2016 Mandatory In-Service Education Competency Quiz for Community Physicians (ONLY) PLEASE RECORD THE BEST RESPONSE ON THE ANSWER SHEET and RETURN ONLY THE COMPLETED ANSWER SHEET BY MARCH 31, 2016. FOR YOUR REFERENCE, THE CORRESPONDING PAGE NUMBER OF THE TOPIC IN THE TRAINING MANUAL HAS BEEN PROVIDED. Manual Section 1: General Topics ACTIVE SHOOTER EMERGENCY (PAGE 1) 1. The best options for you to consider in order to survive an active shooter situation are: a. Run (if safe), Hide (if you are able), Fight (as a last resort). b. Call 911 and/or HH Security (if safe to do so) c. Be aware of your surroundings, exits points and what items could potentially be used to fight off an active shooter. DISASTER PREPAREDNESS (PAGE 13) 2. When a disaster response is required, staff should: a. Follow the department-specific disaster response plan. b. Report to the hospital lobby. c. Respond to the area you feel needs the most help. d. Continue to use the telephone and elevators for routine business needs. 2016 Mandatory In-service Education Competency Questionnaire for Community Physicians Page 1
2016 Mandatory In-service Education Questionnaire for Community Physicians EMERGENCY PAGE CODES/AMBER ALERT/OBTAINING SECURITY SERVICES (PAGE 20) 3. Match the overhead page with the explanation of the code by placing the letter of the correct response in the space: AMBER Alert Fire Alert Fire Alert Confirmed Critical Security Incident Pediatric Code Team Code Team MERT a. Medical assistance needed for nonpatients in non-life-threatening event in public area. b. Infant/child/adolescent abduction. c. Investigation of a fire/smoke alarm. d. Confirmed flood, fire, etc. e. Cardiac or respiratory arrest of a patient. f. Cardiac or respiratory arrest of a pediatric patient. g. Hostage situation and/or weapon involved. 4. Highland s internal emergency phone number is: a. 0 b. 911 c. 1-6666 d. HELP HIPAA PRIVACY AND SECURITY, AND CONFIDENTIALITY OF INFORMATION (PAGE 34) 5. You have saved a list of patients test results and contact information. Your plan is to contact these patients in follow up to their recent care. Which of the following would be an acceptable place to store this data? a. A compact disc (CD). b. A secure department network drive. c. An unencrypted (USB) flash drive d. None of the above. JOINT COMMISSION READINESS (PAGE 45) 6. Which of the following is a true statement? a. The first step a staff member or physician with a care or safety concern should take is to call the Joint Commission. b. Patients and their families should leave all aspects of their care up to the doctors and nurses caring for them. c. A Joint Commission surveyor can ask you about the National Patient Safety Goals and how you comply with these goals as related to your job duties. d. If a Joint Commission surveyor asks you a question, you should tell him or her to speak with the department manager. Page 2 2016 Mandatory In-service Education Competency Questionnaire for Community Physicians
OCCURRENCE/CLAIM REPORTING (PAGE 53) 7. An event reporting system (RL Solutions) report must be completed: a. By the end of the month if it requires a Root Cause Analysis. b. And documented in the patient s medical record. c. For actual or potential situations that could have resulted in an accident. d. Only for NYS Dept. of Health reporting requirements. PATIENT RIGHTS/ETHICS/COMPLAINT PROCESS (PAGE 60) 8. Patients have the right to complain to and receive a response from: a. Patient and Family Relations Office b. Department heads, supervisors or managers, or any staff member c. NYS Department of Health PROFESSIONAL CONDUCT EVENT EDUCATION (PAGE 66) 9. What should you do if unprofessional conduct is witnessed? a. If several people witnessed the event, let the most senior person report it. b. Immediately report the disruptive event through appropriate channels. c. Talk to the person who is involved in the event; find a resolution together. d. Report the event only if it happens again. PROFESSIONAL MISCONDUCT REPORTING AND THE IMPAIRED PROFESSIONAL (PAGE 68) 10. What is considered professional misconduct? a. Using appropriate infection control techniques. b. Practicing while impaired by alcohol or drugs. c. Delegating responsibilities only to professionally qualified staff. d. Refusing to accept a fee from a third party for referral of a patient. WORKPLACE VIOLENCE (PAGE 86) 11. A visitor has become loud and is making threats against the health care providers who are taking care of their family member. No one seems to be able to calm the person; in fact, the person actually appears to be escalating their threats. What should you do? a. Call the appropriate on-site security office (x1-6666 at HH). b. If you are in an off-site location, call 9-1-1. c. Don t be defensive; speak in a calm voice and be aware of your body language. 2016 Mandatory In-service Education Competency Questionnaire for Community Physicians Page 3
