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COPE Junior Health
cope junior health scholar exam
| Term | Definition |
|---|---|
| code gray | combative or disruptive person is confronting medical center staff |
| code red | fire |
| RACE | rescue, alarm and dial 3000, confine, extinguish |
| code blue | adult medical emergency (14+) |
| code white | child/ pediatric CPR (3 month-13 years) |
| code orange | hazardous materials spill |
| code pink | infant abduction |
| code purple | child abduction |
| code yellow | bomb threat |
| code silver | person with a weapon or hostage situation |
| code triage | internal/ external disaster |
| code RRT | rapid response team |
| hospital specific codes | rapid response team |
| 5 major classes of fire | class A: ordinary combustibles class B: flammable liquids class C: electrical class D: combustible metals class K: cooking oils or liquids |
| PASS | pull, aim, squeeze handle, sweep back and forth |
| fire triangle | oxygen, fuel, heat |
| GHS | globally harmonized systems |
| MSDS (on file at nurse administration office) | material safety and data sheet |
| OSHA | occupational safety and health administration |
| HIPAA | health insurance portability and accountability act |
| PHI | protected health information |
| what does HIPAA do | ensure privacy and security of health care information |
| what is PHI | information about a persons physical health, mental health, provided care and payment for that care |
| TPO | treatment, payment, operations |
| what is a breach | unauthorized access, use, or disclosure of unsecured PHI |
| external | patients, families, vendors, ambulance drivers |
| internal | clinical staff, administrators, volunteers |
| AIDET | acknowledge, introduction, duration, explanation, thank you |
| SKAHI | signs, knock, assess, hand hygiene, identify |
| patient identifiers | patient's nurse, main nurses' station whiteboard, open-ended question, patient's wristband, patient's chart |
| HCAHPS | hospital consumer assessment of healthcare providers and systems |
| HCAHPS domians | nurse communications, cleanliness and quietness, pain management, discharge management, physician communications, responsiveness of hospital staff, communications about medications, overall rating |
| anatomical position | patients body is erect, head, eyes, toes, and palms are directed forward with limbs at sides of body |
| medial and lateral | toward the midline of the body, away from the midline of the body |
| anterior and posterior | face or front side (ventral), back side (dorsal) |
| proximal | close to midline of the body, toward torso |
| distal | away from the middle of the body, away from torso |
| cranial | away from the top of the head, toward the hind parts |
| caudal | away from the top of the head, toward the hind parts |
| superior | above or over something, based on a reference point |
| inferior | below or under something, based on a reference point |
| flexion | closing of a joint |
| extension | opening of a joint |
| supination | palm of hand faces forward ventrally |
| pronation | palm of hand faces backward/ dorsally |
| supine | lying down facing ceiling |
| prone | lying down facing the floor (on stomach) |
| eversion | sole of feet facing outward |
| inversion | sole of feet facing inward |
| adduction | move toward the midline |
| abduction | move away from midline |
| trendelenburg position | patients head is low and legs are elevated |
| reverse trendelenburg position | patients head is elevated |
| fowler's position | semi-sitting position with hip at an angle of 45-60 degrees |
| semi-fowler's position | semi-sitting position with hip at an angle of approximately 30 degrees |
| orthopedics | branch of surgery concerned with injuries and disorders of the musculoskeletal system |
| x-rays | used to determine the structural status of bones and other high density tissues |
| CT | specialized x-ray used to examine soft tissue like the liver, brain, pancreas |
| MRI | uses magnetic field and radio waves to create cross-sectional images of head and body |
| Ultrasound | used during pregnancy to observe development of fetus |
| c-arm | x-ray machine used in surgery to take pictures of spine without moving the patient |
| catheter | small tube inserted into body cavity, duct, or vessel which allows drainage, injection of fluids or access by surgical instruments |
| chest tube | flexible plastic tube inserted through the side of the chest into the pleural space which is used to remove air, fluid, or pus |
| EKG/ ECG | electrocardiogram which records electrical activity of heart |
| intubation | placement of flexible plastic tube into trachea to protect the patient's airway and allow mechanical ventilation |
| IV | insertion of flexible catheter into a vein using a needle for guidance and puncture skin |
| NG tube | inserted through nose, past pharynx and esophagus, into stomach; used for feeding and/ or administering drugs, or emptying the stomach |
| Ventilator | machine breathes for patients who are unable to do so on their own |
| ACU | ambulatory care unit |
| ICU | intensive care unit |
| NICU | neonatal intensive care unit |
| PACU | post-anesthesia care unit |
| BM | bowel movement |
| CBC | complete blood count |
| TKO | to keep open |
| NPO | non per os |
| PO | per os |
| PR | per rectum |
| PRN | pro re nata |
| in patient | patient admitted to the hospital for overnight stay |
| out patient | patient checks into and leaves the hospital the same day as their procedure |
| sign | an "objective" indication of some medical fact or quality detected by physician |
| symptom | " experience reported by the patient |
| body fluid | sputum, blood, urine, feces or any kind of fluid released from a patient |
| ecchymosis | bruise |
| atherosclerosis | disease in which fatty materials is deposited in the walls of arteries |
| MI | heart attack |
| CHF | congestive heart failure |
| stroke | loss of blood supply to the brain |
| shock | decreased perfusion of blood to body tissue |
| two types of strokes | hemorrhagic stroke and ischemic stroke |
| two types of shock | hypovolemic and distributive shock |
| define scope of practice | The duties or services that a particular practitioner is authorized to perform |
| Under what conditions are Scholars allowed to handle medication? | COPE Health Scholars are NEVER allowed to handle medications |
| What types of isolation rooms can Health Scholars enter with proper PPE? | Contact, Contact Enteric, and Droplet isolation rooms |
| What is the proper response if you are asked to do something out of your scope of practice? | Politely inform the patient or staff member that you cannot perform the task, find someone who can help with the task, and ask if there is anything else you can do to help |
| what line of defense is the immune system | the third line of defense |
| What are examples of things a Health Scholar should never do on their shift? | Eat or drink in patient care areas, use their cell phone, work on homework or other outside work, use hospital computers |
| tasks that you must receive permission from a staff member before completing | Discharging patients, giving patients food or water, re-positioning a patient in bed, and ambulating a patient |
| How far in advance does a Scholar have to submit a Leave of Absence Request? | 2 weeks |
| How long of a break do you need to take after every 4 hours of shifting? | 30 minutes |
| How many rescheduled, excused, and unexcused missed shifts are Scholars allowed per rotation? | 3 Rescheduled Shifts, 2 Excused Missed Shifts, and 0 Unexcused Missed Shifts |
| What two things must you do when you are going to miss a shift? | call the Charge Nurse of the assigned department at least 15 minutes (before/after) the shift start time, email your Department Coordinator at least 24 hours prior with a valid reason and a replacement shift date and time |
| What five items does a complete Scholar uniform consist of? | white polo shirt, khaki bottoms, id badge, white non canvas shoes, and black pen |
| Define Timesheet Falsification. What is the consequence of Timesheet Falsification? | when a participant claims hours they did not serve, dismissal from the program and denial of all hours |
| What are the names of the three major accrediting agencies? | The Joint Commission (TJC), DNV GL, Healthcare Facilities Accrediting Program |
| What is accreditation? | A process of review and validation in which an organization is evaluated to ensure ongoing and continuous compliance with the highest standard of quality |
| If you do not know the answer to a question asked by an accreditation surveyor, you should... | Be honest and apologize for not knowing the answer, tell the surveyor you will find the answer, and research the answer and report back to the surveyor |
| Name stakeholders in the US Healthcare System | Consumers, Providers, Payers (Health Insurance Plans), Regulators, and Community Social Determinants of Health (SDOH) |
| Name the social determinants of health | Education, Screening, Public Health, Food, Transportation, Medication |
