Administration Flashcards
When the facility does not have an administrator, how soon must the facility secure one?
-Texas Only -19.1902
30 days
How long is the administrator required to work?
-Both -483.75/19.1902
40 hours a week on admin duties
What is the grace period for nurse aids to complete there training, before the facility either has to hire them or let them go?
-Both-483.75/19.1903
4 months:
. A facility must not use any individual working in the facility as a nurse aide for more than four months, on a full-time basis, unless has completed training.
What must the facility (buss office) due before they can hire a nurse aid?
-Both-483.75/19.1903
They must make sure the person is on a the registry verification, and is not found to have abuse , neglect , or mistreatment in there background.
When must a nurse aid be “re-trained”?
-Both-483.75/19.1903
2 years with no NURSE work.
there has been a continuous period of 24 consecutive months during none of which the individual provided nursing or nursing-related services for monetary compensation,
How often is the facility required to do a performance review of every nurse aid?
-Both-483.75/19.1903
At least once a year / every 12 months
What is the minimum time for in-service trainings of nurse aids?
-Both-483.75/19.1903
No less than 12 hours of in-service a year.
who must serve as a the medical director of a facility?
-Both-483.75/19.1907
A physician
What is the responsibility of the medical director?
-Both-483.75/19.1907
1-implementation of resident care policies AND
2-coordination of medical care.
When using outside resources the facility assumes responsibility for?
-Both-483.75/19.1907
1-Quality AND
2-Timeliness
When can the facility ORDER lab tests?
-Both-483.75/19.1908
Only when ordered by the attending physician.
*Same with Radiology and other diagnostic services
How soon must the facility notify the attending physician of LAB results?
-Both-483.75/19.1908
ASAP // promptly
*Same with Radiology and other diagnostic services
How long must clinical records be retained for?
What is the clinical records is that of a minor?
-Both-483.75/19.1910
5 years AFTER medical services have ended.
** Minor is 3 years after reaches legal age.
What ID information must the clinical record contain?
-Texas Only-19.1911
2-Full Name of Resident 3-Address 4-SS# 5-Health Insurance Claim Number (If Applicable) 6-DOB - Date of birth 7-Clinical Record Number (If Applicable)
What info must the clinical record contain?
Fed: F514/483.75(I)(5)
-Enough info to identify the resident
-Assessments
-Plan of Care
-Services Provided
-Results of any Preadmission Screenings Conducted by state (Passar/TB)
-Progress Notes
-Texas Only-19.1911
1-Face Sheet
2-ID info.
3-Assessments (both)
4-All plans of Care
5-PASSAR
6-All clinical documentation from ALL healthcare peoples - Due 14 Days after Admit:
-History- / Physical Exam / Diagnoses / ETA of Discharge / Rehab Potential / any previous yearly medical exams
8-Directives and Powers of Attorney 9-Discharge Info 10-Intial medical Evaluation 11-Nurse "Observations" - Current Info 12-Date an hour of all drug treatments 13-Documentation of special procedures preformed
All clinical documentation that is in the residents clinical record must:
-Texas Only-19.1911
1-Signed
2-Dated
3-Each page must have NAME of RESIDENT
What are some of the “Observations” that fall under current information?
-Texas Only-19.1911 1-Current PRN Medication 2-Treatments/Results 3-Physical Complaints 4-Changes in: behavior/clinical signs 5-Any/All accidents or incidents 6-Flow sheets: bathing/elimination/fluid intake/vital signs/ambulation/weight 7-Activity Participation 8-Dietary Intake including rejections 9-MDS INFO
What is the “Master Index” of residents?
-Texas Only-19.1912
A record of all residents admitted and discharged from the facility
How long must a facility keep the “Master Index”?
-Texas Only-19.1912
The record is permanent
What information of the residents are contained in the “Master Index”?
-Texas Only-19.1912 1-Name 2-DOB - Date of Birth 3-DOA - Date of Admission 4-DOD - Date of discharge 5-SS# / Medicaid # / Medicare #
What are the duties of the administrator when a facility closes?
-Fed Only-483.75-f-
1-submit a written notification to: residents or REPS, state ombudsman, State Survey Agency
2-Make sure NO new Admits
3-Written plan, in the submitted notice, of the transfer of all residents
What is the responsibility of the facility when a building closes?
-Fed Only-483.75-f-
Facility must have policies and procedures for the administrator on how to handle the closure
How much notification is required before a facility can close?
-Fed Only-483.75-f-
60 days –
Unless: it is a case where the STATE of the FED pulled facility from the Medicare / Medicaid Program, then DATE is determined by them
In the event of a facility closure/ change of ownership / change of administrator / what must happen to the clinical records?
-Texas Only-19.1912-b
1-New management must maintain medical information required for the continuity of care- It must be Documented- photo copies are OK.
2-If Change of ownership then the two parties will agree in writing who will be responsible for the retention or records.
