Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

State Cards > 131-179 > Flashcards

131-179 Flashcards

1
Q

Water for human consumption from an INDEPENDENT SOURCE is subjected to …

A 
Bacteriological analysis by:
1. the local Health Department, 
2. State Department of Health or 
3. Licensed Commercial Lab 
at least every 3 months.  
Copy of most recent report available for inspection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

All screens must be what size and screen doors must be approved by who?

A
  1. 6 Mesh per centimeter or 16 mesh per inch

2. Approved by State Fire Marshall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the minimum requirement of a signal system?

A
  1. Visible in the corridor above the patient’s room
  2. Audible signals and light indicating the room
  3. Must have a reset button in the room where the call originated unless there is a 2 way voice system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Static pressure drop (air filters) shall be maintained…

A
  1. Written record of inspection cleaning or replacement
  2. Description of filters originally installed
  3. The efficiency rating by ASHRAE (American Society of Heating Refrigeration and Air Conditioning Engineers)
  4. Change the filters according to the recommendation by the manufacturer.
  5. After cleaning or replacement, visually inspect fans when they are on and off using a flashlight
    6 Keep certifications from equipment service companies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the required committees in a SNF?

A
  1. Patient Care Policy Committee
  2. Infection Control Committee
  3. Pharmaceutical Committee

NOTE: ICF only require Patient Care Policy Committee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Administrative Policy and Procedures shall be

  1. reviewed how often?
  2. Revised how often?
  3. Approved in writing by who?
A
  1. At least annually
  2. As needed
  3. The Governing Body or Licensee and Medical Director
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The Pharmaceutical Services Committee shall meet how often?

A

Quarterly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The Pharmaceutical Service Committee shall be composed of the following:

A
  1. Pharmacist
  2. DON
  3. Administrator
  4. And one physician
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Patient Care Policy Committee shall meet at least how often?

A

Annually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Infection Control Committee shall meet how often?

A

Quarterly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The Administrator shall notify the Department of an unusual occurrence within what time frame?

A

24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

List the survey process.

A 
TASK #1 
#1Off site survey prep 
#2 Oscar/Casper report 
#3 facility compliance for the last 4 surveys and report 
#4 in the last survey in comparison to state regional and regional averages.
TASK # 2 entrance conference
TASK # 3 initial tour
TASK # 4 sample selection
TASK # 5 information gathering
TASK # 6 information analysis
TASK # 7 exit conference

NOTE: See Appendix P of OBRA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the lighting requirements in a SNF?

A
  1. 30 Foot candles in reading areas and work areas
  2. 20 Foot candles of light in all other areas, including exits, entrances, stairways, ramps, corridors and storerooms.

NOTE: ICF says
30 lumens in reading/work areas
10 lumens in the rest of the room
5 lumens in exits, entrances, stairways, ramps, corridors and storerooms.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the requirements for employee health examination and health records?

A
  1. All employees including licensee, if working the the facility, must have health exam.
  2. Exam must be 90 days prior to employment or within 7 days after.
  3. Must be yearly
  4. If TB test is positive, must do 14”x17” chest
    x-ray
  5. Health records must be kept for 3 years after termination.

NOTE: Fed (Equal Opportunity Act) says must be kept separate from personnel file.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. How are schedule II drugs stored?

2. Records kept for how long?

A
  1. In a separate locked cabinet unless in a unit dose system on scheduled basis.
  2. Records are kept for 1 year separate of other records unless using a unit dose system.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How do you handle communicable diseases in an ICF?

A
  1. You don’t. You must transfer the patient to an appropriate placement ASAP.
  2. While waiting for the transfer, and ICF must follow the same regulations as in a SNF
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Drugs can be returned to the issuing pharmacy under what circumstances?

A
  1. They must be sealed
  2. Cannot violate any State or Federal regulation
  3. Cannot be a schedule II, III, or IV
  4. Identified by a lot or control number
  5. A separate log must be kept with signatures of the facility RN returning the medications and signatures of the receiving pharmacist.
  6. Log must be kept for 3 years.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Schedule II, III, IV drugs shall be destroyed by the facility in the presence of:

  1. who?
  2. Documented how?
  3. Log…
A
  1. Pharmacist AND RN employed by the facility
    NOTE: ICF says the same
  2. Patient name, strength, amount, date destroyed, prescription.
  3. Signature of pharmacist and RN
  4. Kept in a separate log OR patient health record for 3 years.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Drugs the ARE NOT schedule II, II, or IV shall be destroyed in the presence of:

  1. Who?
  2. Documented how?
  3. Log…
A
  1. Pharmacist OR licensed nurse employed by the facility AND 1 other witness WITH all signatures required.
  2. Patient name, strength, amount, date destroyed, prescription
  3. All signatures required
  4. Log kept for 3 years. Kept in a separate log OR patient health record for 3 years.