2016 Mandatory In-service Education Questionnaire for Community Physicians Manual Section 2: Patient Care Topics FALL PREVENTION (PAGE 110) 12. All of the following are risk factors for falls except: a. Past history of falls. b. Well-fitting slippers with nonskid soles. c. Age 65 years of age. d. Incontinence of bowel and/or bladder. MANAGEMENT OF SUSPECTED ABUSE/NEGLECT (PAGE 119) 13. In cases of suspected child abuse/maltreatment, which of the following is true? a. Physicians, nurses, dentists, social workers and other health care providers are mandated by NYS Social Services to report to the NYS Child Central Registry. b. Reporters must have clear evidence of maltreatment, neglect or abuse to make a report. c. Social Work is notified after patient discharge. d. A pediatric consultation must be requested after patient discharge. MEDICAL ORDERS FOR LIFE-SUSTAINING TREATMENT (MOLST) (PAGE 123) 14. Which of the following is true regarding the MOLST form? a. The presence of a MOLST form in a patient s record means that the patient s status is DNR. b. The presence of a MOLST form means that the patient s status is DNI. c. The presence of a MOLST form means that there is information about the patient s current preferences about life-sustaining therapies. d. MOLST forms are used only in University of Rochester Medical Center-Strong and Highland facilities. MEDICAL RECORD DOCUMENTATION FOR CLINICAL STAFF (PAGE 126) 15. All verbal orders must be signed within 48 hours of the time they were given. a. True. b. False. MEDICATION RECONCILIATION/ADR REPORTING (PAGE 128) 16. Medication reconciliation does NOT involve which of the following? a. Obtaining and documenting a list of the current medications the patient is taking at home. b. Comparing the Home Medication List with the medications ordered once the patient has entered the healthcare system. c. Getting a list of all medications that the patient has ever taken in their life. d. Communicating updates to the Home Medication List to the patient upon discharge. Page 4 2016 Mandatory In-service Education Competency Questionnaire for Community Physicians
PATIENT SELF-DETERMINATION RIGHTS (PAGE 134) 17. In New York State, which of the following is true regarding advance directives? a. Members of the health care team do not need to honor the advance directive of a competent patient if they disagree with the advance directive. b. Patients cannot revoke the advance directive once given. c. Hospital and health care providers must give patients a statement of the patient s right to make an advance directive. d. The original of the advance directive must be placed in the patient s medical record. RAPID RESPONSE TEAM (PAGE 139) 18. Rapid response teams were developed to: a. Provide a quick, multidisciplinary medical team approach to assess and treat a patient whose condition is deteriorating. b. Improve staffing on the unit. c. Allow the nurse to take a break. d. Increase transfers to a higher level of care. SEPSIS MANAGEMENT (PAGE 141) 19. The following interventions must be completed within 1 hour of identifying a patient as having potential severe sepsis: a. Blood cultures. b. Lactate (Adult patients). c. IV antibiotics. d. IV bolus (if hypotensive or lactate elevated). e. All of the above. Manual Section 4: Provider Only Topics MULTIDRUG-RESISTENT ORGANISMS (PAGE 151) 20. The spread of MRSA can be prevented by: a. Meticulous hand hygiene. b. Properly sanitizing equipment before it goes to the next patient. c. Use of a hospital-approved disinfectant to sanitize surfaces and equipment. 2016 Mandatory In-service Education Competency Questionnaire for Community Physicians Page 5