OSHA/HIPAA/EMERGENCY questions
TRUE OR FALSE Only staff and students who are BLS (basic life support) trained may assist in providing assistance during an incident that involves exposure to biohazardous material.
TRUE
TRUE OR FALSE Other potential infectious material can include: semen, cerebrospinal fluid, pleural fluid and pericardial fluid.
TRUE
There are certain situations when the disclosure of psychotherapy notes does not require the signed consent of the patient. Those situations include:
for training purposes to provide a defense in legal proceedings brought by the patient to avert a serious or imminent threat to public safety ***ALL***
When is disclosure of protected health information permitted - can be released without the expressed permission of the patient?
for treatment for competency of staff evaluations for legal services including fraud and abuse protection for insurance underwriting **all of these***
Transmission-based Precautions include:
Airborne precautions droplet precautions contact precautions ALL
TRUE OR FALSE Fifty percent of workplace homicides are committed by co-workers or former co-workers.
FALSE
Which of the following actions/behaviors are considered early warning signs of possible future violence?
Fascination with violence Applauds violent actions including shooting sprees, executions or domestic violence. Extreme interest in guns, especially the semi-automatic or automatic weapons. Saying "One of these days, they will all be sorry." ALL OF THESE
If you are stuck by a needle or other sharp:
First, immediately clean the wound with soap and water and flood it under running water.
In the event of a fire, you should do all of the following except:
Gather up all of your personal possessions before leaving the classroom. you should - feel door handle, close windows and door behind you
At a minimum, according to the Centers for Disease Control, which blood tests should be performed on the same day that an exposure to potentially infectious material has occurred?
HEP B EVAL HEP C EVAL HIV EVAL ALL
Which of the following statements is true?
If a bloodborne pathogen container leaks, place it inside of a second container before handling it further.
Which of the following statements is true about sexual harassment prevention legislation?
It is covered by Title VII of the Civil Rights Act of 1964. Title VII of the Civil Rights Act applies to workplaces that have 15 or more employees. Title VII of the Civil Rights Act of 1964 applies also to employment agencies, labor organizations and to federal employees. all of these
Some common problems associated with fire dangers include:
Many students are unaware that fire is a risk in the environment. Alarms are often ignored. Improper use of the 9-1-1 notification system. Misused/overloaded electric circuits
Regarding electrical issues, which of the following tasks can be carried out by students at AACC?
NONE do not modify college equipment, install, repair broken stuff or buy equipment for school
Examples of personal protective equipment that are 100% effective in all cases include:
NONE gloves, gowns, face shields and pocket masks are never 100% effective
The Bloodborne Pathogens Standard was issued by which federal agency?
OSHA -The Occupational Safety and Health Administration
Which of the following agencies plays a role in establishing exposure limits to hazardous substances?
OSHA, NIOSH, environment protection agency all
The patient has the right to request that incorrect information found in his/her medical record be amended. What action must the patient take to start this process?
Pt should send it a signed written request to the provider
TRUE OR FALSE Even though you may have put on a pair of gloves before entering a patient's room, if you touch ANYTHING in that room, you should remove the gloves on exiting and wash your hands.
TRUE
TRUE OR FALSE Even when a suitable replacement is quickly found to carry out your assigned task, the existence of malfunctioning compressed gas cylinders must be reported without delay.
TRUE
TRUE OR FALSE Examples of compressed gases that may be found in the hospital environment include oxygen and ethylene oxide.
TRUE
Early warning signs of possible violent behavior include all of the following except:
The employee intentionally starts a fire in a company truck.
If you have latex/vinyl allergies:
Use only hypoallergenic gloves
Which of the following statements is true?
When washing your hands, pay special attention to areas under nails, around cuticles, around knuckles, thumbs and sides of fingers/hands.
Which of the following choices is NOT found on the written authorization form that allows medical information to be released?
a statement that the patient CANNOT revoke the authorization **these are found on the authorization: the pat's name and address, the name of the company or person releasing the information and the name of the company or person receiving the information*
key points to remember in management of disaster is?
all they are emergencies with a widespread impact help from outside jurisdictions is needed outside jurisdictions that are involved include the county, state and federal levels.
