Cope Health Scholars Exam 2023 with complete solution

Define Scope of Practice The duties or services that a particular practitioner is authorized to perform Under what conditions are Scholars allowed to handle medication? COPE Health Scholars are NEVER allowed to handle medications What types of isolation rooms can Health Scholars enter with proper PPE? Contact, Contact Enteric, and Droplet isolation rooms What is the proper response if you are asked to do something out of your scope of practice? 1. Politely inform the patient or staff member that you cannot perform the task 2. Find someone who can help with the task 3. Ask if there is anything else you can do to help What are three examples of things a Health Scholar should never do on their shift? 1. Eat or drink in patient care areas 2. Use their cell phone 3. Work on homework or other outside work 4. Use hospital computers Identify two tasks that you must receive permission from a staff member before completing 1. Discharging patients 2. Giving patients food or water 3. Re-positioning a patient in bed 4. Ambulating a patient 5. Other examples How far in advance does a Scholar have to submit a Leave of Absence Request? At least two weeks in advance How long of a break do you need to take after every 4 hours of shifting? 30 minutes How many rescheduled, excused, and unexcused missed shifts are Scholars allowed per rotation? 3 Rescheduled Shifts 2 Excused Missed Shifts 0 Unexcused Missed Shifts What two things must you do when you are going to miss a shift? 1. Call the Charge Nurse of the assigned department at least 15 minutes (before/after) the shift start time 2. Email your Department Coordinator at least 24 hours prior with the following information: 1. A valid reason for missing 2. A replacement shift date and time What five items does a complete Scholar uniform consist of? 1. Polo shirt 2. Khaki pants 3. White, non-canvas shoes 4. Black Pen 5. ID Badge Define Timesheet Falsification. What is the consequence of Timesheet Falsification? Definition: when a participant claims hours they did not serve Consequence: dismissal from the program and denial of all hours What are the names of the three major accrediting agencies? The Joint Commission (TJC), DNV GL, Healthcare Facilities Accrediting Program What is accreditation? A process of review and validation in which an organization is evaluated to ensure ongoing and continuous compliance with the highest standard of quality If you do not know the answer to a question asked by an accreditation surveyor, you should... • Be honest and apologize for not knowing the answer • Tell the surveyor you will find the answer • Research the answer and report back to the surveyor Name two stakeholders in the US Healthcare System 1. Consumers 2. Providers 3. Payers (Health Insurance Plans) 4. Regulators 5. Community Social Determinants of Health (SDOH) Name two of the social determinants of health A (other answers may be accepted): Education, Screening, Public Health, Food, Transportation, Medication Name four of the eight HCAHPS domains 1. Nurse Communications 2. Cleanliness and Quietness 3. Pain Management 4. Discharge Management 5. Physician Communications 6. Responsiveness of Hospital Staff 7. Communications about Medications 8. Overall Rating Name two things associated with the normal aging process that geriatric patients are most at risk for Decreased skin integrity, aspiration, sleep pattern disturbances, and risk for falls What does HIPAA stand for and what is its purpose? Health Insurance Portability and Accountability Act; Purpose: To protect the unauthorized disclosure of patient health information What are five ways to identify a patient? 1. Patient's nurse 2. Patient's ID wristband 3. Patient's chart 4. White board in main nurses station 5. An open ended question addressed to the patients What do AIDET and SKAHI stand for? AIDET: Acknowledge Introduce Duration Explain Thank SKAHI: Signs Knock Assess Hand Hygiene Identify Name the five groups that make up the patient care team Nursing staff, Physician, Allied Health Positions, Patient, and Health Scholar What are three common signs or symptoms of dying? • Disorientation • Lethargy • Incontinence • Restlessness • Reduced intake and output • Temperature Sensitivity • Breathing Changes What do code blue and code gray mean, respectively? • Code blue: Adult Medical Emergency (14+ years of age) • Code gray: combative or disruptive patient What is the number that you dial to "call a code" in the hospital? 3000 What is the central premise of universal health precautions? ALL bodily fluids are potentially infectious Name four forms of Personal Protective Equipment that you could use in the hospital 1. Gowns 2. Gloves 3. Masks 4. Goggles (not always available/required) What are three ways Scholars can help protect patient privacy? 