Compliance Test

Compliance Test

Quiz - Back Safety

1. Nurses and personal care workers (including home healthcare workers) have a higher incidence of back injury on the job than do miners and construction workers.*

2. Cumulative trauma disorders like back injuries are often due to ergonomic hazards of your job.*

3. The greatest ergonomic hazard you face in home healthcare is a needlestick.*

4. Keeping your body fit can help prevent heart disease, but it doesn't really help to prevent back injury.*

5. Your body is built to sustain big work loads if you use your body safely.*

6. If you try to lift a 50 pound load at arm's length, the force of the load on your back will equal 500 pounds.*

7. Proper body posture is important for back safety since it puts the vertebrae and surrounding muscles in the best position to do work safely.*

8. The home healthcare worker can and should demand that certain changes be made in the home to make the environment safer.*

9. To be ergonomically safe, your work surface should be positioned slightly above waist level.*

10. Lifting and transferring of patients puts you at about the same risk of injury as lifting and moving a heavy box.*

11. Organizing your workstation to reduce overrreaching up,down, or across can protect you from musculoskeletal injuries.*

12. Use of patient transferring devices can greatly lower back stress and reduce injury.*

13. A confided or cluttered work space and unpredictable patient movement greatly increase your risk of back injury during lifts or transfers of patients.*

14. If a patient starts to fall, you should throw yourself between the patient and the floor to protect the patient.*

15. The installation of trapeze and safety bars in areas where transfers occur can protect you and the patient.*

16. The patient's ability to help with the lift can make the difference between a manageable and a hazardous lift.*

17. Talking patients through the lift can decrease their anxiety.*

18. Because you often work alone, it is important that you learn to lift all loads regardless of their weight.*

19. During a patient transfer, it is safe for you to twist your body , once both of you and the patient are standing.*

20. It is your responsibility to evaluate your job for hazards and to correct them when possible.*

Quiz - Bloodborne Pathogens

1. You are covered by the standard only if you are a surgical doctor or nurse.*

2. HIV and HBV are the only bloodborne threats you face.*

3. Mucous membranes are a potential route of entry into the body for bloodborne pathogens.*

4. Any medical instrument can be considered a sharp.*

5. HBV dies as soon as it leaves the body and comes in contact with air.*

6. If you don't want to have an Exposure Control Plan, you don't need to have one.*

7. Standard precautions means treating all blood and body fluids as potentially infectious.*

8. Most needlestick injuries occur when disposing of needles, giving medications, drawing blood, or handling trash or dirty linens.*

9. You should bend all your needles before putting them in a sharps container.*

10. Every time you remove your gloves, you must wash your hands with soap and running water as soon as you possibly can.*

11. If you don't have access to running water, use an antiseptic hand cleanser.*

12 .Make sure to store your food and drink close to you when working with blood so you don't have to leave the room.*

13. Choose your protective equipment according to the task you are going to perform.*

14. Avoid giving unprotected mouth-to-mouth resuscitation.*

15. Use single-use disposable gloves as often as possible before disposing of them.*

16. There is a safe procedure for glove removal that should be followed at all times.*

17. Never pick up broken glass, which may be contaminated, with your hands. Use tongs or a brush and dust pan.*

18. Place all sharps in color-coded bags or containers to assure proper disposal.*

19. The HBV vaccine is not so important since it only prevents Hepatitis B infection.*

20. If you are exposed and know where the blood came from, don't bother reporting it.*

Quiz - Disaster Planning

1. External emergencies are disasters that affect many people in the community.*

2. Internal disaster include emergencies such as heart attacks, strokes, or anaphylactic shock.*

3. Because disasters are unpredictable, your emergency preparedness plan simply provides general guidelines to follow rather than a very structured plan of action.*

4. Preplanning and practice drills are crucial for successfully handling a disaster.*

5. A command cover is necessary only when police or military are involved.*

6. Your hospital's detailed contingency plans make sure enough food, water, and medical supplies are on hand during a disaster.*

7. Triage for receiving casualties and routing them for treatment is carefully preplanned for both the hospital and the disaster site.*

8. Your disaster plan does not specifically state where or how to transfer your patients if they need to be evacuated, since the effects of a disaster are so variable.*

9. Since a disaster is often life-threatening, our hospital's disaster-plan team includes only specially trained staff.*

10. A special committee in your hospital develops the disaster plan and schedules drills.*

11. A phone tree is kept up to date so employees can be located during disasters.*

12. During a disaster drill, you should not take time to ask questions since you must act as if in an actual emergency were underway.*

