Medical Directives
The list of current authorizers and implementers can be found here (be specific)
"TVFHT Team" (in teams)- "Medical Directives Channel"
True or false, orientation to the autoclave is all that is needed to complete reprocessing.
False - PHO reprocessing modules must be completed prior to performing reprocessing.
When a clinician’s duty to act in the patient’s best interests may be affected or influenced by other competing interests
What is conflict of Interest?
True or false, all members of the nursing team should have the same goals/KPIs with no differences.
False - while the KPIs are developed by the team, objectives for meeting them can be different and individual goals can be added to performance management plans.
According to the volunteerism policy, how much time are you allowed to flex for volunteer purposes?
up to 5 hrs per month (prorated to FTE)
True or false, your nursing license allows you implement the injectable substances medical directive at TVFHT.
False. You need to complete the requirements that the TVFHT has set out to ensure competency.
List of one the 3 main benefits of a post-hospital discharge program.
A patient specific, verbal or written request for a procedure, treatment, drug or intervention for an individual patient that is provided by an individual practitioner for a specific intervention to be administered at a specific time(s).
What is a direct order?
What is the minimun number of times per fiscal year that an IHP should meet with their supervisor for a PM Review?
Two meetings (virtual or in-person) per fiscal year; more as needed or requested (PIP)
True or false, home visits should be provided when the patients request them.
False - only when the IHP determines it is the best course of action (visual assessment of home needed, mental/physical barriers that prevent patient from attending clinic).
If Katie and Owen work at Westmount Family Physicians Clinic, and are listed as implementers on all the Medical Directives for the TVFHT, only they can implement directives at the Westmount Family Physicians Clinic.
False. Any member of TVFHT who is listed as an implementer of a medical directive can implement a directive at any clinic as long as it has been signed by the family physician/Dr. Wong.
Who can provide a direct order?
Nurse Practitioners or Physicians
Fourteen activities that are considered to be potentially harmful if performed by unqualified persons.
What are controlled acts?
What is a KPI?
KPI stands for key performance indicator, a quantifiable measure of performance over time for a specific objective; aligned with organizational strategies
PD that leads to certification will receive reimbursement up to a maximum ____% of costs
50%
It is this person's responsibility to ensure that medical directives are being implemented correctly.
Supervisor
True or false, a vaccine fridge temperature above 8 degrees only needs to be reported if duration is longer than 5 minutes?
False, all cold chain breaks need to be reported to public health.
Provision of self-management resources, registration in a group, 1:1 service from an IHP at the TVFHT
Generally speaking, what are the steps in a stepped approach to care.
True or false, for a quarterly performance management review, an employee must: update their goal status, upload their KPI data report, obtain feedback from colleagues/team members and complete a self assessment.
False - feedback from team members/colleagues is not a necessary component of the PM review process after completion of the 90 day review.
True or false, it is acceptable to leave early as long as you work through your lunch and/or skip your breaks.
False - Under Ontario's Employment Standards Act, 2000 (ESA), employees are required to have one 30-minute meal break for every five hours of consecutive work.
List 4 out of the 5 general requirements for the implementer to document in the EMR when using a medical directive.
Name and # of directive, name & credentials of implementer, and name of the physician authorizer.
Before implementing a medical directive, you must
a. ensure that you are competent to do so
b. ensure that you are authorized to do so
c. obtain consent from the patient
d. a and c
e. all of the above
e. all of the above
This should be noted in both your outlook calendar, in addition to the EMR schedule.
What is vacation time / availability?
What is the main purpose of PM reviews?
To ensure organizational objectives are met through the achievement of individual and team goals
True or false, virtual work means that you work from home.
False - Virtual work can be conducted from clinic as well as from home.