COPE Exam--Written+Practical 2023 with complete solution

What does P.R.N mean? Pro Re Nata: administer as needed What does BM mean? bowel movement What does TKO mean? to keep open; order to keep just enough flow through iv to keep vein open What does CBC mean? complete blood count; percent of each cell type What does NPO mean? nothing by mouth What does PO mean? administer by mouth What does PR mean? per rectum: administer rectally Under what conditions are health scholars allowed to dispense medication never what 2 things must you do when you are going to miss a shift if it is 48 hours, you just need to email the department coordinator. 48 hours, 1. call the floor at beginning of shift and speak with charge nurse either 15 minutes BEFORE SHIFT or 15 minutes AFTER SHIFT STARTED to make sure that the message is delivered. If charge nurse is unavailable, take down the name of the person you spoke to. 2. email the department coordinator what do code blue, silver, red, orange, yellow, pink, and gray mean? blue: adult medical emergency; cardiac arrest silver: person with weapon or hostage situation yellow: bomb threat pink: child abduction red: fire orange: hazardous materials spill gray: combative or disruptive person is confronting staff (notify sarah/incident) name 4 different types of personal protective equipment (ppe) that you could use while interning at the hospital -gown -glove -mask -goggles -face masks what are 5 ways of identifying a patient before transport (in no particular order)? 1. patient's nurse 2. main nurses' station whiteboard 3. open-ended question 4. patient's wristband 5. patient's chart (we're not allowed to see this) when applying for a leave of absence, when should health scholars submit their request? at least 14 days prior to the intended start date of the leave name 4 out of 6 signs of fainting hot, dizzy, clammy, loss of hearing, loss of vision, nausea name 5 arteries in the body where a pulse can be measured carotid, brachial, femoral, popliteal, posterior tibial, dorsalis pedis, radial what is the central premise of universal health precautions everything/everyone is infected assume infected what is the normal heart rate or pulse for an adult 60-100 beats per min 5 areas to measure temperature normal temp is? oral, axillary, tympanic, rectal, temporal normal temp is 98.6F what is the time frame given to health scholars to sign up for all shifts for the upcoming month First ten days of the month 1-10 shift preference for the next month On the 15th, a link to calendar goes out by the DC 15-25, participants may reschedule via email 25-31, participants may add additional shifts via email until the end of month 1 of new month: calendar is finalized and participants may add more shifts via email according to the center for disease control (cdc), what is the best way to prevent the spreading of nosocomial infection? -must wear mask when out of the room -cannot have fresh flowers or fruit -needs a clean environment What is the number you have to dial to "call a code" in the hospital 4000 what does PHI stand for and what are three forms of PHI PHI is protected health information three forms of PHI: written, electronic, oral -name, SSN, address, DOB, family info where do you palpate the pulse on an infant, child, and adult radial name 2 out of 5 general ways to protect privacy -close doors and draw curtains -make sure discussions about patient conditions cannot be overheard -knock before entering rooms -keep patient records locked and away from public areas -do not give names or info when visitors ask about patients. direct all inquiries to a staff member that can help them what pulmonary condition is defined as decreased air entry caused by permanent enlargement of the airspace (alveoli)? Emphysema a homeless man enters the hospital with a fever. he has had a chronic cough for several months, producing bloody-sputum, and complains of night sweats. chest x-rays (CXR) reveals cavitation's with air-fluid levels in the apex of his left lung. sputum samples are acid fast positive but do not stain well with gram staining. what is the infectious disease? Tuberculosis what are the three transmission-based precautions 1. excellent hand washing 2. personal protective equipment (ppe) 3. environmental controls what five items does your complete uniform consist of 1. health scholar polo shirt (tucked in at all times) 2. long khaki pants 3. I.D. badge (must be visible at all times) 4. White, non-canvas shoes with socks 5. Long haired tied back name two things associated with the normal aging process that geriatric patients are most at risk for 1. decreased skin integrity 2. depression 3. decreased lung, muscle size, gum tissue, impaired vision, loss of short term memory, etc who accredits st johns the joint commission what are the national patient safety goals -identify patients correctly -improve staff communication -use medicine safely -use alarms safely -prevent infection -identify patient safety risks -prevent mistakes in surgery health scholars who do not know the answer to a question asked by hospital accreditation surveyors should do what Tell the surveyors that you're unsure so you will ask staff and come back as soon as possible to tell them when is your competency checklist due and where do you submit it when it is complete due at the end of week 2 of the rotation (try to do it at first shift); must be completed with an RN only; place completed checklists IN THE FRONT POCKET OF THE DEPARTMENT BINDER your best fired says his grandmother is on the floor and asks about her case. what do you do? you can't tell him anything a myocardial infarction, heart attack, causes a loss a blood supply to some part of the heart and possibly some long lasting cardiac damage. name at least 3 symptoms of a heart attack -severe retrosternal pain -pain in left arm and/or jaw -dyspnea -diaphoresis (Sweating) name the 5 components that make up the patient care team -effective communication -patient-centered focus -common goal -understanding roles -confidence in team members 1. Allied Health Positions 2. Nursing 3. Physician 4. Volunteer 5. The Patient what do you call the pressure of blood against the artery walls between heartbeats, when the heart is relaxed and filling with blood? blood pressure systolic vs diastolic pressure systolic: the greatest force exerted a/g the walls of the arteries by blood pumped from the heart during contraction diastolic: the least force exerted against the walls of the arteries by blood when the heart relaxes normal BP 120/80 mmHg normal respiration rate of adults 12-20 breaths per minute name the 6 vital signs - temperature -pulse/heart rate -blood pressure -respiratory rate -oxygen saturation -pain level - not objective normal o2 saturation 97-99% 97-99% of hemoglobin binding sites are occupied health scholars should always be suspicious of what four types of abuse -child -elder -domestic -sexual/non-sexual harassment two different types of wipes and minutes to use purple: disinfect. 