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COPE HEALTH CCE Intern Exam > Intern Exam > Flashcards

Flashcards in Intern Exam Deck (64):
1

An EXCUSED missed shift =

when a volunteer notifies the DC LESS than 48 hours before the start of the scheduled shift, and reschedules shift with a valid reason

2

How many excused missed shifts allowed per rotation?

2 excused missed shifts allowed PER ROTATION before counseling session.

3

an UNEXCUSED missed shift =

when a volunteer does not attend shift and does NOT inform DC before the start of the shift or reschedules shift AFTER the shift start time.

4

What to do if missed shift

MUST send DC an e-mail with a valid reason within 24 hours of missed shift

5

having 1 unexcused missed shift means...

grounds for immediate counseling

6

shift rescheduling MORE than 48 hours before...

e-mail DC with valid reason to inform them and request rescheduled shift.

7

shift rescheduling LESS than 48 hours before...

-must call floor 15 min after start of scheduled shift to tell Charge RN they will not be present. (if not Charge RN take down name of other staff member)
- e-mail DC as soon as they realize they will not be able to attend shift

8

how many rescheduled shifts are you allowed?

ONE rescheduled shift PER MONTH.

9

if clock in at 9:07 where do you round your hours to?

9 AM

10

if clock in at 9:08 where do you round your hours to?

9:15 AM

11

where do you put completed Competency Checklists?

in the front pocket of the Department Binder.

12

When are competency checklists due?

at the end of the second week of the rotation

13

Hours Audit Request

- submitted to the Hours Coordinator
- allow 2 weeks for processing
- indicate type of letter needed (e-mail, printout, or formal letter)

14

What are counseling sessions commonly used for?

- missed shifts
- missed meetings
- late or incomplete competency checklists
- expired CPR or TB test

15

Where are forms obtained? (i.e. hours audit, change of info forms, etc.)

from Department Coordinator or from website

16

What happens after a counseling report is filled out?

1) suspension from shifts
2) counseling session
- 1st time intern receives a strong warning
- 2nd time intern is given "Performance Contract" aka probation
- 3rd time may result with intern dismissal :(

17

Procedure for Intra-Internship Site Transfer

- fill out site transfer form
- attend 3-day training at transfer site
- complete an additional 175 hours ( ~ 3 rotations)
- pay $50 transfer fee

18

Grounds for Site Transfer?

must have moved 15 miles closer to transfer site

19

when can you apply for L-Team?

after 1 rotation

20

L-team divisions?

Administration, Departments, Recruitment & Training, Projects

21

Leaves of Absence

- required for more than 14 days of absence
- leave extending 90 days = re-training
- leave extending 180 days = re-application

22

When are you eligible to submit Letter of Rec Request?

when 240 of the 280 hours have been completed

23

If you are completing your internship duties at the end of the current rotation, when should you submit your form? What are Requirements?

- it is due at 1st All-Intern Meeting for that Rotation;
- 280 hours completed
- turn in badge
- complete exit survey

24

Who do you submit Letter of Rec forms to, and how long should you allow?

- Submit all requests to the manager and allow 8 weeks for processing

25

Who are the Stakeholders of Health Services?

- Consumers
- Payers
- Providers
- Regulators

26

Members of the Patient Care Team

- Allied Health
- Nurses
- Physicians
- Other Health Care Careers
- Volunteer
- Patient

27

Obstacles to a Successful Patient Care Team

- ineffective leadership
- lack of understanding
- turfism
- financial structures

28

scope of practice

duties or services that a particular health care practitioner is authorized to perform

29

HCAHPS stands for...

Hospital Comprehensive Assessment of Healthcare Providers and Systems

30

what are the 6 domains of HCAHPS?

Domain 1: Nurses
Domain 2: Physicians
Domain 3: cleanliness and Quiet
Domain 4: Responsiveness of Staff (help to toilet)
Domain 5: Pain management
Domain 6: Meds/Side effects
Domain 7: discharge info and symptoms to watch
Domain 8: Overall rating

31

Never put someone on hold for more than ___ seconds without checking in with them

30 SECONDS

32

Which departments and/or situations rehire assertive communication?