| Name the HCAHPS domains | Nurse Communications, Cleanliness and Quietness, Pain Management, Discharge Management, Physician Communications, Responsiveness of Hospital Staff, Communications about Medications, and Overall Rating |
| Name things associated with the normal aging process that geriatric patients are most at risk for | Decreased skin integrity, aspiration, sleep pattern disturbances, and risk for falls |
| Name the five groups that make up the patient care team | Nursing staff, Physician, Allied Health Positions, Patient, and Health Scholar |
| What are three common signs or symptoms of dying? | Disorientation, Lethargy, Incontinence, Restlessness, Reduced intake and output, temperature sensitivity, and breathing Changes |
| What is the number that you dial to "call a code" in the hospital? | 3000 |
| What is the central premise of universal health precautions? | ALL bodily fluids are potentially infectious |
| Name four forms of Personal Protective Equipment that you could use in the hospital | Gowns, Gloves, Masks, Goggles |
| What are three ways Scholars can help protect patient privacy? | Report breached immediately, do not discuss patient issues in public areas, and do not throw away PHI |
| Define "incident" | Incident: An unexpected or unanticipated event that needs to be reported to the program facility and COPE Health Solutions (happens to someone else or the hospital property) |
| define "injury" | Injury: Any physical or emotional harm that occurs while serving shifts in the program facility (happens to you) |
| When are competency checklists due? | By the end of the second week of the new rotation |
| How far in advance do you need to request a letter of recommendation? | 8 weeks |
| What is the purpose of a counseling session? | To correct and improve performance and review program policies and procedures to support successful participation in the program |
| In order of occurrence, what steps do you need to take if you are injured -- regardless of how minor the injury is -- while shifting at the hospital? | report injury to the charge nurse/supervisor, get treated (as necessary), call the program manager at (888) 248-2914 |
| COPE Health Scholars are required by program policy to be mandatory reporters for what four things? | Child Abuse, Elderly Abuse, Harassment, and Domestic Abuse |
| Name five careers that fall under the category of Allied Health | athletic trainer, physician assistant, paramedic, physical therapist, medical assistant, and exercise scientist |
| Therapeutic Relationship | A relationship that allows the application of professional knowledge, skills, abilities, and experiences towards meeting the needs of the patient. |
| Professional Boundary | Effective and appropriate interaction between professionals and those they serve. |
| Boundary Crosssing | Brief excursions across professional lines of behavior that may be inadvertent, thoughtless, or even purposeful. |
| Boundary Violations | Occurs when there is excessive personal disclosure, secrecy, or a reversal of roles between Scholar and patient |
| Empathy | The action of understanding, being aware of, and being sensitive to the feelings, thoughts, and experience of another without having the feelings, thoughts, and experiences fully communicated in an objectively explicit manner |
| Sympathy | The act or capacity of entering into or sharing the feelings or interests of another. Feeling pity or sorrow for another. |
| Body Mechanics | The proper way to move a body part in relation to another so as to minimize the risk of injury |
| Bony Prominences | Areas of the body where the bone is close to the surface of the skin. Greatest at risk for pressure sores. |
| Ambulate | to walk from place to place |
| Fall Risk | A designation assigned to a patient whose stability is of concern in order to prevent falls from occurring |
| Three things to ask before ambulating a patient | Have you walked in the last 12 hours?, Have you walked on this floor?, and Do you need to go to the bathroom? |
| When discharging a patient, Scholars must never: | Accept tips, Help patients into car, Assist with the car or car seats, Handle/seal valuables bags, and discharge patient to any area outside of the designated patient pick-up area. |
| What should you immediately check for when log rolling a patient? | Bed sores and any new skin tears. |
| What should you do if you see a new skin tear | Report it to the RN and follow incident reporting procedures. |
| code bart | stroke |
| code jack | patient has fallen |
Created by:
k24kasouz