Cope Health Scholars MC Exam

What does a uniform consist of? - answer-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? - answer-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? - answer-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? - answer-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? - answer-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? - answer-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? - answer-to request documentation of hours completed What are the three levels of punishment for violating protocol? - answer-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? - answer-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? - answer-more of a focus on primary and preventive care, with most money spent there, as opposed to intensive care/specialty What is HCAHPS? - answer-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? - answer-nurse communication, doctor communication, communication about medications, responsiveness of hospital staff, cleanliness and quietness, pain management, discharge management "30 second rule" - answer-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 - answer-never point to where someone is; always them there directly What is AIDET? - answer-Acknowledge, Introduction, Duration, Explanation, Thank You What is KIAHI? - answer-Knock, Introduce, Assess, Hand Hygiene, Identify What is an HAI? - answer-a healthcare-associated infection, or an infection that developed in a setting where healthcare is delivered What is a nosocomial infection? - answer-an infection acquired while a patient is in the hospital What is PPE? And what are four types? - answer-personal protective equipment; gloves, gown, eye, and respiratory protection What is the central premise of standard precautions? - answer-all bodily fluids are potentially infectious What is antibiotic resistance? - answer-when the over-prescription of antibiotics results in antibiotic resistance, in which the strong bacteria are immune What are examples of viral infections? - answer-HIV, HPV, EBV, Influenza How to prevent the spread of blood borne pathogen injuries? - answer-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? - answer-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? - answer-for all patients regardless of diagnosis; presumed infections, where 100% of bodily fluids are "presumed" to be infectious What is Tier II? - answer-transmission-based precautions, infectious for staff and others