NUA 120 - Chart Pack Practice Questions

Question 1

what are the 4 primary responsibilities of a NUA?

Answer 1

1. processing doctors orders
2. admitting, transferring and discharging patients
3. answering and making phone calls
4. miscellaneous duties eg. filing reports, maintaining charts

Question 2

what is included in processing doctors orders

Answer 2

1. kardexing
2. symbolizing
3. entering orders in the computer
4. MAR

Question 3

what percentage does a NUA spend time processing doctors orders ?

Answer 3

60%

Question 4

what types of admitting is included in NUA responsibilities ?

Answer 4

1. emergency admissions

2. admissions from other health care facilities

Question 5

what types of transfers do NUA’s do?

Answer 5

1. in/out

2. intra-ward

Question 6

what types of discharges do NUA’s do?

Answer 6

1. home
2. AMA
3. to other facilities

Question 7

what percentage of time do NUA’s spend on admitting, transferring and discharging patients?

Answer 7

10%

Question 8

what is included in the responsibilities of answering and making telephone calls? (5)

Answer 8

1. answering the phone
2. paging doctors for medical staff
3. calling family members for patients
4. making appointments for patients
5. calling other wards to follow up on tests

Question 9

what are some miscellaneous duties a NUA’s have to do?

Answer 9

1. making chart packs
2. filing reports
3. maintaining charts: adding blank printed pages
4. stocking supply room
5. stocking supplies at nursing stations

Question 10

what are ways to be effective and efficient in a NUA position?

Answer 10

1. good handwriting skills
2. ability to work accurately with detailed information
3. ability to communicate verbally with hospital staff in an effective manner
4. ability to recognize and adapt to your work priorities
5. ability to be organized and keep everything in order
6. excellent manner and professional towards others
7. good listening skills

Question 11

what is a community care hospital ?

Answer 11

urgent care centre

Question 12

what type of hospital is accessible by the public?

Answer 12

community care hospital

Question 13

what is acute care hospital ?

Answer 13

secondary health care

Question 14

what is secondary health care?

Answer 14

where a patient receives active but short-term treatment for a severe injury.

Question 15

what is tertiary care?

Answer 15

it is a specialized consultative heath care

Question 16

how do patients get to tertiary care?

Answer 16

on referral from a primary or secondary health professional

Question 17

what is the admitting departments main purposes ?

Answer 17

1. keep an up to date census of all empty beds/full beds
2. print the admission/separation record
3. print an I.D. bracelet, print 4-5 labels and an ADR
4. assign new hospital number to the patient if he/she has never been to the hospital
5. register every patient that comes to the hospital
6. admit, transfer and discharge all inpatients
7. admit all new born babies to the hospital and assign a PHN for the baby
8. to record, update all personal information of a patient

Question 18

what hours are admitting open?

Answer 18

24/7

Question 19

what records will be prepared by the admitting clerk, upon the arrival of an elective admission?

Answer 19

1. admission separation record
2. patient identification wristband
3. patient labels
4. ADR (allergy/adverse drug record)

Question 20

what is the first form that is completed for a new patient at the hospital?

Answer 20

admission/separation record

Question 21

what is the ATD form good for?

Answer 21

quick 24 hour reference to see what empty beds and what new admissions or transfers are coming

Question 22

what does the ATD form record?

Answer 22

1. admissions
2. transfers
3. discharges

Question 23

what is an elective admission?

Answer 23

admission that is arranged by the doctor with the hospital

Question 24

a patient scheduled for an elective admission may require what type of unit?

Answer 24

1. surgical nursing unit
2. psych unit
3. maternity unit

Question 25

what is on the O.R. slate sheet?

Answer 25

doctors surgeries scheduled for the following day

Question 26

who's responsibility is it to choose rooms for patients?

Answer 26

charge nurse

Question 27

what admission documents will you receive from the patient when they arrive on your ward?

Answer 27

1. admission/separation sheet 2. wristband 3. 4-5 labels 4. ADR

Question 28

what forms will the admitting clerk process for an emergency admission?

Answer 28

1. admission/separation sheet 2. wristband (new band) 3. 4-5 labels 4. ADR

Question 29

what forms will the patient arrive on the ward with?

Answer 29

1. PCR (patient care record - filed in miscellaneous) 2. emergency nursing assessment form (filed in clinical record) 3. patient progress notes 4. lab reports 5. history sheet (filed in clinical records) 6. doctor's order sheets 7. copy of the emergency admission forms (filed in miscellaneous) 8. Old chart 9. 4-5 patient labels 10. ADR 11. Pharmanet or BPMH (filed in doctors orders)

Question 30

when a bed is ready, how does the patient get transferred?

Answer 30

by a porter

Question 31

what are the steps if you get an emergency admission?

Answer 31

1. process patient same as an elective admission 2. record the name of the patient in the A.T.D. book on the computer 3. assemble the chart 4. advise the RN of the patient and the arrival time

Question 32

Can the NUA take a report over the phone?

Answer 32

No

Question 33

What are 2 types of specialized hospitals?

Answer 33

1. Vancouver Hospital (Burn Unit and Spinal cord injury unit) 2. St. Pauls (Cardiac Service)

Question 34

what must the hospital supervisor do before transferring a patient

Answer 34

call the nursing unit with information on the patient

Question 35

Where can you put labels with the patients name?

Answer 35

1. patient name label for spine of the chart 2. lab specimens - urine/stool 3. patient food or belongings

Question 36

what is food and nutrition services department main purpose?

Answer 36

to prepare and serve food to patients and hospital employees

Question 37

who is responsible for processing diet orders?

Answer 37

NUA

Question 38

if a change is made to the meal plan close to mealtime what can you do?

Answer 38

changes can be telephones to the dietary department

Question 39

are the cut-off times for ordering diets?

Answer 39

yes

Question 40

what are the hours of the food and nutrition department ?

Answer 40

630 am - 630 pm

Question 41

what information do you give the food and nutrition department regarding that patient?

Answer 41

1. ward 2. room # 3. bed # 4. patients last name 5. patients diet or diet changes

Question 42

what else does the food and nutrition department do?

Answer 42

1. delivers meals and snacks to patients 2. tops up ward stock in the kitchen 3. run the cafeteria

Question 43

What is the major function of the Environmental/Housekeeping department?

Answer 43

maintain a clean and sanitary environment to prevent the spread of infection

Question 44

what hours are the housekeepers on the floor?

Answer 44

7 am - 7 pm

Question 45

what are some conditions that require prompt attention?

Answer 45

1. a medication has been spilled 2. halls are wet and slippery 3. food/drink spill

Question 46

does housekeeping clean body fluids ?

Answer 46

No

Question 47

how does the NUA communicate with housekeeping ?

Answer 47

1. telephone 2. pager 3. face to face 4. vocera

Question 48

why are patients placed on isolation?

Answer 48

to prevent the spread of disease