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CA Exam > Dave's Notes > Flashcards

Dave's Notes Flashcards

1
Q

Doc notified if weight change of

A

5lbs in 30 days

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2
Q

Menu cycle at least

A

3 weeks revise Q 90 days

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3
Q

Treatment restraints to be used ONLY

A

for the time required to complete the treatment.

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4
Q

Soft ties, seat belts, spring release trays or cloth vests are restraints UNLESS

A

used for “postural support”

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5
Q

All patients to be assisted and encouraged to maintain the

A

“highest level of self care and independance”

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6
Q

Patient call lights to be answered

A

promptly

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7
Q

Humidifier bottles change and sterlize

A

Q24 hours fill only with sterile distilled, deionized or demineralized water.

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8
Q

Dentist inservice for staff

A

annually

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9
Q

Care plans revised

A

quarterly

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10
Q

Food service supervisor requires

A

90 hour course

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11
Q

Drugs destroyed in

A

90 days

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12
Q

Drugs at room temp

A

59F - 86F

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13
Q

Initial assesment finished within

A

within 7 days

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14
Q

Minimum dishwashing temp

A

110F

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15
Q

Utensils clean

A

170F 2 minutes, 180F 30 Sec

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16
Q

Autoclaving

A

250F for 20 minutes

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17
Q

Persishable foods stored

A

below 45 or over 140

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18
Q

Non Perishable food

A

1 week, staples 2 days

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19
Q

Sanitize washbasins

A

30minutes boiling water or autoclave or gas sterilization: NOT with chemicals

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20
Q

Employee health records kept

A

3 years

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21
Q

CNA certificate renewal costs

A

$20

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22
Q

CNA orientation time requirements

A

16 hours in first 40 worked (first 8 MUST be before providing care)

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23
Q

1 hour of learning experience is

A

50 min

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24
Q

Drug DESTRUCTION records kept

A

for 3 years

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25
Q

Drug ORDER records kept

A

for 1 year

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26
Q

Glass thermometers cleaned

A

70% alcohol 10 min

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27
Q

Drugs ordered stat given within

A

1 hour given in 2 hours max

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28
Q

Diet Manual reviewed

A

annually revised Q 5years

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29
Q

Handicap parking space width

A

13’ wide

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30
Q

Test Ice

A

every month

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31
Q

Test drinking water

A

every 3 months

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32
Q

Lighting in room

A

20 ft candles

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33
Q

Lighting for reading

A

30ft candles

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34
Q

Bedhold lasts

A

7 days

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35
Q

Nurses progress notes updated

A

as neccessary

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36
Q

Prepaid room and board returned within

A

2 weeks from dc

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37
Q

Patients money returned within how many days after death

A

30 days of death

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38
Q

Unusual occurrences report within

A

24 hours keep one year

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39
Q

Patient Care Policy comittee reviewed

A

annually

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40
Q

Patient records keep

A

7 years (title 22) 5 years OBRA

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41
Q

Notify DHS of construction within

A

5 days

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42
Q

Autoclave thermometer check

A

weekly

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43
Q

Test Autoclave

A

monthly

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44
Q

Curtains located

A

18” below sprinklers

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45
Q

Windows no higher than

A

36”

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46
Q

Hand rails between

A

34” and 38” high

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47
Q

Handicap parking width

A

13’ wide

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48
Q

Medicaid fraud unit info

A

must be posted (HCFA office info not required

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49
Q

Minimum RN hours

A

8 per day

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50
Q

Drugs brought in check with

A

DOC and Pharmacist

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51
Q

Written Manual required for

A

HVAC

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52
Q

Surveyors review upon entrance

A

Facility Characteristics, QI profile, Resident Level Summary

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53
Q

Admission eval completed

A

5 days prior-48 hours after admit

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54
Q

Weights taken

A

monthly

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55
Q

Bug Screens

A

16 wires per square inch

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56
Q

CNA training complete

A

in 4 months

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57
Q

Water over 125F must have

A

warning sign 2” letters

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58
Q

Hot water temperature between

A

105F and 120F

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59
Q

100+ beds must have RN

A

at all times (not DON)

