May vary by facility,
check local regulations)
 8. When segregating medication waste, it's important to:

a) Mix different waste categories together for easier disposal. b) Follow clear labeling
guidelines for each waste container. (Correct) c) Ignore specific disposal protocols for
medications with special requirements (cytotoxic, controlled substances). d) Rely solely
on memory for proper segregation without following established procedures.

9. Nurses play a crucial role in medication waste segregation by:

a) Disregarding proper disposal protocols and placing all waste in a single bin. b)
Identifying the correct waste category for each medication item. (Correct) c)
Encouraging the reuse of expired or unused medications. d) Disposing of medication
waste without proper documentation.

10. Effective communication regarding medication waste segregation involves:

a) Blaming colleagues for improper waste disposal practices. b) Educating other

healthcare professionals about proper segregation procedures. (Correct) c) Ignoring
opportunities to clarify uncertainties about waste classification. d) Discouraging open
communication about potential medication waste management issues.

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administration and narcotics and sedetaices and TPA and
any medications that need special actions to be used or
segregated or safe mangeent
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MCQ: Green Practices in Medication Administration (15

Questions)
Instructions: Please select the best answer for each question.

General Practices (5 Questions)

1. Minimizing medication waste in medication administration contributes to a greener

healthcare environment by:

a) Reducing overall healthcare costs only.

b) Lowering the environmental impact of medication production, disposal, and
minimizing medication waste streams. (Correct) c) Improving patient satisfaction
scores directly. d) Increasing the availability of medications for all patients without
considering waste.

2. A nurse in the ICU is preparing medication for a patient. To minimize waste, which
action should they take FIRST?

a) Draw up the entire vial contents even if only a partial dose is needed. b) Calculate and
draw up the exact medication dosage required for the patient. (Correct) c) Discard
any leftover medication in a sharps container. d) Reprocess and reuse single-use
medication vials (Not recommended due to sterility concerns).

3. Which of the following practices does NOT contribute to minimizing medication waste in
medication administration?

a) Utilizing single-dose medication packaging whenever possible. b) Disregarding

medication expiry dates and using medications beyond their recommended shelf life.
(Not recommended) c) Implementing standardized medication administration protocols.
(Incorrect) d) Discouraging the use of multi-dose vials when appropriate.

4. A nurse is preparing to administer medication through an intravenous (IV) line. A green

practice includes:

a) Disconnecting and discarding the entire IV tubing system with each medication
change. b) Utilizing a closed system medication transfer device (CMTD) to minimize
medication spills. (Correct) c) Venting medication bags unnecessarily during
administration. d) Disregarding proper sharps disposal protocols for used needles and
syringes.

5. Safe medication waste disposal in medication administration involves:

a) Disposing of all medications in a single waste bin regardless of type. b) Segregating

medication waste into appropriate designated containers ( sharps, cytotoxics, etc.)
(Correct) c) Flushing unused medications down the drain. d) Repurposing empty
medication vials for other purposes (Not recommended due to sterility concerns).

Narcotics and Sedatives (5 Questions)

 6. When administering narcotics or sedatives, a green practice involves:

a) Drawing up excessive amounts "just in case" more medication is needed later. b)

Utilizing single-dose packaging for narcotics and sedatives whenever possible.
(Correct) c) Disregarding controlled substance waste disposal protocols. d) Wasting
narcotics or sedatives by drawing up more than the prescribed dosage.

7. Nurses can promote responsible use of narcotics and sedatives by:

a) Encouraging the use of narcotics or sedatives for pain management without proper
assessment. b) Collaborating with physicians to ensure appropriate prescribing and
administration of narcotics and sedatives. (Correct) c) Disregarding the potential for
dependence or addiction associated with narcotics and sedatives. d) Failing to document
the use of narcotics and sedatives accurately.

8. Safe disposal of unused narcotics and sedatives requires:

a) Disposing of them in regular trash bins. b) Reprocessing and reusing leftover narcotics
and sedatives. (Not recommended) c) Following specific protocols for controlled
substance waste disposal. (Correct) d) Discouraging documentation of wasted narcotics
and sedatives.

