Training Day 2

Overview

Training Day 2 is Test Day. Testing format includes a Multiple Choice Test and Practical Test.

How to Prepare for Test Day?

The TEST will consist of everything in your training manual, therefore please be sure to review the lectures and patient care skills in the back. If you need any clarification regarding the material that was covered during Training Day 1 or on your modules, please send your questions to our Training Team at sjotraining@copehealthscholars.org

Testing Accommodations

If any type of testing accommodations are needed for the exams, please speak with Brandon Vu, Program Manager, on Training Day 1. If you have any questions, please do not hesitate to email Brandon Vu at bvu@copehealthsolutions.com

Reminders

  • STUDY HARD BUT STUDY SMART and think about the items that we have emphasized numerous times. Hone down on the material that we pointed out and deemed as very important. If you try and memorize all of the material in your training manual, you will have a mental breakdown.

  • STUDY IN GROUPS and practice the clinical skills on relatives, colleagues, friends, etc. Talking out the lecture material to colleagues is also very beneficial.

  • The Written Exam will be 100 questions (multiple choice) and you will have 60 minutes to complete these questions. You will see material from both the lectures and from the clinical skill stations.

  • The Practical Exam will be situation-based, timed and in a group setting. You must efficiently integrate the material you have learned from the clinical stations, to be able to successfully pass the practical exam. You will be tested individually.

  • You must attain an 80% on each exam (The Written and The Practical Exam) to qualify as a pass!

Any suspicion of cheating or dishonest action will result in automatic dismissal from training / the program. You will also be barred from re-applying to any of the hospital sites within COPE Health Solutions. Bottom Line- DO NOT CHEAT!

When studying for your practical exam think of three things: Patient Safety, Health Scholar Safety, and Hospital Safety. Safety is key! Always think about what you need to do ensure safety for these three parties.

Practical Exam

You need to PERFORM everything that you would need to do to complete the task – simply verbalizing but not actually doing a step in the task will not count. For example, you will NOT receive credit for ONLY explaining how you would count a patient’s respirations while taking their vitals – you need to actually measure the patient’s respirations in the way that you were taught on Training Day 1. Remember, you must treat the practical examination as though you were actually shifting on the hospital floor and interacting with a real patient.

  • You will be expected to know how to incorporate AIDET/SKAHI into your patient care skills. Get into the habit of creating a mental checklist for AIDET/SKAHI, and understand how to perform what each letter in the AIDET/SKAHI acronyms stand for.

  • Hospital Staff - there are various hospital staff you may encounter on the floor. Make sure you understand the roles of each staff member, and know that they are not interchangeable.

  • Q: What is classified as a 'critical error' in the practical?

A critical fail is anything that critically endangers the safety of patients, staff, yourself or other Health Scholars. Examples include:

  • failing to report an incident

  • acting outside of scope (performing a task that requires staff permission without permission, performing a task that requires staff presence without a staff member, performing any task that requires a license, etc)

  • blatantly putting a patient at risk of harm (example: log rolling a patient with the rails down on the side the patient is rolling towards)

  • failing to put on the appropriate PPE before entering an isolation room

This list is not exhaustive, but it should provide you an idea of the things we see as most important. You should always be looking out for safety, and if something unsafe or inappropriate does happen, we expect you to report the injury/incident accordingly.

Do you have any suggestions on how to better prepare for the practical given that we don't have hospital supplies at home?

Try not to get caught up by the fact that you don't have a bed pan in practicing changing a patient. Remember, the supplies aren't the critical part of the skill -- you are. You can practice entering a room, checking patient identifiers, assessing for catheters and bedsores, and execute a log roll all without equipment. If you want to create a scenario that is a little more realistic, here are some suggestions:

  • Ambulating: Practice standing up a friend and walking them

  • Positioning: This just requires a bed sheet for repositioning up/down in bed and extra pillows for left/right

  • Making a Bed: All you need is an extra pair of linens

  • Changing a Patient: A hand towel can be a stand in for a 'chux pad', and a dinner plate can be a substitute 'bed pan'

  • Bathing a Patient: All you need are some towels and washcloths

  • Bed to Wheelchair: Practice moving a friend from a bed to a regular dinner table chair; if you use an office chair with wheels, be sure to block the wheels so know one goes flying!)

  • Bed to Gurney: This one may seem more difficult, but moving someone from the left side of the bed to the right side of the bed with a bedsheet actually involves most of the body mechanics required to move a patient from one bed to another

  • Feeding: You may not have a food tray, but there are plenty of ways to improvise

  • Vital Signs: Again, this may not seem so easy to practice at home, but you can practice taking pulse and respiratory rate, which are generally the skills that require the most practice anyway. The machines make blood pressure and temperature as easy as the push of a button

Remember, many of these tasks aren't all that different from what you do on a daily basis: get out of bed, make the bed, go to the toilet, take a bath, eat, etc. Students will often miss points because they forget how simple and familiar these tasks really are. For example, before you sit at the dinner table, you wash your hands. Similarly, when you help a patient to eat, you offer them a warm washcloth so they can wash theirs.

If you can run through AIDET/SKAHI successfully, you already have 20% of every skill covered. Knowing your scope of practice, practicing proper body mechanics, and remembering to report any injury or incident is essentially 60% of every skill. The last 20% of every skill is specific to supplies and processes. The best tip we can give you is to take a deep breath, try not to stress, and as you are going through these skills just be mindful of the principles of service and safety and you will be sure to succeed.