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CCHP - West Valley Question And Answers 2023
Typology: Exams
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Unreasonable barriers to inmates' access to health services are to be avoided: - Correct Answer ✅ Having an understaffed, underfunded, or poorly organized system with the result that it is not able to provide appropriate and timely access to care Responsible Health Authority - Correct Answer ✅ When there is a separate organizational structure for mental health services, there is a designated mental health clinician Medical Autonomy - Correct Answer ✅ Interference with medical autonomy are cancellation of community consultants' appointments and discontinuance of necessary medical diets without qualified health care professional approval. Reports should include: - Correct Answer ✅ service volume and incidence of certain illnesses, diseases, and injuries. These reports also may be used to plan for staffing, space, and equipment needs, as well as to compare facilities Policies and Procedures - Correct Answer ✅ Reviewed at least annually by the RHA and responsible physician How is continuity of care measured? - Correct Answer ✅ Extent to which preexisting conditions are identified and addressed during the intake
process. Continuity can also be measured for follow-up of unscheduled on-site and off-site services as well as scheduled off-site services Timeliness of obtaining services is measured by: - Correct Answer ✅ the time between contact with emergency services and the arrival of the emergency services When cellside triage is required, or when conducting interviews during intake, health staff take extra precautions to promote what? - Correct Answer ✅ private communication What is clinical mortality review? - Correct Answer ✅ assessment of the clinical care provided and the circumstances leading up to a death What is an adverse clinical event? - Correct Answer ✅ injury or death caused by medical management rather than by patient's disease or condition What is procuring? - Correct Answer ✅ the act of ordering medications for the facility What is a formulary? - Correct Answer ✅ a written list of prescription and nonprescription medications that are ordinarily available to authorized prescribers, including consultants, working for the facility.
Examples of special needs population: - Correct Answer ✅ developmental disability, serious mental health needs, or physical disability, along with the frail and elderly and juvenile populations. Who requires infirmary-level of care? - Correct Answer ✅ 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? - Correct Answer ✅ 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. Palliative care is ultimately up to who? - Correct Answer ✅ The patient Solitary Confinement (little to no contact) - Correct Answer ✅ monitored daily by medical staff and at least once a week by mental health staff Segregated (limited contact) - Correct Answer ✅ monitored by 3 days a week by medical or mental health staff
Emergency Psychotropic meds can be used when? - Correct Answer ✅ - 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 threat posed, and the reason for the proposed forcing of medication, including other treatments attempted Are health staff involved with forensic information? - Correct Answer ✅ NO TB patients are housed where? - Correct Answer ✅ Airborne infection isolation rooms until a provider determines that they post no risk to public health. Negative Pressure Room - Correct Answer ✅ Must be checked on a regular basis and daily when it houses respiratory isolation patients If patient dies outside of facility.. - Correct Answer ✅ as long as the facility is responsible, reviews are done Clinical Mortality Review asks three questions: - Correct Answer ✅ 1. Could the medical response at the time of the death be improved?
What should posted in the intake/ processing area? - Correct Answer ✅ A sign explaining how to access health care services Within 24 hours of their arrival, inmates are provided with: - Correct Answer ✅ written, electronic or video information about how to access emergency and routine medical/dental/mental health services; fee for services; grievance process Initial oral exam - Correct Answer ✅ 12 months of admission Prison Litigation Reform Act - Correct Answer ✅ prevent frivolous lawsuits against inmates Reasonable supply of what (discharge planning) - Correct Answer ✅ a combination of medications and prescriptions to allow the patient time to arrange for follow up in the community Outpatient services include, at a minimum: - Correct Answer ✅ -group counseling and/or psychological/ psychoeducational programs -individual counseling -treatment documentation and follow-up -psych med management
Medical diets - Correct Answer ✅ are provided per prescriber order and documented in the health record How often do RDN's review medical diets? - Correct Answer ✅ Annually COWS - Correct Answer ✅ opioid use CIWA - Correct Answer ✅ alcohol use