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Title 22: 2.5 & 3 > 3 SNF > Flashcards

3 SNF Flashcards

0
Q

SNF…Arrangements shall be made for an _______ ________ to participate at least annually in the staff development program for all patient care personnel and to approve oral hygiene policies and practices for the care of patients.

§72301. Required Services.

A

advisory dentist

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1
Q

Skilled nursing facilities shall provide, but shall not be limited to, the following required services:

Hint- 5 things:

§72301. Required Services.

A
  1. physician
  2. skilled nursing
  3. dietary
  4. pharmaceutical
  5. and an activity program
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2
Q

All persons admitted or accepted for care by the skilled nursing facility shall be under the care of a physician selected by the ________ or __________ __________ _____________.

A

patient or patient’s authorized representative

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3
Q

Which of the following is not a required service in Skilled Nursing Facilities?

Section 72301

  1. physician
  2. laundry
  3. skilled nursing
  4. pharmaceutical
A
  1. laundry
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4
Q

SNF…The telephone numbers of physicians shall be posted in a _________ place in the facility.

Section 72301

  1. prominent
  2. conspicuous
  3. accessible to the public
  4. all of the above
A
  1. conspicuous
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5
Q

A patient in a Skilled Nursing Facility must be evaluated by a physician at least ____?

Section 72307

  1. every 30 days
  2. as needed
  3. every 30 days and as needed
  4. every 30 days or as needed
A
  1. every 30 days and as needed
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6
Q

SNF…A change in weight of ______ or more within a 30-day period unless a different stipulation has been stated in writing should be brought to the physician’s attention.

Section 72311

  1. 10 pounds
  2. 10 percent
  3. 5 pounds
  4. 5 percent
A
  1. 5 pounds
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7
Q

SNF…If the RN supervisor prepares a dose at 11:00 am (which was prescribed to be given at noon) by what time must the LVN pass the medication?

Section 72313

  1. noon
  2. 1:00 pm
  3. 2:00 pm
  4. cannot be passed by the LVN
A
  1. cannot be passed by the LVN
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8
Q

SNF…Which type of water may not be used in humidifier bottles?

Section 72313

  1. distilled
  2. demineralized
  3. de-ionized
  4. ionized
A
  1. Ionized

Only the three d’s

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9
Q

Who can admit a patient to a Skilled Nursing Facility?

Section 72315

  1. administrator
  2. admissions coordinator
  3. physician
  4. all of the above
A
  1. physician
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10
Q

In general, how many days must a patient stay in a hospital before being admitted to a Skilled Nursing Facility?

Section 72315

  1. 1
  2. 3
  3. 7
  4. no days are required
A
  1. no days are required
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11
Q

SNF…Postural supports include?

Section 72319

  1. soft ties
  2. spring release trays
  3. cloth vests
  4. all of the above
A
  1. All of the above

And seat belts

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12
Q

SNF…Which of the following is not a requirement when caring for a patient with an infectious disease?

Section 72321

  1. room vented to the outside
  2. separate toilet
  3. individual towels
  4. individual tub
A
  1. Individual tub (not required)
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13
Q

An 87 bed Skilled Nursing Facility shall have at least one ____, awake and on duty in the facility at all times, day and night, in addition to the Director of Nurses?

Section 72329

  1. registered nurse
  2. licensed vocational nurse
  3. registered nurse or licensed vocational nurse
  4. certified nurse’s assistant
A
  1. Registered nurse or LVN
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14
Q

SNF…Which of the following must approve the dietetic service manual?

Section 72337

  1. medical director
  2. activity leader
  3. corporate QA nurse
  4. all of the above
A
  1. Activity leader (member of the PCP committee)

“A current therapeutic diet manual, approved by the dietitian and the patient care policy committee…”

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15
Q

In a Skilled Nursing Facility menus must be written at least ____ in advance?

Section 72341

  1. one week
  2. two weeks
  3. three weeks
  4. four weeks
A
  1. one week
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16
Q

SNF…Milk products shall be processed or manufactured in milk product plants meeting the requirements of ____?