NOTE; ICF says pharmacist OR RN plus 2 witnesses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

List the license categories

A
  1. General Acute Care Hospital
  2. Acute Psychiatric Hospital
  3. Skilled Nursing Facility
  4. Intermediate Care Facility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What regulations govern the physical plant?

A

Title 24

22
Q

When must the Department be notified of any construction, remodeling or alterations?

A

Within 5 days of the commencement of any construction.

23
Q

What are the licensing fees?

A

SNF

  1. 1-49 = $948.00 plus $13.00 per bed
  2. 50-99 = $1,186.00 plus $13.00 per bed
  3. 100+ = $1,540.00 plus $13.00 per bed

ICF

  1. 1-59 beds = $948.00 plus $13.00 per bed
  2. 60-99 = $1,186.00 plus $13.00 per bed
  3. 100+ = $1,540.00 plus $13.00 per bed
24
Q

How many days after a discharge must a patient’s chart be closed?
How many years must the record be kept after discharge?
How many years after minor’s discharge must the record be kept?

A
  1. 30 Days
  2. 7 years (Really 10 years)
  3. 1 year after 18 years old and never less than 7.

EXAMPLE: 11 year old minor discharged. The record must be kept until they are 19 years old even though that is more than 7 years, must be kept longer in order to meet the 1 year after 18 requirement.

25
Q

How many in-service hours are required?

A

24 hours a year or 48 hours every two years.

NOTE: Fed reg says 12 hours per year

26
Q

What are the requirements regarding a public telephone?

A

A SNF is required to have a public telephone. The exception is a separate building with 6 or less ambulatory patients.

27
Q

How many hours are there of orientation and how is it broken down?

A 
16 hours.
1. First 8 hours -
 tour,
 patient population,
 daily routine, 
 uses of equipment, 
 call cord and system
 diaster and unusual occurrence
 intro to patient care
2. Second 8 hours (within 32 hours)
 administrative structure
 organizational chart
 services offered
 role
 personnel policies and procedures
28
Q

What is included in the personnel Policies and Procedure section of the orientation program?

A
  1. Philosophy of care
  2. Patient’s rights
  3. Legal and ethical issues
  4. Direct patient care - Transferring, bathing, positioning, turning
  5. Comfort and environment
  6. Federal and State regulations
  7. Choking (CPR)/First aid certification)
  8. A signed performance evaluation
29
Q

What are the qualifications for the Staff Developer (DSD)

A

1 year as an RN or LVN providing direct patient care with
1 year experience planning, implementing and evaluating educational plan OR
2 years full time experience with 24 hours of continuing education within 6 months of employment AND
a copy of the transcript must be sent to the department AND
a copy available on site

30
Q

What is the requirement for the storage of food being stored in the kitchen in regards to the flooring?

A
  1. SNF says it must be (just off the floor)

2. ICF says all food must be stored at least 12” off the floor

31
Q

What is the requirement in notifying the department of defaced or destroyed health records?

A

The department must be notified in writing within 3 business days.

NOTE: ICF says immediately and in writing.

32
Q

Define: Substantial probability

A

The likelihood that an event is real and substantial

33
Q

Define: Serious physical harm

A

Bodily injury resulting in a literal loss of a body part or reduced capacity to use/function either temporary or permanent loss of internal function resulting in a temporary or permanent reduction in physical, mental capacity or shortened life

34
Q

Define: Direct relationship

A

Significant risk is created

35
Q

Define: Class “C” violation

A

Violation of a statute or regulation relating to the operation or maintenance of the facility with only minimal relationship to the health, safety, or security of the patients

36
Q

What are the regulations for pest control?

A

Facility must be rodent and vermin free

NOTE: There are no specific requirements JUST DO IT!

37
Q

What are some basic regulations/requirements of housekeeping department?

A
  1. Must have daily, weekly, monthly schedules and policy and procedures posted.
  2. Supplies available
  3. Must use commercial germicide
  4. Mop head must be changed daily
  5. Environment must be safe, clean, orderly, attractive and kept free of odors
  6. Janitor closets must be cleaned and be locked when not in use
38
Q

What are some basic requirements for patient rooms and physical plant?

