Welcome to your

2018 Assisted Field Staff SB Safety Test

July 6, 2020

Full Name Office Email Title

When would you be required to perform hand hygiene?

Immediately when you enter the patient’s home

After touching your hair or face prior to touching the patient

Before entering your “Care Bag”

Between clean and dirty steps of procedure

Between glove changes

Before touching Point of Care computer

Before handling cell phone after or during visit

a, c, d, e

a, b, c, d, e,

All of the above

Patient Rights include all of the following EXCEPT:

Unlimited access by family to patient medical records

Receiving information in a language they can understand – meaningful communication

Being treated with respect and full recognition of their dignity

Being informed of any financial liability prior to obtaining services

The patient has a large wound on his lower leg. You cut the soiled dressing off the wound using bandage scissors and place them on the barrier with the dressing supplies. You discard the soiled dressing in the trash can nearby. You then remove your gloves and put on new ones before you apply the clean dressing. The cover dressing is too large, so you cut it down in size. After securing the dressing, you remove your gloves and perform hand hygiene. Which of the following from the scenario demonstrates the correct application of infection control?

Placed soiled bandage scissors on barrier with dressing supplies

Discarded soiled dressing in household trash can

Removed dirty gloves and immediately put on clean gloves

Used the bandage scissors on the barrier to cut clean cover dressing

Performed hand hygiene after removing gloves at conclusion of wound care

All of the following elements are important in cleaning patient care equipment such as thermometers, stethoscopes, PT/INR machines EXCEPT :

Disinfect with Lysol or Clorox wipes and let them air dry

Disinfection contact time should be at least 1 minute

Clean and disinfect them immediately after use

Disinfect after use with a 70% alcohol wipe

Mobile devices (computer and cell phone) used in patient & personal settings can serve as a fomite for transfer of pathogenic microorganisms.

True

False

You are providing care in a very small apartment. It is difficult to find working space. Where may you correctly and safely place your Care Bag?

On the end of the patient’s bed where the patient is lying

On the end table next to the couch where the patient is seated

On the floor next to the lounge chair where the patient is seated

On the stuffed arm chair near the couch where the patient is resting

You are caring for a patient who resides in a small residential care facility. You are told that your patient has Norovirus. You are concerned for your patient as well as the others. Which of the following instructions should you give the caregivers related to Norovirus transmission?

Instruct the caregivers not to worry, that Norovirus is not contagious

Instruct caregivers that they must perform hand hygiene using hand sanitizer rather than soap and water when there is a risk of exposure to Norovirus.

Instruct that they should immediately clean and disinfect contaminated surfaces after the patient throws up or has diarrhea.

There are no special instructions for care of clothing or linens soiled by the patient with Norovirus

The patient you have been asked to see reports night sweats, weight loss, fatigue and having a bad cough for “at least” a month. You observe some disposable on the bedside table and in the trash with blood on them. When questioned, the patient admits his sputum has had blood in it for a few weeks. You recognize these symptoms as possible:

Latent TB Infection

TB Disease (Active)

Influenza

Pneumonia

Both Active TB Disease and Latent TB Infection are contagious meaning the bacteria can be spread to others.

True

False

The patient you are visiting spends her days and nights in a recliner. She asks you to help her put on her socks and shoes. Utilizing sound body mechanics, how might you help her perform this task?

You bend over to slide on the socks and shoes

You tell her it is better that she not wear socks and shoes, since she doesn’t get up much from the recliner.

You kneel down on the floor and stoop over to put on the socks and shoes.

You elevate the recliner foot rest and place a chair beside her. While seated in the chair, you put her socks and shoes on.

Which of the following activities demonstrates safe moving strategies and appropriate use of body mechanics?

Patient asks you to get a new box of face tissues for her. She stores them on the top shelf in her pantry. You stretch to get one down.

The caregiver just assisted the patient in the shower. You notice the floor is wet and the caregiver is barefoot.

You assist the patient to transfer from the bed to a chair. You bend at the knees and pivot when shifting from facing the bed to chair.