Section 72349

  1. Division 15 of the California Food and Agricultural Code
  2. Division 22 of the California Food and Agricultural Code
  3. Division 15 of the Milk Advisory Board
  4. Division 15 of the California Regulatory Code
A
  1. Division 15 of the California Food and Agricultural Code
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17
Q

SNF…Medications brought by or with the patient on admission to the facility shall not be used unless the contents of the containers have been examined and positively identified after admission by the patient’s physician or a _____?

Section 72367

  1. registered nurse
  2. licensed vocational nurse
  3. pharmacist retained by the facility
  4. director of nursing
A
  1. pharmacist retained by the facility
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18
Q

SNF…Destruction records for schedule II, III or IV drugs shall be kept for ____ years?

Section 72371

  1. one
  2. two
  3. three
  4. four
A
  1. Three years
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19
Q

SNF…Each resident’s drug regimen must be free from ____ drugs?

Section 72375

  1. more than 10
  2. antipsychotic
  3. unnecessary
  4. expensive
A
  1. Unnecessary
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20
Q

SNF…Drugs used from the emergency kit must be replaced within ____ hours?

Section 72377

  1. 24
  2. 72
  3. 48
  4. 12
A
  1. 72 hours, then the kit must be re-sealed by the pharmacist.
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21
Q

SNF…At a minimum, how often must individual progress notes for activities be recorded?

Section 72381

  1. quarterly
  2. monthly
  3. daily
  4. weekly
A
  1. quarterly
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22
Q

SNF…Which is not required to be posted conspicuously in a prominent location?

Section 72503

  1. listing of all services and special programs provided in the facility
  2. services provided through written contracts
  3. true copy of the administrator’s license
  4. most recent licensing visit report
A
  1. true copy of the administrator’s license
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23
Q

SNF…The facility is notified that the city is going to cut off the water service for 24 hours - who must be notified?

Section 72513

  1. the governing body
  2. the administrator
  3. the licensee
  4. the Department
A
  1. the Department
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24
Q

Under section 72520, a Skilled Nursing Facility should offer a bed hold of ____ days to a resident?

Section 72520

  1. three (3)
  2. five (5)
  3. seven (7)
  4. fourteen (14)
A
  1. seven (7)
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25
Q

SNF…Patient care policies and procedures should be revised ____?

Section 72523

  1. annually
  2. as needed
  3. every five years
  4. quarterly
A
  1. As needed
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26
Q

In a Skilled Nursing Facility which of the following is not a required committee?

Section 72525

  1. patient care
  2. infection control
  3. administration
  4. pharmaceutical service
A
  1. administration
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27
Q

In a Skilled Nursing Facility, within how many days following a death of a patient must the facility surrender all money and valuables to the person responsible for the patient or to the executor or the administrator of the estate (except in a coroner or medical examiner case)?

Section 72529

  1. 10
  2. 45
  3. 14
  4. 30
A

4..30 days

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28
Q

In a Skilled Nursing Facility which is not required to be provided for each licensed bed?

Section 72613

  1. chair
  2. bedside table
  3. telephone
  4. overbed table
A
  1. Telephone
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29
Q

SNF…How often must the linens be changed?

Section 72625

  1. 3 times a day
  2. daily
  3. as needed
  4. weekly
A
  1. As needed?
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30
Q

SNF…When may bedpans be emptied in bathrooms adjoining patient rooms?

Section 72629

  1. when there is only one resident in the room
  2. when the nurse uses universal precautions
  3. never
  4. when the bathroom is equipped with flushing attachments and vacuum breakers
A
  1. when the bathroom is equipped with flushing attachments and vacuum breakers
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31
Q

SNF…The generator needs to supply power to at least?

Section 72641

  1. life support system
  2. signals
  3. medication preparation area
  4. all of the above
A
  1. all of the above
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32
Q

SNF…Emergency generators must be tested under a full load at least every ____ days?

Section 72641

  1. 3
  2. 14
  3. 30
  4. 10
A
  1. 14
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33
Q

SNF…Transfer of gases for medical uses between one cylinder to another may ____?

Section 72649

  1. occur if the facility has the appropriate equipment
  2. occur, but only outside the facility
  3. never occur
  4. never occur, except with oxygen only
A
  1. Never occur
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34
Q

SNF…Which of the following is referenced when considering temperatures for water supply and plumbing?

