Fy 15 Primary care Annual Education Policy/Procedure/Protocol Review
Annual Education Policy/Procedure/Protocol review. Nursing staff must complete and obtain a minimum score of 90. You will have 2 chance to complete.
- 1.What values on the glucometer warrant immediate intervention?
- A.
200
- B.
400
- C.
300
- D.
400
- 2.RHJ VAMC and the CBOCs are latex free facilities.
- A.
True
- B.
False
- 3.What is the proper procedure to verify a patient’s identification?
- A.
Ask the patient to state his/her full name and last four of social security number
- B.
Ask the patient to state his/her last name and last four of social security number
- C.
Ask the patient to state his/her full name and full social security number
- D.
Ask the patient to state his/her last name and full social security number
- 4.How many staff members are required with all emergent assists for patients with limited mobility?
- A.
One person
- B.
A minimum of 2 people
- C.
At least 3 people
- 5.What assessment tool does one use to document skin breakdown risk?
- A.
Glasgow Scale
- B.
Braden Scale
- C.
PIP Scale
- D.
Pressure Ulcer Scale
- 6.How often do the narcotics in the PYXIS/OmniCell get inventoried by narcotic inspectors?
- A.
Daily
- B.
Bi-weekly
- C.
Weekly
- D.
Monthly
- 7.A SCI patient is at risk for Autonomic Dysreflexia if he/she has an injury at level ________ or higher?
- A.
T4
- B.
T5
- C.
T6
- D.
T7
- 8.What would you do if your SCI patient was showing symptoms of autonomic dysreflexia?
- A.
A. Sit patient upright
- B.
B. Take patient's B/P
- C.
C. Seek to eliminate the cause
- D.
A, B, & C
- E.
Only A & C
- 9.Which of the following are considered to be "High Alert Medications"? Select all that apply?
- A.
TPN
- B.
Heparin
- C.
Chemotherapy IV drugs
- D.
Insulin
- E.
Hypertensive drugs
- 10.According to the CPM 136-02, who does one call to obtain assistance for a hard of hearing patient or a language interpreter?
- A.
AT&T Relay Service
- B.
TTY Phone
- C.
Bellsouth Relay Service
- D.
Both A & B
- 11.Where does one find a list that will inform you of which MD has privileges for RHJ VAMC?
- A.
S drive
- B.
U drive
- C.
T drive
- D.
V drive
- 12.Which of the following medications are associated with risk for falls (select all that apply):
- A.
Diuretics
- B.
Opioids
- C.
Antidiabetic
- D.
Antihistamines
- 13.When patients have missed multiple appointments the clinical scheduler is responsible for: (select all that apply)
- A.
Making a minimum of 2 attempts to reach patients via phone to reschedule if PCP determines there is an immediate need for an appointment.
- B.
Making no-show post card or patient cancellation letter when applicable
- C.
Calling the veteran to make an appointment without an identified immediate need.
- D.
Making sure providers adhere to policy
- 14.Assigned primary care staff who are trained in the use of digital imaging cameras are responsible for Dermatology Consult photographs.
- A.
True
- B.
False
- 15.It is a policy at the medical center and selected CBOCs where Primary Care, Women's Health and/or Mental Health services are provided, access to clinically appropriate services that extend beyond regular business 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
- 16.The Women Veterans Program Manager (WVPM) will coordinate with Primary Care Providers to ensure that all female veterans ages 50-64 and female veterans who present with a higher risk of breast cancer will receive mammograms consistent with the U.S. Preventive Medicine Task Force breast cancer screening recommendations.
- A.
True
- B.
False
- 17.Written consent is required for patients utilizing the Clinical Telehealth Program and must be documented in the patient’s medical record
- A.
True
- B.
False
- 18.The following services are responsible for delivering care to at risk patients identified by the PAVE program select all that apply:
- A.
Podiatry---Podiatrist sees and treats all patients who are moderate and high risk for amputation per the Foot Risk Screening tool.
- B.
Primary Care LPN administers the V7 Diabetic Foot Exam Clinical Reminder which contains the Foot Risk Assessment Score and includes a treatment referral algorithm. Patients identified as being at risk are assessed by a Primary Care Provider
- C.
Surgical Service---Vascular Surgery evaluates patients in need of possible amputation, performs amputation as indicated and refers to Amputee Clinic as indicated after amputation.
- D.
Diabetic Nurse Educators and the wound care nurse are PAVE members
- 19.Breathalyzer test may be used by clinical staff without the patient’s informed consent to aid in making the determination of intoxication
- A.
True
- B.
False
- 20.Prostate cancer screening should occur with the following populations (Select all that apply)
- A.
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))
- B.
Men older than 75 years of age
- 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
- 21.Reusable medical equipment (RME) has established policy for
- A.
All of the above
- B.
Use
- C.
Decontamination
- D.
Cleaning, reprocessing,disinfection, or sterilization
- 22.Links to Material Safety Data Sheets (MSDS) for approved Non-critical reusable medical equipment cleaning agents can be found at the end of the policy on the T-drive.
- A.
True
- B.
False
- 23.In order to help prevent and identify patients at risk for falling Primary Care staff will (select all which apply)
- A.
Complete an annual fall screen and provide pamphlet explaining fall prevention in the home to patients at risk.
- B.
Implement interventions to create and maintain a safe patient environment
- C.
Implement universal fall precautions for all veterans
- D.
Provide education to veteran and family members on potential for falls, fall complications, and provide information on interventions to eliminate and/or decreased fall potential.
- 24.The primary care LPN/RN must use Hypoglycemia Protocol Note to document all BG results, treatments, and patient responses to treatment when hypoglycemia is identified in a patient.
- A.
True
- B.
False
- 25.Protocols for Patient Aligned Care Team (PACT) Nursing Staff in primary Care Service Line establishes guidelines for RNs/LPNs to initiate specific diagnostic tests and consultations based on patient presenting history and /or symptoms.
- A.
True
- B.
False
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