Junior Health Scholar test

Course outline

164 hours, two 2 hour shifts per week (no breaks unless shift is over 4 hours)

scholars are not allowed to do what during shifts?

- eat or drink in patient care settings

- use cell phones

- use program site computers, do homework

ID badge

- badge should be clipped onto collar of polo shirt

- for leave of absences extending 2 weeks, must return badge

shift changes

>48 hours before shift begins = rescheduled (3 allowed)

<48 hours before shift begins = excused missed shift (2 allowed)

after shift begins = unexcused missed shift (none allowed)

when health scholar is not present:

ask charge nurse if HS has called in sick, wait 30 minutes, ask if you can help on another floor or lobby

floor time sheet

- when signing in, only date and time started

- at end, add time finished and total hours

competency checklist

Documentation of participant's training and competency for each department

- submit checklists to department coordinator

- must be completed my registered nurse

Counseling report

to correct and improve performance and review program policies and procedures

leave of absence

between 14 and 180 days, allow 2 weeks for processing

letter of recommendation

need 124 hours to request recommendation, will be released when you have completed 164 hours

stakeholders of health services

Consumers, Community SDOH, Regulators, Providers, Payers

Providers

hospitals, clinics, long term care, home health, physicians

community SDOH

(Social Determinants of Health)

- education, screening, public health, food, etc.

regulators

Policy (gov. agencies, volunteer organizations)

Compliance (accrediting agencies, gov, agencies)

HCAPS

Hospital Consumer Assessment of Healthcare Providers and Systems

- like the yelp of healthcare

Importance of service excellence

in patient setting, patients lose much of their sense of identity and normalcy --> our goal is to make them as comfortable and safe as possible

AIDET

Acknowledge

Introduction

Duration

Explain

Thank you

SKIAHI

Signs

Knock

Introduce

Assess

Hand Hygiene

Identify

empathy vs. sympathy

have empathy- try to understand one's situation

culture

traditions, beliefs, values, customs and rules that characterize a group of people

neonates and infants

neonates: newborns - 1 month; infants: 1 mo. - 1 year

high risk for aspiration, suffocation, falls (infant)

toddlers

1 year - 3 years

high risk for choking, injury, infection

preschool and school age

4 years - 12 years

high risk for injury related to falls/bodily damage, trauma due to abuse, asthma, fluid/electrolyte imbalance

adolescents

13 - 18 years

high risk for substance abuse, depression/suicide, sexually transmitted diseases

young adults

18 - 40 years

high risk for substance abuse, midlife crisis, increased stress

middle adults

40-64 years

high risk for hearing and eyesight decline, bone and joint pain

older adults

65+ years

high risk for decreased skin integrity, aspiration, sleep pattern disturbances, risks for falls, sensory and perception alterations

- over 55% of acute care is age 65+ and in last 2

years of life

HIPAA

Health

Insurance

Portability and

Accountability

Act

- ensure privacy and security of healthcare info

- protects any unique identifying number,

characteristic, or code

PHI

Protected Health Information

includes info about a person's physical and mental health, provided care and payment for that care

**all PHI is considered confidential under HIPAA

Breach

When HIPAA isn't followed. This includes telling friends, discussing private info in public places, releasing info about minors w/o consent of parent, etc.

Mandatory Reporting

health care providers legally obligated to report suspicious behavior

** scholars are required to report abuse (child, elder, and domestic) and harassment (sexual and non - sexual)

** required to report event if patient doesn't want you to

child abuse

physical injury, sexual assault, neglect, willful harm

elder abuse

malnutrition, skin breakdown/sores, bruises/fractures

incident

something that happens to a patient

1. tell the charge nurse

2. page COPE health scholars

injury

something that happens to you

1. tell the charge nurse

2. seek treatment

3. page COPE

COPE Program Manager number

(888) 248 - 2914

injury prevention

- nose between toes

- keep load close to your body

- feet pointed to direction you are going

scope of practice

the duties or services that a particular health care practitioner is authorized to preform

allied health

mid-level health care professionals who support, complement, or supplement the work done by physicians and nurses

ex: Physician Assistant, Physical Therapist, Occupational Therapist, Registered Dietitian, CNA, Athletic Trainer, Exercise scientist

accredation

a process of review and validation in which an organization is evaluated

3 big health care accrediting agencies

TJC (largest in US, on site every 3 years), DNV (Swedish, on site annually), HFAP

survey relevance in accredation

** always come back to the surveyor if you don't know the answer!!

DNR

Do Not Resuscitate

Advanced directive

the patient has signed a health care directive for staff to provide info about their wishes in the event of a life threatening health care scenario

POLST

Physicians Orders for Life Sustaining Treatment

Central Premise of Standard Precuations

ALL BODILY FLUIDS ARE POTENTIALLY INFECTUOUS

PPE

Protective Personal Equipment

handling blood

participants can take blood samples to the lab

- can't handles things going into patient, but can handle things going out of patient

Transmission based precautions

1. Contact precaution (enteric)

2. droplet precaution

3. airborne precaution

** JHS are never allowed to go into isolation rooms

proper way to put on PPE

on: gown, mask, gloves

off: gloves, gowns, mask

purple wipes

germicidal disposable wipes

- effective against bacteria, TB, viruses

- 2 min wet time

orange wipes

bleach wipes

- HIV, polio, MRSA, VRE, TB, ESBL, salmonella, etc.

- 1 min wet time, 2 min for TB

number to dial for all codes

3000

code gray

for combative or disruptive patient confronting medical staff

- to respond, go to location

code Mr. North

like code gray but for anyone who is NOT a patient

- go to location

code red

fire

- close all doors to area

code blue

adult medical emergency (14+ years)

- follow instructions from nurse or med. center employee

code blue neonatal/pediatric

CPR needed (neonatal: under 3 mo., pediatic: 3mo - 13 years)

code orange

hazardous materials spill

- do not attempt to clean up manually

- try to block of area

code amber alert

infant abduction

- guard entrance/exits

- look for suspicious things

code purple

missing adult patient

- look for suspicious situations

code yellow

bomb threat

- look for suspicious situations

code silver

person with a weapon or hostage situation

- do NOT go to location

triage

disaster internal/external

RRT

Rapid Response Team

code jack

patient or visitors who have fallen to the floor

- special team to respond

code BART

Brain Attack Response Team - Patient with a new stroke

5 classes of fires

class A: ordinary combustibles

class B: flammable liquids

class C: electrical

class D: combustible metals

class K: cooking oils and greases

** ABC fire extinguishers effective against class

A-C fires

fire triangle

oxygen, fuel, heat

stroke

sudden loss of oxygen to the brain

-caused by clot or hemorrhage or bleeding in brain

strokes referred to as:

CVA (Cerebral Vascular Accidents)

people at risk for stroke

everyone!

stroke warning signs

F.A.S.T.

Face - does face drop when smiling?

Arm - does one arm drift down when raised?

Speech - is speech slurred?

Time - note time symptoms started

patient care team

various healthcare professionals and hospital personnel that participate in patient care

** patients are the final decision makers of the patient care team

what led to the expansion of allied health carriers?

WW2

Trendelenburg Position

patient's head is low and legs are elevated

in-patient vs. out-patient

In-patient: patient admitted for the night

Out-patient: patient checks in and leaves the same day as procedure

immune system is what line of defense?

third line of defense

how many nerve pairs in body?

31

Ecchymosis

fancy way of saying bruise