A
  1. They must be labeled on the outside of the door by number, letter or both for identification
  2. Rooms cannot be locked unless they are an approved seclusion room n a psychiatric facility
  3. Fences, yards, exits and doors cannot be locked without DHS approval
  4. Rooms with ambulatory patients must be labeled “Reserved for Ambulatory Patient” with half inch lettering
39
Q

What groups with special needs cannot be accepted to a SNF unless care can be provided for them?

A
  1. Development disabled
  2. Substance abuse-alcohol or drug
  3. Mentally disordered

NOTE: These people can be accepted into a SNF if they have a medical condition where a SNF can meet that need. A SNF cannot take these groups under the premise that they can treat these specific needs unless they have the special programs required to meet the need.

40
Q

What are the requirements for soiled linen?

A
  1. Policies and procedures for soiled linen must be posted in the laundry area
  2. Must be stored and transported in closed containers
  3. No odor and no cross contamination
41
Q

Back flow preventers (vacuum breakers) are maintained according to who?

A

Part 6, Title 24 of the California Administrative Code

42
Q

What are the requirements for clean linen?

A
  1. Policy and Procedures for clean linens must be posted in the laundry area
  2. Must be stored and transported in a covered unit
  3. Must have at least 3 complete bed changes for facility bed capacity
    4, Must have sufficient wash cloths to meet the need
43
Q

What are the requirements for solid waste containers?

A
  1. Moveable bins must be approved by local health department
  2. Must have tight fitted lids
  3. Must be in good repair
  4. Must be leak proof
  5. Must be rodent proof unless stored in an enclosure
  6. All containers except for moveable bins must have external handles
  7. Putrescible waste must be emptied every 4 days
44
Q

What are the regulations for the use of medical gases?

A
  1. Piped oxygen is tested and regulated by the National Fire Protection Association Bulletin
  2. Must be written reports for initial installation, changes to the system and integrity breaches
  3. Cannot transfer gases from cylinder to cylinder
45
Q

What are the basic guidelines for a citation review conference?

A
  1. Licensee has the right to bring legal council or anyone else
  2. The department representative who issued the citation should attend
  3. The conference shall be informal
  4. Neither party shall record, subpoena witnesses or cross examine
  5. May only present willing witnesses
46
Q

List the medical gases

A

Carbon Dioxide, Cyclopropane, Ethylene, Helium, Nitrous Oxide, Oxygen, Helium-Oxygen mixtures and Carbon Dioxide-Oxygen mixtures

47
Q

What are the requirements for equipment in the facility?

A
  1. Must meet OSHA requirements
  2. Portable electrical medical equipment must be 3 pronged and equipped for 110 - 120 volts. 60 Herts current
  3. Cord must be integral part of the equipment
48
Q

What are some requirements in the laundry area?

A
  1. Must be separate storage for clean and soiled linen
  2. Must have hand washing and toilet facilities close by
  3. Separate carts clearly labeled “soiled linen” and “clean linen”
  4. Carts must be made of washable materials
  5. Written procedures for storage, transportation and the handling of clean and soiled linens must be posted
49
Q

What are the requirements for the emergency system?

A
  1. Generator must provide back up for minimum of 6 hours
  2. In an emergency, the following is required to continue operation: Lighting, Signals, Alarms, Medical Equipment and any other function that is necessary
  3. Generator must be tested every 14 days on full load capacity for 30 minutes and a log must be kept
50
Q

Special Treatment Program must have the following areas:

A
  1. Dining
  2. Recreational
  3. Program
  4. Indoor
  5. Outdoor

NOTE: Indoor and outdoor areas may not be shared with another program. Designated for STP only.

51
Q

In an ICF telephone orders can received by who?

Signed when?

A
  1. Licensed nurse or pharmacist
  2. 48 hours

NOTE: SNF says 5 days

52
Q

What are the nursing staffing requirements in an ICF?

A
  1. 100+ beds needs an RN 8 hours per day – day shift only – 7 days a week.
    In addition, also need and RN or LVN 4 hours per day – day shift only – 7 days a week for each 50 beds or portion of in excess of 100.
  2. Must have nursing personnel day and night.
  3. Minimum of 1.1 nursing hours per patient day.

State Cards (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions