VA
Which of the following text page/emails is not a violation of privacy/confidentiality?
"The patient we discussed earlier is being discharged today. Can you call me about him?"
When must all notes and health records be completed?
Before you complete your rotation and leave
You are seeing a patient in a VA clinic and would like to let the patient's non-VA healthcare provider, Dr. Jones, know about her abnormal lab test before the patient leaves so the provider can adjust the patient's non-VA medications. What is the correct approach?
Call the patient's provider with the results; signed authorization is not required
What should you do as you enter or leave a patient's room, or between patient contacts?
Cleanse your hands using an alcohol-based rub and/or antibacterial soap and water wash
What should you do if you have a question about a Privacy issue or would like to report a Privacy violation?
Contact the facility Privacy Officer if your supervisor is unable to answer your question
What should you do if you have a question about releasing VA patient information to an outside party, including family members of a Veteran?
Contact the facility Release of Information Office if your supervisor is unable to answer your question
A patient has been getting care as an inpatient at VA hospital following a myocardial infarction and now is discharged to the care of a Non-VA provider as an outpatient. Which of the following information may be disclosed to a non-VA provider without a signed authorization for purposes of treating the patient?
Family history of coronary artery disease
In the event of a fire or other emergency which of the following should you do?
Follow the instructions of your supervisor, the unit supervisor in your area, or other VA staff member
While at a VA facility, HPTs are subject to what level of supervision?
Have a named supervising practitioner and operate under their supervision at all times
What is the key benefit of telehealth?
Improves access to care, especially in rural locations
Which one of the following is true regarding patient information?
Information transmitted to your school or educational program may never contain specific patient identifiers.
Which best describes patients asking questions regarding their own medical care?
It is a patient right
When is it permissible to access non-VA websites for personal use using VA computers?
It is done only during your break time or after your duty hours for a brief time and it is legal and ethical
Staff members who decide to Evacuate should:
Keep their hands visible and follow police instructions
What should you do if you leave your computer to go to another area?
Log-off or lock the computer and remove your PIV card before leaving to maintain security
How do you identify a potentially violent patient?
Look for a notation ("flag") in the patient record
An 84 year old man is admitted from his son's home for dehydration. He has a history of moderate to severe dementia and is very underweight. He has a large bed sore. His hair is unkempt, his teeth are in poor condition, and his clothing is disheveled and dirty. What should you do?
Report the findings and possibility of abuse/neglect to your supervisor
What action should you take if you receive a needle stick injury or a cut that has been exposed to blood or other body fluid?
Report to the occupational health office for evaluation and possible initial prophylaxis treatment
It is the policy of the VA to maintain a safe and healthful work environment which includes providing trainees with the appropriate equipment to enable them to safely perform their jobs. What should you do if you do not have or do not believe that you have the proper materials to safely perform your job?
Request the necessary equipment/materials from your VA supervising practitioner or the unit supervisor in your area
To appropriately complete a consult request
Select a progress note with Consult in the title and link that note to the consult request.
From the choices below, which is the only permissible option if you need to electronically save the names, SSNs and/or other data regarding your patients?
Store it on a VA system in a file that is restricted to only people who are authorized to view the information.
Which of the following is not personal protection equipment available to you at the VA at no cost to you?
Sweaters for use in air conditioned areas
What is required by the VA in order to ensure you are covered under the Federal Tort Claims Act?
That you have been given an official VA appointment
Patient safety goals are a priority of the VA and which accrediting body?
The Joint Commission
Which of the following statements is true if a claim is filed against a trainee who is validly appointed to be on assignment/rotation at a VA facility?
The Justice Department usually takes steps to substitute the United States as the defendant in place of the trainee
What is an HPT's supervising practitioner ultimately responsible for?
The care of the patient
Which of the following best describes higher level HPTs?
They have increasing levels of responsibility, but are still supervised
Which of the following best describes a patient's rights regarding their records at a VA medical facility?
They have the right to access all information that applies to them, including their medical record
According to patient rights policies, what expectations may a patient have?
To receive the best available care in a clean, safe environment
Which of the following is true regarding malpractice/liability coverage for trainees while on assignment/rotation at VA?
Trainees are covered by the Federal Government's own malpractice coverage under the Federal Tort Claims Act
What is the signature injury in Veterans who served in the Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF)/Operation New Dawn (OND)?
Traumatic brain injury
What would you do before performing a moderately invasive procedure, such as the insertion of a central intravenous catheter?
Wash and disinfect your hands before putting on sterile gloves and again after the procedure
Which of the following statements is true regarding patient information?
When sending a fax, you must confirm that the fax was received at its destination
Is written authorization required in order to fax the discharge summary for a VA patient who is being discharged to a patient's current primary care provider who is outside of the VA system?
