Fy16 Primary care Hct Annual Policy Review

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.

Yes

No

The given correct answer is "Yes". This answer demonstrates the individual's commitment to upholding the core values of the American Nurses Association Code of Ethics, specifically the standards of honesty and integrity. By answering "Yes", the person is affirming their dedication to these values and certifying that they are the one taking the test.

Explanation

The given correct answer is "Yes". This answer demonstrates the individual's commitment to upholding the core values of the American Nurses Association Code of Ethics, specifically the standards of honesty and integrity. By answering "Yes", the person is affirming their dedication to these values and certifying that they are the one taking the test.

2. Your Clinic Emergency Plan can be found on the T-Drive under Service Policies by selecting Primary Care 11-C, Primary Care Supplemental (Select specific CBOC location).

True

False

T:drive> Search "Primary Care Supplemental" and select your clinic

Explanation

T:drive> Search "Primary Care Supplemental" and select your clinic

3. 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.

True

False

CPM NO.11-15-41 OUTPATIENT SCHEDULING PROCESSES AND PROCEDURES

Explanation

CPM NO.11-15-41 OUTPATIENT SCHEDULING PROCESSES AND PROCEDURES

4. A patient is experiencing chest pain, the nurse may ask you to perform the following tasks EXCEPT:

Obtain vital signs

Obtain EKG

Obtain oxygen saturation level

Give nitroglycerin

The nurse may ask you to perform tasks such as obtaining vital signs, obtaining an EKG, and obtaining oxygen saturation levels to assess the patient's condition and determine the appropriate treatment. However, giving nitroglycerin is not mentioned as a task the nurse may ask you to perform. Nitroglycerin is a medication commonly used to relieve chest pain in patients with certain heart conditions, so it would be within the nurse's scope of practice to administer it if necessary.

Explanation

The nurse may ask you to perform tasks such as obtaining vital signs, obtaining an EKG, and obtaining oxygen saturation levels to assess the patient's condition and determine the appropriate treatment. However, giving nitroglycerin is not mentioned as a task the nurse may ask you to perform. Nitroglycerin is a medication commonly used to relieve chest pain in patients with certain heart conditions, so it would be within the nurse's scope of practice to administer it if necessary.

5. When collecting specimens for the Blood Bank, two (2) labels are applied to the outside of the tube. The first label is a Blood Bank Identification (yellow armband) label. The second label is a CPRS lab order label that corresponds to the order number for the CPRS Blood Requisition Form.

True

False

CPM 113-13-01 "Transfusion of Blood Components"

Explanation

CPM 113-13-01 "Transfusion of Blood Components"

6. 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:

Having the patient state their FULL Name and Room Number

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

Having the patient state their FULL Home Address

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

CPM 118-14-23; Patient Identification

Explanation

CPM 118-14-23; Patient Identification

7. Who is the organ procurement agency for RHJ VAMC?

LifeCare

LifePoint

LifeChoice

LifeLine

CPM 00-14-16; T:drive>All CPMs> type "Organ" in the search box

Explanation

CPM 00-14-16; T:drive>All CPMs> type "Organ" in the search box

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

Legally committed.

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

Assigned a court appointed legal guardian.

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

CPM 07B-13-01 Missing Patient Policy located on the T-drive

Explanation

CPM 07B-13-01 Missing Patient Policy located on the T-drive

Submit

9. When is necessary to call Life Point? [CHECK ALL THAT APPLY]

For all discharges

Patients who death is imminent

Patients who are deceased

For all admissions

per CPM 00- 14 - 16, ORGAN AND TISSUE DONOR PROGRAM

Explanation

per CPM 00- 14 - 16, ORGAN AND TISSUE DONOR PROGRAM

Submit

10. 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)

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.

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

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).

NEVER PLACE A CALL ON HOLD

ICPM116-11-06 NTERVENTION FOR SUICIDAL/HOMICIDALPATIENTS VIA TELEPHONE Located on the T-drive

Explanation

ICPM116-11-06 NTERVENTION FOR SUICIDAL/HOMICIDALPATIENTS VIA TELEPHONE Located on the T-drive

Submit

11. Signs and symptoms of blood transfusion reaction include [CHECK ALL THAT APPLY]

Fever with or without chills

Tachycardia and/or tachypnea and dyspnea

Hives or rash to the patient's trunk and back

Sudden change in BP

Wheezing

Improvement of the hemoglobin and hematocrit values

per CPM 113-13-01, TRANSFUSION OF BLOOD COMPONENTS &
Mosby's nursing procedure Transfusion Reaction

Explanation

per CPM 113-13-01, TRANSFUSION OF BLOOD COMPONENTS &
Mosby's nursing procedure Transfusion Reaction

Submit

12. Patients with SCI (spinal cord injuries) can experience episodes of extreme elevated blood pressure. If you are caring for an SCI patient, you should be attentive to the following to prevent an occurrence of extreme blood pressure. Select all that apply:

Allow patient to use his own wheelchair

Reposition every two hours if on bed rest

Encourage patient activity

Check patient for clothing that may be tight or constricting

T Drive: Spinal Cord Injury Treatment Guidelines for Physician and Nurses.

Explanation

T Drive: Spinal Cord Injury Treatment Guidelines for Physician and Nurses.

Submit

13. How does one contact the Ethics Consultation Service? [CHECK ALL THAT APPLY]

An urgent consultation request to the Ethics Consultation Service is to be by direct page to the designated Ethics Consultation Service Pager: 219-0143

Non-urgent consultation requests to the Ethics Consultation Service can be made by a CPRS formal consult, direct call or page to the Ethics Consultation Service Coordinator, 789-7133, Pager: 449

Non-urgent consultation requests to the Ethics Consultation Service can be made by calling theEthics Consultation Service Hotline: 789-6910.

There is no ethics consultation service - don't call anyone - figure it out by yourself

PER CPM 00 - 14 - 25, INTEGRATED ETHICS, Attachment A

Explanation

PER CPM 00 - 14 - 25, INTEGRATED ETHICS, Attachment A

Submit

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

Sudden weakness

Trouble speaking

Sudden sever headache

Pain in the jaw and shoulder

Inability to move one side