1-35 Flash Cards

1
Q

Immediate Care Facility (ICF)

What is required in order to admit a resident into a ICF?

(73517)

A
  1. Physicians order
  2. Must be able to provide care
  3. Pre admission personal interview with primary and referring physician, patient, patient’s next of kind, and/or sponsor.

Note: A telephone interview may be substituted when a personal interview is not feasible. SNF says only 1 & 2 are required.

(72515)

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2
Q

ICF

Housing areas for patients must be approved by who?

(73609)

A

The Department and the state Fire Marshall.

Note: Except in case of an emergency when temporary permission may be granted by the director or his designee.

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3
Q

Federal/SOM

The following must be given to the resident and/or legal representative in writing?

(F 550-586,621)

A
  1. Advance Healthcare Directive policies & Procedures.
  2. Information on how to apply for Medicare & Medical.
  3. Items & Services covered under Medicare & Medical.
  4. Items & Services not covered under Medicare & Medical
  5. Services available for charge by the facility.
  6. Policies & Procedures on the management of personal funds.
  7. Information on who is entitled to Medical benefits.
  8. Requirements & Procedures for Medical Eligibility.
  9. Procedure for assessing a community spouses equitable share of resources that cannot be used for payment of cost for the institutionalized spouse.
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4
Q

Federal/SOM

What names, addresses and telephone numbers must be posted in the facility?

(F 575)

A
  1. Protection & Advocacy networks for the Mentally Ill (MI) & Developmentally Disabled (DD).
  2. State Survey & Certification Agency.
  3. State licensure Office.
  4. State Ombudsman Program.
  5. Medicaid (Medical for CA) Fraud unit.
  6. How to apply for Medicare & Medical. (Also must be given orally).
  7. Home & Community Based service Programs
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5
Q

ICF

A physician who assures responsibility for the medical guidance of the facility is known as what?

(73085)

A

Advisory Physician

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6
Q

STP

The facility and local mental health director or designee will reassess the certification of the patients’ Special Treatment Program how often?

(72445)

A

At Least every 4 months.

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7
Q

SNF

What are the fees for CNA certification?

Initial certification?

Renewal?

Delinquency?

Duplicate?

(71841)

A

Initial: $5.00

Renewal: $20.00

Delinquency: $10.00

Duplicate: $5.00

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8
Q

SNF

What is the required temperature at the manifold of the final rinse in a dishwashing machine?

(72347)

A

180 Degrees Fahrenheit

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9
Q

SNF

What type of supervision is required for a physical therapy aide?

(72407)

A

Direct Supervision from the physical therapist who is supervising the physical Therapy Unit.

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10
Q

SNF

What is the required supply for medication in the unit dose system?

(72373)

A

Must have 24-hour supply for all patients and no more than 48 hours for all patients.

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11
Q

STP

What are the required minimum number of patients for a Special Treatment Program?

(72445)

A

30

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12
Q

STP

How many hours of direct group or individual program service is required for each patient of a Special Treatment Program?

(72445)

A

A minimum of 27 hours per week.

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13
Q

STP

Initial evaluation and assessment by the facility staff must be done within how many days?

(72451)

A

15 days after admission or 30 days prior by the referring agency.

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14
Q

STP

In an emergency, a physical restraint may be applied under what circumstances?

(72461)

A

It may be applied if the patient is a danger to themselves or others and must have an order from a licensed healthcare practitioner acting within the scope of his/her professional licensure within one hours of the actual restraint and the order must be signed within 5 days.

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15
Q

STP

What is the time frame for a phycological evaluation and assessment after admission in a STP?

(72451)

A

45 days.

Note: ICF says psychological and educational evaluation.

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16
Q

STP

A licensed psychiatric technician in a special Treatment Program may do what?

(72465)

A

Serve as a charge nurse and administer medications in an STP.

Note: A psych tech cannot serve as a charge nurse or administer medications in a SNF.

17
Q

STP

Resident Rights’ in an STP shall be prominently posted in the facility in what languages?