Yes, if the patient was seen for psychotherapy
A female supervisor berates a male trainee on three separate occasions in counseling sessions. The supervisor's comments were loud enough for other trainees and employees to hear, intimidating, threatening, and laced with profanity. Can this be viewed as gender based workplace harassment?
Yes, if the supervisor targeted the employee because of his gender
Employees and trainees are strongly encouraged to report instances of workplace harassment, fraud, waste, abuse or acts of discrimination to a supervisor or another appropriate management official. What will happen if you report a violation?
You will be protected from retaliation from VA staff
Patient satisfaction with VA care and services is often reported to be at what percentage?
85%
The Bar Code Medication Administration (BCMA) scanner indicated that the patient wrist band bar code and the bar code on an IV solution that is about to be administered do not match.
A close call
Which of the following is true according to patient rights policies?
A patient has the right to ask for and to receive optimal pain control
While at the VA you believe you are being repeatedly subjected to demeaning comments, willful interference with work assignments, and intimidation by a VA employee, patient, or trainee based on your race, color, religion, sex, sexual orientation, national origin, age, disability or in retaliation for participating in prior EEO activity. This behavior is/or may be described best by which of the following?
A reportable violation as it has resulted in a hostile work environment
Workplace harassment need not result in severe physical or psychological harm to be a violation. Elements of workplace harassment based on your race, color, religion, sex, national origin, age or disability include which of the following?
A.Unwelcome conduct that affects your assigned work or duties B.Repeated assignment to less desirable or "dirty" jobs to inhibit your progress or learning C.Demeaning comments or repeated demeaning jokes about you D.All of the above
Which of the following actions may be considered as disruptive behavior?
A.A patient is yelling at his provider in a loud and abusive manner B.A patient strikes a nurse who is trying to give an injection C.A family member interfering with patient care by arguing loudly with the healthcare team D.All of the above
Pain management is a complex challenge and may be affected by which of the following?
A.A patient's overall mental or physical condition B.A patient's cultural or ethnic background C.A patient's spiritual or religious beliefs D.All of the above
VA employees and trainees are prohibited from receiving gifts or favors from prohibited or restricted sources. Which of the following is a prohibited or restricted source?
A.A person or entity that does business with the VA B.A person or entity that wants to do business with the VA C.A person or entity that would like to influence an action or decision by the VA D.All of the above
In the event of an Active Threat, staff should:
A.Attempt to escape when they are notified of the event and have a visible, unobstructed path to safety B.Attempt to escape when they are caught in the immediate vicinity of the event C.Always attempt to evacuate and evade, no matter what D.Both A and B
Which of the following are warning signs for potential violence?
A.Bragging about past acts of violence B.Frequent angry outbursts C.Obsession with weapons D.All of the above
All employees have important roles and responsibilities in the CBI program. Why is CBI important for you? Check the one best answer.
A.Compliance is everyone's business B.Illegal or unethical business practices damage VA's mission C.Business integrity helps preserve Veterans' trust D.All of the above
The I CARE principles of Integrity, Commitment, Advocacy, Respect, and Excellence reflects VA's:
A.Core values and service standards B.Treatment of Veterans, their families, VA employees, volunteers, contractors, and trainees C.Commitment to President Lincoln's promise, "To care for him who shall have borne the battle and for his widow, and his orphan." D.All the above
Which is an example of communication patterns which may lead to adverse events and close calls?
A.Failure to read back patient data B.Failure to confirm or match bar codes with the patient C.Failure to have or obtain current patient data such as lab values, all medications, and drug allergies when doing patient hand-offs D.All of the above
Which of the following are examples of behavior constituting sexual harassment?
A.Inappropriate touching of others or one's self B.Suggestive remarks, sexual propositions, or sexual innuendoes or insults C.Obscene gestures or sounds, display of obscene/graphic materials, leering or staring D.All of the above
Which of the following best describes a protected disclosure?
A.Information that a trainee reasonably believes to be evidence of a violation of laws, rules, or regulations B.Information that a trainee reasonably believes to be evidence of abuse of a patient C.Information that a trainee reasonably believes to be an action posing a danger to the public, patient, or employee safety D.All of the above
When Evading (sheltering in place), staff should:
A.Lock and barricade doors with whatever is available B.Turn off lights, radios and computer monitors C.Silence all cell phones D.All of the above
What are symptoms of Post Traumatic Stress Disorder (PTSD)?
A.Nightmares B.Numbing of emotions C.Hyperarousal D.All the above
Which of the following are VA customers?
A.Patients B.Patients' families C.Co-workers D.All of the above
Which of the following are signs of possible neglect?
A.Poor nutritional status B.Inappropriate clothing C.Delayed medical care D.All of the above
Which of the following suicide warning signs must be reported to your supervising practitioner?
A.Talking about death or suicide B.Seeking access to pills, weapons, or other means of suicide or personal harm C.Giving away personal possessions D.All of the above
How does the VA assess the satisfaction of Veteran care?