Section 72651

  1. OSHA
  2. Life Safety Code 101
  3. Title 24
  4. Title 22
35
Q

Are foot candles or lumens used to measure light in Skilled Nursing Facilities?

Section 72653

  1. lumens
  2. foot candles
A
  1. Foot candles
36
Q

SNF…Facilities licensed for _____ or fewer beds shall have at least one registered nurse or a licensed vocational nurse, awake and on duty, in the facility at all times, day and night.

37
Q

SNF…Facilities licensed for ____ to _____ beds shall have at least one registered nurse or licensed vocational nurse, awake and on duty, in the facility at all times, day and night, in addition to the _________ ___ _________ _________. The _________ ___ _________ _________ shall not have charge nurse responsibilities.

A

60 to 99

director of nursing services

38
Q

SNF…Facilities licensed for 100 or more beds shall have at least one __________ _____, awake and on duty, in the facility at all times, day and night, in addition to the director of nursing services. The director of nursing services shall not have charge nurse responsibilities.

A

registered nurse

39
Q

SNF…For patients certified for special treatment programs, facilities shall employ sufficient staff to provide a minimum of ___ nursing hours per patient day for each patient certified to the special treatment program, exclusive of additional staff required to meet the staffing standards of the special treatment program.

40
Q

SNF…The calculation of the staff-to-patient ratio shall be based on the ______ ______ of patients in the skilled nursing facility and not the total number of beds.

A

daily census

41
Q

SNF…Bedholds shall or shall not be included in the calculations of the staff-to-patient ratio?

42
Q

SNF…On the day shift, the ratio shall be at least one direct caregiver for every __ patients or fraction thereof.

43
Q

SNF…On the evening shift, the ratio shall be at least one direct caregiver for every __ patients or fraction thereof.

44
Q

SNF…On the night shift, the ratio shall be at least one direct caregiver for every ___ patients or fraction thereof.

45
Q

SNF…There shall be one licensed nurse for every __ or fewer patients, based on the facility census for the 24 hour period.

46
Q

SNF…Records documenting staffing, including staff assignment records and payroll records, shall be retained for a minimum of ______ years.

47
Q

SNF…Not less than __ _______ shall be served daily and with not more than a ____-hour span between the last meal and the first meal of the following day.

A

3 meals

14

48
Q

SNF…Menus for regular and therapeutic diets shall be written at least ___ ____ in advance, dated and posted in the kitchen at least ___ ____ in advance.

49
Q

SNF…If a cycle menu is used, the cycle shall be of no less than ______ ______ duration and shall be revised ________.

A

three weeks

quarterly

50
Q

SNF…A copy of the menu as served shall be kept on file for at least __ ____.

51
Q

SNF…Itemized records of food purchases shall be kept for ___ ____.

52
Q

SNF…All readily perishable foods or beverages shall be maintained at temperatures of __ C (__ F) or below, or at __ C (__ F) or above, at all times, except during necessary periods of preparation and service.

A 
7 C (45 F) or below
or at
60 C (140 F)
53
Q

SNF…Frozen foods shall be stored at minus __ C (__ F) or below at all times.

A

18 C (0 F)

54
Q

SNF…At least ___ ______ supply of staple foods and at least ___ ____ supply of perishable foods shall be maintained on the premises. Food supplies shall meet the requirements of the weekly menu including the therapeutic diets ordered.

A

one week’s

two days’

55
Q

SNF…Can powdered milk be used as a beverage?

A

No, but it may be used in cooking

56
Q

SNF…Foods held in refrigerated or other storage areas shall be ________.

57
Q

SNF…Liquids and food which are prepared and not served shall be tightly covered, stored appropriately, _______ _______ and ______.

A

clearly labeled and dated

58
Q

SNF…Facilities shall retain a consulting pharmacist who devotes a sufficient number of hours during a regularly scheduled visit, for the purpose of coordinating, supervising and reviewing the pharmaceutical service committee, or its equivalent, at least _________.

A. Monthly
B. Annually
C. Bimonthly
D. Quarterly

A

D. Quarterly

59
Q

SNF…Which two committees does the pharmacist participate in?

A

Pharmaceutical service committee & the Patient Care Policy committee

60
Q

SNF…A pharmacist shall review the drug regimen of each patient at least _______.

