Orientation Assesment Review Survey

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* 2. Helms Home Care will provide you with a car kit, to keep in your vehicle, containing your ID badge, HHC t-shirt, paperwork and ancillary items such as gloves, alcohol swabs, Band-Aids, lab tubes, syringes etc. When additional supplies are needed, you should:

Call us during business hours to place an order

Text us via Whatsapp with a list of items and quantities needed

Submit a supply request via Google forms

Buy supplies as needed and submit a receipt for reimbursement

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* 3. During an infusion, your patient is watching Fox News and asks your opinion on a polarizing political topic. As a professional nurse providing care to this patient, you should:

State your opinion, but avoid a debate or lengthy discussion

Kindly explain to the patient that as a healthcare representative, it is not professional to discuss such topics with patients

Discuss topics at the patient’s request

Excuse yourself from the room

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* 4. During a lengthy 6-hour IVIG infusion, you are hungry. The best option would be to:

Consume the ready-to-eat lunch/snack that you prepared and brought

Pause the infusion to quickly run to the store and grab a bite

Kindly ask the patient for a small snack and water

Call a friend to swing by and bring you food

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* 5. While teaching a patient how to self-infuse an antibiotic, you discover an elastomeric ball for the first time. The ideal solution would be to:

Call the pharmacy and ask how the device works

Find a YouTube video to watch with the patient

Let the patient know that you have never seen this device before, but can figure it out

Let the patient know you need to get clarification and call our agency for assistance

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* 6. You leave home at 2:30p and arrive to your patient’s house at 3:00p. You leave patient at 3:30p and drop labs at the hospital at 4:00p. You arrive home at 4:30p. How should you document your visit time and travel?

Arrival: 3:00p Departure: 4:00p Travel Time/Mileage: Check box for less than 50 miles / 1 hour total

Arrival: 2:30p Departure: 4:00p Travel Time/Mileage: Check box for less than 50 miles / 1 hour total

Arrival: 3:00p Departure: 3:30p Travel Time/Mileage: 1 hr 30 mins

Arrival: 3:00 p Departure: 3:30p Travel Time/Mileage: 2 hr

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* 7. The two-week pay period ends every other Saturday and pay is dispersed every other Friday via direct deposit. Nursing notes are due:

Within 24 hours of the visit

Within 48 hours of the visit

Within 72 hours of the visit

No later than Monday at 12 noon the week of pay

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* 8. Upon arriving to a patient’s home, your first priorities should be to:

Introduce yourself & Wash your hands

Identify the patient & Gather supplies

Introduce yourself & Identify the patient

Wash your hands & Gather supplies

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* 9. Your patient calls you directly. All of the following are acceptable conversations, EXCEPT:

Patient would like to reschedule a visit. You check your calendar, reschedule, and let our agency know about the change.

Patient can’t get his line to flush, you direct him to call our agency to speak with an on-call nurse and let our agency know.

Patient needs more saline and heparin flushes. You direct her to call her attending pharmacy and let our agency know.

Patient is running a mild fever and feeling lathargic after his infusion. You direct him to take some Tylenol, get rest, and contact our agency to reach out to the patient’s doctor.

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* 10. During a routine PICC dressing change and lab draw, a patient refuses or declines to have vitals taken. The next best step would be to:

Provide care as ordered, document that the patient refused vitals.

Let the patient know that insurance may deny coverage if vitals are refused. Should the patient not cooperate, document and verbally report refusal to our agency, after care is provided.

Let the patient know that you cannot provide care without taking vitals, refuse care and leave should patient not cooperate.

Provide care as ordered, vitals are not required for a routine line care and lab draw visit.

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* 11. Prior to an RN administered IVP infusion, you are short by 1 saline flush. The patient’s mother says she has a bag of flushes in another box of supplies. You should:

Wait until you have the flush in hand before proceeding

Go ahead and reconstitute the meds, but get the flush before administering

Proceed with the infusion while the mother retrieves the flush

Proceed with the infusion by using half of the available saline flush before and half after administering the med

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* 12. Your patient’s port dressing/needle was changed last Monday, but you are not available to change it this coming Monday. The most acceptable solution would be to:

Ask the patient if you can come on Sunday, let our agency know if this won’t work

Ask the patient if you can come on Tuesday, let our agency know if this won’t work

Let our agency know you can’t go on Monday and we need to find another nurse to fill-in

Ask the patient to go to clinic just for this week

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* 13. You placed a PIV (peripheral IV) for a patient and we are responsible for maintaining it. Agency protocol for maintaining that line requires:

