CCHP Exams -with 100 verified solutions-2024.docx, Exams of Advanced Education

Download CCHP Exams -with 100 verified solutions-2024.docx and more Exams Advanced Education in PDF only on Docsity! CCHP Exams -with 100% verified solutions- 2024 In terms of care, clinical encounters should be conducted In private Who approves health record contents RHA If health records are being stored separately between disciplines, what is the minimum data that needs to be included and accessible to all health staff -Current problems -Allergies -Medications Health records should be stored where? Separate from correctional records and in secure conditions A health record is initiated when someone receives any type of health screening A clinical mortality review needs to be conducted within what time frame 30 days A psychological autopsy is preformed on all deaths by suicide, in what time frame? 30 days What is a clinical mortality review Assessment of the clinical care provided and the circumstances leading up to a death What is an administrative review Assessment of correctional and emergency response actions surrounding an inmates death Who conducts a psychological autopsy Psychologist or other qualified mental health professional All deaths are reviewed to determine, what... 1. Appropriateness of clinical care - did we do what we could? 2. Determine need for changes to policies, procedures and practices- does something need to be changed 3. Identify issues - are there trends, what went wrong What is a psychological autopsy A written reconstruction of an individual's life with an emphasis on FACTORS that led up to and may have contributed to death If an inmate dies and they are off-site, is a death review completed Yes- they are still inmates and the facility is still responsible for them What is a grievance? The patients right to disagree or question healthcare system Grievances should be reviewed how frequently At least annually or sooner if a trend is noted RDN stands for Registered dietitian nutritionist Who reviews the regular diet for nutritional adequacy RDN or Licensed qualified nutrition professional How often is the regular diet reviewed At least annually The exposure plan is reviewed and updated Annually If respiratory isolation is needed inmates are housed where A functional negative pressure room And environmental inspection is conducted how frequently Monthly Annually Health staff receive what on their first day Basic orientation All health staff complete an in-depth orientation within 90 days When did the court case Estelle versus Gamble occur 1976 What did Estelle vs Gamble address Unreasonable barriers to inmate access to health services PREA stands for Prison Rape Elimination Act What year did PREA get put in place 2003 What does KOP stand for Keep on-person What is the KOP program Self medication programs that permit responsible inmates to carry and administer their own medication If an inmate is identified with a clinically significant finding, as the results of a comprehensive screening, they should receive an initial health assessment by when? As soon as possible but no later than two working days after admission If a health assessment is deferred due to a previous (documented) health assessment being done within the last 12 months. New documentation must confirm what? The new receiving screening shows no change in health status If an inmate has recently completed a health screening but the new screening shows change in health status what needs to be repeated And initial health assessment And initial health assessment is performed when Within 2 days of arrival Violent behavior is defined as Expressive violence Oral screenings are performed when As soon as possible but no later than 14 calendar days And initial oral examination is performed by a dentist when Within 12 months of admission What is an oral screening Visual observation of teeth and gums notation of any obvious or gross abnormalities requiring immediate referral to a dentist Oral and dental care is based on? And generally focuses on? Patient need urgent or emergent needs Discharge planning should include 1. Formal linkages between facility and community based organizations 2. List of community health professionals 3. Discussions of follow up care 4. Appointments and medications 5. Timely exchange of health information For discharge- Patients with communicable diseases or other serious medical conditions are given Referrals to specialists or if appropriate direct admission to a community hospital At discharge, patients with an opioid addiction history are at a higher risk for Overdose If an inmate has a history of opioid use they should be referred to A medication assisted treatment program prior to release If starting an addiction treatment program prior to release is not available what is recommended Connecting with the community partnership to have inmates enroll in opioid treatment programs immediately after release Where are chronic illnesses and other special needs requiring a treatment plan listed A master problem list Special needs patients are those with.... Health conditions that require the development of an individualized treatment plan for optimum care Patients with chronic diseases and other special needs, benefit from what? Regular clinic visits and management by qualified healthcare professional Inmates with Intellectual limitations are at risk of and may need -Victimization -Specialized housing Inmates whose health needs require more protective environments than that in