1-50 Flashcards
What are the fees for CNA certification ... Initial Certification? Renewal? Delinquency? Duplicate?
Initial $15.00
Renewal $20.00
Delinquency $10.00
Duplicate $5.00
The local mental health department will reassess the certification of the Special Treatment Program how often?
Every 4 months
What is the required temperature for hot water for the dishwashing machines?
What is the required temperature at the manifold of the final rinse?
Dishwashing machine hot water … 110 degrees Fahrenheit
Manifold final rinse … 180 degrees Fahrenheit
What type of supervision is required for a physical therapy aid?
Direct supervision
What is the required supply for medication in the unit dose system?
Unit dose must have 24 hours supply and no more than 48 hours
What are the required minimum number of patient for a Special Treatment Program?
30 patients minimum
How many hours of direct group or individual program service is required for each patient of a Special Treatment Program?
27 hours per week of direct group or individual service
Initial evaluation and assessment by the facility staff must be done within how many days? (STP)
15 days after admission
OR
30 days prior by the referring agency
In an emergency, a physical restraint may be applied under what circumstances? (STP)
A physical restraint may be applied if the patient is a danger to themselves or others
AND
must have a verbal physician’s order within one hour of the actual restraint
AND
order must be signed by the physician within 5 days
A licensed psychiatric technician in a Special Treatment Program may do what?
Serve as a charge nurse and administer medications in a distinct part.
NOTE: A psych tech cannot serve as a charge nurse or administer medications in a SNF.
What is the time frame for a psychological evaluation and assessment after admission in a Special Treatment Program?
45 days
Resident’s right in a Special Treatment Program shall be prominently posted in the facility in what languages?
English and Spanish
Orders for a restraint and/or seclusion, not in an emergency situation, shall be signed by the physician and renewed within what time frame?
Every 24 hours
Drugs ordered STAT shall be administered within how many hours when the pharmacy is closed?
2 hours
A copy of the menu as served shall be kept on file for how long?
At least 30 days
List the rights of patients in a Special Treatment Program.
1) To wear their own clothes and to keep and use personal possessions.
2) To have access to 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.
Define Social Work Services.
Services which assist staff, a patient’s family to understand and cope with a patient’s personal, emotional and related health and environmental problems.
Food supply requirements for staple and perishable foods are what?
One week (not 7 days) supply for staple foods and 2 days for perishables.
Menus for regular and therapeutic diets shall be written and posted when?
Written and posted one week in advance.
NOTE: ICF says written one week in advance and posted only 3 days in advance.
Define supervision, direct supervision and immediate supervision.
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.
How are glass thermometers disinfected?
Ten minutes in 70% Ethyl alcohol or 90% Isopropyl alcohol with 0.2% iodine.
What are the requirements for a CNA who hasn’t worked as a CNA for over 2 years?
State says continue to meet the continuing education requirements and keep the certification up to date.
Fed regs says must re-take the original 75 hours of training and competency.
NOTE: Fed regs say that the required CNA training and competency is only 75 versus State who says 100 clinical hours and 50 hours of theory/classroom.
Define core curriculum.
Core curriculum means a description of each category of study within a program which covers the minimum knowledge and skills required for nurse assistants.
CNA program shall include what?
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.
How often must a CNA license be renewed?
Every 2 years
How long can a part time or full time nurse assistant be employed as a nurse assistant by a facility before they are certified?
4 months … after 4 months he or she must be certified to continue employment in a facility.
How many opportunities is a CNA given to take the examination and pass?
A total of 3.
Explain denial of rights.
Denial of Rights: A doctor can deny a patient rights for “good cause” except the right to refuse shock treatment or lobotomy. The denial must also be noted entered into the patient health record.
Milk dispensing devices need to be approved by who?
The local Health Department.
NOTE: ICF’s are not allowed to use milk dispensing devices. They must have individual cartons and they must be opened in front of the residents. The exception is homogenized milk.
Signed drug orders shall be transmitted to the issuing pharmacy within how many hours and transmitted how?
