Environment Flashcards
Fire Safety
The Life Safety Code
home health aide
is expected to perform only health-specific tasks, such as administering medicines, changing bandages, and the like
Fire Safety, Smokeproof Enclosures
a smokeproof enclosure is a set(s) of enclosed stairs designed to limit the infiltration of heat, smoke, and fire gases from a fire in any part of a building which limits entry of the products of combustion into the stairway
resident rate
the number of nursing home residents (all ages) per 1,000 resident population 85 years of age and over
overtime
The Fair Labor Standards Act requires overtime for all hours over 40 hours per week, to be paid at one and one-half the regular rate of pay
OSHA defines an occupational injury as
any injury, such as a cut, fracture, sprain amputation, that results from a work accident or from an exposure involving a single accident in the work environment
choreworker-homemaker
Area Agency on Aging subcontractors offer the services of persons who will come into older persons’ homes to perform specific tasks. Choreworkers usually do window washing or other less routine tasks.
Fire Safety, Doors
locks are not permitted on patient sleeping room doors
Safe Medical Devices Act of 1990
nursing homes must report to the Food and Drug Administration and/or the manufacturer all incidents in which a medical device caused or contributed to a resident’s death or serious injury or illness
tactile
describes an object that can be perceived using the sense of touch
The Equal Employment Opportunities Act, 1972
The Equal Employment Opportunities Act (EEOA) amended Title VII of the Civil rights Act. EEOA strengthened enforcement of the original Act and expanded its coverage to additional groups, such as state and local government workers and private employment of more than 15 persons.
Fire Safety, Fire Drills
shall include the transmission of a fire alarm signal and simulation emergency fire conditions
Accessible Route must meet this definition
be at least 36 inches wide (32 at doors), allow for turns around objects (see ADA Figure 4-14 Accessible Route), have passing spaces 60 inches wide at least every 200 feet, 80 inch turn room, stable, firm and slip-resistant surface texture, and meet change of level requirements
CCRC
Continuing Care Retirement Community
Meals on Wheels
title 3c of the Older Americans Act pays for home-delivered meals
Consumer Credit Protection Act, 1968
Title III of this act limits the amount of an employee’s earnings that may be garnisheed and protects employees from being discharged for any one indebtedness
Fire Safety, Horizontal Exits
a horizontal exit is a passage from one area of a building to another, separated by a fire barrier, space or other protection enabling each area to be a fire compartment independent of the one in which a fire exists
changes in level
Up to 1/4 inch may be vertical and without edge; Between 1/4 and 1/2 inch beveled edge required; Over 1/2 inch, ramp treatment required
The Patient Self-Determination Act (PSDA) of 1990
technically an amendment to the federal Medicare and Medicaid law passed as part of the 1990 Omnibus Budget Reconciliation Act
assignment
when a physician or supplier accepted an assignment of the medical insurance payment under Plan B, he/she agreed that the total charge to the patient would be the one approved by the carrier
The Equal Employment Opportunity Commission (EEOC)
established by the 1964 Civil Rights Act. The Commission was empowered to interpret the Act and resolve charges brought under it
child labor
minors under 16 may not be employed except under a temporary permit issued by the Department of Labor
Sexual Harassment
defined as follows; Unwelcome sexual advances, request for sexual favors, and other verbal or physical conduct of a sexual nature, constitutes sexual harassment when (1) submission to such conduct is either explicitly or implicitly a term or condition of an individual’s employment, (2) submission or a rejection of such conduct by an individual is used as a basis for employment decisions affecting such individual or (3) such conduct has a purpose or effect or reasonably interfering with an individual’s work performance or creating a hostile work environment
American College of Healthcare Executives
40,000 members, mainly hospital executives
Type C or fee-for-service CCRCs
(about 38% of CCRCs) usually offer no meals or personal care service in the monthly fee
OSHA compliance officers may categorize employer violations as
1.imminent danger (can close operations down) 2.serious (calls for a major fine) 3.nonserious (a violation in which a direct and immediate relationship exists between the condition and occupational health, but not such as to cause death or serious physical harm) 4.de minimus (small violation) - a notification is given, but no fine imposed; a violation of a standard
home health care
Services Under Medicare Plan A. Unlimited home health visits at no cost are available to any Medicare recipient hospitalized under Plan A and evaluated to need post-hospital home health care for the final DRG diagnosis.
Type B or modified CCRCs
(about 26% of facilities) usually offer nursing care at no substantial increase in monthly fees, but include fewer services
The Older Americans Act (OAA)
can be characterized as Congress’ response to non-institutional primarily non-health care needs of the elderly
approved charges
under Plan B, approved charges were those determined as follows
Fire Safety, Total Concept
all health care facilities shall be designed, constructed, maintained, and operated to minimize the possibility of a fire emergency requiring the evacuation of occupants
Fire Safety, Goals and Objectives
the goal is to close as many doors as possible to prevent smoke from spreading and, to the extent feasible, to confine the fire to the room of origin
responsibilities of the national labor relations board
(1)to determine what the bargaining unit or units within an organization shall be; (2)to conduct representation elections by secret ballot for the purpose of determining which, if any, union shall represent the employees within a unit; (3)to investigate unfair labor practice charges filed by unions or employees and to prosecute any violations revealed by such investigations.
Title I of the Americans with Disabilities Act of 1990 (ADA)
prohibits facilities from discriminating against qualified individuals with disabilities in job application procedures, hiring, firing, advancement, compensation, job training, and other terms, conditions and privileges of employment
The four primary foci of the Fair Labors Standards Act
(a) minimum wage rates, (b) overtime, (c) child labor and (d) equal rights
DRG stands for
Diagnostically Related Group (of diseases)
Buy-in Agreements
to maximize the contribution of federal dollars to state programs, participating states have signed “buy-in agreements” under which the state pays for Plan B costs for Medicaid recipients
Egress, means of
a continuous and unobstructed way of exit travel from any point in a facility to a public way
Fire Safety, Emergency lighting
must have automatic transfer between normal power and an emergency source
American Health Care Association
the for-profit national nursing home association
OSHA
Occupational Safety and Health Act, protects and enforces workplace safety
Objects located between 27 and 80 inches above the floor
must protrude no more than 4 inches into any hall or passageway or walk
Exempt/Non-Exempt
Executive, professional, administrative and outside sales occupations are exempt from FSLA coverage. Non-exempt occupations are covered and include most hourly employees such as the nurses and nurses’ aides. It is estimated that about 20% of employees are in the exempt category
American Association of Homes and Services for the Aging – (AAHSA)
The national not-for profit industry group
National Citizens’ Coalition for Nursing Home Reform
the major national coalition for new legislation in the long term care field
intermediaries and carriers
medicare payments were actually made by private insurance organizations that had contracted with the federal government to do so
An individual with a disability is a person who
has a physical or mental impairment that substantially limits one or more major life activities ( e.g., walking, lifting, seeing, learning, doing manual tasks); has a record of such an impairment (e.g., has been treated for a mental illness) or; is regarded as having such an impairment (e.g., a person who has extensive scars from burns).
hospice care
is given persons usually believed to be at the end of their lives, with perhaps 6 months or less to live, who mainly seek alleviation from pain rather than intensive technological medical treatment
Type A or all-inclusiveCCRCs
(about 33% of CCRCs) guarantee fully paid nursing care for as long as needed at no extra cost beyond the resident’s monthly fee
ADA
Americans with Disabilities Act of 1990
Access aisle
an accessible pedestrian space between elements, such as parking spaces, seating and desks that provides clearances appropriate for use of the elements
OSHA directly affects the operations of nursing care facilities in at least three main areas
1.Meeting the standards set by OSHA 2.Cooperating in OSHA inspections of the facility 3.Keeping the necessary records on job related accidents and illnesses
Health Insurance Portability and Accountability Act (HIPAA) of 1996
Effective April, 2001, the Department of Health and Human Services issued privacy standards which facilities must ensure for their residents in order to continue to be eligible for Medicare funds
respite care
a relatively new program under Medicare Plan A, where it is defined as a short term inpatient stay that provides temporary relief to the person who regularly assists with home care
Worker’s compensation laws
based on the principle that employees themselves should not have to pay costs associated with injuries that occur at work
Accessible route
a continuous unobstructed path connecting all accessible elements and spaces of a facility
The Wagner Act of 1935
the landmark law that, for the first time in federal legislation, defined the rights of workers. The Wagner Act limited the freedom of employers to give their views on proposed unionization.
Services under Medicare Plan B
Unlimited visits, at 80% of cost, are available to persons covered by Medicare Plan B who are found to need part-time health care in their home for the treatment of an illness or injury.
Civil Rights Act, 1964
Title VII of the Civil Rights Act of 1964 prohibited employers and others from discriminating against employees on the basis of race, color, religion, sex or national origin
American Association of Retired Persons (AARP)
over 33 million Americans aged 50 and over
Family and Medical Leave Act (FMLA)
a covered employer (50 or more employees) must allow up to 12 weeks per year of unpaid leave connected with pregnancy, childbirth and recovery, or a serious health condition affecting an employee or his family member
Clear floor space
the minimum unobstructed floor or ground space required to accommodate a single, stationary wheelchair and occupant
American College of Health Care Administrators
the professional organization for nursing home administrators
Fire Safety, Ramps
the usual definition is; 20 degrees to 50 degrees = a stairway; 7 degrees - 20 degrees = a stairway and landings; under 7 degrees = a ramp
