Isolation Precautions
A patient with VRE needs to be placed on what type of precautions?
A patient with VRE should be placed on contact precautions.
What type of isolation should a patient with suspected COVID-19 infection be placed on?
A.) Special Enteric Contact
B.) Droplet
C.) Airborne
D.) Special Airborne/Contact
Patients suspected of COVID-19 infection should be placed on special airborne/contact precautions.
True or False; Per protocol, a microalbumin should be completed on our diabetic patients every 6 months.
False; Per protocol, we should check microalbumins annually for our diabetic patients.
How often do we complete a learning screening for our patients?
Learning screenings should be completed annually or anytime that they have had a change.
Where are the two places we document a patient fall?
•SRS/RL6
•Significant event note
Which of the following is an acceptable form of handwashing for patients on special enteric precautions?
A.) Foam sanitizer
B.) Gel with atleast 70% alcohol
C.) Soap and water
D.) All of the above
Soap and water MUST be used for special enteric precautions
When rooming a patient who has symptoms of COVID-19, what is the appropriate PPE?
A surgical mask and gloves are appropriate PPE to wear when rooming a patient who is suspected of COVID-19 infection. Exceptions are made for patients who are unable to wear a facemask or situations that require prolonged physical contact with these patients such as performing a procedure.
When and how should you validate your patient's ID?
The patient's ID should be verified using double identifiers (name and date of birth preferred) at the beginning of the rooming process and before giving any medications or performing any procedures/labs.
When should a GAD-7 be completed?
A GAD-7 should be completed when a patient lists anxiety as a visit reason or when directed by a provider.
When should a patient be screened for pain?
Every clinic visit with the exception of brief clinic visits unrelated to pain (ie, lab only, nurse visits, flu shots, etc)
True or false: After discharging a patient on droplet precautions, the room must be closed down for at least 1 hour.
False; Rooms do not need to be shutdown for patients on droplet precautions.
What should you do if your “forever” face shield becomes visibly soiled with blood or bodily fluids?
Remove the clear plastic shield and replace it with a clean one.
True or false; When ordering a clinical protocol, the order mode should be per protocol, no cosign required.
False; Co-sign is always required within DPC.
When should a PHQ-9 be completed?
•Annual Wellness Visit/Physical
•Chief Complaint of depression
•Previous positive screen within last 12 months
•Pregnant patients and at 1,2, and 4 months post-partum
•No PHQ on file within last 12 months
•Provider request
•WCC for patients ages 11-17
At what age do we start performing a falls assessment on our patients?
We start screening for falls on patients 4 years of age and up.
Which of the following does NOT require airborne precautions?
A.) Measles
B.) Disseminated Shingles
C.) Parainfluenza
D.) Covid-19
Parainfluenza only requires droplet precautions
What is the correct order for donning PPE?
Remove non-essential items, perform hand hygiene, put on gown, don gloves, don N95, sanitize gloves, and put on face shield.
You order an A1C for your patient per protocol. Which diagnosis association is acceptable?
A.) Screening for diabetes
B.) Prediabetes
C.) Type 2 diabetes mellitus with diabetic polyneuropathy
D.) All of the above
C.) Type 2 diabetes mellitus with diabetic polyneuropathy
Per protocol we cannot order an A1C for patients who have prediabetes or who are being screened for diabetes.
When completing the PHQ-9, a patient answers “several days” to the question regarding “….thoughts that you would be better off dead, or hurting yourself in some way?” What are you next steps?
Jabber the provider and stay with the patient until the provider is able to come into the room. If a telephone visit, stay on the line until the provider can connect with the patient.
Who is allowed to assess pain for a patient under 3 years of age or patients who are cognitively impaired of any age.
Only licensed personnel are allowed to objectively assess pain.
Name atleast 5 of the 8 elements of standard precautions.
•Hand hygiene
•PPE
•Patient placement
•Cleaning/Disinfection
•Respiratory/Cough Hygiene and Etiquette
•Safe Injection Practices
•Specimen Transport
•Patient and Family Education
What is the correct order for doffing PPE?
Remove gown and gloves in the room, perform hand hygiene and don gloves, use a wipe to clean and open the door. Outside of the room, remove the face shield and clean. Disinfect gloves. Remove N95. Remove gloves and perform hand hygiene.
A patient is here today for a 4 month diabetes follow-up appointment. Per health maintenance the patient is not due for an A1C until December 30th. The last A1C was 7.2 in June. What should you do?
Order an A1C
What are the proper steps of medication reconciliation?
Verify correct pharmacy, verify medication name, dose, frequency, and route. Verify by looking at medication bottles if available. Mark as taking, not taking, or unknown. Reconcile any outside medications.
What makes a patient considered "high risk" for falls?
A person of any age who has fallen in the last 3 months
Requires assistance with standing or walking
Unsteady gait
Altered mental status
Dizziness/Lightheadedness
Assistive Device