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State RCAL Exam > AL - OAC 310:663 (Oklahoma State Department of Health) > Flashcards

AL - OAC 310:663 (Oklahoma State Department of Health) Flashcards

1
Q

“Abuse” definition

A

WILLFUL INFLICTION of injury, unreasonable confinement, intimidation or punishment, with resulting physical harm, impairment or mental anguish

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2
Q

“chemical restraint” definition

A

use of a medication for the purpose of discipline, convenience or in an ER situation to control mood or behavior and not required to treat the resident’s symptoms.

Chemical Restraint does not mean medication prescribed to maintain emotional stability.

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3
Q

“Direct Care Staff” definition

A

in an AL, means qualified nursing, activity, social and therapy staff employed by or under the direct supervisory control of the AL center

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4
Q

“Neglect” definition

A

failure to provide goods or services necessary to avoid physical harm, mental anguish or mental illness

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5
Q

“Personal Care” definition

A

assistance with meals, dressing, movement, bathing or other personal needs or maintenance, or general supervision of the physical and mental well-being of a person and includes assistance with toileting.

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6
Q

“Significant Change” definition

A

a major change in the resident’s status that is not self limiting; affects more than one area of the resident’s health status; and requires the interdisciplinary review and/or revision of the care plan.

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7
Q

How far must smoking be from COC or AL facility?

A

at least 15 feet away from entrance or any air intakes

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8
Q

Who shall the AL NOT care for?

A

Any resident needing care in excess of the level that AL is licensed to provide or capable of providing

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9
Q

**Whom shall the routines of care provision and service of delivery be directed by?

A

Directed by the RESIDENT to the MAXIMUM EXTENT POSSIBLE!!

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10
Q

Admission criteria for AL Center

A

The AL shall describe the population admitted or to be admitted based on the services provided to meet following resident needs:

  1. assistance with personal care
  2. nursing supervision
  3. intermittent or unscheduled nursing care
  4. medication administration
  5. assistance with cognitive orientation and care or service for Alzheimer’s disease and related dementias and
  6. assistance with transfer or ambulation
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11
Q

What shall the AL use to determine the appropriateness of the resident’s placement in AL?

A

Screening instrument specified in 310:663-5

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12
Q

What are the 4 reasons a resident shall not be eligible for placement in AL?

A
  1. resident needs care/services that exceed care/services available in AL
  2. resident’s physician determines resident requires physical or chemical restraints in situations other than ERs
  3. resident poses threat to self or others
  4. AL is unable to meet resident’s needs for privacy or dignity
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13
Q

Procedure for termination upon determination that resident is inappropriately placed

A
  1. inform resident/representative
  2. if voluntary termination is not arranged:
  3. AL provide written notice to resident and representative giving 30 day notice of AL’s intent to terminate residency agreement and move resident to an appropriate care provider
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14
Q

When shall the 30 day termination notice requirement not apply?

A
  1. when ER termination of residency agreement is mandated by resident’s immediate health needs or
  2. when termination is necessary to physical safety of resident or other residents
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15
Q

What shall be included in the written notice of involuntary termination of residency for reasons of inappropriate placement?

A
  1. full explanation of reasons for termation
  2. date of notice
  3. date notice was given to resident and resident’s representative
  4. date resident must leave AL
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16
Q

Involuntary termination of residency for reasons other than inappropriate placement - what are the required days within the procedure?

A
  • written notice of termination (at least 30 days in advance of termination dated)
  • request for hearing with Department must be filed within 10 department business days of receipt of the facility notice
  • Department shall convene a hearing within 10 Department business days of receipt of request
  • Administrative Law Judge shall render decision within 10 department business days of the close of the record
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17
Q

5 step procedure for Management of Risk in AL

A

If resident’s preference/decision places the resident or others at risk or is likely to lease to an adverse consequence, the AL shall:

  1. advise resident and resident’s rep of such risk or consequences
  2. specify the cause for concern
  3. discuss concern with resident and rep, if any
  4. attempt to negotiate a written agreement that minimizes risk and adverse consequences and offers alternatives while respecting resident preferences
  5. document any lack of agreement and provide copy to resident and rep
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18
Q

A continuum of care facility shall NOT care for any resident…

A

needing care in excess of the level that the continuum of care facility is licensed to provide

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19
Q

Ice Machine requirements

A

dispenser type or have a locking enclosure

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20
Q

Fruit requirements

A

A whole, intact, fruit or vegetable is an approved food source

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21
Q

Days of menus

A

3 days

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22
Q

Leftover requirements

A

potentially hazardous food leftovers shall be used or disposed of within 24 hours

non-potentially hazardous leftovers that have been heated or cooked may be refrigerated for up to 48 hours

23
Q

**How do you serve milk?

A

shall be used for beverage and served directly into a glass from a milk dispenser or container

24
Q

Milk temperature

A

Milk for drinking:

store at temp of 41 decrees F or below

don’t store in frozen state

25
Q

How much time does AL have to complete admission assessment?