1. Close patient doors/curtains during discussions 2. Don't leave papers with PHI unattended 3. Keep patient records locked away 4. Report breached immediately 5. Make sure discussions about patients cannot be overheard 6. Do not discuss patient issues in public areas 7. Do not throw away PHI Define "incident" and "injury" Incident: An unexpected or unanticipated event that needs to be reported to the program facility and COPE Health Solutions (happens to someone else or the hospital property) Injury: Any physical or emotional harm that occurs while serving shifts in the program facility (happens to you) When are competency checklists due? By the end of the second week of the new rotation—the 15th of the month How far in advance do you need to request a letter of recommendation? At least 8 weeks What is the purpose of a counseling session? To correct and improve performance and review program policies and procedures to support successful participation in the program In order of occurrence, what steps do you need to take if you are injured -- regardless of how minor the injury is -- while shifting at the hospital? 1. Report injury to the charge nurse/supervisor 2. Get treated (as necessary) 3. Call the program manager at (888) 248-2914 COPE Health Scholars are required by program policy to be mandatory reporters for what four things? 1. Child Abuse 2. Elderly Abuse 3. Harassment 4. Domestic Abuse Name five careers that fall under the category of Allied Health • Emergency Medical Technician (EMT) • Physician Assistant (PA) • Registered Dietitian (RD) • Respiratory Therapist (RT) • Certified Nursing Assistant (CNA) • Paramedic • Physical Therapist/X-Ray • Occupational Therapist • Radiologic/X-Ray/Ultrasound Tech • Surgical Technologist • Clinical Laboratory Scientist • Clinical Laboratory Technologist • Athletic Trainer • CVT • Diagnostic Medical Sonographer • Exercise Scientist • Medical Assistant • Medical Interpreter • Nuclear Medicine Technologist • Ophthalmic Laboratory Tech • Optician • Pathologist's Assistant Therapeutic Relationship A relationship that allows the application of professional knowledge, skills, abilities, and experiences towards meeting the needs of the patient. Professional Boundary Effective and appropriate interaction between professionals and those they serve. Boundary Crosssings Brief excursions across professional lines of behavior that may be inadvertent, thoughtless, or even purposeful. Boundary Violations Occurs when there is excessive personal disclosure, secrecy, or a reversal of roles between Scholar and patient Empathy The action of understanding, being aware of, and being sensitive to the feelings, thoughts, and experience of another without having the feelings, thoughts, and experiences fully communicated in an objectively explicit manner Sympathy The act or capacity of entering into or sharing the feelings or interests of another. Feeling pity or sorrow for another. Body Mechanics The proper way to move a body part in relation to another so as to minimize the risk of injury Bony Prominences Areas of the body where the bone is close to the surface of the skin. Greatest at risk for pressure sores. Fowler Position Patient is lying in bed in a supine position with the head of the bed elevate to 45-60 degrees Semi-Fowler's Position Patient is lying in bed with head elevated at 30 degrees High-Fowler's Position Patient is lying in bed with head elevated upright at 90 degrees Infection Prevention Support to help prevent the spread of infectious diseases through infection control measures in healthcare settings Personal Protective Equipment (PPE) Equipment used to reduce exposure to, and protect against, infectious materials. Hand Hygiene Any method that removes or destroys microorganisms on hands. #1 strategy for preventing infection. Incident An unexpected or unanticipated event that needs to be reported to the facility and Program Manager. Examples: patient fall, walking into an isolation room without proper PPE, patient complaint, patient injury (including but not limited to skin tears, bedsores, bruises), etc. Injury A type of incident - any physical or emotional harm that occurs to the participant while serving shifts in the facility Example: slipping on the floor/stairs, needle stick, traumatic encounter, etc. Breach A type of incident - any exposure of PHI to unauthorized persons Example: Finding a pile of patient records in the lobby of the Emergency Room Ambulate To walk from place to place Fall Risk A designation assigned to a patient whose stability is of concern in order to prevent falls from occurring Three things to ask before ambulating a patient 1. Have you walked in the last 12 hours? 2. Have you walked on this floor? 3. Do you need to go to the bathroom? Trendelenburg position A position in which the patient's feet and legs are higher than the head When discharging a patient, Scholars must never: • Accept tips • Help patients into car • Assist with the car or car seats • Handle/seal valuables bags • Discharge patient to any area outside of the designated patient pick-up area. What should you immediately check for when log rolling a patient? Bed sores and any new skin tears. What should you do if you see a new skin tear Report it to the RN and follow incident reporting procedures. Code Red Fire Code Blue Adult medical emergency (14+) Code Gray Combative patient Code Amber Infant/child abduction Code BART Stroke Code Jack Patient or visitor fall Mr. North Combative non-patient Code Blue Neonatal/Pediatric Child medical emergency Code Orange Hazardous material spill Code Purple Missing adult patient Code Yellow Bomb threat Code Silver Person with a weapon or hostage situation