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HDS621S - HEALTHCARE DELIVERY SYSTEMS - 1ST OPP - NOVEMBER 2024 |
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n Am I 8 I A UnlVE RSITV
OF SCIEnCE Ano TECHnOLOGY
FacultyofHealthN, atural
ResourceasndApplied
Sciences
Schoolof HealthSciences
Departmentof Preventative
HealthSciences
13JacksonKaujeuaStreet T: +264612072970
Private Bag13388
F: +264612079970
Windhoek
E: dphs@nust.na
NAMIBIA
W: www.nust.na
QUALIFICATION: BACHELOR OF SCIENCE IN HEALTH INFORMATION SYSTEMS MANAGEMENT
QUALIFICATION CODE: 07BSHM
COURSE: HEALTHCARE DELIVERY SYSTEMS
DATE: NOVEMBER 2024
DURATION: 3 HOURS
LEVEL: 6
COURSECODE: HDS621S
SESSION: 1
MARKS: 100
FIRST OPPORTUNITY: EXAMINATION QUESTION PAPER
EXAMINERS:
MODERATOR:
MS ELIZABETH NDAKUKAMO-KASINO
DR ROSWITHA MAHALIE
MS INDAA PAULUS
INSTRUCTIONS
1. Answer all questions on the separate answer sheet.
2. Please write neatly and legibly.
3. Do not use the left side margin of the exam paper. This will be utilised by the examiner.
4. No books, notes and other additional aids are allowed.
5. Mark all answers clearly with their respective question numbers.
PERMISSIBLE MATERIALS:
1. None
ATTACHMENTS
1. None
This question paper consists of 3 pages including this front page.
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SECTION A: DEFINITIONS OF TERMS/FILL IN THE BLANKS
[20 MARKS]
QUESTION 1
{20)
1.1 Define the following terms. Each answer earns two (2) marks.
(10)
1.1.1 Rule-out
1.1.2 Continuum of care
1.1.3 Franco-German Emergency Systems
1.1.4 Role re-definition
1.1.5 Data review process
1.2 Fill the missing words in the statements below. Each answer earns one (1) mark.
(10)
1.2.1 _______
refers to the assigning of tasks, determining expected results and
transferring responsibilities (authority) to another individual to accomplish these tasks.
1.2.2 _______
is a list of responsibilities to be accomplished withing a specific timeframe.
1.2.3 _______
1.2.4 _______
is the reconstruction, reforming, fixation, or stabilization of a part.
surgery is done when a part of the body is repaired or reconstructed.
1.2.5 The _______
sets forth step-by-step instructions for the performance of tasks
within the surgical suite.
1.2.6 _______
present figures as cells in spreadsheet format.
1.2.7 _______
are used to display and compare numbers and frequency for
1.2.8
different elements.
All utilized materials and linen that are gathered, packaged, and sent to appropriate areas from
the _______
area.
1.2.9 _______
facility is an example of long-term care facilities.
1.2.10 At least 80% of the Namibian population now live within __ kilometers of a clinic.
SECTION B: SHORT/ LONG QUESTIONS
[40 MARKS]
QUESTION 2
(23)
2.0 Mrs. Serenity had a laparoscopic cholecystectomy 2 days ago. At 04h00 am, she complains of
severe abdominal pain and dizziness. She is kept rehydrated with Plasmolyte B intravenous infusion tds.
She looks disoriented and is grimacing. The nurse did not notice any active bleeding from the operation
wound. Her heartrate is 92bpm; BP 155/118; Respiration: 22; Saturation: 85%. The nurse
administers pethidine 25mg i.m.i. The nurse took a second round of parameters after 2 hours. The
following were recorded: BP 129/87; heartrate 72 bpm; Respiration: 18; Saturation: 94%.
2.1 Write the meaning of the medical terms written in bold in the scenario above.
2.2 Write the meaning of the abbreviations that are underlined in the scenario.
2.3 Using the abovementioned scenario propose guidelines on the medical decision-making
process to be used by health care workers to assess Mrs Serenity's health at various
intervals.
(4)
(3)
(16)
Healthcare Delivery Systems (HDS6215)
First Opportunity November_ 2024 2
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QUESTION 3
(17)
3.0 You have been appointed as a Health Programme Officer heading the Department of Health
Information Systems (HIS) at Swakopmund District Hospital, responsible for overseeing the diagnostic
services in the facility. The hospital provides a range of diagnostic services, including blood tests,
imaging services (X-rays and ultrasounds), and genetic testing. Recently, the hospital has been
experiencing delays in test results and challenges in managing diagnostic data, which has affected
patient care. As a new manager, your task is to streamline the laboratory operations and improve the
quality of service.
3.1 Discuss the solutions you would take to improve the speed and accuracy of diagnostic services
at the hospital, considering the issues of delayed results and data management.
(10)
3.2 Elucidate how the integration of technology, such as a Picture Archiving and Communication
System (PACS)or Radiology Information System (RIS),could help solve the data management
challenges in the laboratory and improve patient care.
(7)
SECTION C: SHORT/LONG QUESTIONS
(40 MARKS]
QUESTION 4
(24)
4.1 As the newly appointed Health Programme Officer at Engela State Hospital, you are
responsible for managing the hospital's waste management system. The hospital faces
several challenges, including inadequate segregation of waste, which has raised concerns
about potential infection risks for staff. Describe different types of hospital waste and
their handling.
(20)
4.2 Specify the various waste management practices commonly utilised at the facility
mentioned in (4.1).
(4)
QUESTION 5
(16)
5.1 A well-structured and orderly clinical record provides reliable knowledge of patients'
continuing problems. Describe the six (6) key data management processes.
(12)
5.2 Emergency Medical Rescue Services (EMRS) are specialised services that involve pre-hospital care
and transportation of patients from the scene of an accident/episode to health care facilities.
Discuss the aspects of early intervention within the healthcare value chain.
(4)
END OF QUESTION PAPER
Healthcare Delivery Systems (HDS621S)
First Opportunity November_ 2024 3