A

30 days before, or at the time of, admission

26
Q

When shall AL complete the comprehensive assessment?

A
  1. within 14 days after admission of resident
  2. once every 12 months thereafter AND
  3. promptly after a significant change in resident’s condition
27
Q

Who shall complete assessments?

A

appropriate participation of health professionals trained in the assessment process

28
Q

Who must coordinate and sign assessments?

A

registered nurse or the resident’s personal physician

29
Q

How long shall assessments be maintained?

A

for 5 years from date of assessment

30
Q

How should the results of the resident’s assessment be used?

A
  1. to assist in determining appropriateness of resident’s placement in AL in compliance with 310:663-3 and
  2. to develop care plan for resident, in consultation with the resident
31
Q

How shall privacy and independence of residents be ensured?

A
  1. no more than 2 residents occupying on sleeping room
  2. only 1 resident at a time occupying shower/bathing facilities
  3. lockable doors on sleeping rooms/residences except in case of documented contraindication
  4. no more than 4 residents sharing toilet facilities
  5. no more than 4 residents sharing bathing facilities (Department can approve more based on design and special needs)
  6. own control of temperature
  7. right to use personal furnishings in individual living unit
32
Q

When should medications be reviewed?

A

Monthly by registered nurse or pharmacist AND

quarterly by a consultant pharmacist

33
Q

AL direct care staff shall be trained in…

A

first aid and cardiopulmonary resuscitation

34
Q

All of AL’s employees shall be subject to…

A

the requirements for criminal areest checks applicable to nurse aides

35
Q

An AL that has only one direct care staff member on duty shall:

A
  1. disclose the 1-person staffing and plan for dealing with urgent and ER situations to residents/reps BEFORE admission or prior to 1-person staffing if not previously practiced and
  2. have plan in place, approved by Department, for dealing with urgent/ER situations, including resident falls, during periods when AL has only 1 direct care staff member on duty.
36
Q

How often must the Quality Assurance Committee meet?

A

Quarterly

37
Q

What are the 3 duties of the QA committee?

A
  1. monitor trends and incidents
  2. monitor customer satisfaction measures
  3. document quality assurance efforts and outcomes
38
Q

The QA shall include the following representatives:

A
  1. registered nurse or physician if a medical problem is to be monitored or investigated
  2. assisted living center administrator
  3. direct care staff person or a staff person who has responsibility for administration of medications
  4. pharmacist consultant if a medication problem is to be monitored or investigated
39
Q

Resident Rights and Responsibilities

A

Title 63 O.S. Section 1-1918 (B) - Tab 5

40
Q

When shall incident reports be made to Department?

A

within 1 department business day of reportable incident’s discovery

41
Q

When shall follow-up incident report be submitted to the Department?

A

within 5 department business days after the incident

42
Q

When shall the final incident report be filed with the Department?

A

when the full investigation is complete, not to exceed 10 Department business days after the incident.

43
Q

When shall notifications to the Nurse Aide Registry be made?

A

within 1 Department business day of the reportable incident’s discovery, using ODH Form 718

44
Q

When shall AL report allegations/incidents of resident abuse, neglect or misappropriation of resident’s property by licensed personnel to licensing board?

A

within 5 business days

45
Q

Who shall be notified when nurse aide allegations and occurrence of abuse, neglect or misappropriation of resident’s property?

A

Nurse Aide Registry by submitting a completed “Notification of Nurse Aide Abuse, Neglect, Mistreatment or Misappropriation of Property” form (ODH Form 718)

46
Q

What does the ODH Form 718 (Notification of Nurse Aid Abuse…) require?

A
  1. facility/center name, address and telephone
  2. facility type
  3. date
  4. reporting party name or administrator name
  5. employee name and address
  6. Employee certification number
  7. employee SSN
  8. employee phone number
  9. termination action and date
  10. other contact person name and address
  11. details of allegation
47
Q

Where shall bulk medication be stored?

A

in the medication area and NOT in resident rooms

48
Q

Which categories of medications are the only ones allowed to be kept for bulk dispensing?

A
  1. oral analgesics
  2. antacids
  3. laxatives
49
Q

How long shall resident records be retained for after resident transfer, discharge or death?

A

5 years

50
Q

How often shall department perform an unannounced inspection of AL/COC facility?

A

at least once each 15 months, with a statewide average of 12 months

51
Q

When shall department inspect, survey and evaluate each COC/AL to determine compliacne with applicable licensure requirements?

A

whenever it deems necessary

52
Q

When shall a COC/AL submit a plan of correction?

A

within 10 Department business days after receipt of notice of violation

53
Q

What temperature should laundry water be?

A

160 degrees F (70 degrees C)

State RCAL Exam (3 decks)

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