Scope of Practice
Program Policies

Hospitals and Healthcare
Patient Care
Hospital and Patient Safety
100

Define Scope of Practice

The duties or services that a particular
practitioner is authorized to perform

100

How far in advance does a Scholar have to
submit a Leave of Absence Request?

At least two weeks in advance

100

What are the names of the three major
accrediting agencies?

1. The Joint Commission (TJC)
2. DNV GL
3. Healthcare Facilities Accrediting
Program (HFAP)

100

Name two things associated with the normal aging process that geriatric patients are most at risk for

• Decreased skin integrity

• Aspiration

• Sleep pattern disturbances

• Risk for falls

100

What do code blue and code gray mean, respectively?

  • Code blue: Adult Medical Emergency (14+ years of age)
  • Code gray: combative or disruptive patient
200

Under what conditions are Scholars
allowed to handle medication?

Scholars are NEVER allowed to
handle medications

200

How long of a break do you need to take
after every 4 hours of shifting?

30 minutes

200

What is accreditation?

A process of review and validation in
which an organization is evaluated to
ensure ongoing and continuous
compliance with the highest standard of
quality

200

What does “HIPAA” stand for and what is
its purpose?

Health Insurance Portability and Accountability Act

Purpose:
• To protect the unauthorized
disclosure of patient health
information

200

What is the central premise of universal health precautions?

ALL bodily fluids are potentially infectious 

300

What types of isolation rooms can Health Scholars enter with proper PPE?

1. Contact isolation rooms
2. Contact enteric isolation rooms
3. Droplet isolation rooms

300

How many rescheduled, excused, and unexcused
missed shifts are Scholars allowed per rotation?

3 Rescheduled Shifts
2 Excused Missed Shifts
0 Unexcused Missed Shifts

300

If you do not know the answer to a question
asked by an accreditation surveyor, you should...

• Be honest and apologize for not
knowing the answer
• Tell the surveyor you will find the
answer
• Research the answer and report back to
the surveyor

300

What are the 5 ways to identify a patient?

• Patient’s nurse
• Patient’s ID wristband
• Patient’s chart
• White board in main nurses station
• An open ended question addressed to the patient

300

Names four forms of Personal Protective Equipment that you could use in the hospital

  1. Gowns
  2. Gloves
  3. Masks
  4. Goggles (not always available/required)
400

What is the proper response if you are asked to do something that is out of your scope of practice?

1.Politely inform the patient or staff
member that you cannot perform
the task
2. Find someone who can help with
the task
3. Ask if there is anything else you
can do to help  

400

What two things must you do when you
are going to miss a shift?

1. Call the Charge Nurse of the assigned
department at least 15 minutes
(before/after) the shift start time
2. Email your Department Coordinator at
least 24 hours prior with the following
information:
1. A valid reason for missing
2. A replacement shift date and time

400

Name two stakeholders in the US
Healthcare System

1. Consumers
2. Providers
3. Payers (Health Insurance Plans)
4. Regulators
5. Community Social Determinants of
Health (SDOH)

400

What do “AIDET” and “SKAHI” stand for?

Acknowledge               Signs
Introduce                    Knock
Duration                     Assess
Explain                       Hand Hygiene
Thank                         Identify

400

What are three ways Scholars can help protect patient privacy?

  1. Close patient doors/curtains during discussions
  2. Don’t leave papers with PHI unattended
  3. Keep patient records locked away
  4. Report breached immediately
  5. Make sure discussions about patients cannot be overheard
  6. Do not discuss patient issues in public areas
  7. Do not throw away PHI 
500

What are three examples of things a
Scholar should never do on their shift?

1. Eat or drink in patient care areas
2. Use their cell phone
3. Work on homework or other
outside work
4. Use hospital computers

500

What five items does a complete Scholar
uniform consist of?

1. Polo shirt
2. Khaki pants
3. White, non-canvas shoes
4. Black Pen
5. ID Badge
(and a smile :D)

500

Name two of the Social Determinants of
Health

1. Education
2. Screening
3. Public Health
4. Food
5. Transportation
6. Medication

500

Name the five groups that make up the patient care team

  • Allied Health Positions
  • Nursing Staff
  • Physicians
  • Volunteers
  • The Patient
500

Define “incident” and “injury” and give an example of each.

Incident: An unexpected or unanticipated event that needs to be reported to the program facility and COPE Health Solutions (happens to someone else or the hospital property) Ex: someone is harmed (staff, patient, other Scholar), harassment, abuse, etc.

Injury: Any physical or emotional harm that occurs while serving shifts in the program facility (happens to you) Ex: Scholar (self) gets harmed physically (needle stick, bruising, etc.) or emotionally (traumatized, etc.)