Fy16 care Coordination Home Telehealth Annual Policy Review

16 Questions | Total Attempts: 65

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Fy16 care Coordination Home Telehealth Annual Policy Review - Quiz

Annual Nursing Education review of policies, procedures, and protocols for CCHT. Must be completed by March 31, 2016 with a minimum score of 90.


Questions and Answers
  • 1. 
    I pledge to demonstrate the core values of the American Nurses Association Code of Ethics by upholding the standards of honesty and integrity. By answering "Yes", I certify that I am the person taking this test.
    • A. 

      Yes

    • B. 

      No

  • 2. 
    Who is the organ procurement agency for RHJ VAMC?
    • A. 

      LifeCare

    • B. 

      LifePoint

    • C. 

      LifeChoice

    • D. 

      LifeLine

  • 3. 
    The following are nurses’ actions in the event of a blood transfusion reaction except: 
    • A. 

      Collect 2 seven ml lavender tubes of blood from distant site from the transfusion.

    • B. 

      Notify blood bank

    • C. 

      Notify physician.

    • D. 

      Label the tubes as immediate post-transfusion reaction

  • 4. 
    When a patient in the CBOC shows signs and symptoms of a stroke, nursing staff will call 911 for transport to the nearest Acute Ischemic Stroke center (facility). 
    • A. 

      True

    • B. 

      False

  • 5. 
    It is the policy for RHJVAMC and CBOCs where Primary Care, Women's Health and/or Mental Health services are provided, that access to clinically appropriate services extending beyond normal business hours are available at least once on weekdays (Wednesday) and once every weekend (Saturday), at times and venues that match Veteran demand and expectation.
    • A. 

      True

    • B. 

      False

  • 6. 
    Prostate cancer screening should occur with the following populations (Select all that apply) 
    • A. 

      Men older than 75 years of age

    • B. 

      Men who choose to be tested age 40 years or higher with highest risk factors (several first-degree relatives diagnosed with prostate cancer at an early age (younger than age 65))

    • C. 

      Men who choose to be tested age 45 or older at high risk for developing prostate cancer (African American men and men who have a first-degree relative diagnosed with prostate cancer at younger than 65 years of age)

    • D. 

      All men

  • 7. 
    It is VHA policy that any Veteran receiving care at more than one VHA facility must have that care coordinated by the preferred facility, and that non-preferred facilities must expedite care provided to traveling veterans with unexpected medical needs. 
    • A. 

      True

    • B. 

      False

  • 8. 
    When a veteran/ caller is reporting suicidal or homicidal thoughts or other crises to the Ralph H. Johnson Department of Veterans Affairs Medical Center telephone operator or to other staff they should: (select all which apply) 
    • A. 

      When a Nurse, Physician, Social Worker, Physician Assistant or Psychologist receives a call, they will triage the call, determine the appropriate clinical intervention and initiate a rescue if needed.

    • B. 

      When possible make a warm transfer (allows for all three parties to be on the line at the same time)

    • C. 

      Veterans who call the Medical Center with expressed suicidal or homicidal thoughts during duty hours (8:00 a.m. – 4:30 p.m.) will be referred to the Psychiatry Access Center Team (PAC) pager 17359 (MUSC Simon).

    • D. 

      NEVER PLACE A CALL ON HOLD

  • 9. 
    According to The Missing Patient policy, an at-risk patient includes one who is (select all which apply): 
    • A. 

      Legally committed.

    • B. 

      Physically or mentally impaired with increased risk of harm to self or others

    • C. 

      Assigned a court appointed legal guardian.

    • D. 

      Lacking cognitive ability (either permanently or temporarily) to make relevant decisions

  • 10. 
    Proper identification of a patient prior to check-in or initiation of care is important in ensuring that care and information are given to the right patient. It is the policy at RHJ VAMC to use 2 unique patient identifiers such as:
    • A. 

      Having the patient state their FULL Name and Room Number

    • B. 

      Having the patient state their LAST Name and LAST 4 of their Social Security Number

    • C. 

      Having the patient state their FULL Home Address

    • D. 

      Having the patient state their FULL Name and FULL Social Security Number

  • 11. 
    It is Medical Center policy that all outpatient clinic appointments, meeting the definition of an encounter, are made in Count Clinics using the VistA Scheduling software in a fashion that best suits patients’ clinical needs and preferences; this includes, but is not limited to: appointments made for clinic visits; VA provided home care; consultations; and medical, surgical, dental, rehabilitation, dietetic, nursing, social work, and mental health services and procedures. 
    • A. 

      True

    • B. 

      False

  • 12. 
    According to the F.A.S.T. acronym, which of the following can be signs and symptoms of a stroke. Select all that apply:
    • A. 

      Sudden weakness

    • B. 

      Trouble speaking

    • C. 

      Sudden severe headache

    • D. 

      Pain in the jaw and shoulder

    • E. 

      Inability to move one side

  • 13. 
    Patients will be screened for eligibility in the Home Telehealth program to improve clinical outcomes and/or resource utilization. Those patients who are eligible for the Home Telehealth program may include:
    • A. 

      Patients who have chronic diseases and are high risk, high cost and/or have high utilization patterns

    • B. 

      Patients who refuse to be monitored for their care

    • C. 

      Patients whose participation in the program may be expected to contribute to improved clinical outcomes

    • D. 

      Patients who are ineligible for VA care

  • 14. 
    According to the Home Telehealth (HT) policy, patients being considered for enrollment must meet the following inclusion criteria:
    • A. 

      Currently enrolled in a VA Patient Aligned Care Team (PACT) Clinic or Specialty Care Clinic

    • B. 

      Is willing to fully participate in the program

    • C. 

      Lives in a home environment in which daily care and management of medical problems is feasible

    • D. 

      Is willing to accept the technology in the home and have access to required utilities

    • E. 

      Demonstrates competency in safely operating and maintaining HT technology

  • 15. 
    Home Telehealth is provided to ensure the implementation of treatment goals, to avoid duplications of services, and to ensure continuity of care in the event of consultation with other professionals, admission to the hospital or discharge to other levels of care.
    • A. 

      True

    • B. 

      False

  • 16. 
    When Home Telehealth services are terminated, the equipment will be retrieved and patient satisfaction, self-efficacy, and function will be assessed as appropriate. A patient's participation in a Home Telehealth program may be terminated when:
    • A. 

      The patient has achieve clinical goals

    • B. 

      The patient/caregiver no longer wishes to participate in the program or use the technology

    • C. 

      The patient fails to meet clinical goals

    • D. 

      The Care Coordinator is unable to contact the patient or the patient refuses to connect/transmit despite numerous calls by the staff

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