Welcome to your Annual Skills Competency

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Sepsis

1. What is Sepsis?

A local infection such as cellulitis or appendicitis

An infection in the blood

A contagious disease

The body’s toxic response to an infection

2. All of the following are signs of sepsis EXCEPT:

Extreme pain or discomfort

Rapid breathing

Confusion/difficult to arouse

Fever or feeling chilled

Slow heart rate

3. Which of the following is NOT likely to be a complication after surviving sepsis?

Improved Memory

Post-traumatic stress disorder (PTSD)

Amputations

Decreased mental functioning

Insomnia

4. Use the Home Health Sepsis Screening tool to assist in answering the following questions:

Scenario: A 65-year-old male admitted for diabetic teaching due to being new on insulin. Has a history of pneumonia and coronary heart disease. The patient has a supportive wife in the home. Upon assessment the nurse finds a reddened area to the lower right leg. The patient has a Temp 99.6, Pulse 100, Resp 22, SPO2 98% and BP 120/68. The patient has no complaints of pain, GI or GU issues.

1-Yes; 2-Yes; 3-Yes

1-No; 2-Yes; 3-No

1-Yes; 2-Yes; 3-No

1-No; 2-No; 3-No

5. Based on your response to question 4, what would be the appropriate follow up?

Patent Meets Criteria for Infection: educate the patient on s/s of Sepsis and provide the patient with the Sepsis teaching tool.

Patient Meets Criteria for MD Notification: Educate the patient on s/s of Sepsis and notify MD of your findings and document.

Patient Meets Criteria for Sepsis: Document your findings, educate the patient about s/s of Sepsis and treatment, and notify the provider (“I AM CONCERNED ABOUT SEPSIS”) and obtain MD orders.

Patient meets criteria for SEVERE Sepsis: Document your findings, educate the patient on s/s of Sepsis and treatment, notify the provider (“I AM CONCERNED ABOUT SEPSIS”) and have the patient transported to emergency department for evaluation.

Scenario:

6. An 88-year-old female admitted with new onset of CHF. The patient has a baseline mentation of being alert and oriented. The patient is currently being treated for a UTI. The nurse has been performing CHF teaching with the patient over the last few visits. The patient has followed up with all the nurse has instructed her to do such as monitoring her daily weights. At today’s visit the nurse’s assessment is as follows: Temp 98.6, pulse 76, resp 18, SPO2 98% and BP 134/78. Bilateral lungs sounds clear and she does not appear to be in any type of discomfort.

1-Yes; 2-Yes; 3-Yes

1-Yes; 2-No; 3-No

1-No; 2-No; 3-Yes

1-No; 2-Yes; 3-Yes

7. Based on your response to question 6, what would be the appropriate follow up?

Patent Meets Criteria for Infection: educate the patient on s/s of Sepsis and provide the patient with the Sepsis teaching tool.

Patient Meets Criteria for MD Notification: Educate the patient on s/s of Sepsis and notify MD of your findings and document.

Patient Meets Criteria for Sepsis: Document your findings, educate the patient about s/s of Sepsis and treatment, and notify the provider (“I AM CONCERNED ABOUT SEPSIS”) and obtain MD orders.

Preventing Workplace Injuries

8. Which of the following is an example of a strategy to prevent slips, trips, and falls?

Keep nursing equipment on the stairways where they can be easily located.

Place supplies high in an out of reach area so the patient and family do not use them between visits.

When leaving the home after a visit, carry all supplies and equipment out to your car, even if hands are full, to avoid trips back and forth into the home.

If you notice cluttered pathways in the home, assist the patient in rearranging furniture to clear the area.

9. You are visiting a patient who is chair bound and positioned in a recliner. You are about to perform wound care to the foot. Which of the following activities demonstrates safe body mechanics?

Arrange the wound supplies on the dining room table in the next room and go back and forth for the supplies you need.

Arrange the wound supplies on a barrier on the floor and bend down to the height of the foot to provide wound care.

Arrange the wound supplies on a barrier on the coffee table and move a chair near the patient to provide wound care.

Arrange the wound supplies in the bedroom. Assist the patient to walk to the bed and provide wound care at the bedside.