Your 300 pound diabetic patient is very fatigued today and can’t get up from the chair to walk to her bed on her own. The caregiver is not home right now to assist you. You decide to try and assist the patient by yourself since you can’t wait and have other visits to make.

You arrive at the home to find the patient has fallen and is lying on the floor. You confirm he did not hit his head and there are no obvious injuries. He is embarrassed and insists he can get up with only a little assistance from you. How can you safely get him up off of the floor?

First get him to a sitting position on the floor. From behind him, put your arms under his arms and pull him up.

First, get him to a sitting position with his knees bent and his feet are flat on the floor. Standing in front of the patient, take is hands and pull him up to a standing position.

Get the patient’s walker. Placing the walker in front of him, have him pull himself up using the crossbars on the front of the walker.

Have the patient get in position on his hands and knees. Place a sturdy chair in front of him so he is facing the seat. Have him push himself up with his hands on the seat of the chair. You assist him to a standing position.

Under California driving laws, you may do the following legally and safely EXCEPT:

Use a hands-free device to talk on the phone

Directly use a cell phone with a single swipe or tap of the finger, only if you’re not holding it

Answer text messages when you are stopped at the stop light

Display the cellphone in the 5-square-inch space in the lower windshield corner nearest the you (the driver) so you can read the map

A confused patient you are caring for loses his temper and pushes you. Your appropriate response should be:

Push him back, because he pushed you first

Stay calm and respond “I want to help you, but it’s not ok to push me”.

Walk out of the room and say nothing

Scold the patient, saying “You can’t push me around.”

14. Making visits safely in the community includes staying alert to your surroundings. This includes people and their behavior in the home.

True

False

In the event of a serious disaster (earthquake), all of the following are part of the Agency Disaster Plan EXCEPT:

Report to the nearest agency office location

Contact the hospital for triage assistance

Prioritize your patients according to the ER Evacuation Plan

Tune your radio to KNX 1070 AM or KHAY 100.7 FM

If a chemical in the home is splashed, spilled or ingested, you can obtain product and management information by calling Poison Control or locating the Material Safety Data Sheets (MSDS) in the agency office.

True

False

You are short of time with several visits and two admissions to complete today. You are feeling the pressure. Your first admission has a medication list as long as your arm and the patient is slow to answer questions and demonstrate abilities. You are thinking of ways to speed up the admission. Which of the following would be an acceptable strategy?

Photograph the medication list on your mobile device to write up later

Ask the family to email a copy of the patient’s Medicare Card and Advance Directive you your personal email

Get the consenting documents signed, initiate the assessment and do the wound care today. Complete the comprehensive assessment the next day, as the process if fatiguing for the patient.

Text the patient’s name, birth date and MR# to the office and to contact the MD to defer the admission to another day.

Submitting visit notes for visits not performed is an example of Medicare Fraud.

True

False

Transferring patient face sheets and History & Physicals onto Google Docs on your cellphone is efficient and a safe practice for storing medical records.

True

False

A patient’s service/priority [Emergency Evacuation] level is determines:

How often a patient is seen weekly

If the patient’s needs are high tech or routine

Whether the patient is VIP or regular

A level of risk as it relates to assigning care in an emergent situation

Assisted clinicians need to determine if they are available to take on additional patients in a community disaster because the Agency may experience a surge in new patients because hospitals may release less acute patients to accept more critical patients

True

False

If your Agency location is unable to function due to loss of power, phones, or the physical structure you should
do all of the following EXCEPT:

Try texting your manager – sometimes that works when phone lines do not

Report to the nearest Assisted location if safe to do so

Call 911 and report you are a nurse / therapist / Assisted employee

Turn on a radio to KHAY 100.7 FM or KNX 1070 AM [CA] or KTAR 620 AM or 92.3 FM [AZ]

The patient’s environment is not safe for them to stay but they are stable, you could reasonable do all EXCEPT:

Encourage a family member or friend to take them to their home if safe to do

Assist to arrange transport to an alternate facility

Track where they are transferred and report to your Supervisor to continue providing care

Inform them we cannot care for them any longer

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2018 Assisted Field Staff SB Safety Test

2018 Assisted Field Staff SB Safety Test

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