Assessing/Changing/Removing the IV within 48 hours

Assessing/Changing/Removing the IV within 72 hours

Assessing/Changing/Removing the IV every 7 days

Assessing/Changing/Removing the IV only upon patient request

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* 14. You are with a patient for a 3-hour Remicade infusion. You have unsuccessfully attempted to access the patient’s port-a-cath twice. What should you do next:

Per protocol, attempt a 3rd stick, but no more

Call our agency to discuss protocol for the particular pharmacy and best next steps

Call our agency and mix the meds while waiting for a backup nurse to arrive

Document 2 unsuccessful access attempts and reschedule the infusion

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* 15. Regarding lab draws, which of the following is FALSE:

Trough levels are drawn 30-60 minutes prior to the upcoming dose

A serum tube and a lavender tube should always be drawn, unless otherwise instructed

Lab supplies can be found in the patient’s home with the infusion supplies shipped by the pharmacy

Labs are always drawn prior to an infusion, unless otherwise ordered

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* 16. During a dressing change visit, the dressing change kit only contains 1 mask. Which of the following is NOT acceptable protocol:

Nurse wears the mask, asks patient to turn head away from site during procedure

Patient wears mask, nurse turns head away from site during procedure

Nurse gets additional mask from car kit; patient and nurse both wear mask

All of the above are acceptable dressing change procedures

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* 17. You are available to see a patient as requested, but unsure on the medication or delivery method. What should you do?

Request a shadow visit

Request additional information/resources

Check the HHC website for learning materials

Any/All of the above

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* 18. During a sterile dressing change procedure, which of the following is TRUE:

Sterile gloves must be used for the whole procedure

Clean gloves must be used for the whole procedure

Clean or sterile gloves are needed to remove the dressing only

Clean gloves are used to remove the dressing, then sterile gloves are used to place the new dressing

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* 19. Who Completed Your Orientation Call

Alice Collier

Kelly Campbell

Sherrill Batts

Shari Blackmon

Laura Helms

Moriah Koch

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* 20. On a scale from 1 (extremely low) to 7 (extremely high), please rate your Orientation Call, including confidence, professionalism, and overall knowledge of the subject matter.

Orientation Assesment Review

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* 1. Enter Your Name

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* 2. Helms Home Care will provide you with a car kit, to keep in your vehicle, containing your ID badge, HHC t-shirt, paperwork and ancillary items such as gloves, alcohol swabs, Band-Aids, lab tubes, syringes etc. When additional supplies are needed, you should:

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* 3. During an infusion, your patient is watching Fox News and asks your opinion on a polarizing political topic. As a professional nurse providing care to this patient, you should:

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* 4. During a lengthy 6-hour IVIG infusion, you are hungry. The best option would be to:

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* 5. While teaching a patient how to self-infuse an antibiotic, you discover an elastomeric ball for the first time. The ideal solution would be to:

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* 6. You leave home at 2:30p and arrive to your patient’s house at 3:00p. You leave patient at 3:30p and drop labs at the hospital at 4:00p. You arrive home at 4:30p. How should you document your visit time and travel?

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* 7. The two-week pay period ends every other Saturday and pay is dispersed every other Friday via direct deposit. Nursing notes are due:

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* 8. Upon arriving to a patient’s home, your first priorities should be to:

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* 9. Your patient calls you directly. All of the following are acceptable conversations, EXCEPT:

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* 10. During a routine PICC dressing change and lab draw, a patient refuses or declines to have vitals taken. The next best step would be to:

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* 11. Prior to an RN administered IVP infusion, you are short by 1 saline flush. The patient’s mother says she has a bag of flushes in another box of supplies. You should:

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* 12. Your patient’s port dressing/needle was changed last Monday, but you are not available to change it this coming Monday. The most acceptable solution would be to:

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* 13. You placed a PIV (peripheral IV) for a patient and we are responsible for maintaining it. Agency protocol for maintaining that line requires:

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* 14. You are with a patient for a 3-hour Remicade infusion. You have unsuccessfully attempted to access the patient’s port-a-cath twice. What should you do next:

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* 15. Regarding lab draws, which of the following is FALSE:

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* 16. During a dressing change visit, the dressing change kit only contains 1 mask. Which of the following is NOT acceptable protocol:

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* 17. You are available to see a patient as requested, but unsure on the medication or delivery method. What should you do?

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* 18. During a sterile dressing change procedure, which of the following is TRUE:

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* 19. Who Completed Your Orientation Call

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* 20. On a scale from 1 (extremely low) to 7 (extremely high), please rate your Orientation Call, including confidence, professionalism, and overall knowledge of the subject matter.

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* 21. Do you have any comments, questions, or concerns regarding your Orientation Experience?