Intern Exam Flashcards

1
Q

An EXCUSED missed shift =

A

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

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2
Q

How many excused missed shifts allowed per rotation?

A

2 excused missed shifts allowed PER ROTATION before counseling session.

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3
Q

an UNEXCUSED missed shift =

A

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.

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4
Q

What to do if missed shift

A

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

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5
Q

having 1 unexcused missed shift means…

A

grounds for immediate counseling

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6
Q

shift rescheduling MORE than 48 hours before…

A

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

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7
Q

shift rescheduling LESS than 48 hours before…

A
  • 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
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8
Q

how many rescheduled shifts are you allowed?

A

ONE rescheduled shift PER MONTH.

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9
Q

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

A

9 AM

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10
Q

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

A

9:15 AM

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11
Q

where do you put completed Competency Checklists?

A

in the front pocket of the Department Binder.

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12
Q

When are competency checklists due?

A

at the end of the second week of the rotation

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13
Q

Hours Audit Request

A
  • submitted to the Hours Coordinator
  • allow 2 weeks for processing
  • indicate type of letter needed (e-mail, printout, or formal letter)
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14
Q

What are counseling sessions commonly used for?

A
  • missed shifts
  • missed meetings
  • late or incomplete competency checklists
  • expired CPR or TB test
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15
Q

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

A

from Department Coordinator or from website

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16
Q

What happens after a counseling report is filled out?

A

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 :(

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17
Q

Procedure for Intra-Internship Site Transfer

A
  • fill out site transfer form
  • attend 3-day training at transfer site
  • complete an additional 175 hours ( ~ 3 rotations)
  • pay $50 transfer fee
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18
Q

Grounds for Site Transfer?

A

must have moved 15 miles closer to transfer site

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19
Q

when can you apply for L-Team?

A

after 1 rotation

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20
Q

L-team divisions?

A

Administration, Departments, Recruitment & Training, Projects

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21
Q

Leaves of Absence

A
  • required for more than 14 days of absence
  • leave extending 90 days = re-training
  • leave extending 180 days = re-application
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22
Q

When are you eligible to submit Letter of Rec Request?

A

when 240 of the 280 hours have been completed

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23
Q

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

A
  • it is due at 1st All-Intern Meeting for that Rotation;
  • 280 hours completed
  • turn in badge
  • complete exit survey
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24
Q

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

A
  • Submit all requests to the manager and allow 8 weeks for processing
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25
Q

Who are the Stakeholders of Health Services?

A
  • Consumers
  • Payers
  • Providers
  • Regulators
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26
Q

Members of the Patient Care Team

A
  • Allied Health
  • Nurses
  • Physicians
  • Other Health Care Careers
  • Volunteer
  • Patient
27
Q

Obstacles to a Successful Patient Care Team

A
  • ineffective leadership
  • lack of understanding
  • turfism
  • financial structures
28
Q

scope of practice

A

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

29
Q

HCAHPS stands for…

A

Hospital Comprehensive Assessment of Healthcare Providers and Systems

30
Q

what are the 6 domains of HCAHPS?

A
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
Q

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

A

30 SECONDS

32
Q

Which departments and/or situations rehire assertive communication?

A
  • ER
  • Emergency Codes
  • Delivery
  • Disaster
33
Q

What are the Vital Signs?

A
  • Temperature
  • Pulse (Heart rate)
  • Blood pressure
  • Respiratory Rate
  • Oxygen Saturation
  • Pain Level –> non Traditional
  • sudden change in these can indicate underlying problem!!
34
Q

Prolonged abnormal values for vital signs may indicate…

A

chronic disease states

35
Q

5 methods of Temperature measurement

A
  • 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
Q

What are the traditional vital signs?

A

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

37
Q

Causes of acute medical problems (hypovolaemic shock)

A

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

38
Q

What does HAI stand for?

A

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

39
Q

What is a nosocomial infection?

A

Infection that is acquired while a patient is in the hospital

40
Q

What is PPE?

A

Personal Protective Equipment

Gloves gown masks goggle face mask

41
Q

What are resistant organisms?

A

Bacteria that are not susceptible to certain antibiotics; includes MDRO

42
Q

What does MDRO stand for?

A

Multi Drug Resistant Organisms

43
Q

What does MRSA stand for?

A

Methicillin Resistant Staphylococcus Aureus

44
Q

Adult respirations per minute?

A

12-20

45
Q

Child respirations per minute?

A

15-30

46
Q

Infant respirations per minute?

A

30-60

47
Q

O2 Sats are….?

A

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

48
Q

Complication in O2 reading?

A

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

49
Q

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

A

pain :(

50
Q

Chronic vs. Acute Pain

A

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
Q

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

A
  • Pain
  • Potty
  • Position
  • Personal Belongings
52
Q

what is HIPAA? What does it generally do?

A

Health Insurance Portability and Accountability Act

- makes it illegal for information to be released to inappropriate parties

53
Q

What is PHI?

A

Protected Health Information

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

54
Q

what is specifically considered PHI?

A
  • name
  • address
  • SSN
  • DOB
  • Names of Relatives
55
Q

general ways to protect patient privacy:

A
  • 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
Q

5 Ways to Patient ID

A
  • patient’s nurse
  • nurse’s station white board
  • open ended question
  • Patient’s wristband
  • patient chart (DO NOT EFFING TOUCH)
57
Q

HAI

A

Healthcare-Associated Infection

  • infection that develops in a setting where healthcare is delivered
  • a top leading cause of death in US
58
Q

Nosocomial Infection

A

an infection gotten while patient is in the hospital

59
Q

PPE

A

Personal Protective Equipment

60
Q

MRSA

A

Methicillin Resistant Staphylococcus Aureus

61
Q

Infectious Disease

A

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

62
Q

Central premise of universal Health precautions

A

ALL BODILY FLUIDS ARE POTENTIALLY INFECTIOUS

63
Q

culture

A

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

64
Q

Cultural diversity

A

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