2 min bleach: c diff 4 minutes name 3 things you must do before transporting a patient -hand hygiene -grab wheelchair/gurney and wipe down with purple wipes -check with nurse ???? which position is a patient placed in when he or she exhibits shock symptoms and has no evidence of head or spinal injury? Trendelenburg Position name at least 5 careers that fall into the category of allied health Emergency med tech, physician assistant, occupational therapist, registered dietitian, respiratory therapist, X-ray tech, clinical lab specialist, CNA, surgical technologist, clinical lab scientist name the 5 cardiovascular conditions that we discussed and define what each one means. -Atherosclerosis: disease in which fatty material is deposited in the walls of arteries -MI: heart attack; loss of blood supply to the heart - CHF: congestive heart failure; failure of heart to pump blood efficiently - Stroke: loss of blood to the brain -Shock: decreased perfusion of blood to body tissues what is a scope of practice? what you are allowed to do in your job in order of occurrence, what things do you absolutely have to do if you are injured, regardless of how minor the injury is, while volunteering in the hospital? 1. tell the charge nurse immediately 2. seek treatment - go to ED in case of serious injury 3. page cope health solutions - sarah @ what do you do when you have been exposed to a patient's blood? -Wash cuts with soap and water -Flush splashes to the nose, mouth, or skin with water -Irrigate eyes with clean water, saline, or sterile irritants -Report the exposure to the charge nurse/supervisor -Document- complete assessment documentation and employee health follow up as direction -Page- report the exposure to Program Manager (Sarah; ) can you transport blood if asked/begged NEVER! you notice that by accident, you assisted a patient in an isolation room without wearing PPE, what steps should you take next? -notify the charge nurse that you didn't wear PPE -throughly wash hands with soap and water -exame clothing to ensure there was no contact with the patient's body fluids -notify program director --INCIDENT. report & call what is the pathway of blood through the body, starting with the left ventricle and ending with the right ventricle? left ventricle -- aorta -- systemic circuit -- vena cavae-- right atrium -- right ventricle -- pulmonary trunk -- pulmonary veins -- left atrium -- left ventricle what is the proper way to put on PPE gown -- glove -- mask what is the proper way to take off PPE glove -- gown -- wash hands -- mask -- wash hands what is the emergency contact # (888) 248-2914 after transferring hospital locations, how many hours do you need to serve minimum how much does it cost to transfer what else happens 174 hrs $50 reapply again and retest how many program meetings each month 2 mandatory meetings on sat or sun of 1st and 3rd month of the rotation at 12 pm and 2 pm exemplary service award & outstanding dedication award exemplary service: recipients are chosen based on recommendations from program staff, leaders, and manager outstanding dedication: served the most hours in their department for the previous rotation how many shift reschedules can you do per rotation 3; no more than 1 a month what is a timesheet/how does it work when signing in and out, always round to the nearest quarter hour and remember to sign the top section of the sign in sheet and sign the signature section after signing out each shift only 30 min break if 8 hour shift what is competency checklist documentation of participant's training and competency for each department; found in departmental binder next to time sheet; must fill out a new one EVERY ROTATION what is hours audit request form request for documentation of hours completed what is counseling report what is it used for what can it result in when a participant requires instruction or guidance to correct behaviors to ensure all procedures and policies are observed commonly used for: missed shifts, missed meetings, late or incomplete competency checklists, expired CPR or TB tests can result in being released from the program what is the patient experience survey (HCAHPS) & how can you inform the patient about it the survey scores affect a hospital's funding and patient referrals. health reform- new government policies stress patient care, in turn affecting a hospital's financial reimbursement. the survey determines 30% of value-based incentive payments back to the hospital to reward quality we can tell the patients about the survey when we are discharging them what are the 8 domains of HCAHPS -nurse communication -cleanliness & quietness -pain management -discharge management -physician communication -responsiveness of hospital staff -communications about medications -overall ranking what is phone etiquette never put someone on hold for more than 30 sec without checking in with them what is AIDET Acknowledge -smile, eye contact, stop what you are doing Introduction -welcome to hospital, introduce yourself, state purpose, id patient Duration -time expected for procedure/results, explain delays Explanation -test for procedure, role of medical staff, expected pain/discomfort, what will happen next Thank you -for choosing the hospital, patience/assistance/understanding, offer verbal and/or written post-procedure instructions what is KIAHI Knock Introduce Assess Hand Hygiene Identify (patient-at least 2 ways)