Proper identification of a patient prior to check-in or initiation of care is important in ensuring that care and information are given to the right patient. It is the policy at RHJ VAMC to use 2 unique patient identifiers such as:

having the patient state their FULL Name and FULL Social Security Number

having the patient state their FULL Name and Room Number

having the patient state their LAST Name and LAST 4 of their Social Security Number

having the patient state their FULL Home Address

How does one contact the Ethics Consultation Service? [CHECK ALL THAT APPLY]

An urgent consultation request to the Ethics Consultation Service is to be by direct page to the designated Ethics Consultation Service Pager: 219-0143

Non-urgent consultation requests to the Ethics Consultation Service can be made by a CPRS formal consult, direct call or page to the Ethics Consultation Service Coordinator, 789-7133, Pager: 449

Non-urgent consultation requests to the Ethics Consultation Service can be made by calling theEthics Consultation Service Hotline: 789-6910.

there is no ethics consultation service - don't call anyone - figure it out by yourself

Signs and symptoms of blood transfusion reaction include [CHECK ALL THAT APPLY]

tachycardia and/or tachypnea and dyspnea

hives or rash to the patient's trunk and back

improvement of the hemoglobin and hematocrit values

Fy16 Primary care Hct Annual Policy Review

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Milly

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Quizzes Created: 37 | Total Attempts: 87,358

Questions: 14 | Attempts: 138 | Updated: Mar 22, 2023

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Fy16 Primary care Hct Annual Policy Review - Quiz

Annual Nursing Education review of policies, procedures, and protocols for Primary Care HCT. Must be completed by March 31, 2016 with a minimum score of 90.

Questions and Answers

1.

Who is the organ procurement agency for RHJ VAMC?
- A.
  
  LifeCare
- B.
  
  LifePoint
- C.
  
  LifeChoice
- D.
  
  LifeLine
Correct Answer
B. LifePoint

Explanation
CPM 00-14-16; T:drive>All CPMs> type "Organ" in the search box

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2.

Your Clinic Emergency Plan can be found on the T-Drive under Service Policies by selecting Primary Care 11-C, Primary Care Supplemental (Select specific CBOC location).
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
T:drive> Search "Primary Care Supplemental" and select your clinic

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3.

When a veteran/ caller is reporting suicidal or homicidal thoughts or other crises to the Ralph H. Johnson Department of Veterans Affairs Medical Center telephone operator or to other staff they should: (select all which apply)
- A.
  
  When a Nurse, Physician, Social Worker, Physician Assistant or Psychologist receives a call, they will triage the call, determine the appropriate clinical intervention and initiate a rescue if needed.
- B.
  
  When possible make a warm transfer (allows for all three parties to be on the line at the same time)
- C.
  
  Veterans who call the Medical Center with expressed suicidal or homicidal thoughts during duty hours (8:00 a.m. – 4:30 p.m.) will be referred to the Psychiatry Access Center Team (PAC) pager 17359 (MUSC Simon).
- D.
  
  NEVER PLACE A CALL ON HOLD
Correct Answer(s)
A. When a Nurse, pHysician, Social Worker, pHysician Assistant or Psychologist receives a call, they will triage the call, determine the appropriate clinical intervention and initiate a rescue if needed.
B. When possible make a warm transfer (allows for all three parties to be on the line at the same time)
C. Veterans who call the Medical Center with expressed suicidal or homicidal thoughts during duty hours (8:00 a.m. – 4:30 p.m.) will be referred to the Psychiatry Access Center Team (PAC) pager 17359 (MUSC Simon).
D. NEVER PLACE A CALL ON HOLD

Explanation
ICPM116-11-06 NTERVENTION FOR SUICIDAL/HOMICIDALPATIENTS VIA TELEPHONE Located on the T-drive

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4.

According to The Missing Patient policy, an at-risk patient includes one who is (select all which apply):
- A.
  
  Legally committed.
- B.
  
  Physically or mentally impaired with increased risk of harm to self or others
- C.
  
  Assigned a court appointed legal guardian.
- D.
  
  Lacking cognitive ability (either permanently or temporarily) to make relevant decisions
Correct Answer(s)
A. Legally committed.
B. pHysically or mentally impaired with increased risk of harm to self or others
C. Assigned a court appointed legal guardian.
D. Lacking cognitive ability (either permanently or temporarily) to make relevant decisions

Explanation
CPM 07B-13-01 Missing Patient Policy located on the T-drive

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5.