13. Your hospital is part of a community-wide disaster plan that includes other healthcare facilities, public safety workers, and other emergency support agencies.*

14. Evaluation of a disaster drill and documentation of the results are necessary to mae sure you are prepared to handle a disaster.*

15. Personal protective equipment is fairly useless in the face of disaster.*

16. If disaster strikes, you will focus better at work when your own family is prepared to handle the emergency.*

17. During a bomb threat, your aim is to prevent a disaster from happening.*

18. When a disaster occurs, additional employees are called in to provide needed services and to give breaks to staff.*

19. When power is lost, your hospital has a back up system that supplies electricity throughout the entire hospital.*

20. Since pain, fear, and grief can heighten any disaster, it is important that you remain calm and focus on your tasks.*

Quiz - Elder Abuse & Neglect

1. Fortunately, the number of elder abuse victims is expected to decrease as the populations ages.*

2. Our knowledge of elder abuse is limited since those involved often have done a good job of keeping it a secret.*

3. If you position an elder incorrectly or force them to eat, you are physically abusing that person.*

4. It is never acceptable to restrain an elder chemically or physically for purposes of discipline or convenience.*

5. When an elder is treated like a child or an infant, they are being psychologically abused.*

6. Withholding adequate fluids or physical therapy or false teeth from a senior is considered physical neglect.*

7. When elders use their call bells inappropriately, you are not neglecting them if you take your time answering their calls.*

8. You are neglecting an elder if you leave them on the toilet for an extended period of time, even if you got busy and just forgot.*

9. You should suspect abuse if a family seeks care that does not fully meet the needs of an elder with financial means.*

10 .Older adults from all walks of life can be victims of abuse, according to research.*

11. More than half of all reported elder abuse victims are men.*

12. Family members are most often the abusers outside healthcare facilities.*

13. Family members do not continue abusing elders who have been admitted to a healthcare facility.*

14. In one study, 40% of the healthcare staff who participated admitted to psychologically abusing residents the previous year.*

15. Mental illness or alcoholism in either elders or caregivers signal the potential for abuse or neglect.*

16. Dehydration, decubitus ulcers and poor personal hygiene may be signs of physical neglect.*

17. Physical abuse should be suspected if the elder and caregiver give conflicting accounts of the cause of the elder's injury.*

18. When you witness abuse, your primary concern is to report the abuser to prevent the abuse from happening again.*

19. When abuse or neglect is suspected, the elder should be assessed without the suspected abuser present.*

20. Failure to report observed or suspected abuse can result in a claim of negligence in some states.*

Quiz - Emergency Action Plan

1. Your employer develops a comprehensive emergency action plan to override chaos with organization.*

2. Emergency action plans do not cover natural disasters like earthquakes, tornadoes and hurricanes.*

3. Employees are allowed to read and review the emergency action plan for their facility*

4. Employees must learn how to activate and recognize the alarm and warning system.*

5. The Incident Commander is the only employee who is allowed to report an emergency.*

6. The Incident Commander assesses the situation and directs evacuation and rescue efforts.*

7. Team Leaders are appointed in each section or department.*

8 .You are prepared for an emergency if you know one exit from each are where you work.*

9 .Every employee must know how to sound the emergency alarm and how to describe the location of the emergency.*

10. When you hear the emergency alarm you should put your work away and leave the area.*

11. It's best to wait to evacuate until you are sure it is not a false alarm.*

12. Some employees are trained to perform special duties in an emergency.*

13. If you are trained to perform a special task like equipment shutdown, you should do it even if it puts you in danger.*

14. The first thing to do after you evacuate is to report immediately to the assigned assembly location.*

15. The incident command post is the central point of contact and communication.*

16. Employees should let trained rescuers conduct rescue operations.*

17. Practice drills are the best way to prevent panic and confusion in a real emergency.*

18. It's not necessary to report strange events or people if you work in a facility with security guards.*

19. If you see a suspicious package, you should pick it up and take it to security.*

20. If you find a suspicious item or mail, you should cover it carefully or isolate it and report it immediately.*

Quiz - Fire Safety

1. The three classes of fire most common in healthcare settings involve ordinary combustibles, gases and liquids, and electrical equipment.*

2. Smoking materials don't pose much of a fire threat in healthcare facilities these days.*

3. Since electrical closets are clean and dry, they are good places to store cleaning fluids.*

4. Electrical fires are the most common fires in healthcare facilities.*

5. An unusual odor is often the first warning of fire in electrical equipment.*

6. In case of fire, confine the blaze first, then sound the alarm and rescue patients from danger.*

7. Most fire deaths are related to flames and heat.*

8. It's very important to stay close to the floor during a rescue attempt in order to avoid the most intense heat and smoke.*