A.Through direct patient interviews B.from mystery shoppers C.From data collected by surveys D.All of the above
Which is/are ways to help patients avoid accidental opioid overdose?
A.Use the lowest amount of opioid for the shortest duration needed B.Prescribe a Naloxone overdose treatment kit to patients on chronic opioid therapy C.Avoid prescribing opioids in combination with benzodiazepine sedatives/sleeping pills D.Monitor patients to make sure opioids are decreasing pain and increasing function E.All of the above
What should you do if you have been exposed to blood or other body fluid?
A.Wash the affected area and remove any contaminated clothing B.Report the exposure to your supervisor C.Go to the Occupational Health Office for evaluation D.All of the above
What are important differences between telehealth and in-person care?
A.Your background and clothing can be more distracting in video conferencing than in-person visits. B.Looking at the camera and allowing for audio delays can have a big impact on the Veteran's perception of visit quality C.You must verify the Veteran's location and how to contact local emergency services at the onset D.All of the above
Which of the following must you know as an HPT at a VA facility?
A.Your supervising practitioner's name B.Your limitations or level of responsibility in patient care C.That there are mandated supervision requirements and where to find them D.All of the above
Which of the following statements is true concerning medical or dental student supervision?
All medical and dental student notes must be accompanied by an addendum or accompanying independent note by the attending or appropriately supervised resident.
Part of computer or information security is the use of individual access codes. In an emergency it is permissible to do which of the following?
Ask someone to sign off so that you can sign on using their terminal
What should you do if you are directed to help fight a fire with a portable fire extinguisher?
Direct the spray in a sweeping motion toward the base of the fire or flame
Which is the best way to deal with a patient who you suspect is developing an opioid use disorder?
Discuss options that are available for support and treatment
Contaminated or soiled materials such as gloves, drapes, and sponges are potential sources to spread infectious agents. What should you do with all used or contaminated materials?
Dispose of them in appropriately labeled containers
Which of the following is the appropriate course of action when you are confronted with a disruptive patient?
Excuse yourself and find your supervisor to help address the situation
According to the definition of an Active Shooter Event, the overriding objective appears to be that of __________, rather than criminal conduct such as robbery, kidnapping, etc.
Mass Murder
What is every person screened for before they may enter an MRI Suite?
Metallic objects, electronic devices, medical conditions, and implants
Select the true statement below:
Only MRI-safe medical equipment and MRI-safe oxygen tanks are allowed in the magnet room.
Which of the following health risks is associated with military service in Vietnam?
Only those who served in the active duty military
Which of the following statement is true about clinical research?
Patients may choose to participate in medical research projects and still receive the usual care as needed
In order to prevent accidental needle stick injury and potential exposure to infectious agents, what should you do with needles and needle-containing devices?
Place in a marked puncture proof container
Which president made this pledged to Veterans "To care for him who shall have borne the battle and for his widow, and his orphan."?
President Lincoln
Email and text messaging are an effective means of communication. Which of the following best describes transmission or discussion via email and/or text messaging of identifiable patient information?
Prohibited unless Federally approved encryption software is used
What should you do if you are identified as a witness in a malpractice case involving a VA patient?
Provide accurate information to VA and Dept. of Justice Attorneys
Who is the responsible for the patient's safety?
everyone
As a last resort, staff should plead for their life in hopes that the suspect(s) will show mercy. Never take action against a subject.
false
Inadequate or incomplete documentation does not affect a third party insurance claim.
false
The best way to dispose of opioid medication is to crush the pills and flush them down the toilet.
false
You do not need to get your supervisor's approval to accept a gift from a Foreign Government if the value is below $375.
false
If you have a question regarding a compliance concern, or you suspect illegal or unethical documentation or business procedures are being used in your VA medical center, who should you notify first?
supervisor
A Covered Relationship includes roommates, even if that roommate is not a family member or romantically involved with you.
true
Buprenorphine and Methadone are FDA approved for the treatment of Opioid Use Disorder and are also good pain relievers.
true
During an Active Threat Event, the best course of action for staff, patients, and visitors is often to Evade and Shelter in Place in the immediate vicinity.
true
HPT education programs operate under standard guidance or policies from the Office of Academic Affiliations. These can be found in written VA Handbooks available online and/or in your VA service or departmental office.
true
If you have sheltered in place, do not un-secure or leave your area until you have visual or audible confirmation by a police officer or supervisor that it is safe to come out.
true
In VA, treatment of pain is a high priority.
true
The Office of Compliance and Business Integrity program is responsible for internal oversight of VHA revenue operations.
true
Upon Police arrival, staff should immediately follow the directions of responding officers, keep their hands visible at all times and relay as much information as possible to responding officers.
true
You may solicit employees in your office to chip in for a wedding gift for another Federal employee.
true
To qualify as actionable sexual harassment, the harasser's conduct must be which of the following?
unwelcome