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60
Q

Generator must come on

A

in 10 seconds and run 6 hours

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61
Q

PCP committee includes

A

DON, Activities, Admin, pharmacist and at least one physician

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62
Q

Isolation bed ratio

A

1:35

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63
Q

Medical Director

A

liason between admin and MD’s

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64
Q

Storing of NON-legend drugs at bedside

A

original container, recorded in chart, amount recorded - NOT ordered by prescriber

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65
Q

Convert utility room to office

A

DHS approval required

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66
Q

Admin policy and procedures from

A

governing body

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67
Q

Extended survey follows

A

standard survey

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68
Q

Oxygen equipment needs

A

3 prong hospital grade plug

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69
Q

Temperature of pipes regulated by

A

title 24

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70
Q

Non contested citations, facility pays

A

25% in 4 days

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71
Q

Not in compliance in 6 months

A

23 day fast track to term

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72
Q

Not in compliance in 3 months

A

Denial of payments for new admissions

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73
Q

Survey can come

A

at any time

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74
Q

Self administration of drugs determined

A

by IDT

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75
Q

Bowel and bladder management within

A

2 weeks of admit

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76
Q

Notify DHS of change in Administrator within

A

10 days

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77
Q

ADMIN can oversee

A

3 buildings up to 200 beds IF same company

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78
Q

Trained and competent non licenced staff can give

A

medicinal baths and shampoo, non legend cream or ointment to intact skin, and laxative suppositories

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79
Q

Audiology can be

A

an optional service

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80
Q

Phone not req’d if

A

less than 6 beds all ambulatory

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81
Q

Minimum info on ID band

A

name and facility name

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82
Q

No mingling of funds between

A

facilities

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83
Q

Health Records can leave the facility for

A

storage after discharge

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84
Q

3 req’d committees

A

PCP, Infection control and Pharmacy

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85
Q

ADMIN or designee screens

A

patients for admit

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86
Q

Change of physician requires

A

review of orders for care and treatment

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87
Q

Final responsibility for care in ICF

A

MD

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88
Q

Final responsibility for care in SNF

A

ADMIN

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89
Q

Signed orders sent to pharmacy

A

in 48 hours

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90
Q

Therapuetic diet manual approved by

A

dietician & PCP

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91
Q

Unit dose medication supply on hand

A

min 24hrs max 48hrs supply

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92
Q

All nurses need

A

CPR training

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93
Q

Patients financials reported how often

A

Quarterly

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94
Q

Who is responsible for Informed consent

A

the Physician

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95
Q

Outpatient therapy must have

A

handwashing facility

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96
Q

Soiled linen sorted in

A

a seperate room

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97
Q

Mentally disordered get special rehab time of

A

27 hours a week

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98
Q

Piped gasses checked

A

at time of installation, if changes are made, or integrity breached

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99
Q

Emergency supply drugs to be checked by

A

pharmacist

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100
Q

Non movable solid waste containers must be

A

leak proof, rodent proof, tight fitting lids, and external handles. label is not required

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101
Q

Beds must be

A

clean comfortable and have blanket, sheets, pillow w/pillowcase and mattress

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102
Q

SNF may have more patients than licenced beds with approval of

A

director of DHS

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103
Q

Log of registry workers kept for

A

3 years

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104
Q

Hours and dates employees worked kept

A

12 months

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105
Q

Rights cannot be

A

denied or taken away

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106
Q

External disaster plan reviewed

A

annually

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107
Q

Facility must release drugs on discharge IF

A

doc orders do not include provision for drug disposition

108
Q

Optional services approved by

A

PCP

109
Q

Med error rate

A

5% or less

110
Q

Provisional licence valid for

A

6 months

111
Q

Pt. may not smoke in bed

A

unless supervised

112
Q

Transfer record shall include:

A

Date, time, condition of Pt and reason for transfer - Name NOT included

113
Q

Cannot say “approved by DHS”