9. Nurses can contribute to minimizing waste of narcotics and sedatives by:

a) Ignoring opportunities to educate patients about alternative pain management

techniques. b) Calculating and administering the most accurate dosage possible
based on patient needs. (Correct) c) Disregarding proper storage protocols for narcotics
and sedatives, leading to expiration. d) Failing to return unused portions of narcotics and
sedatives to a secure location.

10. Continuous monitoring of narcotic and sedative waste generation allows for:

a) Blaming individual nurses for medication waste. b) Identifying opportunities for

waste reduction and implementing corrective actions. (Correct) c) Discouraging
communication about potential solutions for waste reduction. d) Ignoring the
environmental impact of narcotic and sedative waste disposal.

TPA and Other High-Alert Medications (5 Questions)

11. When administering tissue plasminogen activator (TPA), a green practice involves:

a) Wasting a portion of the TPA vial due to the minimum withdrawal volume. b)
Disregarding proper disposal protocols for needles and syringes used with TPA. c)
Utilizing single-dose packaging for TPA whenever available. (Correct) d) Failing to
document
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MCQ: TPA and Other High-Alert Medications (5 Additional

Questions)
Instructions: Please select the best answer for each question.

1. A key green practice when handling tissue plasminogen activator (TPA) is:

a) Utilizing expired TPA vials to reduce waste. (Not recommended) b) Minimizing the
number of medication manipulations to reduce the risk of contamination. (Correct)
c) Disregarding proper spill precautions for TPA due to its time-sensitive nature. d)
Reprocessing leftover TPA for future use. (Not recommended)

2. Nurses can promote safe and responsible use of high-alert medications by:

a) Discouraging double-checking medication dosages and calculations with colleagues. b)

Utilizing technology, such as barcodes, to minimize medication errors. (Correct) c)
Ignoring potential drug interactions with high-alert medications. d) Administering high-
alert medications without proper verification of the "five rights" (right patient, right drug,
right dose, right route, right time).

3. When disposing of waste generated during the administration of high-alert medications,

nurses should:

a) Combine all waste materials in a single container for convenience. b) Follow specific
protocols for segregating and disposing of waste based on the medication category
( sharps, cytotoxics, etc.). (Correct) c) Disregard the potential environmental impact of
 high-alert medication waste. d) Repurpose used syringes and needles for future
medication administration. (Not recommended)

4. Continuous improvement in green practices related to high-alert medications involves:

a) Blaming individuals for medication errors or waste generation. b) Regularly

reviewing waste generation patterns and implementing strategies to minimize waste.
(Correct) c) Ignoring new research and innovations in safe and sustainable use of high-
alert medications. d) Discouraging open communication about potential safety concerns
or waste reduction strategies.

5. Collaboration between nurses and pharmacists is crucial for:

a) Encouraging the use of expired high-alert medications to save costs. b) Developing

protocols for minimizing waste and ensuring safe disposal of high-alert medications.
(Correct) c) Disregarding the importance of proper medication storage and handling for
high-alert medications. d) Prioritizing speed over accuracy when administering high-alert
medications.

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MCQ: TPA and Other High-Alert Medications (15

Additional Questions)
Instructions: Please select the best answer for each question.

TPA Administration (5 Questions)

1. When preparing to administer TPA, a nurse should prioritize:

 a) Speed of administration to minimize treatment delays. b) Verifying the accuracy of
the dose calculation with a colleague. (Correct) c) Disregarding potential side effects of
TPA due to its time-sensitive nature. d) Administering TPA without confirming
eligibility criteria for the patient.

2. A green practice during TPA administration involves:

a) Using excessive amounts of personal protective equipment (PPE) beyond what is

necessary. b) Wasting a portion of the TPA vial due to the minimum withdrawal volume
and discarding the entire vial. c) Disregarding proper spill precautions for TPA. d)
Utilizing spill kits specifically designed for hazardous medications like TPA.
(Correct)

3. Following TPA administration, a nurse should:

a) Reprocess and reuse syringes and needles used with TPA. (Not recommended) b)
Dispose of waste generated during administration according to specific protocols.
(Correct) c) Ignore documentation requirements for TPA administration. d) Discourage
communication with the pharmacy regarding potential medication errors or waste
generation.