9. Only sound the alarm after you are certain there is an actual fire.*

10. Closing doors and windows helps prevent the fire from spreading.*

11. If a piece of equipment catches fire, never attempt to pull the plug.*

12. Keeping electrical equipment and motors clean and properly maintained is important in order to prevent fires.*

13. If a patient's clothes are on fire, wrap the patient tightly in a blanket to smother the flames.*

14. Fire extinguishers can save lives and property by putting out small fires before they spread.*

15. For best results, aim the fire extinguisher's nozzle directly into the biggest part of the flames.*

16. Evacuate non-ambulatory patients first, since they are often most vulnerable.*

17. Always move patients to a designated safe or refuge area.*

18. In case of fire, it's always best to move patient's to the first floor of the building.*

19. Remember to move medical records during an evacuation.*

20. Since fire is fast, what you do in the first three minutes is very critical to the protection of lives and property.*

Quiz - Healthcare Compliance

1. The purpose of a corporate compliance program is to help you stay in compliance with healthcare industry regulations and ensure you are paid correctly for healthcare services.*

2. Healthcare laws and regulations are aimed at increasing the quality of patient care and protecting patient safety.*

3. Healthcare fraud and abuse may include submitting bills for test or procedures together and to reduce cost.*

4. One of OIG's ares of greatest concern for fraud and abuse is the use of incorrect billing codes.*

5. One goal of a compliance program is to improve patient care.*

6. Your facility's compliance officer is your primary resource for questions on federal rules, laws and regulations.*

7. Your organization's Code of Conduct helps you comply with regulations and make changes when errors occur.*

8. Training in compliance is one tool to protect your organization.*

9. You are expected to follow all the institutional and employee responsibilities for compliance outlined in the federal litigation manual.*

10. The more you know about the rules, the better the quality of care you deliver.*

11. If you are aware of non-compliance in your area, you are not required to report it unless it involves a documentation error or one involving patient care.*

12. Monitoring and audits are primarily used to address compliance issues before it is too late.*

13. Audits are usually conducted on a regular basis by the compliance department or outside auditors.*

14. Reporting systems are designed to improve overall performance.*

15. When you report non-compliance, you can request that your report be kept confidential.*

16. Corrective actions for non-compliance are outlined in the written code of conduct.*

17. A typical response to correct risky processes and prevent future errors may include additional education for employees who work in specific areas that are considered high risk.*

18. If you think something is not right, the best approach is to stop and think about what would be the best approach before you complete the task.*

19. Compliance programs also protect your tax dollars.*

20. Being out of compliance hurts everyone.*

Quiz - HIPAA

1. A document is Protected Health Information only if it contains a patient's name, address, or Social Security number.*

2. The Privacy Rule covers personal, health information in any form.*

3. The Security Rule covers only ePHI.*

4. Administrative safeguards include tracking the flow of PHI, setting policies to keep it private, and revising those policies if privacy or security breaches occur.*

5. An example of an administrative safeguard is a security audit.*

6. Technical safeguards protect your laptop as well as your agency's computer systems.*

7. The only way an intruder can log into your agency's computer system is by using the correct digital signature to sign in.*

8. The Privacy Rule permits healthcare providers to fully disclose patient healthcare information on answering machines, or with family members, or individuals answering the phone.*

9. Under the HITECH Act, criminal penalties can be enforced against business associates and individuals.*

10. When the patient or her personal representative asks to use or disclose his or her PHI, you are required to document the request.*

11. Written authorization is not required to notify a family member, personal representative, or other persons responsible for care on the location and general condition of a patient.*

12. Signed authorization forms are valid for six months, or unless they are revoked by the patient's physician.*

13. An example of an incidental disclosure is two healthcare providers discussing a patient care plan.*

14. The only person who should know your password is your supervisor.*

15. If you cannot log onto your computer system with your password, it could mean someone has been tampering with the system.*

16. The usual way viruses infect a computer system is by being transferred from external floppy discs or CDs that have no been approved by your computer specialist.*

17. If you witness a privacy or security violation and you don't report it, you could be held responsible.*

18. When caring for a patient at home with neighbors or family members present, verbal agreement is required before caring for his or her physical needs or administering medication*

