CCE Test Flashcards
Interns are not allowed to do ___ while on duty
Eat or drink in patient areas
Do outside work (ie homework)
Use cell phones (including texting); phones should be turned off
Use hospital computers for personal use-even with permission from staff members
Interns are allowed breaks during their 4-hour shift (T/F)?
False. Interns are only allowed a 30 min rest in the break room when performing two shifts in a row.
What is the recommended process for being efficient with starting and ending a double shift?
Arrive at first shift 15 mins early
Sign out of first shift 15 mins early and take a 30 min break
Sign in to second shift 15 mins late
Leave 15 mins after second shift has ended
What do you do when you’re not busy with any tasks?
Walk around the floor and ask patients and staff is they could be of any help
Make oneself useful by being productive even when not directly asked by medical staff
A complete uniform comprises of:
Polo shirt (tucked in) Long khaki pants ID Badge White tennis shoes A black pen
A full uniform is required for:
EVERY shift Department trainings All intern meetings Signing in for shifts Counseling sessions Turning in paperwork to CCE office
What must be done with your ID badge if leaving for absence exceeding 2 weeks?
You MUST return your ID badge to the CCE office before you leave
All Intern Meetings are:
Twice every rotation on Sunday at 4pm and 5:30pm
For discussion of important information and updates such as announcing of awards
What if you can’t make it to an All Intern Meeting?
You must email your Department Coordinator before the meeting to request and excused absence
Interns who do not attend AIMs and are unexcused will lose priority for department assignments
Hours and shift requirements:
All CCEs must complete 1 four-hour shift each week in their assigned departments
First rotation hours:
48 hours
Failure to complete will result in staying in same department for second shift until minimum of 48 hours is completed
All rotations after first hour requirements:
48 hours
Failure to complete will not receive credit for completing the floor and will have a lower priority for department choices
Eligible hours toward pipeline graduation:
24 training hours (already completed upon first shift of entering Pipeline)
240 floor hours
10 meeting hours
4 department training hours
Recruitment (2 hours for each referred applicant who enters Pipeline)
Special projects (hospital sponsored projects)
Department specific shadowing (opportunity to shadow CCE in upcoming department)
Alternative departments (doubling up which can only be done after first rotation)
Ineligible hours towards graduation:
Leadership team
What is department specific training?
Mandatory
Takes place prior to starting a new rotation
Training dates and times are sent by email along with department assignments for the new rotation
Interns who do not attend department training may be reassigned to a different department
Who can initiate a counseling session and why?
Any Leadership Team member of the Pipeline Manager
A counseling session is initiated when an intern requires instruction or guidance to correct behaviors to ensure all Pipeline and facility policies are observed
Counseling reports will be signed by the intern and placed in his/her file at the end of the session
What if an intern receives multiple counseling reports?
First counseling session is designed to review Pipeline policy and correct behavior
Second counseling session will result with intern being placed on Performance Contract
Third counseling session may result with the intern being released from the Pipeline
When should a Change of Information form be submitted?
Changes to:
Permanent/local address
Phone numbers
Email addresses
When should a Intern Information Disclosure form be submitted?
If the intern requests a copy of their immunization and/or certification records
When should a Leave of Absence form be submitted?
If requesting Leave of Absence (LoA) of more than 14 consecutive days
Must be submitted at least two weeks prior to leave date to LoA coordinator or CCE office
Extensions of LoAs must be emailed to LoA coordinator with updated form containing revised return date
What happens if Leave of Absence exceeds 3 months? 6 months?
3 months: intern must repeat the initial 3-day training
6 months: intern must reapply to Pipeline
What are the reasons a Leave of Absence will be denied?
School-related reasons such as midterms or finals
Study for MCATs, NCLEX, GREs, etc
What is an Hours Audit Request?
Request for record of total hours served
Submit requests to Hours Records Coordinator
What are all the CCE forms?
