HCB SHIPBOARD EXAM QUESTIONS WITH COMPLETE ANSWERS
VERIFIED WITH 100% GUARANTEED PASS
Discharge planning
to reduce hospital length of stay and unplanned readmission to hospital, and to improve
the co-ordination of services following discharge from hospital
Airborne
infectious agents that remain infectious over long distances when suspended in the air
CDC
Centers for Disease Control and Prevention; provides facilities and services for the
investigation, identification, prevention, and control of disease
Cohorting
grouping patients infected or colonized with the same infectious agent together to
confine their care to one area and prevent contact with susceptible patients
Droplet
small drop, such as a particle of moisture discharged from the mouth during coughing,
sneezing, or speaking
HICPAC
Healthcare Infection Control Practices Advisory Committee; provides advice and
guidance to the CDC and the Secretary of the Department of Health and Human
Services (HHS) regarding the practice of infection control and strategies for
surveillance, prevention, and control of healthcare-associated infections, antimicrobial
resistance and related events in United States healthcare settings
JCAHO
Joint Commission on Accreditation of Healthcare Organizations; provides accreditation
to U.S. hospitals and other health care facilities
Ambulate
to move from place to place
Gait
,manner of walking or moving on foot
Shift report
exchanging essential patient care information with other nursing staff at change of shift
IRECs are normally retired ___ years after the last inpatient discharge
2
Purpose of documenting patient care
ensure they meet the highest standards of completeness, promptness, clinical
pertinence, and standards of the JCAHO
Information to be documented in a nursing note
date, medication, treatments, and sign all notes
NAVMED 6550/8
Medication Administration Record
How long is a NAVMED 6550/8 good for?
7 days
The top, back side portion of the NAVMED 6550/8 is meant for what?
one-time, STAT (immediate), and preoperative medications
Although all medications are documented on the MAR, documentation of PRN,
STAT, and one-time medications are required on what as well?
Nursing Notes
NAVMED 6550/12
Patient Profile
SF 508
Doctor's Orders
What must be updated when the physician updates, discontinues, changes, or
adds new orders?
NAVMED 6550/12 (Patient Profile)
SF 509
Progress Notes
How long is a SF 509 good for?
2 days
SF 510
,Nursing Notes
What is the most common format for writing nursing notes?
Block format
What is the second, less common, method for writing nursing notes?
charting by exception
What must be written when adding an entry that was late or forgotten while
writing a nursing note?
Late entry
SF 558
Emergency Care and Treatment
DD Form 792
24-hour Intake and Output Worksheet
Standard precautions
formerly known as universal precautions; concepts in which all body fluids are assumed
to be infected with blood-borne pathogens. Developed by the CDC to facilitate breaking
the chain of infection
When was "universal precautions" changed to "standard precautions?"
1996
Examples of blood-borne pathogens
HIV, Hepatitis A and B
How are blood-borne pathogens transmitted?
patient to provider, provider to patient, and equipment to patient
What should be used for every patient contact?
standard precautions
Tier 1 isolation precautions
standard precautions
Tier 2 isolation precautions
based on mode of transmission; three categories: contact precautions, droplet
precautions, and airborne precautions
Isolation precautions
, 1. hand hygiene before entering and after leaving the room of a patient in isolation
2. use of gown, gloves, mask by HCW and visitors according to standard precautions
and as indicated for suspected or proven infections for which transmission precautions
are recommended
3. don PPE upon entry to the room and doff PPE before exiting room
4. dispose of contaminated supplies and equipment
Examples of airborne precautions
rubeola virus (measles), varicella virus (chickenpox), M. tuberculosis, severe acute
respiratory syndrome (SARS)
AIIR
airborne infection isolation room
What will HCW wear when caring for isolated infectious patients?
respirator or mask
Droplet precautions
1. place patient in a single room
2. HCW will wear a mask
3. patients wear a mask when being transported outside the room and follow
Respiratory Hygiene/Cough Etiquette
Contact precautions
1. place patient in a single room
2. HCW will wear gloves and a gown
Procedure for initiating patient isolation
1. place patient in an isolation-designated room
2. post appropriate isolation card on the door
3. stock isolation room with needed equipment
4. stock isolation cart and place it outside the patient's room
5. notify Food Service that a patient is in isolation
6. do not take clinical chart into the room
A patient in isolation may feel what?
unclean, rejected, lonely, or guilty
VERIFIED WITH 100% GUARANTEED PASS
Discharge planning
to reduce hospital length of stay and unplanned readmission to hospital, and to improve
the co-ordination of services following discharge from hospital
Airborne
infectious agents that remain infectious over long distances when suspended in the air
CDC
Centers for Disease Control and Prevention; provides facilities and services for the
investigation, identification, prevention, and control of disease
Cohorting
grouping patients infected or colonized with the same infectious agent together to
confine their care to one area and prevent contact with susceptible patients
Droplet
small drop, such as a particle of moisture discharged from the mouth during coughing,
sneezing, or speaking
HICPAC
Healthcare Infection Control Practices Advisory Committee; provides advice and
guidance to the CDC and the Secretary of the Department of Health and Human
Services (HHS) regarding the practice of infection control and strategies for
surveillance, prevention, and control of healthcare-associated infections, antimicrobial
resistance and related events in United States healthcare settings
JCAHO
Joint Commission on Accreditation of Healthcare Organizations; provides accreditation
to U.S. hospitals and other health care facilities
Ambulate
to move from place to place
Gait
,manner of walking or moving on foot
Shift report
exchanging essential patient care information with other nursing staff at change of shift
IRECs are normally retired ___ years after the last inpatient discharge
2
Purpose of documenting patient care
ensure they meet the highest standards of completeness, promptness, clinical
pertinence, and standards of the JCAHO
Information to be documented in a nursing note
date, medication, treatments, and sign all notes
NAVMED 6550/8
Medication Administration Record
How long is a NAVMED 6550/8 good for?
7 days
The top, back side portion of the NAVMED 6550/8 is meant for what?
one-time, STAT (immediate), and preoperative medications
Although all medications are documented on the MAR, documentation of PRN,
STAT, and one-time medications are required on what as well?
Nursing Notes
NAVMED 6550/12
Patient Profile
SF 508
Doctor's Orders
What must be updated when the physician updates, discontinues, changes, or
adds new orders?
NAVMED 6550/12 (Patient Profile)
SF 509
Progress Notes
How long is a SF 509 good for?
2 days
SF 510
,Nursing Notes
What is the most common format for writing nursing notes?
Block format
What is the second, less common, method for writing nursing notes?
charting by exception
What must be written when adding an entry that was late or forgotten while
writing a nursing note?
Late entry
SF 558
Emergency Care and Treatment
DD Form 792
24-hour Intake and Output Worksheet
Standard precautions
formerly known as universal precautions; concepts in which all body fluids are assumed
to be infected with blood-borne pathogens. Developed by the CDC to facilitate breaking
the chain of infection
When was "universal precautions" changed to "standard precautions?"
1996
Examples of blood-borne pathogens
HIV, Hepatitis A and B
How are blood-borne pathogens transmitted?
patient to provider, provider to patient, and equipment to patient
What should be used for every patient contact?
standard precautions
Tier 1 isolation precautions
standard precautions
Tier 2 isolation precautions
based on mode of transmission; three categories: contact precautions, droplet
precautions, and airborne precautions
Isolation precautions
, 1. hand hygiene before entering and after leaving the room of a patient in isolation
2. use of gown, gloves, mask by HCW and visitors according to standard precautions
and as indicated for suspected or proven infections for which transmission precautions
are recommended
3. don PPE upon entry to the room and doff PPE before exiting room
4. dispose of contaminated supplies and equipment
Examples of airborne precautions
rubeola virus (measles), varicella virus (chickenpox), M. tuberculosis, severe acute
respiratory syndrome (SARS)
AIIR
airborne infection isolation room
What will HCW wear when caring for isolated infectious patients?
respirator or mask
Droplet precautions
1. place patient in a single room
2. HCW will wear a mask
3. patients wear a mask when being transported outside the room and follow
Respiratory Hygiene/Cough Etiquette
Contact precautions
1. place patient in a single room
2. HCW will wear gloves and a gown
Procedure for initiating patient isolation
1. place patient in an isolation-designated room
2. post appropriate isolation card on the door
3. stock isolation room with needed equipment
4. stock isolation cart and place it outside the patient's room
5. notify Food Service that a patient is in isolation
6. do not take clinical chart into the room
A patient in isolation may feel what?
unclean, rejected, lonely, or guilty
