FY16 Primary Care HCT Annual Policy Review

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| By Milly

Milly

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1/14 Questions

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

About This Quiz

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

Fy16 Primary care Hct Annual Policy Review - Quiz

2.

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
Correct Answer

A. True

Explanation

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

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3.

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
Correct Answer

A. Yes

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.

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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
Correct Answer

A. Give nitroglycerin

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.

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5.

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
Correct Answer

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

Explanation

CPM 118-14-23; Patient Identification

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6.

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
Correct Answer

A. True

Explanation

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

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7.

Who is the organ procurement agency for RHJ VAMC?
- LifeCare
- LifePoint
- LifeChoice
- LifeLine
Correct Answer

A. LifePoint

Explanation

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

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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
Correct Answer(s)

A. Legally committed.
A. Physically or mentally impaired with increased risk of harm to self or others
A. Assigned a court appointed legal guardian.
A. Lacking cognitive ability (either permanently or temporarily) to make relevant decisions

Explanation

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

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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
Correct Answer(s)

A. Patients who death is imminent
A. Patients who are deceased

Explanation

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

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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
Correct Answer(s)

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.
A. When possible make a warm transfer (allows for all three parties to be on the line at the same time)
A. 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).
A. NEVER PLACE A CALL ON HOLD

Explanation

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

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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
Correct Answer(s)

A. Fever with or without chills
A. Tachycardia and/or tachypnea and dyspnea
A. Hives or rash to the patient's trunk and back
A. Sudden change in BP
A. Wheezing

Explanation

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

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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
Correct Answer(s)

A. Allow patient to use his own wheelchair
A. Reposition every two hours if on bed rest
A. Encourage patient activity
A. Check patient for clothing that may be tight or constricting

Explanation

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

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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
Correct Answer(s)

A. An urgent consultation request to the Ethics Consultation Service is to be by direct page to the designated Ethics Consultation Service Pager: 219-0143
A. 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
A. Non-urgent consultation requests to the Ethics Consultation Service can be made by calling theEthics Consultation Service Hotline: 789-6910.

Explanation

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

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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
Correct Answer(s)

A. Sudden weakness
A. Trouble speaking
A. Sudden sever headache
A. Inability to move one side

Explanation

Nursing Protocol: Signs and Symptoms of Acute Ischemic Stroke (ASI)

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Current Version
Mar 22, 2023

Quiz Edited by
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Feb 17, 2016

Quiz Created by
Milly

Fy16 Primary care Hct Annual Policy Review

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).

Quiz Preview

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

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:

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.

Who is the organ procurement agency for RHJ VAMC?

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

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

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)

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

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:

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

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