Counseling Reports Change of Information Intern Information Disclosure Leave of Absence Hours Audit Request Intra-Pipeline Facility Transfer Pipeline Completion Competency Checklist Timesheet Shifts Calendar Letter of Reference Request Leadership Team Application
What is the Intra-Pipeline Facility Transfer form?
Request to transfer to another Pipeline facility if moving at least 15 miles closer to desired transfer facility
Request must be submitted to current manager
Interns not allowed to contact desired transfer facility
What happens if an Intra-Pipeline Facility Transfer request is approved?
Must complete 3-day initial training at new Pipeline facility, pay Pipeline fee and submit all required documentation
Current floor hours will only transfer if s/he accumulates: 168 hours min (24 initial training hours and 144 floor hours) performed at new facility and required 280 cumulative graduation hours from both facilities
What is Leadership team and what are the duties?
Eligible to join after one rotation as CCE
Required to work 2 office hours per week
Help with Orientation/Interviews and Trainings
Assist with Special Projects
How do you sign up for shifts?
Blank calendar for the next month will be available for shift sign-ups from the 1st through the 25th of the current month
Calendar for sign-ups will be located in the Department Binder
Only sign up for one shift per week until the calendar is finalized
How to sign up for multiple shifts per week?
The sign-up calendar will be removed from the binder at the end of every month to be finalized
The calendar will be typed up by the Department Coordinator and a finalized electronic copy of the calendar will be emailed to interns
After a finalized calendar is sent, interns may pick up as many open shifts as they want via email
After the calendar is finalized, all scheduling must be done via email; handwritten changes to a finalized calendar are not valid and will not be recognized as a scheduled shift
What do you do if you miss a shift?
Call the Charge Nurse of assigned department 15 mins after the shift start time
Email the Department Coordinator at least 24 hours prior with the following information: valid reason for needing to miss and a new shift date and time to make-up
What is the timesheet protocol?
Timesheets will be created and placed in the Department Binder located in the assigned unit
First thing interns must do when they arrive is sign in and sign out before they leave (signing in and out at the same time is not permitted)
When signing in and out, round to the nearest quarter hour (0:07 round down, 0:08 round up)
Sign top section of the sign in sheet and sign the signature section after signing out of every shift
When must the Competency Checklist be complete, with who, and where does it go?
Must be completed by the end of the 2nd week of first month of every rotation
Com Checklist will be placed next to each timesheet in the Department Binder
Must be completed with a Registered Nurse only
When completed, place original in front pocket of Department Binder
Requirements for a functional patient care team:
Effective communication Patient-centered focus Establishing a common goal Understanding other member's roles Confidence in other team members
Obstacles to successful teamwork:
Ineffective leadership
Lack of understanding of other healthcare professionals
Turfism
Financial structures
Scope of practice is:
The duties or services that a particular healthcare practitioner is authorized to perform
Some professionals authorized to practice independently while others involve supervision or collaboration with a physician or other practitioner
Evolution of patient care
Past: doctor knows best, patients blindly followed physician instructions and the health of patients was the concern of 1 physician
Present: patient autonomy, right of patients to control the course of their own medical treatment, right to participate in decision-making process, patient’s health is concern of a team of healthcare providers
Allied health professionals are:
Mid-level health care professionals who support, complement, or supplement the work done by physicians and nurses
Represent 60% of nation’s healthcare providers
Examples of allied health professionals:
Certified nursing assistant Emergency medical technician and paramedic Physician assistant Physical therapist Occupational therapist Registered dietician Radiologic/X-ray/ultrasound tech Respiratory therapist Surgical technologist Clinical lab technologist Clinical lab scientist (more advanced than CLT)
Nurse examples:
Licensed vocational nurse
Registered nurse
Clinical nurse specialist
Nurse practitioner
Nursing gender gap due to:
Professionalization of nursing in mid-1800s contributed to decline of male nurses
Historically, men often discourage and denied access to nurse education
What was Florence Nightingale’s belief?
That nursing was an extension of a woman’s “natural domestic role”
Men now make up what % of all nurses?