- ER
- Emergency Codes
- Delivery
- Disaster

33

What are the Vital Signs?

- Temperature
- Pulse (Heart rate)
- Blood pressure
- Respiratory Rate
- Oxygen Saturation
- Pain Level --> non Traditional
* sudden change in these can indicate underlying problem!!

34

Prolonged abnormal values for vital signs may indicate...

chronic disease states

35

5 methods of Temperature measurement

- Oral = by mouth, 98.6
- Axillary = armpit; 97.6 (least accurate)
- Tympanic = eardrum; 99.6 --> children
- Temporal = forehead/temple; 100.4
- Rectal = rectum; 99.6 (most accurate)

36

What are the traditional vital signs?

Temp, pulse (heart rate), blood pressure, respiratory rate, oxygen saturation, pain level

37

Causes of acute medical problems (hypovolaemic shock)

Dehydration, bleeding, severe burns, vomiting, diarrhea, drugs

38

What does HAI stand for?

Healthcare-Associated Infection
Develops in a setting where healthcare is delivered
A top leading cause of death in US

39

What is a nosocomial infection?

Infection that is acquired while a patient is in the hospital

40

What is PPE?

Personal Protective Equipment
Gloves gown masks goggle face mask

41

What are resistant organisms?

Bacteria that are not susceptible to certain antibiotics; includes MDRO

42

What does MDRO stand for?

Multi Drug Resistant Organisms

43

What does MRSA stand for?

Methicillin Resistant Staphylococcus Aureus

44

Adult respirations per minute?

12-20

45

Child respirations per minute?

15-30

46

Infant respirations per minute?

30-60

47

O2 Sats are....?

the measure of how much oxygen the blood is carrying as a percentage of the maximum that it could carry.

48

Complication in O2 reading?

CO2 poisoning can give falsely positive reading of O2 sats because CO2 takes place of O2 at binding sites

49

the most common reason that individuals seek medical attention is....

pain :(

50

Chronic vs. Acute Pain

Acute is caused by an illness, injury or surgery and responds well to pain management strategies; leasts less than 6 months

Chronic is persistent and associated with a longterm disease; may last 6 months or more

51

What do you Round on? (What are the 4 P's?)

- Pain
- Potty
- Position
- Personal Belongings

52

what is HIPAA? What does it generally do?

Health Insurance Portability and Accountability Act
- makes it illegal for information to be released to inappropriate parties

53

What is PHI?

Protected Health Information
- includes info about physical/mental health, provided care and payment info for care --> ALLLL protected under HIPAA.

54

what is specifically considered PHI?

- name
- address
- SSN
- DOB
- Names of Relatives

55

general ways to protect patient privacy:

-close doors/curtains during patient care and discussions
- make sure patient care discussions not overheard
- knock before entering patient room
- keep patient records locked and away from public areas
- do not give names or info when visitors ask about patients!! Direct ALL inquiries to staff that can help.

56

5 Ways to Patient ID

- patient's nurse
- nurse's station white board
- open ended question
- Patient's wristband
- patient chart (DO NOT EFFING TOUCH)

57

HAI

Healthcare-Associated Infection
- infection that develops in a setting where healthcare is delivered
- a top leading cause of death in US

58

Nosocomial Infection

an infection gotten while patient is in the hospital

59

PPE

Personal Protective Equipment

60

MRSA

Methicillin Resistant Staphylococcus Aureus

61

Infectious Disease

illness that results from the infection, presence, and growth of one or more pathogenic microbial agents in a host organism

62

Central premise of universal Health precautions

ALL BODILY FLUIDS ARE POTENTIALLY INFECTIOUS

63

culture

traditions, beliefs, values, customs, and rules that characterize a group of people

64

Cultural diversity

quality of diverse or different cultures; racial, ethnic, religious, and individual characteristics