Wound Management
Mentorship / Teaching
Care Planning
Episode Management
Rover
100
True/False: You identify a wound is declining and speak with WOCN who recommends new wound orders to you. That is your verbal order, so your next step is to update the care plan.
False
100
It is your first day with your orientee. You are demonstrating a routine visit for them. They meet you in the driveway and don’t take their nursing bag out of their car. They say they don’t need it they are just supposed to observe you today. How would you respond?
You can observe me for part of the visit, but then there will be opportunities to get involved. Please bring your bag in so you can take vital signs and assist with patient care.
100
You’ve called the physician to get an order for an existing wound after speaking with our WOCN. What two items do you need to document?
Physician Communication & Update the Wound Order
100
Where can you look to see if you have authorized visits for your discipline?
On the thumbnail in the “Visit Counts by Authorization Period” box
100
True or False: Rover must be used to enter time in/out of patient home for EVV patients
True
200
You identify a new wound. Based on this image, what number should this new wound receive?
...
200
You are preparing to sign your orientee off female catheter changes. What should you do to help prepare them for this skill sign off?
Review the procedure
Provide education video(s)
Provide feedback on previous catheter care you observed
Review who will do what this visit
200
A patient has a blood pressure reading of 186/98. You wait for 20 minutes and take the blood pressure again and the reading is 184/94. You notified the physician. Your orientee asks you why did you retake the blood pressure and where would you show them what Vitals to report to the doctor?
AVN Home Care Orders care plan > Ongoing Notification of Physician/NPP
200
3 insurance types that must have authorizations prior to making a visit after the SOC is completed.
1. Motor Vehicle Accident Insurance
2. Workers Comp
3. Medicaid as primary
200
True or False: You can now view progress notes and lab results in Rover.
True
300
Where do you find the WOCN nurses note?
Chart Review > Encounters
300
You are doing a joint revisit with your orientee. Your orientee is owning this visit. You notice they are instructing the patient incorrectly on low sodium diet. What should you do?
In the Home: respectfully ensure the patient receives correct information
Outside the home: Remind orientee to use education tools to guide patient education, and provide them some examples.
300
You are making the 3rd visit on a patient with your orientee. Last visit you educated on Fall Prevention, Infection Prevention, S/s Wound Infection. Today your orientee obtains verbal recall from the patient on each of these education areas. How and why should the care plan be updated?
resolve/end date 3 short term goals (Falls, Infection Prevention, S/s Wound Infection) because those goals have been met.
300
When should the Notice of Medicare Noncoverage (NOMNC) be given to a patient and what insurance types should receive this form?
At least 48 hours prior to discharge and all Medicare and Managed Medicare patients
300
True or False: You cannot access your In-Basket messages in Rover.
False.
400
What is concerning about this wound?
400
Your orientee is going to complete their first admission visit with you today, where they will be documenting. How can you help them prepare before entering the home?
Review admission folder
Review insurance, referral note, any pertinent hospital notes
Review medication list
Review plan for who will do what this visit
400
You take your orientee to do a discipline discharge but when you get to the patient’s home she has a blood sugar reading of 315 and weeping edema. What would you do and what would you explain to your orientee?
Notify Care Team (including Asst Mgr and Physician) that patient is in the yellow zone. Show orientee Stop Light Tool. Would not discharge patient.
**Double Jeopardy question = What is your skill in this case?
400
You are treating a high-risk patient, using Remote Patient Monitoring (telehealth) services, who has COPD. You are approaching 30 days on service and evaluating the patient's progress. What should you do/ assess prior to discharging patient?
RPM readings and consult with RPM
COPD education given and evaluation of patient/caregiver understanding in managing disease process
Considering decreasing visit frequency to continue assessing high risk patient and assess if they continue to progress with decreased visits.
What other services/disciplines is patient receiving, collaborate DC/plan with them
400
True or False: I sometimes use Rover to enter Vital Signs and Wound Assessments
Points for True
500
What support surface can the majority of our patients qualify for?
a. Low air loss mattress
b. Clinitron Bed
c. Group 1 support surface
c. Group 1 support surface
500
Your notice your orientee is struggling and having a rough day. How do you respond?
=) Be Positive..... No wrong answers
500
Your patient has two existing wounds and today you find a new pressure injury on their left heel. You confirm the new AHS wound ID will be #4. What do you do to update the care plan?
From the wound care care plan
Select 'add problem intervention'
Search "Wound"
Select wound #4
Enter order and click accept
500
Which one of the situations below would require you to complete an HHCCN form when discharging the patient?
a. Medicare SOC visit completed and patient ordered 1w4 with all visits completed prior to discharge
b. Aetna Medicare SOC visit completed with patient ordered 1w4 with only 3 weeks of visits completed including discharge visit
c. Medicare SOC visit completed with patient ordered 2w2 followed by 1w2, but in the 2nd week you decrease your visit frequency to 1w3
500
True or False: I can 'secure chat' Epic physicians on Rover to obtain or clarify verbal orders and this can save a phone call.
True!