61
Q

SNF…How often should the patient care policy committee meet?

A

At least annually

62
Q

SNF…How often should the infection control committee meet?

A

At least quarterly.

63
Q

SNF…How often should the pharmaceutical service committee meet?

A

At least quarterly

64
Q

SNF…Employee records shall be retained for at least ______ years following termination of employment

65
Q

SNF…All health records of discharged patients shall be completed and filed within 30 days after discharge date and such records shall be kept for a minimum of ___ years.

66
Q

SNF…The Department shall be informed within ______ business days, in writing, whenever patient health records are defaced or destroyed before termination of the required retention period.

67
Q

SNF…Mop heads shall be removable and changed at least _______.

68
Q

SNF…Physician services includes a patient evaluation including a written report of a physical examination within _____ prior to admission or within _______ following admission.

A

5 days prior to admission
or
72 hours following admission

69
Q

SNF…Anti-infectives and drugs used to treat severe pain, nausea, agitation, diarrhea or other severe discomfort shall be available and administered within ____ hours of the time ordered.

70
Q

SNF…Drugs required to be stored at room temperature shall be stored at a temperature between ______…

A

15 C (59 F) and 30 C (86 F)

71
Q

SNF…Drugs requiring refrigeration shall be stored in a refrigerator between ________

A

2 C (36 F) and 8 C (46 F).

72
Q

SNF…The activity plan shall be reviewed ______ and approved, in writing, by the attending physician as not in conflict with the treatment plan.

73
Q

SNF…An activity program leader shall meet one of the following requirements:

(1) Have ___ years of experience in a social or recreational program within the past _____ years, one year of which was full-time in a patient activities program in a health care setting.
(2) Be an occupational therapist, art therapist, music therapist, dance therapist, recreation therapist or occupational therapy assistant.
(3) Have satisfactorily completed at least _______ of training in a course designed specifically for this position and approved by the Department and shall receive regular consultation from an occupational therapist, occupational therapy assistant or recreation therapist who has at least one year of experience in a health care setting.

A

Two years…. Within the past 5 years

36 hours

74
Q

SNF…Nursing service shall include:
Reviewing, evaluating and updating of the patient care plan as necessary by the nursing staff and other professional personnel involved in the care of the patient at least _______, and more often if there is a change in the patient’s condition.

75
Q

SNF…A ______ written evaluation in the progress notes by a licensed nurse of the patient’s performance in the bowel and/or bladder management program.

76
Q

SNF…Intake and output records shall be evaluated at least ______ and each evaluation shall be included in the licensed nurses’ progress notes.

77
Q

SNF…The _____ and _____ of each patient shall be taken and recorded in the patient’s health record upon admission, and the weight shall be taken and recorded _____ _ ______ thereafter.

A

weight and length

once a month

78
Q

SNF… No restraints with ______ ______shall be used or available for use in a skilled nursing facility.

A

locking devices

79
Q

SNF…What are the three accepted methods for sanitizing bedside equipment?

A

(1) Submersion in boiling water for a minimum of 30 minutes.
(2) Autoclaving at 15 pounds pressure and 121 C (250) for 20 minutes.
(3) Gas sterilization.

80
Q

SNF…The facility shall post the patient census and staffing information daily. This posting shall be _______ displayed in a clearly visible place.

81
Q

SNF… Menus shall be planned with consideration of ______ ______ & _____ ______of patients.

A

cultural background and food habits

82
Q

SNF… All foods stored in walk-in refrigerators and freezers shall be stored ___________ on shelves, racks, dollies or other surfaces that facilitate thorough cleaning.

A

above the floor

83
Q

SNF… What are the three excepted utensil disinfecting methods?

A

(1) Immersion for at least two minutes in clean water at 77 C (170 F).
(2) Immersion for at least 30 seconds in clean water at 83 C (180 F).
(3) Immersion in water containing bactericidal chemical as approved by the Department.

84
Q

SNF…At no time may the balance in a patient’s drawing account be less than ____.

85
Q

SNF…Bank statements shall be reconciled _____ with copies of the reconciliation maintained by the facility.

86
Q

SNF…All containers receiving putrescible wastes shall be emptied at least every ____ days or more if necessary.

Title 22: 2.5 & 3 (3 decks)

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