COPE Health Scholars Written Exam
WITH Complete Solutions
What do you check for after log-rolling a patient? - -Bedsores
-Things to remember when ambulating a patient - -Check outside door for
"High Fall Risk" sign.
Check for yellow socks, indicating high fall risk.
Ask 3 questions: Have you walked within the last 12 hours? Have you walked
on this floor before? Where would you like to walk?
Ask the patient if they are dizzy when you help them stand up from the bed.
Report to the nurse the distance walked and the patient's overall
mobility/speed.
-Things to remember when positioning a patient - -Never leave the bedside
unattended without putting up the rails.
Never have 4 rails up at a time, even for a second. Ask the CNA to put down
a rail, and you should immediately put up your rail.
When log-rolling the patient, ALWAYS check for bedsores.
-Things to remember when making an occupied bed - -Always change
gloves before handling clean bed-sheets, pillow cases, etc.
Always check for bedsores when log-rolling the patient.
Wipe down the mattress and pillow with Sani-wipes, and leave for 2 minutes.
Tuck clean linen UNDERNEATH dirty linen.
-Things to remember when toileting a patient - -Close the curtains to ensure
patient privacy.
Catch the filled bedpan when log-rolling the patient to prevent spillage.
Wipe from front to back, with one wipe per swipe.
Check for bedsores when log-rolling.
,Change the trash bag after depositing used wipes.
-Things to remember when bathing a patient - -Close the curtains.
Ask the patient whether the water is too hot.
Use the backhand technique when washing underneath the breasts.
Always change wipes after washing the genitals, the legs, the back, and the
anal area.
-Things to remember when transferring a patient from the bed to the
wheelchair - -Wipe the wheelchair before and after use.
Lock the wheelchair.
Ask the patient if they're dizzy after doing the swivel technique and after
helping them stand.
Ask the patient if they have left any of their belongings in the room.
Check out with the HUC on the floor.
Mention the HCAHPS survey to the patient.
-Things to remember when transferring a patient from bed to gurney - -
Make sure the bed and gurney are locked at the appropriate times.
Make sure enough rails are up at the appropriate times.
Always check for bedsores when log-rolling.
Ask the patient to lift their head and legs during the transfer from bed to
gurney.
-Things to remember when feeding a patient - -Check for an NPO sign
outside the room.
Check the patient's tray for their name.
Look out for pockets of food and other signs of aspiration.
Feed the patient slowly to avoid aspiration.
Leave the patient upright for 30 minutes to aid in digestion.
, Report amount or percent of food and drink consumed by the patient. Ask
the nurse if she would like to see the tray before disposing of its contents.
-Things to remember when taking a patient's vital signs - -The tubing of the
blood pressure monitor should be along the inner arm.
The tubing of the pulse ox should be on the top.
The red light of the pulse ox should be on the top of the fingernail.
The pulse ox should be placed on the opposite arm as the blood pressure
monitor.
Rolling machines should be wiped down, since they're transportable.
The temporal thermometer should be wiped down with alcohol wipes.
When the pain level is high, ask if it's a new pain and where it's located.
-AIDET - -ACKNOWLEDGE the patient.
INTRODUCE yourself as a Health Scholar.
DURATION of task should be communicated.
EXPLAIN the task as you're doing it.
THANK the patient.
-SKAHI - -SIGNS outside the door.
KNOCK on the door.
ASSESS patient surroundings to understand their state.
HAND HYGIENE (gel and gloves).
IDENTIFY the patient in 2 ways.
-HCAHPS - -Survey: Hospital Consumer Assessment of Healthcare Providers
and Systems
Measures:
- Environment cleanliness*
- Environment quietness*
- Nurse communication
- Physician communication
- Communication about pain*
- Communication about medications
- Responsiveness of hospital staff*
- Discharge information*
- Transition of care
- Overall hospital rating
- Likely to recommend
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