A

ever…

114
Q

Admit patients only on

A

physicians orders

115
Q

Admin must be present

A

sufficient hours to run facility

116
Q

Resident injury

A

notify physician, family member, legal representative

117
Q

Bond for $750 or less in patient trust =

A

$1000

118
Q

Committee NOT req’d by title 22

A

QA

119
Q

Resident being involuntarily Dc’d requires

A

30 day notice

120
Q

DON can be charge nurse IF

A

ADC less than 60

121
Q

Fridges storing drugs must have

A

accurate thermometers

122
Q

Patient bacteriological tests kept for

A

12 months

123
Q

Infectious waste stored with other waste requires

A

DHS approval

124
Q

Medical Director responsible for

A

standards, surveillance, coordination and improvement of medical care. Acts as consultant to DON, liason between ADMIN and MD’s, and is responsible for employee physicals

125
Q

If equipment is maintained by outside company, must have

A

documentation of req’d standards

126
Q

Handwashing facility shall not have

A

aerators

127
Q

Test generator every

A

14 days for 30 min load conditions

128
Q

Bedpans emptied in

A

utility rooms or toilets with flushing attachments

129
Q

Soiled linen transported in

A

closed containers

130
Q

Linen supply requirements

A

3 complete changes for capacity

131
Q

Housekeeping leader qualified by

A

training and experience

132
Q

Mop heads removed and changed

A

daily

133
Q

Thermometer check logs

A

keep 12 months

134
Q

Rooms must have

A

bedside table, chair, reading light, and overbed table

135
Q

Fire drills every

A

quarter for all shifts

136
Q

Close chart

A

30 days after DC

137
Q

If Pt records damaged or defaced notify DHS

A

3 days

138
Q

Employees health exam completed

A

90 days prior or 7 days after employment - annually thereafter

139
Q

Admin must appoint acting admin if

A

absent 30 days

140
Q

Size of activity room

A

not stipulated in regulations

141
Q

Activities inservice

A

annually

142
Q

Emergency drugs stored in

A

portable sealed container

143
Q

Drugs for internal and external use

A

stored seperately

144
Q

Dishwasher standards

A

National Sanitation Foundation

145
Q

ICF with less than 50 beds

A

no additional licenced personnell required

146
Q

Piped oxygen tests are by

A

the National Fire Protection Agency standards

147
Q

Inspection and cleaning record of air filters must include

A

information on static pressure drop

148
Q

Staff may not transfer gasses

A

between containers

149
Q

Gases for medical use:

A

CO2, NO, O2, Ethylene, Cyclopropane, helium (NOT Nitrogen or CO)

150
Q

Utility rooms must have

A

rim flush sink, work counters, and storage cabinets (call system NOT required)

151
Q

Must maintain grab bars

A

in resident bathrooms

152
Q

Ambulatory rooms required signage

A

“reserved for ambulatory patients” in half inch letters next to door.

153
Q

Housekeeping schedule

A

daily, weekly, monthly

154
Q

Telephone installed

A

on each floor with residents

155
Q

Must maintain generalized and specialized

A

storage space

156
Q

External disaster program must have:

A

P&P for recalling off duty staff, unified medical command, P&P for Pt relocation

157
Q

ADMIN office must have contracts for

A

dentist

158
Q

Working flashlights required for

A

emergency supply

159
Q

Must report which diseases

A

TB, Brucellosis, Pertussis

160
Q

Standard for measuring student learning is

A

Student Performance Standard

161
Q

Demonstration and return demonstration is

A

clinical training

162
Q

At a citation review conference the licencee cannot

A

subpeona witnesses, record testimony, or cross examine

163
Q

Centralized services may be

A

shared by facilities

164
Q

Water that is too hot in fixtures used by patients is a

A

class B violation

165
Q

Direct supervision means

A

that the supervisor is in the same building

166
Q

Violations with direct relationship to health and safety of patients are

A

class B violations

167
Q

Hospital License correction not req’d

A

for ownership change.

168
Q

Occupational Therapy Assistant certified through

A

AOTA

169
Q

PCP meets

A

annually

170
Q

OT floor space =

A

PT floor space

171
Q

Dietician licensed through

A

American Dietetic Association

172
Q

Autoclaves must have

A

time record and mercury thermometer

173
Q

Interpersonal relationship programs include

A

outings, educational and recreational therapy, and social counselling (NOT mental health counselling)

174
Q

Violations relating to nursing staff are

A

class B violations

175
Q

Physical Therapists are registered through

A

California Board of Medical Quality Assurance

176
Q

Violations relating to employee personnel records

A

are class C violations

177
Q

59 beds or less nursing requirements

A

at least one RN or LVN on duty and awake at all times

178
Q

Dietary Card lists

A

likes, dislikes, allergies, diet order

179
Q

Violations relating to care plans are

A

class B violations

180
Q

Physical Therapy room must have

A

training stairs, full view mirror, overhead pulley and weights, and treatment table with curtain

181
Q

Physical therapy evaluates

A

functionality, muscles and joints (NOT pain)

182
Q

In deciding time for elimination of a condition of a violation - Dept considers

A

number of patients, seiousness, and availability of resources

183
Q

Unauthorized administration of medication is either a

A

class A or B violation

184
Q

Physician visits

A

As needed + every 30 days

185
Q

How many hours between last meal and breakfast

A

14 hours

186
Q

Emergency drugs used to be replaced within

A

72 hours; kit resealed by pharmacist

187
Q

Supply storage space requirements

A

15 sqft per unit

188
Q

Soiled linen storage space requirements

A

10 sqft per unit

189
Q

Clean linen storage space requirements

A

8sqft per unit

190
Q

Dining room space requirements

A

12sqft per bed plus 100sqft

191
Q

Utility rooms minimum space requirements

A

100sqft

192
Q

Max distance from nurses station to patient room door

A

90 ft

193
Q

Refrigerated drugs stored at

A

36F-46F

194
Q

Violations relating to fire safety procedures are

A

class A or class B violations

195
Q

Powdered milk can only be used

A

in cooking - NOT for drinking.

196
Q

Standing orders may

A

not be used

197
Q

DON must have how much supervising experience

A

one year of supervising experience in the last 5 years

198
Q

Trash storage dimensions

A

25 sq ft

199
Q

Corridor widths

A

8ft wide in pt areas, 6 ft wide in service areas

200
Q

Toilets ratio

A

1:6

201
Q

Showers ratio

A

1:12

202
Q

Ceiling minimum height

A

8ft

203
Q

Wheelchair storage space requirements

A

15 sqft per unit

204
Q

PT space minimum

A

300sqft (12ft min dimension)

205
Q

Menu AS SERVED to be kept

A

30 days

206
Q

Menus to be posted

A

in kitchen one week prior

207
Q

Itemized food purchase records kept

A

ONE year

208
Q

Unit dose system is responsibility of

A

Pharmacist

209
Q

CNA training records kept for

A

4 years

210
Q

24 hours per year of training for

A

CNA’s

211
Q

Medications must be given no more than

A

2 hours after being prepared and given by the preparer - drug prep for more than one administration time is not permitted

212
Q

Keep certification program records for

A

4 years

213
Q

3 hours clinical training =

A

1 CEU

214
Q

CNA training must be completed in

A

4 months

215
Q

DSD requirements for facility with certification program

A

100+ requires 40 hours per week; 60-99 beds requires 30 hours per week; 59 or less beds requires 20 hours per week

216
Q

DSD experience requirements

A

one year of patient care and one year planning and implementing educational programs

217
Q

Student to instructor ratio

A

1:15 maximum

218
Q

Immediate supervsion means

A

instructor in the building AND present when clinical procedure performed.

219
Q

If Dept initiates disciplinary action nurse can request hearing

A

within 15 days - hearing within 5 days of request.

220
Q

Substantial Compliance means

A

conformity to regulations to an extent that patient safety, welfare and quality of care are assured.

221
Q

Clinical Social Worker licensed by

A

California Board of Behavioral Science Examiners.

