RNSG 1105 Final Exam Study Guide with Complete Solutions HIPAA - Correct Answer -- This law provides rights to patients and protects employees. It protects individual employees from losing their health insurance when changing jobs by providing portability.--It also creates patient right to consent to the use and disclosure of their protected health information, to inspect and copy one's medical record, and to amend mistaken or incomplete information.--It limits who is able to access a patient's record.Provides confidentiality of a patient's medical information.What Patient Information is Confidential?****All information about patients written on paper, spoken aloud, saved on computer.SBAR - Correct Answer --standardized approach to communicate including the opportunity to ask and respond to questions.--provides a consistent method for hand-off communication that is clear, structured, and easy to use by the Health Care Team.--used to report to the HCP any situation that requires immediate action --goal is to decrease miscommunication which is one of the most common causes of patient injury or death.Elements of SBAR - Correct Answer S= Situation - What is the situation you are calling about?Be concise. ALWAYS ask - Do you know Mr. or Mrs. Patient's Name?B= Background- Pertinent background information related to the situation. Mental status, etc.A = Assessment- What is the nurse's assessment of the situation? what you found/think R= Recommendation- What is the nurse's recommendation or what does nurse want? 1 / 3
Potential Breaches in Patient Confidentiality - Correct Answer --Leaving information open on a computer screen.--Sending confidential email messages with patient identifiers.--Discarding copies of patient information in trash cans.--Holding conversations that can be overheard.--Faxing confidential information to unauthorized persons.--Sending confidential messages overheard on speakers medical asepsis - Correct Answer --Basic medical asepsis breaks the chain of infection and should be used for all patients even if infection is not present.--Highly effective in reducing HAIs --Protection of the susceptible host --Control and elimination of reservoirs of infection --Control of portals of exit/entry --Control or elimination of infectious agents Cleaning --Control of transmission NEUTROPENIC / PROTECTIVE ENVIRONMENT - Correct Answer --Used for patients to decrease the risk of infection in the most severe immunocompromised patients.
--The most common of diseases are:
Cancer - Chemotherapy AIDS Organ transplants Restrict visitors who have colds or contagious illnesses.--Standard Precautions and ensure all caregivers are healthy.--Avoid collection of standing water from flowers or humidifiers to prevent bacteria found in this water. 2 / 3
AIRBORNE PRECAUTIONS - Correct Answer ----Used for patients who have organisms that remain in the air and travel a longer distance.
---The most common of these diseases are:
Tuberculosis Chicken pox (varicella) Measles (rubeola) Herpes zoster ----The patient is in a private negative air pressure room where the air is brought into the room from the hallway and leaves the room via a separate exhaust system.---Must wear a particulate filter mask (i.e. N95 mask).--Keep patient's door closed at all times.****Patients on airborne precautions must wear surgical masks when leaving the negative air pressure room for any reason.***
WHAT ARE THE MINIMUM REQUIREMENTS for PPE? - Correct Answer Airborne: N95 Mask
Droplet: Surgical Mask
Contact: Gown, Gloves
PPE: Gloves - Correct Answer NOT a substitute for good hand hygiene
- Worn only once per patient intervention.
- Discarded appropriately according to facility policy.
- Once gloves are removed hands are thoroughly decontaminated with meticulous hand hygiene.
CONTACT PRECAUTIONS - Correct Answer --Used for patients who are infected or colonized by a multidrug-resistant organism (MDRO).
--The most common of these organisms are:
Clostridium difficile (C-diff).Methicillin-resistant Staphylococcus aureus (MRSA).--Contact precautions include use of barrier precautions such as gloves and impermeable gowns to prevent direct contact with infectious organism.--The goal is to prevent the transmission of disease by direct and indirect contact.
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