Cope Health Scholars MC Exam 2023 with complete
solution
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 (888-248-2914)
solution
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 (888-248-2914)
