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State Cards > 80-130 > Flashcards

80-130 Flashcards

1
Q

What services are provided in pre-vocational training?

A

1) Home making
2) Work Activity
3) Vocational Counseling

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2
Q

List 5 types of drugs that are to be administered within 4 hours of the time ordered

A 
Anti-infectives
Analgesics
anti-nausea
Anti-diarrheal
Anti-agitation
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3
Q

Who approves the emergency supplies?

A

Patient care Policy Committee or Pharmaceutical Committee

NOTE: ICF say Patient Care Policy Committee. There is not a Pharmaceutical Committee

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4
Q

Physical Therapy Assistants must have what type of supervision?

A

Supervision

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5
Q

Special Treatment Program provides a service to what type of patient?

A

Chronic psychiatric impairment and whose adaptive functioning is moderately impaired.

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6
Q

How often must the Special Treatment Program submit a written description to the Department of Mental Health

A

Annually

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7
Q

Patient’s placed in restraint and/or seclusion shall be observed by qualified personnel how often?

A

At least every half hour

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8
Q

Program staff in a Special Treatment Program shall receive ongoing, planned academic and on the job in service education how often?

A

At least 1 hour per week.

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9
Q

Initial assessment by a licensed nurse shall begin when?

A

At the time of admission and completed within 7 days after admission.

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10
Q

If a facility is devoted ENTIRELY to the care of the mentally disordered there shall be at least one _______ on duty on all 3 shifts 7 days a week.

A

RN or LVN

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11
Q

Drugs and food stored in the same refrigerator shall be kept how?

A

Closed containers and clearly labeled ‘DRUGS’

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12
Q

Drug order records shall be kept how long?

A

At least 1 year

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13
Q

List the services provided in Self Help Skills Training.

A
  1. Personal care and use of medications
  2. Money management.
  3. Use of public transportation.
  4. Use of community resources.
  5. Behavior and impulse control.
  6. Frustration tolerance.
  7. Mental health education.
  8. Physical fitness
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14
Q

Interdisciplinary professional staff in a Special Treatment Program shall be composed of at least TWO/2 of the following:

A

Psychologist, Social Worker,Occupational Therapist, Recreational Therapist, Art Therapist, Dance Therapist and Music Therapist.

NOTE: Must have a minimum of 1 year of experience or training in mental health setting.

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15
Q

What are the administrative policies governing administration and management in a Certified Nursing Assistant Training Program?

A
  1. A job description for the Licensed Nurse Program Director who is the instructor including duties, responsibilities and limitations.
  2. Organizational chart.
  3. Method of monitoring instructors.
  4. Ratio of students to instructor
  5. How to handle absenteeism and process to make up the time.
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16
Q

What are the optional services in a SNF?

A
  1. P.T., O.T., S.T.
  2. Speech Pathology
  3. Audiology
  4. Social Work Services
  5. Special Treatment Program
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17
Q

Records for schedule II drugs shall be reconciled how often? And retained for how long?

A
  1. Daily
  2. 1 year

NOTE: Fed says every shift

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18
Q

Who is allowed to receive verbal orders for drugs and treatments?

A
  1. Licensed Nurse
  2. Psych Tech (STP) only
  3. Pharmacist
  4. Physician
  5. Physician’s Assistant/Nurse Practitioner under the supervision of a Physician
  6. Respiratory Therapist for Respiratory care only

NOTE: ICF says only licensed nurse or pharmacist can receive verbal orders

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19
Q

Within what time frame must verbal orders be signed by the prescriber?

A

SNF says in 5 days

ICF says in 48 hours

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20
Q

Name 3 types of Social Workers

A
  1. Licensed Clinical Social Worker licensed by
    California Board of Behavioral Science Examiners
  2. Social Work Assistant-B.A. Degree in related field with supervision from a “Social Worker”
  3. Social Work Aide - staff receiving orientation, on the job training and supervision by “Social Worker” or Social Work Assistant.
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21
Q

What are the requirements of the Dietetic Service Supervisor?

A
  1. Qualified Dietician, OR
  2. BA Degree in Food and Nutrition with one year experience in Dietetic Service in a health care institution, OR
  3. A graduate of a Dietetic Tech or Assistant Training Program approved by the American Dietetic Association, OR
  4. 90 hours of a State approved program in food service supervision, OR
  5. Military experience in food service supervision and management equivalent to the above in #3 or #4
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22
Q

What are the requirements to be a Dietician?

A

Registered or eligible for registration by the American Dietetic Association.

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23
Q

Define Intermediate Care Bed Classification

A

Patients requiring skilled nursing care on a less than continuous basis

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24
Q 
List the appropriate licensure and/or certification for the following:
1. Pharmacist
2. Physical Therapist
3. Physician's Assistant
4. Podiatrist
5 Recreation Therapist
6. Registered Nurse
7. Speech Pathologist
A
  1. Licensed by California Board of Pharmacy
  2. Licensed by California Board of Medical Quality Assurance.
  3. Certified by Physician’s Assistant Examining
    Committee of California Board of Medical Quality Assurance.
    4.Licensed by California Board of Medical Quality Assurance.
    5 Licensed by the California Board of Medical Quality Assurance.
  4. Licensed by California Board of Registered Nursing
  5. Licensed by California Board of Medical Quality Assurance OR M.A. Degree w/authorization to practice w/supervision

NOTE: ICF says must be a licensed Speech Pathologist only.

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25
Q

List appropriate licensure for Pharmacist

A

Licensed by California Board of Pharmacy

26
Q

List appropriate licensure for Physical Therapist

A

Licensed by California Board of Medical Quality Assurance

27
Q

List appropriate licensure for Physician Assistant

A

Certified by Physician’s Assistant Examining Committee of California Board of Medical Quality Assurance.

28
Q

List appropriate licensure for Podiatrist

A

Licensed by California Board of Medical Quality Assurance.

29
Q

List appropriate licensure of Recreation Therapist

A

Registered or eligible by California Board of Park and Recreation Personnel OR The National Therapeutic Recreational Society

30
Q

List appropriate licensure for Registered Nurse

A

Licensed by California Board of Registered Nursing

31
Q

List appropriate licensure for Speech Pathologist

A

Licensed by California Board of Medical Quality Assurance OR M.A. Degree with authorization to practice with supervision.
NOTE: ICF says must be a licensed Speech Pathologist only.

32
Q

Patient Care Policy Committee shall be composed of at least who?

A
  1. Physician
  2. Administrator
  3. DON/DNS
  4. Pharmacist
  5. Activity Leader
  6. Dietary
  7. AND a representative of each required service
33
Q

Each facility must have Administrative Policies and Procedures for at least the following:

A
  1. Personnel-job descriptions, orientation, staff development, employee benefits, verification of credentials, health and grooming
  2. Patient admission, leave of absence, transfers, out on pass and discharge.
  3. Discrimination for admissions and discharges.
  4. Health records.
  5. Must be able to provide care.
  6. Reporting unusual occurrences.

NOTE: See section 72521 for more info

34
Q

What are the number of hours required for a DSD for a hundred plus bed facility with in-service and orientation only?

A

93 hours per month

35
Q

What are the number of hours require for a DSD in a 60-99 bed facility with in-service and orientation only?

A

54 hours per month

36
Q

What are the number of hours required for a DSD for a 1-59 bed facility with in-service and orientation only?

A

26 hours per month

37
Q

What are the number of hours required for a DSD for a 100 plus facility with in-service, orientation and pre-certification program?

A

40 hours per week.

38
Q

What are the number of hours required for DSD for 60-99 bed facility with in-service, orientation, and pre-certification program?

A

30 hours per week

39
Q

What are the number of hours required for DSD for 1 - 59 bed facility with in-service, orientation, and pre-certification?

A

20 hours per week

40
Q

What are the qualifications for the DSD?

A
  1. Licensed Nurse with 1 year experience in Patient Care in Long Term Care AND 1 year experience planning, implementing and evaluating educational programs in nursing OR
  2. 2 years experience as Licensed Nurse of which 1 year was providing direct patient care in a Nursing Facility AND 24 hours of continuing education courses taken within 6 months of employment AND copy sent to the DHS AND a copy available on site.
41
Q

The physical therapy service unit shall include the following equipment:

A
  1. Parallel bars
  2. Full View mirror
  3. Overhead pulley and weights
  4. Set of training stairs
  5. Treatment table enclosed by cubicle curtain for privacy
  6. Availability of wheelchairs, walkers, canes and crutches
42
Q

The Administrator shall be responsible for only one SNF unless all of the following conditions are met:

A
  1. Must be owned by the same governing body.
  2. They are all within one hour traveling time in the same geographic area.
  3. No more than 3 facilities of a total of no more than 200 beds.
  4. In the Administrators absence, a responsible adult must be designated to carry out responsibilities.
43
Q

Affiliation agreements, contracts, and written arrangements shall include what?

A
  1. Description of service to be provided
  2. Financial arrangements
  3. Methods by which services will be provided
  4. Conditions of termination.
  5. Time frame of affiliation.
  6. Effective date.
  7. Date agreement was signed.
  8. Signatures of all parties (Administrator and Vendor)
44
Q

A provision of pharmaceutical services is to provide the following equipment and supplies:

A
  1. Refrigerator with an accurate thermometer
  2. Lockable drug cabinets, drawers, closets or rooms.
  3. Drug service trays and/or carts
  4. Drug preparation counter area and convenient water source.
  5. Reference materials.
45
Q

The DON may serve a the charge nurse for the distinct part for a total license capacity of ___?

A

59 beds or less

46
Q

The following consumer information shall be conspicuously posted in a location accessible to the public.

A
  1. Name, license #, date of employment of current Administrator
  2. A list of all services and special programs provided.
  3. The current and following week’s menu.
  4. A notice that the facility’s written admissions and discharge policies are available upon request.
  5. The most recent survey and related plan of correction.
  6. Name and address of all previous owners.
  7. List all other facilities owned by the same person.
  8. Pending action to revoke the facility license.
  9. Name, address and telephone # of the local DHS.
    NOTE: See F-tag 156 for Federal posting requirements.
47
Q

The records for each in service shall include:

A
  1. Name and title of presenter.
  2. Date of presentation
  3. Title of subject presented.
  4. Description of content.
  5. Signature of those attending.
    NOTE: Records kept for 4 years
48
Q

What is the required nursing staff supervision for a distinct part of a Special Treatment Program?

A
  1. A full time (40 hr/per week) RN, LVN or Licensed Psych Tech
  2. On the day shift
  3. Responsible for supervision of the distinct part.
  4. Shall also have 1 year experience in an STP program or will participate in facility in-service program
49
Q

List the dollar value of bonds required for a facility to handle the following amounts of resident’s money:
1) $750.00 or less

A
  1. $1000.00 Bond
50
Q

List the dollar value of bonds required for a facility to handle the following amounts of resident’s money:
2) $751.00 to $1500.00

A
  1. $2000.00 Bond
51
Q

List the dollar value of bonds required for a facility to handle the following amounts of resident’s money:
3) $1501.00 to $2500.00

A
  1. $3000.00 Bond
52
Q

List the dollar value of bonds required for a facility to handle the following amounts of resident’s money:
4) Over $2500.00

A
  1. Raise in increments of $1000.00

EXAMPLE: To handle $3000 of resident’s money would require a $4000.00 bond.

53
Q

How many days must the Administrator be absent before the licensee shall appoint an acting Administrator?

A

30 consecutive days

54
Q

Each facility shall have an ongoing educational plan for all personnel of at least the following:

A
  1. Problems and needs of aged, disabled, chronically and acutely ill patient.
  2. Prevention and control of infections.
  3. Interpersonal relationships and communications skills.
  4. Fire prevention and safety
  5. Accident prevention and safety measures.
  6. Confidentiality of patient info.
  7. Patient dignity and patient privacy.
  8. Patient rights and civil rights.
  9. Signs and symptoms of cardio pulmonary distress.
  10. Choking prevention and intervention.
55
Q

Employee personnel records shall include the following:

A
  1. Full name
  2. Social Security #
  3. Professional license registration #
  4. Employee classification
  5. Info on past employment and qualifications
  6. Date employment began
  7. Date of termination.
    8 Documented evidence of oirentation to the facility
  8. Performance evaluation

NOTE: Retain records for 3 years following the termination date.

56
Q

When a patient is transferred to another facility the following shall be entered into the patient’s health record.

A
  1. Date, time, condition and reason for transfer

2. Inform the patient, pt’s guardian or authorized representative of the transfer

57
Q

Infection Control Committee shall be composed of who?

A
  1. Physician
  2. Nursing
  3. Administration
  4. Dietary
  5. Pharmaceutical
  6. Activities
  7. Housekeeping
  8. Laundry
  9. Maintenance
58
Q

Patient Care Policy COMMITTEE shall establish policies governing the following services:

A
  1. Physician
  2. Dental
  3. Nursing
  4. Dietary
  5. Pharmaceutical
  6. Health Records
  7. Housekeeping
  8. Activities and other services provided by the facility
59
Q

Patient Care POLICIES AND PROCEDURES shall include but not be limited to:

A
  1. Physician Services
  2. Nursing
  3. Infection Control
  4. Dietary
  5. Pharmaceutical
  6. Activity
  7. Housekeeping
60
Q

Hot water must be kept between …..

A

105 F to 120 F (Degrees)

61
Q

Taps with water temps higher than 125 degrees F or more shall be…

A

Identified by a warning sign with 2 inch letters

State Cards (6 decks)

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