general housing would be placed where Sheltered housing The primary method of infection control is Standard precautions The immediate objective of mental health treatment is to... Alleviate symptoms of mental disorders and to prevent relapse is in order to sustain patient's ability to function safely in their environment Treatment goals include -Self understanding -self-improvement -development of skills to cope with and overcome mental health issues Acute mental health residential units are for who Patients who are psychotic, mentally unstable or suicidal Acute mental health residential units should have continuous what 1.Coverage by mental health staff 2.Orientation and training for correctional officers assigned to the unit 3. Daily evaluation by mental health staff 4.Programming or appropriate therapies Is early release available to inmates with a terminal illness Yes What are the names of the early release programs Medical parole and compassionate release What is it called when inmates want comfort care only Palliative care When restraints are used for custody stuff for security reasons who is notified and for what A qualified healthcare professional is notified for a health record review for contradictions or accommodations required What is an emergency restraint chair used for Other than to limit mobility A chair design to transport a subject or restraining arms legs shoulders and chest Solitary confinement inmates are monitored by medical staff how frequently Daily Solitary confinement inmates are monitored by mental health staff how frequently At least weekly Inmates in segregation are seeing how frequently and by who Quite at least three days a week by mental health or medical staff 1. Which of the following best defines a "procedure"? Detailed description for carrying out policy This standard is based on the basic principle established by the U.S. Supreme Court in the 1976 landmark case Estelle v. Gamble Access to care Which of the following is least important in determining the number of health staff needed to deliver services in a correctional setting? A. Needs of inmate population B. Approved budget C. Delivery system D. Proportion of female inmates B. Approved budget The following individuals, in the absence of any written authorization from the adult inmate-patient, may have access to that patient's medical records: A. Inmate's attorney B. Private physician C. U.S. congressman D. None of the above D. None of the above Which statement below best describes universal precautions? A. Adhering to advisories published by the Centers for Disease Control and Prevention for disposing of infectious waste B. Taking protective steps with patients known to have infectious diseases so as to minimize exposure of workers and others to contagious disease C. Assuming all patients present a potential for transmission of infectious disease and adopting the same protective techniques with every patient D. Using masks, gowns and gloves for protection from infectious disease C. Assuming all patients present a potential for transmission of infectious disease and adopting the same protective techniques with every patient In terms of needs of adolescents and exercise in jail what should exercise focus on Major muscle groups What is clinical mortality review? assessment of the clinical care provided and the circumstances leading up to a death What is an adverse clinical event? injury or death caused by medical management rather than by patient's disease or condition What is procuring? the act of ordering medications for the facility What is a formulary? a written list of prescription and nonprescription medications that are ordinarily available to authorized prescribers, including consultants, working for the facility. The facility has, at a minimum, the following equipment: Ophthalmoscope, Oxygen What is maintained during transport? Patient Confidentiality Mass disaster drills are: conducted so that each shift has participated over a 3-year period, including satellites. A health emergency man-down drill is: practiced once a year on each shift where health staff are regularly assigned, including satellites. When transferred to the hospital or clinic, RHA must ensure: the patient is transferred to the hospital or clinic with a summary of the health record, and that a summary of the specialty care is received and added to the patient's health record in the facility. Examples of special needs population: developmental disability, serious mental health needs, or physical disability, along with the frail and elderly and juvenile populations. Who requires infirmary-level of care? patients who require more intensive care than can be provided in general population and for a period of 24 hours or more. When an inmate is pregnant, what type of counseling and care do they receive? in accordance with the pregnant inmate's expressed desires regarding her pregnancy, whether she elects to keep the child, use adoptive services, or have an abortion. Solitary Confinement (little to no contact) monitored daily by medical staff and at least once a week by mental health staff Segregated (limited contact) monitored by 3 days a week by medical or mental health staff Emergency Psychotropic meds can be used when? -The inmate is imminently dangerous to self or others due to mental illness -All less restrictive or intrusive measures have been employed or have been judged by the treating provider to be inadequate -The provider clearly documents in the health record the inmate's condition, the