Rady Children's Hospital GME

1.

Patients and their families have the right to:
- A.
  
  Explanations of their illness, treatments and recovery prospects
- B.
  
  Give or refuse consent
- C.
  
  Confidentiality and privacy
- D.
  
  All of the above
Correct Answer
D. All of the above

Explanation
Patients and their families have the right to explanations of their illness, treatments, and recovery prospects in order to make informed decisions about their healthcare. They also have the right to give or refuse consent for any medical procedures or treatments. Confidentiality and privacy are also important rights that patients and their families should expect, ensuring that their personal information and medical records are kept private and secure. Therefore, all of the options mentioned in the question are correct and patients and their families have the right to all of them.

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2.

RCHSD’s Culture of Safety includes:
- A.
  
  All employees, physicians, trainees, students and volunteers understand and implement best practices for safety
- B.
  
  Protecting our patients, families and ourselves
- C.
  
  Protecting our patients, families and ourselves
- D.
  
  All of the above
Correct Answer
D. All of the above

Explanation
The correct answer is "All of the above". This means that RCHSD's Culture of Safety includes all of the mentioned points: ensuring that all employees, physicians, trainees, students, and volunteers understand and implement best practices for safety, protecting patients, families, and themselves.

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3.

Stress can hinder your performance if it’s not managed; however, if you can learn to manage your stress, stress can become a catalyst for superior performance. Which of the following is a tip to manage your stress levels?
- A.
  
  Recognize what you can change
- B.
  
  Reduce the intensity of your emotional reactions and learn to moderate your physical reactions
- C.
  
  Become aware of your stressors and your emotional/physical reactions
- D.
  
  Build and maintain your physical and emotional reserves
- E.
  
  All of the above
Correct Answer
E. All of the above

Explanation
All of the options provided are tips to manage stress levels. Recognizing what can be changed helps in focusing on areas that can be improved and letting go of things that cannot be changed. Reducing the intensity of emotional reactions and moderating physical reactions can help in maintaining a calm and balanced state of mind. Becoming aware of stressors and emotional/physical reactions allows for better understanding and management of stress triggers. Building and maintaining physical and emotional reserves helps in developing resilience and coping mechanisms to deal with stress effectively. Therefore, all of the options mentioned are valid tips for managing stress levels.

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4.

SBARN stands for:
- A.
  
  Situation, Best Practices, Attending Action, Recommendation, Notify
- B.
  
  Situation, Background, Assessment/Action, Recheck, Notify
- C.
  
  Situation, Background, Assessment/Action, Recommendation, Notify
- D.
  
  Safety, Background, Action, Recheck, Nurse Alert
Correct Answer
B. Situation, Background, Assessment/Action, Recheck, Notify

Explanation
SBARN stands for Situation, Background, Assessment/Action, Recheck, Notify. This acronym is commonly used in healthcare settings to guide effective communication during handoffs or patient care transitions. It helps ensure that all relevant information is conveyed accurately and consistently. "Situation" refers to a concise description of the patient's current condition, "Background" includes relevant medical history and context, "Assessment/Action" involves the healthcare provider's evaluation and plan of care, "Recheck" emphasizes the importance of reassessment, and "Notify" indicates the need to inform appropriate individuals or teams about the patient's status.

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5.

The single most important procedure for preventing transmission of infection is ---------and should be performed ------------and -------------contact with patients Which one do you like?
- A.
  
  Reviewing the chart, before, during
- B.
  
  Wearing a mask, during, after
- C.
  
  Hand washing, before, after
- D.
  
  Hand washing, before, during
Correct Answer
C. Hand washing, before, after

Explanation
The correct answer is hand washing, before, after. Hand washing is the single most important procedure for preventing the transmission of infections. It should be performed before and after coming into contact with patients to ensure proper hygiene and reduce the risk of spreading infections.

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6.

Patients and Families can expect care team members to:
- A.
  
  Introduce ourselves
- B.
  
  Wash our hands before patient contact
- C.
  
  Confirm patient identity and side and site before procedures
- D.
  
  All of the above
Correct Answer
D. All of the above

Explanation
The correct answer is "All of the above" because patients and families can expect care team members to introduce themselves, wash their hands before patient contact, and confirm patient identity and side and site before procedures. These actions are important for ensuring patient safety and building trust between the care team and the patient.

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7.

Which pain assessment tool would be the most effective for non-verbal, 5-year old patient?
- A.
  
  1-10 Rating Scale
- B.
  
  N-PASS
- C.
  
  Varni-Ryan Pain Faces
- D.
  
  FLACC
Correct Answer
D. FLACC

Explanation
FLACC (Face, Legs, Activity, Cry, Consolability) is a pain assessment tool that is specifically designed for non-verbal patients, including young children. It assesses pain based on five categories: facial expression, leg movement, activity level, cry, and consolability. Since the patient in question is a 5-year-old who is unable to verbally communicate their pain, FLACC would be the most effective tool to assess their pain level. The other options, such as the 1-10 Rating Scale, N-PASS, and Varni-Ryan Pain Faces, may not be as suitable for a non-verbal child.

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8.

Which of the following is not an element of RCHSD’s Family Centered Care?
- A.
  
  Family centered rounds that include the patient and family whenever possible in discussions
- B.
  
  Identification of the parent’s expectations for their child’s treatment
- C.
  
  If a parent doesn’t understand their child’s sickness, direct them to the internet for self-study; Your main responsibility is to treat the patient, not educate their parents
- D.
  
  Establish a caring atmosphere for families
Correct Answer
C. If a parent doesn’t understand their child’s sickness, direct them to the internet for self-study; Your main responsibility is to treat the patient, not educate their parents

Explanation
The given answer is not an element of RCHSD's Family Centered Care because it suggests directing parents to the internet for self-study instead of providing them with the necessary information and education about their child's sickness. Family Centered Care emphasizes the importance of involving the patient and their family in discussions, identifying the parent's expectations, and establishing a caring atmosphere for families. The answer contradicts this approach by neglecting the responsibility to educate and support parents in understanding their child's sickness.

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9.

If you are injured while on rotation at RCHSD, you should:
- A.
  
  Call your program director/associate and ask for instructions
- B.
  
  Go to the RCHSD Emergency Room and demand treatment
- C.
  
  Go to RCHSD Occupational Health and demand treatment
- D.
  
  Run next door to the Sharp adult Emergency Room
Correct Answer
A. Call your program director/associate and ask for instructions

Explanation
If you are injured while on rotation at RCHSD, it is important to inform your program director/associate and ask for instructions. They will be able to guide you on the appropriate steps to take, such as whether to go to the RCHSD Emergency Room or RCHSD Occupational Health for treatment. Running next door to the Sharp adult Emergency Room without consulting your program director/associate may not be the correct course of action as they have the necessary knowledge and authority to provide guidance in such situations.

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10.

If you experience computer failure in the hospital, you should:
- A.
  
  Call the Service Desk at ext 5177 and demand they walk to your location to help you
- B.
  
  Take note of the “PC Number” of the terminal causing problems, then call the Service desk at ext 5177
- C.
  
  Call your Program Director/Associate Director
- D.
  
  Page your attending to alert them of the problem
Correct Answer
B. Take note of the “PC Number” of the terminal causing problems, then call the Service desk at ext 5177

Explanation
In the event of a computer failure in the hospital, the best course of action is to take note of the "PC Number" of the terminal causing the problem. This information will be useful when reporting the issue to the Service Desk at extension 5177. Calling the Service Desk is the appropriate step to take in order to get assistance and resolve the computer failure. It is not necessary to demand that the Service Desk walk to your location or to involve your Program Director/Associate Director or attending physician in this situation.

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Rady Children's Hospital Gme

Patients and their families have the right to:

RCHSD’s Culture of Safety includes:

Stress can hinder your performance if it’s not managed; however, if you can learn to manage your stress, stress can become a catalyst for superior performance. Which of the following is a tip to manage your stress levels?

SBARN stands for:

The single most important procedure for preventing transmission of infection is ---------and should be performed ------------and -------------contact with patients Which one do you like?

Patients and Families can expect care team members to:

Which pain assessment tool would be the most effective for non-verbal, 5-year old patient?

Which of the following is not an element of RCHSD’s Family Centered Care?

If you are injured while on rotation at RCHSD, you should:

If you experience computer failure in the hospital, you should: