51-79 Flashcards
List the rights of patients in a Special Treatment Program.
1) To wear their own clothes 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 treatment
7) To refuse lobotomy
8) All other rights provided by law
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
Define Social Work Service
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 foods and perishable foods are what?
One week supply for staple foods and 2 days for perishables.
NOTE: One week … not 7 days
Menus for regular and therapeutic diets shall be written and posted when?
Written and posted at least one week in advance.
NOTE: ICF says written one week in advance and posted 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.
Define core curriculum.
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.
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 AND 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?
What type of water is used?
Change humidifier bottles every 24 hours
Use only distilled, de-mineralized OR de-ionized water. Not ionized water.
NOTE: ICF says vaporizer bottles must be sterilized after each use AND changed every 24 hours. Use only sterile distilled water.
The dietetic manual is approved by who?
Reviewed how often?
And revised how often?
Approved by the Dietician AND Patient Care Policy Committee
ICF: Dietician only for approval
Reviewed annually
Revised at least every five years
ICF says “keep current”
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 in the patient health record
3) Document the quantity of medications supplied in the patient health record
4) 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 know as program flexibility)
Minimum 30 days
Median 45 days
Maximum 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 restrain 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 in 170 degrees F
OR
30 seconds at 180 degrees F
OR
In water containing bactericidal chemical approved by the Department of Health
