VA Training

Who is eligible for care within the Veterans Health Administration?

Only those who served in the active duty military

Which of the following are VA customers?

All of the above

How does VA assess the satisfaction of Veteran care?

All of the above

The Department of Veterans Affairs is a cabinet level organization and as such is under the responsibility of which of the following?

The executive branch of the federal government

Which of the following health risks is associated with military service in Vietnam?

All of the above

What is the signature injury in Veterans who served in the Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF)/Operation New Dawn (OND)?

traumatic brain injury

What are symptoms of Post Traumatic Stress Disorder (PTSD)?

All the above

Patient satisfaction with VA care and services is often reported to be at what percentage?

85%

The I CARE principles of Integrity, Commitment, Advocacy, Respect, and Excellence reflect VA’s:

All of the above

Email and text messaging are an effective means of communication. Which of the following best describes transmission or discussion via email and/or text messaging of identifiable patient information?

Prohibited unless Federally approved encryption software is used

Part of computer or information security is the use of individual access codes.

In an emergency it is permissible to do which of the following?

Ask someone to sign off so that you can sign on using their terminal

From the choices below, which is the only permissible option if you need to electronically save the names, SSNs and/or other data regarding your patients?

Store it on a VA system in a file that is restricted to only people who are authorized to view the information.

What should you do if you leave your computer to go to another area?

Log-off or lock the computer and remove your PIV card before leaving to maintain security

Log-off or lock the computer and remove your PIV card before leaving to maintain security

It is done only during your break time or after your duty hours for a brief time and it is legal and ethical

Which of the following statements is true regarding patient information?

When sending a fax, you must confirm that the fax was received at its destination

A patient has been getting care as an inpatient at VA hospital following a myocardial infarction and now is discharged to the care of a Non-VA provider as an outpatient.

Which of the following information may be disclosed to a non-VA provider without a signed authorization for purposes of treating the patient?

Family history of coronary artery disease

What should you do if you have a question about a Privacy issue or would like to report a Privacy violation?

Contact the facility Privacy Officer if your supervisor is unable to answer your question

What should you do if you have a question about releasing VA patient information to an outside party, including family members of a Veteran?

Contact the facility Release of Information Office if your supervisor is unable to answer your question

Is written authorization required in order to fax the discharge summary for a VA patient who is being discharged to a patient’s current primary care provider who is outside of the VA system?

Yes, if the patient was treated for drug abuse, alcoholism, sickle cell anemia or HIV

Which of the following text page/emails is not a violation of privacy/confidentiality?

"The patient we discussed earlier is being discharged today. Can you call me about him?"

Which one of the following is true regarding patient information?

Information transmitted to your school or educational program may never contain specific patient identifiers.

You are seeing a patient in a VA clinic and would like to let the patient’s non-VA healthcare provider, Dr. Jones, know about her abnormal lab test before the patient leaves so the provider can adjust the patient’s non-VA medications.

What is the correct approach?

call the patients provider with the results; signed authorization is not required

Who is the responsible for the patient’s safety?

Everyone

The Bar Code Medication Administration (BCMA) scanner indicated that the patient wrist band bar code and the bar code on an IV solution that is about to be administered do not match.

How would you classify the procedure if stopped?

A close call

Which is an example of communication patterns which may lead to adverse events and close calls?

All of the above

Patient safety goals are a priority of the VA and which accrediting body?

The Joint Commission

What should you do as you enter or leave a patient’s room, or between patient contacts?

Cleanse your hands using an alcohol-based rub and/or antibacterial soap and water wash

What would you do before performing a moderately invasive procedure, such as the insertion of a central intravenous catheter?

Wash and disinfect your hands before putting on sterile gloves and again after the procedure

Contaminated or soiled materials such as gloves, drapes, and sponges are potential sources to spread infectious agents.

What should you do with all used or contaminated materials?

Dispose of them in appropriately labeled containers

Which of the following suicide warning signs must be reported to your supervising practitioner?

All of the above

Which of the following are signs of possible neglect?

All of the above

An 84 year old man is admitted from his son’s home for dehydration. He has a history of moderate to severe dementia and is very underweight. He has a large bed sore. His hair is unkempt, his teeth are in poor condition, and his clothing is disheveled and dirty.

What should you do?

Report the findings and possibility of abuse/neglect to your supervisor

In VA, treatment of pain is a high priority.

True

Which is the best way to deal with a patient who you suspect is developing an opioid use disorder?

Discuss options that are available for support and treatment

Buprenorphine and Methadone are FDA approved for the treatment of Opioid Use Disorder and are also good pain relievers.

True

The best way to dispose of opioid medication is to crush the pills and flush them down the toilet.

False

Which is/are ways to help patients avoid accidental opioid overdose?

All of the above

You do not need to get your supervisor’s approval to accept a gift from a Foreign Government if the value is below $375.

False

VA employees and trainees are prohibited from receiving gifts or favors from prohibited or restricted sources.

Which of the following is a prohibited or restricted source?

All of the above

A Covered Relationship includes roommates, even if that roommate is not a family member or romantically involved with you.

…

You may solicit employees in your office to chip in for a wedding gift for another Federal employee.

True

If you have a question regarding a compliance concern, or you suspect illegal or unethical documentation or business procedures are being used in your VA medical center, who should you notify first?

Supervisor

All employees have important roles and responsibilities in the CBI program.

Why is CBI important for you? Check the one best answer.

All of the above

Inadequate or incomplete documentation does not affect a third party insurance claim.

False

The Office of Compliance and Business Integrity program is responsible for internal oversight of VHA revenue operations.

True

While at the VA you believe you are being repeatedly subjected to demeaning comments, willful interference with work assignments, and intimidation by a VA employee, patient, or trainee based on your race, color, religion, sex, sexual orientation, national origin, age, disability or in retaliation for participating in prior EEO activity.

This behavior is/or may be described best by which of the following?

A reportable violation as it has resulted in a hostile work environment

Workplace harassment need not result in severe physical or psychological harm to be a violation.

Elements of workplace harassment based on your race, color, religion, sex, national origin, age or disability include which of the following?

All of the above

To qualify as actionable sexual harassment, the harasser’s conduct must be which of the following?

Unwelcome

Which of the following are examples of behavior constituting sexual harassment?

All of the above

Which of the following best describes a protected disclosure?

All of the above

A female supervisor berates a male trainee on three separate occasions in counseling sessions. The supervisor’s comments were loud enough for other trainees and employees to hear, intimidating, threatening, and laced with profanity.

Can this be viewed as gender based workplace harassment?

Yes, if the supervisor targeted the employee because of his gender

Employees and trainees are strongly encouraged to report instances of workplace harassment, fraud, waste, abuse or acts of discrimination to a supervisor or another appropriate management official.

What will happen if you report a violation?

You will be protected from retaliation from VA staff

which of the following is true regarding malpractice/liability for trainees while on assignment at VA?

trainees are covered by the federal governments own malpractice coverage under the federal tort claims act

what should you do if you are named as a witness in a malpractice case involving a VA patient?

provide accurate information to VA and department of justice attorneys

Which of the following statements is true if a claim is filed against a trainee who is validily appointed to be on assignment rotation at a va facility

the justice department usually takes steps to substitute the US as the defendant in place of the trainee

What is required by the VA in order to ensure you are covered under the federal tort claims act?

That you have been given an official VA appointment