Intern Exam Flashcards
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
How many excused missed shifts allowed per rotation?
2 excused missed shifts allowed PER ROTATION before counseling session.
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.
What to do if missed shift
MUST send DC an e-mail with a valid reason within 24 hours of missed shift
having 1 unexcused missed shift means…
grounds for immediate counseling
shift rescheduling MORE than 48 hours before…
e-mail DC with valid reason to inform them and request rescheduled shift.
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
how many rescheduled shifts are you allowed?
ONE rescheduled shift PER MONTH.
if clock in at 9:07 where do you round your hours to?
9 AM
if clock in at 9:08 where do you round your hours to?
9:15 AM
where do you put completed Competency Checklists?
in the front pocket of the Department Binder.
When are competency checklists due?
at the end of the second week of the rotation
Hours Audit Request
- submitted to the Hours Coordinator
- allow 2 weeks for processing
- indicate type of letter needed (e-mail, printout, or formal letter)
What are counseling sessions commonly used for?
- missed shifts
- missed meetings
- late or incomplete competency checklists
- expired CPR or TB test
Where are forms obtained? (i.e. hours audit, change of info forms, etc.)
from Department Coordinator or from website
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 :(
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
Grounds for Site Transfer?
must have moved 15 miles closer to transfer site
when can you apply for L-Team?
after 1 rotation
L-team divisions?
Administration, Departments, Recruitment & Training, Projects
Leaves of Absence
- required for more than 14 days of absence
- leave extending 90 days = re-training
- leave extending 180 days = re-application
When are you eligible to submit Letter of Rec Request?
when 240 of the 280 hours have been completed
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
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
Who are the Stakeholders of Health Services?
- Consumers
- Payers
- Providers
- Regulators
Members of the Patient Care Team
- Allied Health
- Nurses
- Physicians
- Other Health Care Careers
- Volunteer
- Patient
Obstacles to a Successful Patient Care Team
- ineffective leadership
- lack of understanding
- turfism
- financial structures
scope of practice
duties or services that a particular health care practitioner is authorized to perform
HCAHPS stands for…
Hospital Comprehensive Assessment of Healthcare Providers and Systems
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
Never put someone on hold for more than ___ seconds without checking in with them
30 SECONDS
Which departments and/or situations rehire assertive communication?
- ER
- Emergency Codes
- Delivery
- Disaster
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!!
Prolonged abnormal values for vital signs may indicate…
chronic disease states
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)
What are the traditional vital signs?
Temp, pulse (heart rate), blood pressure, respiratory rate, oxygen saturation, pain level
Causes of acute medical problems (hypovolaemic shock)
Dehydration, bleeding, severe burns, vomiting, diarrhea, drugs
What does HAI stand for?
Healthcare-Associated Infection
Develops in a setting where healthcare is delivered
A top leading cause of death in US
What is a nosocomial infection?
Infection that is acquired while a patient is in the hospital
What is PPE?
Personal Protective Equipment
Gloves gown masks goggle face mask
What are resistant organisms?
Bacteria that are not susceptible to certain antibiotics; includes MDRO
What does MDRO stand for?
Multi Drug Resistant Organisms
What does MRSA stand for?
Methicillin Resistant Staphylococcus Aureus
Adult respirations per minute?
12-20
Child respirations per minute?
15-30
Infant respirations per minute?
30-60
O2 Sats are….?
the measure of how much oxygen the blood is carrying as a percentage of the maximum that it could carry.
Complication in O2 reading?
CO2 poisoning can give falsely positive reading of O2 sats because CO2 takes place of O2 at binding sites
the most common reason that individuals seek medical attention is….
pain :(
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
What do you Round on? (What are the 4 P’s?)
- Pain
- Potty
- Position
- Personal Belongings
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
What is PHI?
Protected Health Information
- includes info about physical/mental health, provided care and payment info for care –> ALLLL protected under HIPAA.
what is specifically considered PHI?
- name
- address
- SSN
- DOB
- Names of Relatives
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.
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)
HAI
Healthcare-Associated Infection
- infection that develops in a setting where healthcare is delivered
- a top leading cause of death in US
Nosocomial Infection
an infection gotten while patient is in the hospital
PPE
Personal Protective Equipment
MRSA
Methicillin Resistant Staphylococcus Aureus
Infectious Disease
illness that results from the infection, presence, and growth of one or more pathogenic microbial agents in a host organism
Central premise of universal Health precautions
ALL BODILY FLUIDS ARE POTENTIALLY INFECTIOUS
culture
traditions, beliefs, values, customs, and rules that characterize a group of people
Cultural diversity
quality of diverse or different cultures; racial, ethnic, religious, and individual characteristics