(72453)

A

English and Spanish

18
Q

STP

Orders for a restraint and/or seclusion, not in an emergency situation, shall be signed by the licensed healthcare practitioner acting within the scope of their licensure and renewed within what time frame?

(72461)

A

Every 24 hours

19
Q

SNF

Drugs ordered STAT shall be administered within how many hours when the pharmacy is closed?

(72355)

A

2 Hours

20
Q

SNF

A copy of the menu as served shall be kept on file for how long?

(72341)

A

At least 30 days.

21
Q

STP

List the rights of patients in an STP.

(72453)

A
  1. To wear their own clothes and to keep and use personal possessions.
  2. To have access to an individual storage.
  3. To see visitors each day.
  4. To have reasonable access to a telephone, to make and receive confidential calls.
  5. To have access to letter writing materials and to receive mail un-opened.
  6. To refuse shock treatments.
  7. To refuse lobotomy.
  8. And all other rights provided by law.
22
Q

SNF

Define Social Work Services

(72433)

A

Services which assist staff, a patient and a patient’s family to understand and cope with a patient’s personal, emotional and related health and environmental problems.

23
Q

SNF

On Premise food supply requirements for staple foods and perishable foods are what?

(72349)

A

At least one week (not 7 days) supply for staple foods and 2 days for perishables.

24
Q

SNF

Menus for regular and therapeutic diets shall be written and posted in the kitchen when?

(72341)

A

Written and posted at least one week in advance.

Note: ICF says written one week in advance and posted at least 3 days in advance.

(73333)

25
Q

SNF

Define supervision, direct supervision and immediate supervision?

(72113)

A

Supervision does not require the immediate presence of the supervisor. Direct supervision requires the supervisor to be in the same building and available. Immediate supervision requires the supervisor to literally be present while the task is being performed.

26
Q

SNF

How are glass thermometers disinfected?

(72323)

A

Ten minutes in 70% Ethyl alcohol or 90% Isopropyl alcohol with 0.2% iodine.

27
Q

SNF

What are the requirements for a CNA to remain current with their licensure?

(71839)

A

State says continue to meet the 24 hours per year (48 hours every 2 years) continuing education requirement and keep the certification up to date. Fed says must receive no less than 12 hours of in-service training based on performance reviews done at least every 12 months. All aids training must include dementia management and abuse prevention. Also weaknesses found during performance reviews must be addressed and cognitive care when applicable.

(F 730)

28
Q

SNF

Define Core Curriculum

(71807)

A

Means a description of each category of study within a program which covers minimum knowledge and skills required for nurse assistants and builds on their knowledge in a logical and methodical manner.

29
Q

SNF

CNA training program shall include what?

(71835)

A

100 hours of supervised clinical training and 50 hours of theory

Note: Theory hours assigned to each module are mandatory. Modules can be out of sequence but the theory hours assigned to each module must stay the same.

Note: Fed says must have completed a training & competency program approved by the state.

30
Q

SNF

How often must a CNA license be renewed?

(71839)

A

Every 2 years

31
Q

SNF

How long can a part time or full time nurse assistant be employed as a nurse assistant by a facility before they are certified?

(71835)

A

Within 4 months of employment he or she must be certified to continue employement in a facility.

32
Q

SNF

How many opportunities is a CNA given to take the examination and pass?

(71837(

A

A total of 3.

33
Q

STP

Explain denial of rights.

(72453)

A

The attending physician or phycologist may deny a patient their rights for “good cause” except the right to refuse shock treatment or lobotomy. The rights and/or limited rights being denied to the patient must also be documented in the patient health record.

34
Q

SNF

Milk dispensing devices need to be approved by who?

(72349)

A

The local Health Department

Note: ICF’s are only allowed to use approved milk dispensing devices with homogenized milk or they must serve an individual carton and they must open the carton in front of the resident.

(73345)

35
Q

SNF

Signed drug orders shall be transmitted to the issuing pharmacy within how many hours and transmitted how?

(72363)

A

Within 48 hours either by a written prescription or an order form which produces a direct copy of the order by fax.