19. A password is an example of a physical safeguard.*

20. The first-line defender of patient privacy is the healthcare worker.*

Quiz - Infection Control

1. The risk of infection in home healthcare is great than ever these days.*

2. Both people and objects can be sources of infection.*

3. Newborns, elderly persons and persons with weak immune systems are especially susceptible to infection.*

4. Infection can enter your body through inhalation, through your eyes, nose and mouth, a break in your skin and through a contaminated sharp object.*

5. To comply with JCAHO standards, your Infection Control Plan must include surveillance, identification, prevention, control and reporting of infections,*

6. Fever, rapid pulse and tenderness in a body part may be signs of an infection.*

7. Standard Precautions require that you treat all patients as though they are infectious.*

8. Immunizations may help to keep children healthy but they don't help to control the spread of infection.*

9. To be on the safe side, always wear personal protective equipment that covers your face, hands and clothing.*

10. Handwashing is the single most important precaution for preventing the spread of infection.*

11. If you avoid touching the outside of your gloves during their removal, you don't need to wash your hands.*

12. Always bend the needle on a disposable syringe after use to make sure it cannot be reused.*

13. Use of aseptic technique during invasive procedures and wound care is important to prevent infections in the home.*

14. Most contaminated waste products can be disposed of in the trash receptacle outside of the home.*

15. As long as they are securely contained, urine and blood specimens may be carried in your healthcare bag.*

16. You should never eat, drink, apply cosmetics or lip balms or handle contact lenses where exposures to infection may occur.*

17. Standard Precautions protect you against all routes through which infection is transmitted.*

18. Some infectious microorganisms can be inhaled in the form of droplet nuclei or dust particles.*

19. When caring for an infectious tuberculosis patient, you must wear an approved, properly fitted respirator only when in the same room as the patient.*

20. If you have an accidental exposure, immediately report the incident to your supervisor before cleaning up, so the contaminated material can be observed.*

Quiz - Patient Rights

1. Patients have a fundamental right to considerate healthcare that safeguards their dignity and respects their values.*

2. The Patient's Bill of Rights is legislated through state law and monitored by the Joint Commission.*

3. As you protect the rights of your patients, they will become satisfied consumers of healthcare services.*

4. Patients forfeit their right to be treated with respect and courtesy when they become demanding and impolite.*

5. Under HIPAA you are obligated to protect the privacy and confidentiality of all patient information.*

6. HIPAA gives patients the right to examine and request copies of their PHI, but may not make amendments or corrections.*

7. Patients can only receive visitors, mail, telephone calls and other outside communication as permitted by the healthcare facility.*

8. When informing patients about treatments and procedures, the healthcare provider must include benefits, risks involved, probably outcome and alternative treatments available.*

9. Patients must receive permission from their primary care physician to review any records pertaining to their healthcare.*

10. All persons providing any type of service to a patient must reveal their identity and professional status to the patient.*

11. Patients must be advised of any research conducted by your facility that is associated with their care and be given the opportunity to consent or decline participation.*

12. When a patient refuses care, he or she is no longer entitled to other care or services provided by your facility.*

13. Your facility is required to have a system in place to advise patients of their right to an advance directive.*

14. Patients must be given impartial access to healthcare regardless of national origin, race, age, religion, sex, creed or sources of payment.*

15. Patients have the right to treatment for any medical emergency that will deteriorate if such treatment is not given.*

16. Your facility must inform patients of their rights and responsibilities in receiving healthcare.*

17. Patients have the right to obtain an itemized explanation of the bills related to their healthcare.*

18. The Joint Commission requires that your facility have systems in place to receive, respond to and document patient complaints.*

19. Patient complaints can help your facility improve services for future patients.*

20. Patients are responsible for providing accurate information, seeking clarification when necessary and following through on the agreed plan of care.*

Quiz - Safety Orientation

1. Healthcare workers face fewer hazards in the home than in institutions.*

2. When working in a patient's home, you have more control over the environment than in an institution.*

3. Slips, trips, and falls can be avoided if you slow down, watch where you are going, and wear sensible shoes.*

4. As a healthcare worker in the home, you can have as much strain on your back as a construction worker.*

5. Back injuries can be avoided only by using good posture and staying physically fit.*

6. If a cord heats up during use, just unplug it for about five minutes to let it cool off and then it will be ready to use again.*

7. If the home you work in is older and does not have three-holed outlets, just bend the third prong on your plug to make it fit the older outlet.*