Which of the following groups at AACC are covered under the federal legislation that prevents sexual harassment?
all students, employees and faculty
The scope of activity refers to the concept that:
allied health professionals should only perform those tasks that they have been trained to do.
In terms of the care to be rendered after an exposure has occurred, where should the student go for evaluation and treatment after the initial cleansing procedures have been followed?
an emergency department
A main purpose for the HITECH law was to:
develop a national healthcare infrastructure assist providers in using EMR provide incentives **all**
Which of the following statements is not true?
disasters are emergencies that can be handled by the neighborhood's inhabitants
TRUE OR FALSE HIPAA has not yet applied the privacy rule to the electronic exchange of your personal health information.
false
true or false Staff and students can substitute their own personal protective equipment if they are confident that it is the best kind of protection against biohazard exposure.
false
Combustible materials that may be ignited by functioning electrical equipment located in close proximity include:
flammable gases combustible dusts ignitable fibers flammable liquids ALL
Protected health information can be released to entities outside of the patient care environment for 12 national priority purposes? What are some examples of these?
for public health agency purposes for government use regarding victims of abuse and neglect judicial and administrative proceedings to facilitate transplantation and organ donation ***CANNOT release for divorce proceedings***
The following entities (hospitals, doctor's office etc.) must follow HIPAA:
health plans most healthcare providers healthcare clearinghouses **all*
If an exposure to a radioactive substance occurs, which of the following steps must NOT be taken?
leave voicemail for the campus housekeeping office so that their staff can come to clean up the area the following week what should be done - close door to room or area, move to safe location and notify all others, activate emergency eyewash or shower for those affected
Examples of groups who do NOT have to follow HIPAA include:
life insurers employers workers compensation carriers many law enforcement agencies **all of these**
Toxic chemicals from smoke are at their lowest concentration
near the floor
Recommended exposure limits are:
occupational exposure limits determined to be protective of worker health over a working lifetime based of 40 hr week ALL TRUE
Class A fire extinguishers are used for:
paper, wood and most plastics on fire
Gowns should be worn when:
participating in outpatient surgical procedures when performing lavage procedures when handling soiled linen ALL
Which of the following activities is/are involved in emergency preparedness?
preventive measures a coordinated response recovery from the emergency ALL
Universal Precautions involve:
protection against blood exposure protection against exposure to other potentially infectious material the need to treat all blood and other potentially infectious materials with appropriate barrier precautions ALL
Biohazards can include which of the following items:
pt's blood fungi viruses parasites ALL
Which of the following are the correct steps to take when you discover a broken piece of electrical equipment.
report it immediately to instructor
A dose of 600-1000 rems will lead to:
severe intestinal damage and death for 100% of those affected in 30 days
Regarding ways to protect patient confidentiality, please indicate which option is not acceptable
sharing passwords is not acceptable **it is good to install firewall protection, store and send via encryption and frequently change passwords**
Engineering controls that limit exposure to pathogens include:
sharps disposal containers self-sheathing needles needless systemes
Many pieces of electrical equipment contain capacitors. These items do what?
store electrical charge even when the equipment is disconnected from the wall's power supply outlet and thus can pose serious danger
The best way to prevent a biohazard exposure incident is:
strict adherence to all biohazard policies and procedures
Protected Health Information (PHI)includes
the medical record the pt's billing information conversations between the patient's docotr and other health providers **all of these*
Radon gas is a decay product of uranium.
true
TRUE OR FALSE In the clinical setting, the student must receive the same level of HIPAA training as the regular staff receives.
true
TRUE OR FALSE Prevention of exposure is the overriding theme of all OSHA chemical safety regulations.
true
true or false A dosimeter is a device that detects and measures the cumulative amount of radiation absorbed over a certain time period.
true
true or false The smell of smoke is sufficient reason to notify the campus office of public safety at 410-777-1818.
true
true or false A Stage 1 Core Objective for Meaningful Use includes maintaining an active medication list and allergy list.
true
Examples of sexual harassment include:
unwelcome sexual advances requests for sexual favors conduct of a sexual nature that affects an individual's employment, ability to study or to work effectively conduct of a sexual nature that creates an intimidating, hostile, or offensive environment ALL OF THESE
A key requirement of HITECH incentives is:
using a certified EMR
Which of the following steps must be avoided when handling electrical equipment?
using wet hands when plugging or unplugging electrical equipment bring space heaters and cell phone charging wires into patient care areas standing in a fluid-covered area when handling electrical equipment ALL
The HITECH law was passed in
2009
Which of the following statements are true?
