Occupational Medicine/Open Access/Triage
When completing an occupational medicine nurse visit, what form is needed prior to starting the visit? (This is obtained by the employer or the patient to receive the services)
Purchase Order
What are the age ranges we offer dental varnish to our patient during each well child visit?
From first tooth to age 5
What blood pressure warrants a recheck?
What appropriate PPE is needed when drawing blood specimens?
Gloves
MED190: Give 3 examples of immunizations found on the standing order protocol
COVID, FLU, Pneumococcal, Hepatitis A and Tdap (must meet criteria)
How often do we run PMP on patients requesting refills of their controlled medications/who is the report run under?
Every refill- ordering provider
When are vaccine VIS given to the parents?
Prior to administering vaccinations
If you are unsure about how to process a specimen where can you find this information?
Quest test directory
Once bio bags and sharps containers are replaced, where do the full bags/containers get stored?
The full bio bags and sharps containers are immediately taken to the designated location at each clinic to store these items.
MED208: What are the steps for administering immunizations?
Verify Athena and immpact for all patients, orders in chart and signed (unless on standing order protocol), 5 rights, two-person verification, confirming with patient prior to administering immunization, documentation.
After hours of a patient's primary care provider and their buddy; who are urgent refills/messages sent to, to be addressed?
The open access provider working until 7:00 pm.
At what ages is routine lead screenings completed on pediatric patients?
At age 1 and age 2
**Lead questions asked at each well child visit until age 5. If patient is considered high risk the age/frequency could vary**
How often are controlled substance agreements and urine drug screens completed for patient on controlled medications?
Yearly.
When would it be appropriate to recap a needle?
Never
MED184: At what age do we start screening for tobacco?
Age 12
For occupational medicine drug screens, the minimum requirement of urine to be sent to the lab is how much?
30 mL in container A
15 mL in container B
At which age and doses is Quadracel given to a pediatric patient?
While administering vaccination such as COVID booster, a patient reports a history of anaphylaxis. How long is the patient going to wait in the office after the immunization is adminstered?
30 minutes due to history
How long is the dry time for the clorox wipes used to disinfect between patients?
4 minutes
MED202: How often are tools re-sterilized?
Every 90 days
If someone is suffering from a mental health crisis while you are on the phone with them, what would be the proper steps in getting help involved?
Keep the patient on the phone and reach out for assistance via athena message/office mate.
At what percentile, do you recheck a pediatric patient's blood pressure?
90% for dystopic / systolic number.
What vaccinations replaced Prevnar13?
Prevnar 20
Who are safety concerns reported to and when are they reported?
Immediately reported to your direct supervisor
MED198: Once a multi-use vial is open (ex: lidocaine) how long is this good for and is anything done with that information to note viability?
The vial gets labeled with a 28-day sticker notating the date the vial expires on.