HCB Corpsman Shipboard Exam Questions and Answers

HCB Corpsman Shipboard Exam Questions and Answers Discharge planning - answerto reduce hospital length of stay and unplanned readmission to hospital, and to improve the co-ordination of services following discharge from hospital Airborne - answerinfectious agents that remain infectious over long distances when suspended in the air CDC - answerCenters for Disease Control and Prevention; provides facilities and services for the investigation, identification, prevention, and control of disease Cohorting - answergrouping patients infected or colonized with the same infectious agent together to confine their care to one area and prevent contact with susceptible patients Droplet - answersmall drop, such as a particle of moisture discharged from the mouth during coughing, sneezing, or speaking HICPAC - answerHealthcare Infection Control Practices Advisory Committee; provides advice and guidance to the CDC and the Secretary of the Department of Health and Human Services (HHS) regarding the practice of infection control and strategies for surveillance, prevention, and control of healthcare-associated infections, antimicrobial resistance and related events in United States healthcare settings JCAHO - answerJoint Commission on Accreditation of Healthcare Organizations; provides accreditation to U.S. hospitals and other health care facilities Ambulate - answerto move from place to place Gait - answermanner of walking or moving on foot Shift report - answerexchanging essential patient care information with other nursing staff at change of shift IRECs are normally retired ___ years after the last inpatient discharge - answer2 Purpose of documenting patient care - answerensure they meet the highest standards of completeness, promptness, clinical pertinence, and standards of the JCAHO Information to be documented in a nursing note - answerdate, medication, treatments, and sign all notes NAVMED 6550/8 - answerMedication Administration Record How long is a NAVMED 6550/8 good for? - answer7 days The top, back side portion of the NAVMED 6550/8 is meant for what? - answerone-time, STAT (immediate), and preoperative medications Although all medications are documented on the MAR, documentation of PRN, STAT, and one- time medications are required on what as well? - answerNursing Notes NAVMED 6550/12 - answerPatient Profile SF 508 - answerDoctor's Orders What must be updated when the physician updates, discontinues, changes, or adds new orders? - answerNAVMED 6550/12 (Patient Profile) SF 509 - answerProgress Notes How long is a SF 509 good for? - answer2 days SF 510 - answerNursing Notes What is the most common format for writing nursing notes? - answerBlock format What is the second, less common, method for writing nursing notes? - answercharting by exception What must be written when adding an entry that was late or forgotten while writing a nursing note? - answerLate entry SF 558 - answerEmergency Care and Treatment DD Form 792 - answer24-hour Intake and Output Worksheet Standard precautions - answerformerly known as universal precautions; concepts in which all body fluids are assumed to be infected with blood-borne pathogens. Developed by the CDC to facilitate breaking the chain of infection When was "universal precautions" changed to "standard precautions?" - answer1996 Examples of blood-borne pathogens - answerHIV, Hepatitis A and B How are blood-borne pathogens transmitted? - answerpatient to provider, provider to patient, and equipment to patient What should be used for every patient contact? - answerstandard precautions Tier 1 isolation precautions - answerstandard precautions Tier 2 isolation precautions - answerbased on mode of transmission; three categories: contact precautions, droplet precautions, and airborne precautions Isolation precautions - answer1. hand hygiene before entering and after leaving the room of a patient in isolation 2. use of gown, gloves, mask by HCW and visitors according to standard precautions and as indicated for suspected or proven infections for which transmission precautions are recommended 3. don PPE upon entry to the room and doff PPE before exiting room 4. dispose of contaminated supplies and equipment Examples of airborne precautions - answerrubeola virus (measles), varicella virus (chickenpox), M. tuberculosis, severe acute respiratory syndrome (SARS) AIIR - answerairborne infection isolation room What will HCW wear when caring for isolated infectious patients? - answerrespirator or mask Droplet precautions - answer1. place patient in a single room 2. HCW will wear a mask 3. patients wear a mask when being transported outside the room and follow Respiratory Hygiene/Cough Etiquette Contact precautions - answer1. place patient in a single room 2. HCW will wear gloves and a gown Procedure for initiating patient isolation - answer1. place patient in an isolation-designated room 2. post appropriate isolation card on the door 3. stock isolation room with needed equipment 4. stock isolation cart and place it outside the patient's room 5. notify Food Service that a patient is in isolation 6. do not take clinical chart into the room A patient in isolation may feel what? - answerunclean, rejected, lonely, or guilty Ensuring room cleanliness, drapes opened, and removing excess supplies, and recreational activities such as cards will improve what for a patient? - answersensory stimulation Rushing through care will only make the patient feel ___. - answerrejected Nursing process - answeran approach to identify, diagnose and treat human responses to health and illness; focuses on the patient's nursing needs. Five steps of the nursing process - answerassessment, diagnosis, planning, implementation, evaluation Corpsman play a key role in ___ of the nursing process. - answerassessment The nursing diagnosis is developed based on what? - answerpatient's needs What are considered when developing a nursing diagnosis? - answerphysical needs, emotional needs, social needs, spiritual needs What are prioritized to meet the patient's immediate needs? - answerdiagnoses