Within 48 hours either with a written prescription or an order form which produces a direct copy of the order or by fax.
Oxygen equipment shall be maintained as follows:
Humidifier bottles changed how often?
And what type of water is used?
Changed every 24 hours and used only distilled, demineralized or de-ionized water. NOT ionized water.
NOTE: ICF says vaporizer bottles must be sterilized after each use AND changed every 2 hours. Use only sterile distilled water.
Social work services shall include but not be limited to the following:
1) Interview and written assessment within five days of admission.
2) Involve the patient, the family, the MD and other appropriate staff in developing a plan of care.
3) Weekly progress notes.
4) Monthly in-services for all shifts.
5) Discharge planning.
The dietetic manual is approved by who?
Reviewed how often?
And revised how often?
1) Dietician and Patient Care Policy Committee
NOTE: ICF says dietician only
2) Annually
3) At least every 5 years
NOTE: ICF says “keep current”
What are the required services in a Skilled Nursing Facility?
Physician Nursing Pharmaceutical Activities Dietary
Discontinued drugs shall be destroyed within how many days of the date the drug was discontinued?
90 days unless the drug was started again within the 90 days
What is the difference between drug administration and drug dispensing?
Drug administration is done by the person actually preparing the dose and actually giving it to the patient i.e., a nurse.
Drug dispensing is the packaging and labeling of medication i.e., the pharmacist.
Define mechanically altered diet.
Means a diet altered in texture.
Define medication.
Means any chemical compound, remedy or non infectious biological substance, the action of which is not solely mechanical, which may be administered to patients by any route as an aid in the diagnosis, treatment or prevention of disease or other abnormal condition, for relief of pain or suffering, or to control or improve any psychological or pathological condition.
NOTE: Medications used for cosmetic purposes or other non medication purposes not mentioned above are not considered “medications” in a SNF environment.
What type of milk shall be served?
And processed according to who?
1) Pasteurized Grade A
2) Division 15 of the California Food and Agricultural Code
Changes to the menu must be noted where and how?
On the menu posted in the kitchen.
Line out the old item, write the reason for the change and write in the new replacement.
What are the requirements of the facility for out patient services such as PT, OT, ST or Audiology?
1) Located as to minimize noise, odors, hazards and unsightliness to facility patients.
2) Out patients service units shall not traverse a nursing unit.
3) Must have separate toilets for men and women.
4) Drinking water facilities approved by DHS.
5) Hand washing facilities with hot and cold water.
6) Waiting area with space enough to seat the maximum number of persons expected at any one time.
What is the minimum floor area requirement for PT and OT units?
300 square feet and no dimension less than 12 feet
What is the requirement for exercise for a patient in a restraint?
No less than 10 minutes for every 2 hours in which the restraint is applied.
How often can a cycle menu be used?
Must be revised?
1) No less than 3 weeks
2) Quarterly
Storage of non legend drugs at bedside shall meet the following:
1) Shall prevent access by other patients.
2) Document the use of medications and quantity of medications supplied in the patient health record.
3) Must have a physician order.
Physician history and physical evaluation is required within what time frame?
72 hours following admission or 5 days prior to admission
What is the time frame for approving a request for a change in curriculum of a certified nursing assistant program? (Also known as Program Flexibility.)
Minimum 30 days
Medium 45 days
Maximim 60 days
Who reviews and approves the Special Treatment Program?
Local mental health director or designee
Define physical restraint
Means any physical or mechanical device or material attached or adjacent to a patient’s body that the patient cannot remove easily, which has the effect of restricting the patient’s freedom of movement.
NOTE: A physical restraint is not the same as a treatment restraint.
What is the process for washing utensils not using mechanical means?
Wash in minimum temperature of 110 degrees F with soap or detergent and rinsed in hot water AND disinfected by one of the following:
Immersion for 2 minutes at 170 degrees F, OR
30 seconds at 180 degrees F, OR
in water containing bactericidal chemical approved by the Department of Health.