10%
Shortage of nurses affects:
Emergency preparedness Access to care Quality of care Patient safety Economic growth
Why is there a nursing shortage?
Steep population growth and aging population
Aging current nursing workforce
Diminishing pipeline of new students
High workforce attrition rates
Low job satisfaction and poor working conditions due to the shortage
Gender biases
Solutions to nursing shortage are:
Short term: wage and benefit equity
Long term: focus on new and innovative recruitment and retention strategies, increase incentives for nursing faculty recruitment, better educate public on impact of nursing care on healthcare quality and safety, and recruit foreign nurses
What is the gender ratio in U.S. medical schools now?
1M : 1F
What effect does gender have on patient satisfaction?
Males have a more straighfoward approach whereas females are more nurturing
What are the similarities between MD and DO physicians?
Course prerequisites Medical education (same duration and core curriculum) Postgraduate training Duties and responsibilities Salary
What are the differences between MD and DO physicians?
DO programs slightly less competitive
Licensing exams (USMLE and COMLEX
International recognition
Specialty selection
What is the physician hierarchy?
Medical student Intern Resident Attending Chief of medicine
What professionals make up a patient care team?
Physician Nurse Allied health professional Volunteer Patient
How do you become culturally competent?
Do not make any assumptions about the patient-ask questions
Respect patients’ values, beliefs and practices ever if they differ from your’s
Show respect for patients’ support system
Try to develop trust
Aspects of communication:
Directness Gestures Facial expressions Touch Degree of formality Status Pace
What should you demonstrate when listening?
Empathy not sympathy
Compassion
What are the barriers to listening?
Inappropriate language
Non-verbal cues
Verbal cues
How should you communicate with physicians?
Direct and straight forward
How should you communicate with patient’s family?
Friendly and reassuring
How should you communicate with clinical staff?
Instructional and directional
How should you communicate with patients?
Educational while listening and displaying empathy
How should you communicate with healthcare professionals?
Be professional and clear
Always ask for clarification
Always communicate inability to do a task outside of scope of practice
Never argue with the clinical staff-especially in presence of patient
How to be assertive:
Be clear, specific and direct when speaking
Keep repeating the message until it is HEARD
Ask for clarification when unsure of something
Body language is everything
Keep calm and stick to the point
Always be respectful of the rights of others
What are Joint Commissions?
U.S. based, not for profit organization that accredits and certifies hospitals
Why is accreditation important to hospitals?
Allows hospitals to receive reimbursement from federal government programs
What makes up the Joint Commission?
Accreditation standards: fundamentals for objective evaluation of healthcare organizations; subject to review and revision annually
National patient safety goals (NPSGs): developed from persistent issues or problems encountered at hospitals that negatively impact quality of patient care, sentinel events, and events that cause increase of healthcare costs
Reporting sentinel events: unexpected occurrence involving death or serious physical/psychological injury
Un-/Scheduled surveys
What are the ways to correctly identify a patient?
Open ended question of name and DoB Wristband Nurse station White board in patient room Chart
What is the best way to prevent the spread of infection?
Hand hygiene
When should you clean your hands?
Before and after touching a patient or anything in a patient’s room
Before putting on and after removing gloves
Before and after eating
Before and after personal care
How long should you wash your hands?
At least 15 seconds
How long should nails be kept?
No longer than 1/8” past the fingertip
What is the central premise of standard precautions?
All bodily fluids are potentially infectious
What does PPE stand for and what does it include?
Personal Protective Equipment Gloves Gown Mask Goggles and/or face shield
How do you reduce/prevent exposure to bloodborne pathogens?
Never recap a needle
Dispose of needle and syringe immediately into sharp objects container
Use safe sharps whenever possible
Use PPE whenever anticipating exposure to blood or bodily fluids
What are the CDC isolation precautions?
Standard Contact Droplet Airborne Neutropenic
What steps should be taken prior to entering a contact isolation room?
Wear gown and gloves
Wash hands after interaction
