Cope Health Scholars MC Exam 2023 with verified questions and answers

What does a uniform consist of? tucked polo shirt, khaki pants, ID, white tennis shoes, black pen, opt. black/brown belt What is the latest date that participants can reschedule their shifts? Add additional shifts? the 25th of the month before the shifts begin; after the 25th until the end of the month How can a participant reschedule a shift? How often? e-mail the DC at least 48 hours before with: date and time of shift to be rescheduled, reason, requested replacement; two times in a month becomes grounds for counseling How can a participant excuse a missed shift? call the charge nurse 15 minutes after the shift starts, e-mail the DC at least 24 hours before with: reason, new shift date and time What is an unexcused missed shift? Protocol? when the participant fails to notify the DC until after the shift begins; 1 unexcused missed shift is automatic counseling If participants take two back-to-back shifts, what must they do? take a 30-minute break in between, and use two lines in their timesheet, with the appropriate time allotments (so that the second shift would only have 3:30) What is an hours audit request form? to request documentation of hours completed What are the three levels of punishment for violating protocol? counseling report (review policy and correct behavior); suspension from shifts (under performance contract); counseling session (possible release) What are the four stakes of health service delivery? regulators (government agencies, acredditing agencies, etc.), providers (health care professionals), payers (government: medicare for elderly, medicaid for poor; HMO: primary care referral; PPO: direct to specialist), consumers (patients: outpatient, inpatient; community) How will the health care of tomorrow hopefully differ from that of today? more of a focus on primary and preventive care, with most money spent there, as opposed to intensive care/specialty What is HCAHPS? a patient experience survey that determines 30% of the hospital's value-based incentive payments (so, basically a reward for quality) What are the 8 domains of HCAHPS? nurse communication, doctor communication, communication about medications, responsiveness of hospital staff, cleanliness and quietness, pain management, discharge management "30 second rule" never keep a patient or a person on the phone waiting for more than 30 seconds without checking in with them (with a smileeeee) "no point" policy never point to where someone is; always them there directly What is AIDET? Acknowledge, Introduction, Duration, Explanation, Thank You What is KIAHI? Knock, Introduce, Assess, Hand Hygiene, Identify What is an HAI? a healthcare-associated infection, or an infection that developed in a setting where healthcare is delivered What is a nosocomial infection? an infection acquired while a patient is in the hospital What is PPE? And what are four types? personal protective equipment; gloves, gown, eye, and respiratory protection What is the central premise of standard precautions? all bodily fluids are potentially infectious What is antibiotic resistance? when the over-prescription of antibiotics results in antibiotic resistance, in which the strong bacteria are immune What are examples of viral infections? HIV, HPV, EBV, Influenza How to prevent the spread of blood borne pathogen injuries? don't recap needles, ensure that used needles are disposed in appropriate sharps container, use proper PPE; primarily, these are spread through needles sticks and blood splash exposures What do you do if you are exposed to blood? wash the needle sticks and cuts; flush the nose, mouth or skin; irrigate the eyes, report the exposure to the charge nurse, complete assessment documentation, page the Program Manager What is Tier 1 of infection prevention? for all patients regardless of diagnosis; presumed infections, where 100% of bodily fluids are "presumed" to be infectious What is Tier II? transmission-based precautions, infectious for staff and others What is Tier III? when patient is high-risk with low resistant, where patients are immunocompromised; where the mask so that the blue side is out, the white side is the filter, so this protects the patient What is contact precaution? can become infected by contact with patient, bedding, gown, etc.; yellow; if contact spore, family and visitors should not eat in room What is droplet precaution? can become infected when patient coughs, sneezes, talks; orange What is airborne precaution? when small droplet nuclei or dust particles can carry infectious disease, so patient is placed in airborne infection isolation room, and N95 respirator is required for entry; or PAPR mask which employs positive pressure and removes contaminated particles What to do in event of an incident? tell the charge nurse, page COPE health solutions program manager () What to do in event of an injury? tell the charge nurse, seek treatment, page What are signs and symptoms of fainting? What to do? hot, dizzy, clammy, loss of hearing, loss of vision, nausea; lean against wall, sit down, put head between knees What are ways to keep proper body mechanics? keep back straight and spine neutral, keep weight close to the center of gravity, and squat so that you extend your legs and bend the knees, keep nose between toes What are the six vital signs and their appropriate ranges? temperature, pulse (60-100 in adults; as age decreases, the normal pulse increases: CTI), blood pressure, respiration (12-20; higher for C and N), oxygen saturation (97-100%), pain level (0-10; if 8 or above, report immediately) What is acute vs. chronic pain? acute is new, sharp, aching; while chronic is old, perhaps nociceptive or neuropathic What are the five temperature measurement possibilities? oral (mouth), auxiliary (under arm), tympanic (ear drum), rectal (rectum), temporal (forehead) What is the most convenient temp measurement? oral What is the longest and least accurate temperature measurement? axiliary (under arm) What is the most accurate temperature measurement? rectal Which two temp measurements are CCE's not allowed to perform? rectal and tympanic What can increase body temp? exercise, digestion, drinking a warm beverage, illness, emotional stress, warm bath, high levels of progesterone after ovulation (in woman) What can decrease body temp? fainting, illness, dehydration, drinking a cold beverage, fasting, sleep/rest, high levels of estrogen before ovulation (in women) What are the seven types of pulse measurement? carotid (neck), brachial (elbow), femoral (groin), popliteal (knee), posterior tibial (ankle), dorsalis pedis (foot), radial (wrist) What are the three most used pulse measurements? carotid (neck) when unconscious, brachial (elbow), radial (wrist) when conscious What is systolic versus diastolic pressure? systolic is when the blood is pumped from the heart in the arteries; diastolic (dying out) is when the blood returns to the heart when the heart relaxes, also in the arteries (so blood dies out of the arteries, resulting in lower pressure) What does HIPAA stand for? health insurance portability and accountability act What does PHI stand for? protected health information What are the 5 patient identifiers? patient's nurse, main nurses' station whiteboard, open-ended question, patient's wristband, patient's chart Newborns and infants are at high risk for: aspiration, suffocation, falls Toddlers are at high risk for: choking, injury, infection Preschool and school age kids are at high risk for: injury related to falls, trauma due to abuse, asthma, fluid/electrolyte imbalance Adolescents are at high risk for: substance abuse, depression/suicide, sexually transmitted diseases Young adults are at high risk for: substance abuse, increased stress, quarter-life crisis, midlife crisis Middle adults are at high risk for: hearing and eyesight decline, bone and join pain, late midlife crisis Older adults are at high risk for: decreased skin integrity, aspiration, sleep pattern disturbances, falls, sensory and perceptual alterations What does DNR stand for? a legal order to not resuscitate the patient if they go into cardiac arrest What is an advance directive? for those who lose ability to communicate, gives staff the ability to make decisions for them What is POLST? Physicians Orders for Life Sustaining Treatment, an approach to end-of-life planning based on conversations with patients, loved ones, and health care providers What is the Joint Commission? What do you do if surveyed and you don't know the answer? a US, not for profit organization that accredits and certifies health care organizations and performs on site surveys every 3 years, hospitals need accreditation to receive funding from Medicare and Medicaid; apologize, say you will go find out, ask some, get the answer, come back and tell them What is Code Gray? combative or disruptive person, go to location, which will make person less combative What is Code Red? fire, close all doors to are, and follow RACE What is RACE? Rescue, Alarm and Dial 6, Contain, Extinguish and Evacuate What is Code Blue? Adult Medical Emergency (14+ age), follow instructions What is Code Orange? Hazardous Materials Spill, do not clean up manually, assume hazardous chemical agents and try to block off the area What is Code Pink? Infant/baby abduction; look for suspicious things, guard entrance/exit What is Code Purple? child abduction, look for suspicious situations What is Code Silver? person with a weapon or hostage; DO NOT go to the location, follow instructions What is PASS? key to using fire extinguishers: Pull, Aim, Squeeze, Sweep What are the three things that a fire needs? oxygen, fuel, heat What does BM stand for? bowel movement What does CBC stand for? complete blood count What does TKO stand for? order to keep just enough flow through IV to keep vein open What does NPO stand for? nothing by mouth What does PO stand for? administer by mouth What does PR stand for? administer rectally What does PRN stand for? administer as needed What is another name for a bruise? ecchymosis What are symptoms of atherosclerosis? angina (chest pain) What are symptoms of myocardial infarction (MI)/heart attack? severe retrosternal pain, pain in left arm and/or jaw, dyspnea, diaphoresis (sweating) What is COPD? chronic obstruction pulmonary disease What are symptoms of pneumonia? cough with sputum, fever, chest pain, difficulty breathing Where are symptoms of tuberculosis? productive cough, night sweats, hemoptysis, weight loss, anorexia, fever, fatigue, chest pain What are symptoms of asthma? chest tightness, wheezing, cough, shortness of breath What is a patient's CC? chief complain, why the patient is currently seeking medical attention What is a patient's HPI? history of present illness, detailed chronological account of the symptoms which prompted the patient to seek care What is a patient's PMH? adult and childhood illnesses, injuries, hospitalizations, surgeries, immunizations, screening tests and psychiatric