Skin/Wounds
What is the term for a wound that was closing by primary intention and reopens, such as with a surgical wound?
Dehiscence
When is the TUG test required?
At every Oasis
Who must make an APS referral if it is warranted?
The first person to notice it is needed, and multiple people/disciplines may call depending on severity
How many stars can an agency get in order to be considered "perfect" or "outstanding"?
5
How can we avoid a LUPA?
1. Plot 4-6 visits in first 30 days and second 30 days
2. Consider other disciplines involved in case
3. Contact office to ask them to verify LUPA threshold if able
Name three things every wound must have on every visit
What are:
1. Photos
2. Measurements
3. Orders
What does the M104 question refer to?
The referral date
What should every clinician do when calling their patient the day before to schedule the appointment?
COVID screening
Who sends out surveys to the patients for them to rate our agency?
1. A third party
2. We also send out some
What forms are required when discharging a patient, at the end of episode, who met all goals and frequency?
1. NOMNOC
2. ABN
What are five signs of an infection?
1. warmth/heat
2. Pain
3. Odor
4. Swelling
5. Increased or changed exudate
When thinking of oral medications, what should you first think about in order to answer the question correctly?
Ambulation
Transferring
If a patient is missing multiple visits OR has a compliance issue, what should be our steps?
Educate patient/clinician
Contact Supervisor
Prepare for Discharge
Notify MD of upcoming Discharge
Get signed forms
How many categories go into the STAR rating?
7
What are the requirements after a patient falls?
1. Assess Patient
2. Call MD or 911
3. Write orders- if anything changes/wound care
4. re-educate on safety and fall prevention
5. Submit an Occurrence Report
Name three things you can educate the family/patient to do to aide in wound healing
1. Offloading
2. Increase Nutrition/protein
3. Elevation
4. Good Hand Hygiene/sanitation.
5. Early detection of infection
Which answer in the toileting question REQUIRES a certain DME in order to be chosen?
Bedside Commode
When does a patient require a TIF?
Anytime the patient is admitted to an inpatient facility for longer than 24 hours while on our service
What are the six categories that YOU answer on an OASIS that directly report to our STAR rating?
Management of ORal Meds
Ambulation
Bathing
Bed Transferring
Dyspnea
Timely Initiation of Care
What is required for Oxygen education at every admission?
1. Add to Med List
2. Verify Oxygen type, flow rate, frequency
3. Education- storage, hazards, use, signage
4. Documentation of education given
5. Add to Supplies in Home
Name the three places a new wound must be documented in a patient's chart.
What are:
1. Integumentary Section
2. ICC
3. Order
When considering Dyspnea, what must we take into account?
Endurance
Weight
Diagnoses
History
What are 3 contagious diseases/conditions that we may find in our patient community that would REQUIRE PPE?
COVID
CDIFF
MonkeyPox
Shingles
TB
AIDS
What is the final things that goes into our STAR rating?
Hospitalizations
How often are photos and measurements required on ALL wounds?
Once weekly by ANY discipline, nursing if nursing is in