ALL A point of distribution is a station where vaccines, medicines or antidotes/antitoxins can be given to a large number of patients. SNS stands for Strategic National Stockpile of medicines, vaccines and antidotes/antitoxins. SNS supplies can reach all states in 12 hours.
Which of the following is true about a pandemic?
ALL it is an infection that spreads rapidly around the world flu has caused pandemics in the past the population has little natural immunity to protect itself during a pandemic. it may come and go in waves.
Which of the following is not considered to be a bloodborne pathogen?
ALL of these are considerd: hep B virus hep c virus HIV malaria
Workplace abuse can include which of the following behaviors?
ASSAULT VERBAL THREATS THREATENING BEHAVIOR ALL OF THESE
Which of the following statements is not true?
Workplace security analysis looks at the financial risk status of the company's stocks and securities.
What is a carcinogen?
cancer causing chemical
Which of the following items are contained in the Safety Data Sheet?
chemical manufacturer's name and contact information the substance's physical and chemical characteristics and fire and explosion data. reactivity data health hazard data and precautions for safe handling and use ALL
The acronym CBRN stands for:
chemical, biological, radiological and/or nuclear
Triage involves:
identifying those patients who have the best chance of survival. identifying those who need emergency care. identifying those most likely to benefit from treatment. ALL
The goal of Meaningful Use (MU) is to
increase transparency increase efficiency increase cost savings and decrease redundancy
Which is the most damaging type of radiation?
ionizing radiation
TRUE OR FALSE Eating, drinking of food storage can occur in biohazard material areas, as long as the items are well sealed and covered.
FALSE
TRUE OR FALSE One of the Stage 1 mandatory requirements for Meaningful Use implementation is implementation of six clinical support decisions rules.
FALSE
TRUE OR FALSE The Annual Limit of Intake (ALI) is the limit on the amount of radioactive material that a worker ingests or inhales on a daily basis.
FALSE
TRUE OR FALSE The key point about Body Substance Isolation (BSI) is that the individual worker depends on the EMPLOYER to decide when to use barrier protection devices.
FALSE
TRUE OR FALSE Co-workers are usually the last group to recognize behavioral warning signs of possible future violence on the part of a co-worker.
FALSE
TRUE OR FALSE Extreme desperation over family, financial or personal problems is generally not considered an early warning sign of possible violent behavior.
FALSE
TRUE OR FALSE The scope of practice defines how the local population should behave during a disaster.
FALSE
TRUE OR FALSE There are three ways that chemicals can enter the body. They include inhalation into the gastrointestinal tract, ingestion into the lungs and secretion of the chemical from under the skin to the exterior of the body.
FALSE
TRUE OR FALSE To maintain the highest standard of barrier protection, it is permissible to use petroleum- or mineral-based skin care products before putting on your gloves.
FALSE
TRUE OR FALSE The most common type of natural disaster is an earthquake.
FALSE - flood is
All of the following steps are appropriate when responding to a fire alarm except:
Return to the building if you think it is safe to claim your personal possessions before the all clear is given.
TRUE OR FALSE Following a man-made disaster, common injuries include crush trauma, lung burn, eye and fracture injuries.
TRUE
TRUE OR FALSE If a student violates the HIPAA privacy rule, he/she could become ineligible for licensure and may be held personally liable for the breach of confidentiality.
TRUE
TRUE OR FALSE If your personal protective equipment does not fit properly, you must notify your supervisor/instructor or preceptor immediately.
TRUE
TRUE OR FALSE Most fires in college/university environments are due to a general lack of knowledge about fire safety and prevention
TRUE
TRUE OR FALSE OSHA recommends color schemes for use on accident prevention signs. An example would be the color red for "DANGER" signs.
TRUE
TRUE OR FALSE Personal protective equipment can also protect the user from chemical, radiologic or mechanical hazards/irritants that can be absorbed in addition to its use in lessening the transmission of biohazards.