Proper identification of a patient prior to check-in or initiation of care is important in ensuring that care and information are given to the right patient. It is the policy at RHJ VAMC to use 2 unique patient identifiers such as:
- A.
  
  Having the patient state their FULL Name and Room Number
- B.
  
  Having the patient state their LAST Name and LAST 4 of their Social Security Number
- C.
  
  Having the patient state their FULL Home Address
- D.
  
  Having the patient state their FULL Name and FULL Social Security Number
Correct Answer
D. Having the patient state their FULL Name and FULL Social Security Number

Explanation
CPM 118-14-23; Patient Identification

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6.

A patient is experiencing chest pain, the nurse may ask you to perform the following tasks EXCEPT:
- A.
  
  Obtain vital signs
- B.
  
  Obtain EKG
- C.
  
  Obtain oxygen saturation level
- D.
  
  Give nitroglycerin
Correct Answer
D. Give nitroglycerin

Explanation
The nurse may ask you to perform tasks such as obtaining vital signs, obtaining an EKG, and obtaining oxygen saturation levels to assess the patient's condition and determine the appropriate treatment. However, giving nitroglycerin is not mentioned as a task the nurse may ask you to perform. Nitroglycerin is a medication commonly used to relieve chest pain in patients with certain heart conditions, so it would be within the nurse's scope of practice to administer it if necessary.

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7.

Patients with SCI (spinal cord injuries) can experience episodes of extreme elevated blood pressure. If you are caring for an SCI patient, you should be attentive to the following to prevent an occurrence of extreme blood pressure. Select all that apply:
- A.
  
  Allow patient to use his own wheelchair
- B.
  
  Reposition every two hours if on bed rest
- C.
  
  Encourage patient activity
- D.
  
  Check patient for clothing that may be tight or constricting
Correct Answer(s)
A. Allow patient to use his own wheelchair
B. Reposition every two hours if on bed rest
C. Encourage patient activity
D. Check patient for clothing that may be tight or constricting

Explanation
T Drive: Spinal Cord Injury Treatment Guidelines for Physician and Nurses.

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8.

According to the F.A.S.T. acronym, which of the following can be signs and symptoms of a stroke. Select all that apply:
- A.
  
  Sudden weakness
- B.
  
  Trouble speaking
- C.
  
  Sudden sever headache
- D.
  
  Pain in the jaw and shoulder
- E.
  
  Inability to move one side
Correct Answer(s)
A. Sudden weakness
B. Trouble speaking
C. Sudden sever headache
E. Inability to move one side

Explanation
Nursing Protocol: Signs and Symptoms of Acute Ischemic Stroke (ASI)

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9.

When is necessary to call Life Point? [CHECK ALL THAT APPLY]
- A.
  
  For all discharges
- B.
  
  Patients who death is imminent
- C.
  
  Patients who are deceased
- D.
  
  For all admissions
Correct Answer(s)
B. Patients who death is imminent
C. Patients who are deceased

Explanation
per CPM 00- 14 - 16, ORGAN AND TISSUE DONOR PROGRAM

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10.

How does one contact the Ethics Consultation Service? [CHECK ALL THAT APPLY]
- A.
  
  An urgent consultation request to the Ethics Consultation Service is to be by direct page to the designated Ethics Consultation Service Pager: 219-0143
- B.
  
  Non-urgent consultation requests to the Ethics Consultation Service can be made by a CPRS formal consult, direct call or page to the Ethics Consultation Service Coordinator, 789-7133, Pager: 449
- C.
  
  Non-urgent consultation requests to the Ethics Consultation Service can be made by calling theEthics Consultation Service Hotline: 789-6910.
- D.
  
  There is no ethics consultation service - don't call anyone - figure it out by yourself
Correct Answer(s)
A. An urgent consultation request to the Ethics Consultation Service is to be by direct page to the designated Ethics Consultation Service Pager: 219-0143
B. Non-urgent consultation requests to the Ethics Consultation Service can be made by a CPRS formal consult, direct call or page to the Ethics Consultation Service Coordinator, 789-7133, Pager: 449
C. Non-urgent consultation requests to the Ethics Consultation Service can be made by calling theEthics Consultation Service Hotline: 789-6910.

