CoreCHI

• Logistics: 2-hr, computer-based, 100Q, 4-option MCQ, 1 correct answer
• Study Plan
  • 1-Exam Handbook P70-72
  • 2-Notes review
• Practice Exam, identify the week parts
  • 5,6,10,16,21,26
  • SPRIE 2-3-4-5
  • 5 - IMIA SoP Duty P29
  • 10 - NCIHC Standard 17 P8
  • 21 - NCIHC Role P7-9; CHIA P32
  • 26 - Hospital Emergency Codes Hospital emergency codes - Wikipedia
• 16 - CHIA Role P44

CHI - In-Person - NBCMI

CoreCHI Exam Contents

Professional Responsibilities and Interpreter Ethics - 22

• Healthcare interpreter:
  • who has been trained in healthcare interpreting - adheres to professional code of ethics and protocols of healthcare interpreter
  • knowledgeable about medical terminology
• accurately and completely render communication from one language to another
• Roles: message converter, messenger clarifier, cultural clarifier, patient advocate
• CoE with 3 core values of beneficence, fidelity (faithfulness to the original) and respect for the importance of culture
• SoP: 32 standards grouped in 9 headings
  • Accuracy: do not omit; replicate the register, style and tone; but may ask for repeating or re-expression in a more easily understood way
  • Confidentiality - without consent, no discussion with family
  • Impartiality - avoid interpreting for a family member or close friend
  • Respect: promote direct communication between HCP and patient; promote patient autonomy (direct to appropriate resources within the institution)
  • Cultural awareness: learn about traditional remedies used by patient; alert/call attention to significant cultural misunderstanding like on fasting
  • Role boundaries:
    • limit personal involvement (share overly personal info); do not advise on healthcare questions, redirect to HCP instead
    • interpreter who's also a nurse does not confer with other HCP in patience's presence without reporting what's said, and be transparent
  • Professionalism
    • review and prepare relevant terminology,
      ask for explanation for a highly technical medical term
    • avoid sight translation, esp. for consent form, instead ask the HCP to explain and then interpret
    • advocate for working conditions
  • Professional development
    • stay up to date on changes in medical terms or regional slang
    • consult with colleagues on a challenging assignment
  • Advocacy
    • protect on behalf of a patient from serious harm, e.g. life-threatening allergy
    • alert supervisor to patterns of disrespect towards patients, e.g. mistreatment or abuse

Manage the Interpreting Encounter - 22

• Positioning
  • During family conferences:
    • when multiple members, stand close enough to the provider to heart everything; when most family members speak English and only 1/2 not, stand next to LEP to perform simultaneous whispered interpretation (or consecutive if not skilled
  • Inpatient interviews:
    • position at the provider's side of bed
  • Patient teaching session
    • stand near HCP and equipment to allow patient to concentrate on the equipment demo, and ensure their understanding
  • Classroom instruction
    • sit next to the patient and do whispered simultaneous interpretation to avoid disrupting the class
  • Gazing:
    • Avert gaze, and focus on a spot on the wall or on the floor as they interpreter, to facilitate direct communication btn HCP and pt; also able to pick up on body language
• Standardized Interpreting Protocols of CHIA:
  • Pre-encounter
    • provide name, state to maintain confidentiality, inform elements for smooth interpretation; ask HCP whether briefing needed before the interaction, and share any concerns by the interpreter
  • During encounter
    • position self to maximize direct communication
    • remind pt and HCP to address each other directly
    • use "I", and exercise discretion to 3rd person if any cultural confusion
    • attend to verbal and nonverbal cues and check if clarification needed
    • avoid side conversations with either party, and pace the flow
    • indicate clearly when speaking on own behalf when intervening
  • Post encounter
    • inquire any question/concerns, ensure the session ended
    • facilitate follow-up appointment
    • debrief HCP or supervisor on concerns

Healthcare Terminology - 22

US Healthcare System - 15

• National standard for CLAS (Culturally and Linguistically Appropriate Services) in health care
  • provide language assistance services at no cost to patients in a timely manner
  • provide to patients in their preferred language both verbal or written notice, inform the right to receive the services
  • HC institutions to assure the competence of language assistance
  • make available easily understood patient-related materials and post signage

Cultural Responsiveness - 19

Abbreviation

• BX - biopsy
• Dx - diagnosis
• Hx - patient history
• Sx - symptoms
• Rx - take prescriptions
• Px - physical exam, prognosis

Latin

• LEP - Limited English Proficient)
• A.C. - before meals
• AD - right ear
• AS - left ear
• AU - both ears
• Ad lib - as desired
• BID - bis in die, twice a day
• C - with
• H.S. - hora somni, at bed time
• NO - complaints
• OD - right eye
• OS - mouth or left eye
• OU - both eyes
• PO - by mouth
• PRN - as needed
• Q.D. - every day
• Q.H. - every hour
• Q2H - every 2hours
• QHS - every night at bedtime
• QID - four times a day
• QOD - every other day
• Stat - immediately
• TID - ter in die, three times a day

Acronym

• ABG - Arterial blood gas
• ACLS - advance cardiac life supoort
• ADL - activities of daily living
• BE - barium enema
• BLC - basic life support
• BMP - basic metabolic panel
• BPM - beats per min
• BUN - blood, urea, nitrogen levels
• C/O - complains of
• DOA - dead on arrival
• LD - lethal dose
• MICU - mobile intensive care unit
• W/C - wheelchair
• PCP - Primary care provider; physician, nurse practitioner, clinical nurse specialist or PA as allowed under state law, who provides and coordinates a patient access a range of health care services

Test Day

• Don't try to answer the question with information not provided in the stem
• Don't try to answer questions based on personal experience or opinions
• Don't get upset or frustrated, you can skip a confusing question and come back to it later
• Every 10Q, take a deep breath
• Be positive
• Sample Question:
  • Signed translation of consent form is not considered information, and ask the provide to go over the form with the patient
  • If fast, interpret simultaneously; can't ask to speak in short sentences? move closer to HCP to whisper interpret