222
Q

Legend drugs have label

A

stating federal law prohibits dispensing without prescription, or are dangerous drugs under the Business and professions code

223
Q

Orientation - first 8 hours include:

A

Tour, emergency P&P’s, intro to patient care

224
Q

DON can only be DON in

A

one facility, work 8 hours a day 5 days a week on the day shift be an RN

225
Q

Infectious disease - residents shall have room

A

vented to the outside with a separate towel, handwashing facility, soap dispenser, and toilet.

226
Q

Restraints checked

A

every 30 minutes

227
Q

Dry foods to be stored

A

12” above floor

228
Q

Facility may dispute survey findings with an

A

Informal Dispute Resolution

229
Q

Pharmacist req’d

A

as many hours as needed + quarterly review

230
Q

E-kit contents

A

Max 6 emergency drugs; max 4 doses each

231
Q

Seclusion as a restraint

A

may NOT be used

232
Q

Physical restraints shall NOT have a

A

PRN order and must have written physicians order specifying the duration and circumstances of use.

233
Q

Special treatment programs in ICF must have

A

30 pt’s initially - cannot drop below 27

234
Q

ICF - After 90 days from admission resident must be seen

A

every 60 days

235
Q

ICF menus

A

posted 3 days in advance, written one week in advance

236
Q

ICF - if LVN only on day shift must have RN consultant

A

4 hours a week

237
Q

ICF required services

A

MD, intermittent nursing, Dietary, Pharmacy and Activity

238
Q

ICF - must obtain written dept approval to acquire

A

10% or more of a facility

239
Q

Drugs returned to facility in ICF keep log

A

3 years

240
Q

Facility to provide physician for emergency care if

A

attending physician is unavailable

241
Q

ICF special programs orientation requirements

A

20 hours orientation in first 60 days of employment

242
Q

ICF special programs eval done

A

30 days prior or within 15 days after admit.

243
Q

Pharmacist review patients drug regimen

A

monthly

244
Q

Drug orders signed in

A

5 days transmitted in 48 hours

245
Q

Legend drugs stored at bedside

A

1.) locked 2.) recorded in chart 3.) be ordered by prescriber 4.) stored in original containers 5.) sublingual or inhalation 6.) not kept in stock after expiration

246
Q

Drug labels must be

A

legible

247
Q

Automatic dishwashers must have

A

180F water on the rinse cycle.

248
Q

ICF space per bed

A

110 sqft for single bed room; 80 sqft for multi bed

249
Q

DON and ADMIN may not be

A

special program director

250
Q

ICF - check E-kit

A

monthly

251
Q

ICF activity staff -

A

50+ bed requires full time, 25-49 bed requires 20 hrs per week, 24 and under requires 10 hrs per week

252
Q

ICF activities requirements

A

10 hours a week for each patient

253
Q

ICF patient rights

A

1.) Privacy for visits 2.) Reimbursement for lost property 3.) Visiting hours daily for clergy

254
Q

Special treatment programs for the mentally disordered include:

A

1.) Money management 2.) Use of community resources 3.) Use of public transportation
(NOT homemaking)

255
Q

Special Disability services in ICF for

A

1.) mentally disordered 2.) substance abusers 3.) developmentally disabled

256
Q

ICF STP - pro IDT staff

A

49 patients or less is 48 hrs per week, 50-69 patients is 64 hrs per week, 70-99 patients is 96 hrs per week, over 100 patients is 144 hrs per week

257
Q

ICF psychiatric special treatment hours requirement

A

30 hours ppweek

258
Q

ICF Ekit

A

3 doses max

259
Q

ICF menu written

A

1 week in advance posted 3days in advance

260
Q

ICF RN or Pharm reviews drug order how frequently

A

monthly

261
Q

ICF Drug orders signed in

A

48 hours

262
Q

ICF may have skilled care that is

A

non continuous

263
Q

ICF minimum nursing hours

A

1.1 ppd

264
Q

ICF bedside nursing permitted if orders are for

A

temporary and minor care

265
Q

ICF storage space requirements

A

12 sqft per bed

CA Exam (4 decks)

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