TRUE
TRUE OR FALSE Regarding your exit from a building that is on fire, NEVER use an elevator to get to the ground floor. Use the stairs.
TRUE
TRUE OR FALSE Standard Precautions combine the major features of Universal Precautions and Body Substance Isolation.
TRUE
TRUE OR FALSE Surviving an earthquake depends on various factors such as proximity to a population center, quake magnitude, type of shelter and time of day.
TRUE
TRUE OR FALSE The Material Safety Data Sheet contains information about a particular substance's potential to burn.
TRUE
TRUE OR FALSE When handling contaminated sharps, never bend or break needles, never recap needles, and do not separate contaminated needles from syringes.
TRUE
TRUE OR FALSE You must wash your hands, when you leave a biohazard environment, even if you wore gloves throughout your entire work period in the lab.
TRUE
TRUE OR FALSE A job where the regular exchange of money occurs between employee and the public tends to have an increased risk for the occurrence of workplace violence.
TRUE
TRUE OR FALSE A rem is a measure of the dose of any ionizing radiation to body tissues in terms of its estimated biological effect.
TRUE
TRUE OR FALSE AACC has a variety of communication modalities that can announce an emergency or disaster situation. To report the occurrence of an emergency, you can dial 911 and the AACC Office of Public Safety at 410-777-1818.
TRUE
TRUE OR FALSE Always practice your basic skills such as first aid, CPR, taking a history and drawing blood so that they can be utilized in the event of a disaster.
TRUE
TRUE OR FALSE Certain acute health problems must be treated despite the priority of addressing a disaster. They include the birth of a child, asthma attacks, heart attacks and certain chronic illnesses, for example, an exacerbation of COPD.
TRUE
TRUE OR FALSE It is helpful for the victim of sexual harassment to inform the harasser directly that the conduct is unwelcome and must stop.
TRUE
TRUE OR FALSE It is the employer's responsibility and not the healthcare worker's duty to provide personal protective equipment.
TRUE
TRUE OR FALSE Learning the "old-fashioned" ways of performing essential treatment tasks without the assistance of modern technology is essential because a disaster may also disable power generation facilities
TRUE
TRUE OR FALSE Mitigation is a term that refers to attempts to prevent or minimize emergencies as in ordering an evacuation in anticipation of a hurricane coming ashore.
TRUE
TRUE OR FALSE Natural disasters have either a weather-related or earthbound cause.
TRUE
TRUE OR FALSE Prevention strategies against outside threats in the workplace include making limited amounts of cash available, bullet-resistant barriers and the use of electronic surveillance equipment to monitor the safety of employees.
TRUE
TRUE OR FALSE Substance or alcohol abuse are considered early warning signs of violent behavior.
TRUE
TRUE OR FALSE The most frequently used weapon in the commission of workplace violence is a handgun.
TRUE
TRUE OR FALSE The next influenza pandemic could ultimately infect up to 30% of the U.S. population.
TRUE
TRUE OR FALSE Two effective methods used to treat medical waste include incineration and autoclaving.
TRUE
TRUE or FALSE if state laws regarding disclosure of protected health information are more restrictive, they are followed instead of the HIPAA rules in that state. Correct!
TRUE
True or false There are two cases where the release of protected health information is mandatory. They involve disclosure to the patient or to the patient's personal representative and to the U.S. Department of Health and Human Services when it is undertaking a compliance review or enforcement action.
TRUE
The holders of protected health information are advised by the HIPAA rules to disclose only the "minimum necessary" to achieve the purpose stated in the request of information. The concept of the "minimum necessary" does not apply to
disclosure from one doctor to another for continued medical treatment of the patient **minimum disclosure would be for friend, insurance company or newspaper reporter**
The Hazard Communication Standard:
is based on the concept that employees (and those they teach) have both a need and a right to know the hazards of the chemicals they are exposed to states that a chemical inventory must be kept at all sites that contain hazardous chemicals states that a Safety Data Sheet file must be maintained for each chemical used by a company or school ALL
Which of the following statements about infections are true?
they can follow the occurrence of a disaster. the emergence of a new type of infectious disease can itself be the disaster. the epidemic of SARS was first identified in the early part of this century. ALL