Explanation
PER CPM 00 - 14 - 25, INTEGRATED ETHICS, Attachment A

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11.

Signs and symptoms of blood transfusion reaction include [CHECK ALL THAT APPLY]
- A.
  
  Fever with or without chills
- B.
  
  Tachycardia and/or tachypnea and dyspnea
- C.
  
  Hives or rash to the patient's trunk and back
- D.
  
  Sudden change in BP
- E.
  
  Wheezing
- F.
  
  Improvement of the hemoglobin and hematocrit values
Correct Answer(s)
A. Fever with or without chills
B. Tachycardia and/or tachypnea and dyspnea
C. Hives or rash to the patient's trunk and back
D. Sudden change in BP
E. Wheezing

Explanation
per CPM 113-13-01, TRANSFUSION OF BLOOD COMPONENTS &
Mosby's nursing procedure Transfusion Reaction

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12.

It is Medical Center policy that all outpatient clinic appointments, meeting the definition of an encounter, are made in Count Clinics using the VistA Scheduling software in a fashion that best suits patients’ clinical needs and preferences; this includes, but is not limited to: appointments made for clinic visits; VA provided home care; consultations; and medical, surgical, dental, rehabilitation, dietetic, nursing, social work, and mental health services and procedures.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
CPM NO.11-15-41 OUTPATIENT SCHEDULING PROCESSES AND PROCEDURES

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13.

I pledge to demonstrate the core values of the American Nurses Association Code of Ethics by upholding the standards of honesty and integrity. By answering "Yes", I certify that I am the person taking this test.
- A.
  
  Yes
- B.
  
  No
Correct Answer
A. Yes

Explanation
The given correct answer is "Yes". This answer demonstrates the individual's commitment to upholding the core values of the American Nurses Association Code of Ethics, specifically the standards of honesty and integrity. By answering "Yes", the person is affirming their dedication to these values and certifying that they are the one taking the test.

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14.

When collecting specimens for the Blood Bank, two (2) labels are applied to the outside of the tube. The first label is a Blood Bank Identification (yellow armband) label. The second label is a CPRS lab order label that corresponds to the order number for the CPRS Blood Requisition Form.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
CPM 113-13-01 "Transfusion of Blood Components"

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Current Version
Mar 22, 2023

Quiz Edited by
ProProfs Editorial Team
Feb 17, 2016

Quiz Created by
Milly

Fy16 Primary care Hct Annual Policy Review

Who is the organ procurement agency for RHJ VAMC?

Your Clinic Emergency Plan can be found on the T-Drive under Service Policies by selecting Primary Care 11-C, Primary Care Supplemental (Select specific CBOC location).

When a veteran/ caller is reporting suicidal or homicidal thoughts or other crises to the Ralph H. Johnson Department of Veterans Affairs Medical Center telephone operator or to other staff they should: (select all which apply)

According to The Missing Patient policy, an at-risk patient includes one who is (select all which apply):

Proper identification of a patient prior to check-in or initiation of care is important in ensuring that care and information are given to the right patient. It is the policy at RHJ VAMC to use 2 unique patient identifiers such as:

A patient is experiencing chest pain, the nurse may ask you to perform the following tasks EXCEPT:

Patients with SCI (spinal cord injuries) can experience episodes of extreme elevated blood pressure. If you are caring for an SCI patient, you should be attentive to the following to prevent an occurrence of extreme blood pressure. Select all that apply:

According to the F.A.S.T. acronym, which of the following can be signs and symptoms of a stroke. Select all that apply:

When is necessary to call Life Point? [CHECK ALL THAT APPLY]

How does one contact the Ethics Consultation Service? [CHECK ALL THAT APPLY]

Signs and symptoms of blood transfusion reaction include [CHECK ALL THAT APPLY]

I pledge to demonstrate the core values of the American Nurses Association Code of Ethics by upholding the standards of honesty and integrity. By answering "Yes", I certify that I am the person taking this test.

When collecting specimens for the Blood Bank, two (2) labels are applied to the outside of the tube. The first label is a Blood Bank Identification (yellow armband) label. The second label is a CPRS lab order label that corresponds to the order number for the CPRS Blood Requisition Form.