Cope Health Scholars MC Exam Correct 100%

What does a uniform consist of? - ANSWERtucked 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? - ANSWERthe 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? - ANSWERe-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? - ANSWERcall 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? - ANSWERwhen 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? - ANSWERtake 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? - ANSWERto request documentation of hours completed What are the three levels of punishment for violating protocol? - ANSWERcounseling 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? - ANSWERregulators (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? - ANSWERmore of a focus on primary and preventive care, with most money spent there, as opposed to intensive care/specialty What is HCAHPS? - ANSWERa 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? - ANSWERnurse communication, doctor communication, communication about medications, responsiveness of hospital staff, cleanliness and quietness, pain management, discharge management "30 second rule" - ANSWERnever 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 - ANSWERnever point to where someone is; always them there directly What is AIDET? - ANSWERAcknowledge, Introduction, Duration, Explanation, Thank You What is KIAHI? - ANSWERKnock, Introduce, Assess, Hand Hygiene, Identify What is an HAI? - ANSWERa healthcare-associated infection, or an infection that developed in a setting where healthcare is delivered What is a nosocomial infection? - ANSWERan infection acquired while a patient is in the hospital What is PPE? And what are four types? - ANSWERpersonal protective equipment; gloves, gown, eye, and respiratory protection What is the central premise of standard precautions? - ANSWERall bodily fluids are potentially infectious What is antibiotic resistance? - ANSWERwhen the over-prescription of antibiotics results in antibiotic resistance, in which the strong bacteria are immune What are examples of viral infections? - ANSWERHIV, HPV, EBV, Influenza How to prevent the spread of blood borne pathogen injuries? - ANSWERdon'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? - ANSWERwash 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? - ANSWERfor all patients regardless of diagnosis; presumed infections, where 100% of bodily fluids are "presumed" to be infectious What is Tier II? - ANSWERtransmission-based precautions, infectious for staff and others What is Tier III? - ANSWERwhen 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? - ANSWERcan 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? - ANSWERcan become infected when patient coughs, sneezes, talks; orange What is airborne precaution? - ANSWERwhen 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? -