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Hm Pqs Comprehensive Answers And Questions Set A.pdf

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HM PQS COMPREHENSIVE ANSWERS AND QUESTIONS SET A.pdf

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HM PQS COMPREHENSIVE ANSWERS AND
QUESTIONS SET A+
✔✔define: blood-borne diseases - ✔✔diseases that can be spread through blood and
other bodly fluids
-ex: malaria, Syphillis, brucellosis, Hepatitis B (HBV) Hepatitis C (HCV) And HIV

✔✔define: occupational exposure - ✔✔reasonably anticipated skin, eye, MM, or
parental contact with blood or other potentially infectious materials that may result from
the performance of an employees duties

✔✔define: percutaneous - ✔✔made, done, or effected through the skin.

✔✔define: PPE - ✔✔personal protective equipment: equipment that protects the user
against health or safety risks at work.
ex: gloves, eyewear, gown, safety footwork, mask and cap

✔✔define: pt isloation and decontamination precautions - ✔✔it depends on what type of
precaution. for things like MRSA, VRE, or adenovirus (CONTACT) the transport of the
pt's will be limited, all non necessary equipment and PPE will be disposed of.
for things like influenza, mumps or rubells (DROPLET,) youd put them in a private room,
limit transport of patient ( if do wear mask.)
for things like measles, tuberculosis, varicella, or SARS (AIRBORNE) youd place them
in a AIIR room, and youd keep the door close.

✔✔contact precautions and examples - ✔✔-PPE: Gown and gloves

Precautions: -Hand hygiene
-Limit transport of patients to medically necessary purposes
-Ensure containment of stool
-Remove and dispose of contaminated PPE
-Use disposable non-critical equipment or implement patient- dedicated use of such
equipment

-Examples:

,MRSA
VRE
Adenovirus, Rotavirus, Enterovirus
Diarrhea
C. Difficile
E. coli
Salmonella
Shigella
Hepatitis A
Herpes Zoster (shingles, localized)
Herpes simplex
Parainfluenza
Lice
Scabies
Chicken pox

✔✔droplet precautions and examples - ✔✔-PPE: mask <1m of patient

Precautions:
-Hand hygiene
-Private room: maintain spatial separation of at least 1 m between infected patient and
others
-Door may remain open
- Limit transport of patients to medically necessary purposes
-If transport is necessary, instruct patient to wear a mask and follow Respiratory
Hygiene/ Cough Etiquette
-No mask required for persons transporting patients on Droplet Precautions

-Examples:
Adenovirus
Group A strep pharyngitis, pneumonia, scarlet fever
H. influenza meningitis, epiglottitis
Influenza, mumps, rubella
Meningococcal infections
Pertussis
Coxsackie
Respiratory Syncytial Virus (RSV)

✔✔Airborne Precautions and examples - ✔✔PPE: -Fit-tested, NIOSH-approved N-95 or
higher level respirator before entering room

Preautions:
-Hand hygiene
-Airborne Infection Isolation Room (AIIR): negative pressure with 6 to 12 air changes
per hour
-Door kept closed

,- Limit transport of patients to medically necessary purposes
-If transport outside AIIR is necessary, instruct patient to wear a surgical mask and
follow Respiratory Hygiene/ Cough Etiquette

Examples:
Measles
Tuberculosis
Varicella
Disseminated Herpes Zoster (shingles)
SARS
Avian Influenza

✔✔define: droplet infection - ✔✔The transfer of pathogens from a fine spray emitted
from an individual already infected with the disease

✔✔what is the purpose of the Healthcare-Associated Infection prevention and control
program (HAIPC) - ✔✔a. To provide policies and guidelines to Navy medical treatment
facilities (MTFs), dental treatment facilities (DTFs), branch medical clinics, and
shipboard and Marine Corps field medical units to establish effective infection
prevention and control (IP/C) programs.

b. Oversee infection prevention and control activities in health care settings.

c. Demands a basic understanding of the epidemiology of diseases, risks of infection,
and practices or procedures that might result in infections.

• Goal: Zero tolerance for HAIs, taking action to prevent or minimize effects of such
adverse events.

✔✔State the purpose of terminal digit filing system (TDFS) - ✔✔-used for filing health
records using
a. Terminal digits (last 2 numbers of SSN)
b. Color coding
c. Block filing system

✔✔Additional info on health records - ✔✔-SSN is left to right

-color coding:
SSN: Number: Color:
00-09 0 orange
10-19 1 green
20-29 2 yellow
30-39 3 grey
40-49 4 Tan
50-59 5 Blue
60-69 6 White

, 70-79 7 Almond
80-89 8 Pink
90-99 9 Red

FMP codes:
20: sponsor or service member
01-19: Children
30: Spouse
40-44: Mother
45-49: Father
50-54: Mother in law
55-59: Father in law
60-69: Other dependents
90-95: Beneficiaries Authorized by the statute
98/99: Civilian Employees/others

✔✔Explain the health records annual verification process - ✔✔All records are verified
ANNUALLY by medical and dental personnel.
-form placement
-order forms
-completeness and accuracy of patient data
-privacy act statement (DD form 2005)
-Adult preventive and chronic flow sheet (DD 2766)
-operational and occupational requirements.
-Currency of immunizations
-allergy documentation

✔✔Chronical Record of Medical Care (SF 600) - ✔✔a. Complaints, duration of illness or
injury, physical findings, clinical course, results of lab and other exams, SOAP notes
b. Enter and black out the year on the front leaf of jacket
c. Use black felt tip pen

✔✔How does the folder section (Navmed 6150/10-19) apply to the military medical
treatment jacket - ✔✔it'll have all pt identifying data:
-last 2 digits of the social security number

✔✔How does the pt identification data apply to the military medical treatment jacket -
✔✔-pt's name, sponsors name or grade, FMP code and sponsors SSN, ship/station to
which sponsor is assigned

✔✔How does the Summary information entries (SF's, DD's) apply to the military medical
treatment jacket - ✔✔part one-record of preventative medicine and occupational health
part 2-record of medical care and treatment
part 3-physical qualifications
part 4- record of ancillary studies, inpatient care, and miscellaneous forms

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