4. Nurses play a critical role in minimizing waste during TPA administration by:

a) Ignoring opportunities to educate patients about TPA administration and potential side
effects. b) Calculating and administering the most accurate dosage possible based on
patient weight and specific criteria. (Correct) c) Disregarding proper storage and
handling protocols for TPA vials, leading to potential expiration. d) Failing to return
unused portions of TPA to a secure location.

5. Continuous monitoring of TPA waste generation allows for:

a) Blaming individual nurses for medication waste. b) Identifying opportunities for

using smaller volume TPA vials or alternative administration methods to reduce
waste. (Correct) c) Discouraging communication about potential solutions for waste
reduction. d) Ignoring the financial implications of TPA waste disposal.

General High-Alert Medications (5 Questions)

6. When administering any high-alert medication, a nurse should:

a) Discourage double-checking medication dosages and calculations with colleagues. b)

Utilize technology, such as barcodes, to minimize medication errors. (Correct) c)
Ignore potential drug interactions with high-alert medications. d) Administer high-alert
medications without proper verification of the "five rights" (right patient, right drug, right
dose, right route, right time).
 7. A key practice for minimizing waste of high-alert medications involves:

a) Utilizing expired high-alert medications to reduce costs. (Not recommended) b)

Drawing up only the exact amount of medication needed for the patient. (Correct) c)
Disregarding the potential for medication errors associated with high-alert medications.
d) Reprocessing leftover high-alert medications for future use. (Not recommended)

8. Safe disposal of waste generated during the administration of high-alert medications

requires:

a) Combining all waste materials in a single container for convenience. b) Following

specific protocols for segregating and disposing of waste based on the medication
category ( sharps, cytotoxics, etc.). (Correct) c) Disregarding the potential
environmental impact of high-alert medication waste. d) Repurposing used syringes and
needles for future medication administration. (Not recommended)

9. Nurses can contribute to minimizing waste of high-alert medications by:

a) Ignoring opportunities to educate patients about their medications and potential side
effects. b) Implementing standardized protocols for medication administration and
documentation. (Correct) c) Discouraging communication with pharmacists regarding
potential medication interactions. d) Failing to report medication errors or near misses
involving high-alert medications.

10. Continuous improvement in green practices related to high-alert medications involves:

a) Blaming individuals for medication errors or waste generation. b) Regularly

reviewing waste generation patterns and implementing strategies to minimize waste.
(Correct) c) Ignoring new research and innovations in safe and sustainable use of high-
alert medications. d) Discouraging open communication about potential safety concerns
or waste reduction strategies.

Collaboration and Communication (5 Questions)

11. Collaboration between nurses and pharmacists is crucial for:

a) Encouraging the use of expired high-alert medications to save costs. b) Developing

protocols for minimizing waste and ensuring safe disposal of high-alert medications.
(Correct) c) Disregarding the importance of proper medication storage and

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MCQ: TPA and Other High-Alert Medications (continued)

(Following the previous question 11)

c) Disregarding the importance of proper medication storage and handling for high-alert
medications. d) Prioritizing speed over accuracy when administering high-alert medications.

12. Effective communication regarding high-alert medications involves:

a) Blaming colleagues for medication errors or waste generation. b) Educating patients

about their medications and potential side effects. (Correct) c) Discouraging open
communication about potential medication interactions. d) Withholding information from
pharmacists about medication errors or waste generation.

13. Nurses can promote safe and responsible use of high-alert medications by:

a) Ignoring opportunities to educate other healthcare professionals about proper handling

and disposal of high-alert medications. b) Utilizing standardized "tall man lettering"
labels to minimize medication confusion. (Correct) c) Discouraging double-checking of
medication dosages with a pharmacist. d) Administering high-alert medications without
proper patient identification.

14. When reporting medication errors or near misses involving high-alert medications, nurses
should:

a) Conceal the details of the incident to avoid blame. b) Provide a clear and accurate
account of the event to facilitate investigation and prevention. (Correct) c) Discourage
open communication about potential safety concerns. d) Focus solely on assigning blame
to individuals involved in the error.

15. Continuous improvement in green practices for high-alert medications requires:

 a) Implementing a culture of punishment for medication errors or waste generation. b)
Encouraging collaboration between nurses, pharmacists, and other healthcare
professionals to identify and implement best practices. (Correct) c) Discouraging
feedback and suggestions for improvement in medication waste management. d)
Focusing solely on individual efforts without considering broader system-level changes.

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