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
Drugs required to be stored at room temperature shall be stored between what?
Between 59 degrees F and 86 degrees F
What are the requirements for the supervisor of housekeeping and laundry service?
Experience and training
What is the floor area requirement for speech pathology/speech therapist?
There are no specific requirements except to “meet the need.”
Drug destruction records shall be retained for how long?
3 years
What is the ratio requirement for instructor to student in the CNA program?
1 instructor for every 15 students
Drugs requiring refrigeration shall be stored within what temperatures?
Between 36 degrees F and 46 degrees F
Plumbing and drainage requirements are regulated by what?
Part 5, Title 24 California Administrative Code, Basic Plumbing
Itemized food purchases are kept for how long?
1 year
What are the requirements for rooms accommodating patient’s with infectious diseases?
1) Ventilation for the outside
2) Separate toilets
3) Separate hand washing facility
4) Separate soap dispenser
5) Individual towels
Oral and rectal thermometers shall be stored how?
Separately in clean, labeled containers and fitted lids.
What is the required room temperature for the facility and patient rooms?
71 to 81 degrees
The Program Director in a Special Treatment Program must be approved by who?
And shall be one of the following.
1) Approved by the Department of Mental Health
2) Must be a physician, psychologist, RN, LVN, psych tech, art therapist, dance therapist, music therapist, occupational therapist, recreational therapist, social worker OR another discipline approved by DMH
What are the requirements for a Program Director of a Special Treatment Program?
2 years experience in a mental health setting of which 1 year was in Program Development in a mental health setting.
A Special Treatment Program shall provide interdisciplinary staff per patient as follows.
1) 49 or less certified patient’s equal 24 hours per week of professional staff time.
2) 50 to 69 certified patient’s equals 32 hours per week.
3) 70 to 99 certified patient’s equals 48 hours per week.
4) 100 plus of certified patient’s equals 72 hours per week.
The Program Director in a Special Treatment Program SHALL NOT be the following.
The Director of Nursing, Charge Nurse or facility Administrator.
The Medical Director shall do what?
1) Liaison between Administrator and attending physician.
2) Review and evaluate administrative and patient care policies and procedures.
3) Consultant to the DON.
4) Reviewing employee pre-employment and annual health examination reports.
Drugs ordered STAT during normal pharmacy hours shall be administered within what time frame?
1 hour
Storage of legend drugs at bedside shall meet the same conditions of non legend drugs and shall in addition.
Be limited to sub lingual or inhalation forms of emergency drugs.
Food temperature requirements are what?
1) 45 degrees F or below
2) 140 degrees F or above
NOTE: Fed says the danger zone is 41-135
See F-Tag 371
The Activity Program must consist of what type of activities?
1) Social activities
2) Indoor and outdoor activities
3) Activities away from the facility
4) Religious activities
5) Opportunity for patient’s to participate in the planning and implementation of the program
6) A creative activity
7) Educational activity
8) Exercise activity
What are the requirements to be head of the Activity Program?
1) 2 years experience in a social or recreational program within the past 5 years of which 1 year was full time in an activity program in a health care setting OR
2) Be an Occupational Therapist, Art Therapist, Music Therapist, Dance Therapist, Recreational Therapist or Occupational Therapist Assistant OR
3) Receive 36 hours of training approved by DHS and receive consultation from a Recreational Therapist, OT, or OTA who has 1 year experience in a health care setting
List the things that an Activity Leader at a minimum shall do.
1) Develop, implement and supervise Activity Program
2) Plan and conduct in-service at least annually
3) Coordinate Activity Program and other patient services
4) Maintain a list of patients who are not able to participate in activities
5) Post activity calendar in large print
6) Request and maintain equipment
7) Develop and maintain contacts with community agencies
8) Develop and implement activities for patients unable to leave their rooms
9) Maintain quarterly progress notes
10) Maintain current record of type and frequency of activity and names of patient’s participating
Controlled drugs are regulated by who?
The Federal Comprehensive Drug Abuse Prevention Control Act of 1970
Refrigerator at the nursing station must meet the following standards.
1) Located in clean area not subject to contamination
2) 45 degrees F or below for chilling
3) Zero degrees or below for freezing
NOTE: ICF says 20 degrees F or below for freezing
4) Contain accurate thermometer
Special Treatment Program provide what therapeutic services?
Pre-vocational preparation and pre-release planning.
In a Special Treatment Program, what are the general areas of service provided to mentally disordered persons with special needs?
1) Self help skills
2) Behavioral adjustment
3) Interpersonal relationships
What are the services provided in a Special Treatment Program?
1) Self help skills training
2) Behavioral intervention training
3) Interpersonal relationships
4) Pre-vocational preparation services
5) Pre-release planning
What services are provided in behavioral intervention training?
1) Behavior modification
2) Re-motivation therapy
3) Patient government activities
4) Group counseling
5) Individual counseling
What services are provided in interpersonal relationships training?
1) Social counseling
2) Educational and recreational therapy
3) Social activities