10. You are running behind in your schedule and are rushing to finish your patient visits for the day. You have gathered supplies and your nursing bag and are headed towards the front door when you hear your cell phone ring. What is the safest response to avoid possible injury in this situation?

Ignore the phone and continue walking towards the front door. Return the phone call after the visit.

Stoop to place items on the sidewalk and answer the phone before entering the home.

Quickly enter the home and answer the phone before it stops ringing.

Twist around to search in your bag for your phone and answer the phone while walking up to the door.

ADL OASIS ITEMS

11. Which of the following is the BEST method of obtaining assessment data for accurate coding?

Ask the patient

Observe the patient

Ask the spouse

Collaborate with agency staff

12. Watch the following video scenarios and use the Quick Reference Cared to assist in answering the following questions:

Scenario: In this scenario, the patient has just returned home after a hospitalization for a knee replacement.

Based on the scenario in the video, what would be the correct SOC coding response to GG0170 D and M1850?

GG : 03 M:1

GG : 04 M:1

GG : 03 M:2

GG : 04 M:2

Scenario:

In this scenario, assess the patient’s ability to ambulate.

13. What is the correct response to M1860?

14. What is the correct response to GG170 M?

Scenario:

In this scenario, the patient needed some assistance by her husband prior to the visit to put on her t-shirt and leggings due to significant shoulder pain.

15. What is the correct response to GG0130F and M1810?

GG:04 M:1

GG:04 M:2

GG:03 M:1

GG:03 M:2

Annual Skills Competency

Sepsis

1. What is Sepsis?

2. All of the following are signs of sepsis EXCEPT:

3. Which of the following is NOT likely to be a complication after surviving sepsis?

4. Use the Home Health Sepsis Screening tool to assist in answering the following questions:

5. Based on your response to question 4, what would be the appropriate follow up?

Scenario:

7. Based on your response to question 6, what would be the appropriate follow up?

Preventing Workplace Injuries

8. Which of the following is an example of a strategy to prevent slips, trips, and falls?

9. You are visiting a patient who is chair bound and positioned in a recliner. You are about to perform wound care to the foot. Which of the following activities demonstrates safe body mechanics?

10. You are running behind in your schedule and are rushing to finish your patient visits for the day. You have gathered supplies and your nursing bag and are headed towards the front door when you hear your cell phone ring. What is the safest response to avoid possible injury in this situation?

ADL OASIS ITEMS

11. Which of the following is the BEST method of obtaining assessment data for accurate coding?

12. Watch the following video scenarios and use the Quick Reference Cared to assist in answering the following questions:

Scenario:

13. What is the correct response to M1860?

14. What is the correct response to GG170 M?

Scenario:

15. What is the correct response to GG0130F and M1810?

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Awards and Certifications





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Annual Skills Competency

Sepsis

1. What is Sepsis?

2. All of the following are signs of sepsis EXCEPT:

3. Which of the following is NOT likely to be a complication after surviving sepsis?

4. Use the Home Health Sepsis Screening tool to assist in answering the following questions:

5. Based on your response to question 4, what would be the appropriate follow up?

Scenario:

7. Based on your response to question 6, what would be the appropriate follow up?

Preventing Workplace Injuries

8. Which of the following is an example of a strategy to prevent slips, trips, and falls?

9. You are visiting a patient who is chair bound and positioned in a recliner. You are about to perform wound care to the foot. Which of the following activities demonstrates safe body mechanics?

10. You are running behind in your schedule and are rushing to finish your patient visits for the day. You have gathered supplies and your nursing bag and are headed towards the front door when you hear your cell phone ring. What is the safest response to avoid possible injury in this situation?

ADL OASIS ITEMS

11. Which of the following is the BEST method of obtaining assessment data for accurate coding?

12. Watch the following video scenarios and use the Quick Reference Cared to assist in answering the following questions:

Scenario:

13. What is the correct response to M1860?

14. What is the correct response to GG170 M?

Scenario:

https://assistedcares.com/wp-content/uploads/2019/09/Video-3-Education.mp415. What is the correct response to GG0130F and M1810?

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Awards and Certifications

15. What is the correct response to GG0130F and M1810?