8. Always order medical equipment from a Durable Medical Equipment supply company that is approved by JCAHO.*

9. If a fire starts in the home, you should rescue the patient first and then call 911.*

10. In a fire, flames are far more deadly than heat or smoke.*

11. Always dispose of medical waste by following your agency's policy.*

12. Blood or body fluids can be infectious even before the patient shows signs or symptoms of illness.*

13. Soiled laundry is not considered hazardous medical waste.*

14. If you take your gloves off very carefully after handling medical waste, you don't really need to wash your hands.*

15. There is very little you can do to protect yourself in a dangerous neighborhood.*

16. Morning is the safest time to make visits in neighborhoods that may be dangerous.*

17. As you approach your car always use a flashlight to check underneath the car and in the back seat before opening the door.*

18. If you find yourself in a potentially dangerous situation, always look like you know what you are doing.*

19. Never try to break up domestic arguments since they can be extremely volatile.*

20. When it comes to personal safety, always trust your instincts.*

Quiz - Tuberculosis Awareness

1. Tuberculosis is passed through the air when a person with active TB coughs, speaks, sings, sneezes, or spits.*

2. TB is on the rise mostly in adults.*

3. TB enters the body in the form of bacilli which eventually reaches the alveoli of the lungs.*

4. Wearing a face mask is the only way to prevent the spread of TB.*

5. It usually takes one exposure to someone with active TB to become infected with tuberculosis.*

6. Persons with latent TB infections show symptoms of tuberculosis and are contagious.*

7. The symptoms of tuberculosis can include coughing, fatigue, night sweats, fever and weight loss.*

8. Tuberculosis is often mistaken for a cold, the flu or pneumonia.*

9. One of the warning signs of TB infection is a cough which persists for more than three weeks.*

10. Tuberculosis has a very short incubation period, so symptoms show up very quickly after infection.*

11. When a person's immune system becomes weakened through stress, illness, poor nutrition or substance abuse, latent TB can turn active.*

12. The skin test area should be checked by a healthcare professional within 24 hours.*

13. TB can be detected through a skin test.*

14. People taking antiubercular drugs can stop taking them once they feel better because the drugs are very hard on a person's system.*

15. Patients can become noninfectious only after they have been on antiubercular medication for approximately four weeks.*

16. If medication is not prescribed properly or taken regularly, the TB organism may develop a resistance to the drugs being used to treat it.*

17. Multi-drug resistant TB is no more dangerous than regular TB.*

18. Only people who are immunocompromised or are in depressed socio-economic conditions are susceptible to TB.*

19. Anyone who regularly interacts with individuals from high-risk groups should be tested for tuberculosis at least every six months.*

20. Immunocompromised people should be tested for TB every year.*

Quiz - Violence

1. Giving healthcare in the home is usually very safe.*

2. There is a general rise in violent crimes in our society, especially in domestic violence.*

3. Homicide is the leading cause of job-related fatality for females.*

4. Since people prone to violence are so unpredictable, there really are no warning signs to help you identify a threatening situation.*

5. Once the assault cycle begins, there is nothing you can do to stop it.*

6. Identifying a potentially violent situation is the surest way of avoiding violence.*

7. During the escalation phase a potentially violent person may look flushed, breathe rapidly and begin pacing.*

8. The escalation phase occurs too rapidly to allow you to intervene in any way.*

9. The attack phase occurs when the situation escalates into some form of physical confrontation.*

10. When confronted by an actively violent person, you should maintain an assertive position with your body and position yourself near an exit for easy escape.*

11. During the recovery phase, the perpetrator's anger subsides.*

12. Once the perpetrator beings to calm down during the recovery phase, you can feel certain that the violent episode is over.*

13. During the post-crisis phase the perpetrator usually becomes withdrawn or even remorseful.*

14. It is normal for you to be subjected to anxiety and a stress reaction after experiencing a violent encounter.*

15. One way to protect yourself from potentially threatening situations during your home visit is to familiarize yourself with your client's history.*

16. Pre-existing conditions such as mental illness, drug abuse or abusive relationships are warning signs of potentially violent behaviour.*

17. Avoid lengthy or emotional conversations with the family of the client.*

18. When on the street, it's best to avoid eye contact with strangers.*

19. After your visit, make sure you record any potentially threatening situations for future reference.*

20. Your ability to make a rapid assessment of the potential for violence in each household you visit is a key factor in ensuring your own safety.*

I have read and understand all the training handbooks on Back Safety, Bloodborne Pathogens, Disaster Planning, Elder Abuse & Neglect, Emergency Action Plan, Fire Safety, Healthcare Compliance, HIPAA, Infection Control, Patient Rights, Safety Orientation, Tuberculosis Awareness, and Violence. I have also completed and passed the comprehensive quizzes at the conclusion of the handbooks.

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