CCHP EXAM DETAILED QUESTIONS AND ANSWERS GRADED A+

CCHP EXAM DETAILED QUESTIONS AND ANSWERS GRADED A+ Chronic disease services - ANSWER - Chronic disease is a condition that effects an individual's well being for at least 6 months and generally is not curable. Patients with special needs - ANSWER - Treatment plans are developed at the time the condition is developed. Infirmary care - ANSWER - Patients are always within sight and hearing of a qualified health care professional. A supervising registered nurse is on site at least once every 24 hours. Basic MH Services - ANSWER - MH services are available to all inmates. Outpatients are seen "not less than every 90 days." Suicide prevention program - ANSWER - Acutely suicidal inmates are placed on constant observation. Nonacutely suicidal inmates are monitored with no more than 15 minutes between checks. A psychological autopsy is completed within 30 days following a suicide. Patients with AOD problems - ANSWER - A patient's addictions are identified and properly managed. Intoxication and withdrawal - ANSWER - Inmates who are intoxicated or undergoing withdrawal are appropriately managed. Contraception - ANSWER - Emergency contraception and continued contraception is available when medically necessary. Counseling and care of the pregnant inmate - ANSWER - Counseling and assistance are provided in accordance with the inmate's expressed desires. Restraints are not used during active labor and delivery. Restraint during other pre- and postpartum periods should be avoided. Restraints are to be removed when a medical professional determines it is medically necessary. Aids to impairment - ANSWER - Orthoses, prostheses and other aids to impairment are supplied in a timely manner. Where they are contraindicated for security reasons, alternatives are considered. Care for the terminally ill - ANSWER - Treatment includes pain management and palliative care. Consistent with state regulations, professionals initiate or facilitate early release for terminally ill patients. Health record format and contents - ANSWER - A health record is properly created and maintained. Access to Care - ANSWER - A patient can be seen by a clinician in a timely manner. Responsible Health Authority (RHA) - ANSWER - The RHA functions to ensure that health services are organized, adequate and efficient. Medical Autonomy - ANSWER - Clinical decisions are made for clinical purposes and without interference from other personnel. (The non medical considerations needed to carry out such clinical decisions are made in cooperation with custody staff). Administrative Meetings & Reports - ANSWER - Administrative meetings are held at least quarterly. Health staff meetings occur at least monthly. Statistical reports are made at least monthly. Policies & Procedures - ANSWER - They are site specific. Reviewed at least annually. Policies cross reference an NCCHC standard. CQI Program - ANSWER - CQI Committee meets no less than quarterly. Initiates process and/or outcome CQI studies. Emergency Response Plan - ANSWER - At least one mass disaster and one man down drill is conducted annually so every shift participates within 3 years. (Classroom or tabletop exercises do not meet the standard.) Communication on patients' health needs - ANSWER - Health and custody staff communicate about inmates with special needs conditions, including health needs that may effect housing, work, program assignments, disciplinary measures and admissions to or transfers from institutions. Privacy of Care - ANSWER - Discussions regarding patient care occur in private. Clinical treatment encounters occur in private. Procedure in the event of an inmate death - ANSWER - All deaths are reviewed within 30 days. A death review consists of: An administrative review; A mortality review; and a psychological autopsy if the death was a suicide. Grievance mechanism for health complaints - ANSWER - Responses are timely and based on principles of adequate medical care. Infection Control - ANSWER - An exposure control plan is reviewed and updated annually. Patient Safety - ANSWER - Systems are in place to prevent adverse and near miss clinical events.