Exam 1 Flashcards
- In addition to a patient care policy committee & infection control committee, what other committee is required in SNF?
Pharmaceutical
- For which members of SNF is CPR required?
All licensed nurses
- How often do accounting of financial transaction on patients’ behalf need be made?
Quarterly
- When Nursing Home Admin allowed to act as patient’s authorized rep with money or valuables?
Close Blood Relative (consanguinity)
- Per title 22, how long should a record of hours and dates worked by employees be kept on file?
Most recent 12 month period
- How long must perm. log of temporary health services workers (registry) be kept?
3 years
- What minimum amount of light is required by Title 22 for corridors, storerooms, stairways, ramps and exits?
20 foot candle
- Which conditions exempt facility from installing a public telephone?
6 beds or fewer and restricted to ambulatory patients
- Title 22 requires each bed to be clean & comfortable & _________
Adequate mattress, sheets, pillow case and blankets
- What is min foot-candles in rooms for reading and work services?
30 foot candles
- According to title 22, which condition is not a requirement of non-movable solid waste container?
Clearly Labeled (is not req.) (external handles, leak proof, rodent proof, tight fitting lids in good repair are req.)
- With in how many seconds of power failure must emergency lighting & power systems provide auto restoration of power for emergency circuits?
10 seconds
- What systems must be covered in written maintenance manual?
HVAC
- Where should soiled linen be sorted?
A separate room
- In general emergency, who is authorized to allow nursing facility to take more patients/have more beds than licensed for?
Director of DHS
- How often water for human consumption from independent source be tested for bacteria analysis?
3 months
- When must piped in O2 or NO2 be tested & written report maintained
When initially installed, integrity breach, or changes made.
- What documentation must be provided by SNF when maintenanced is performed by equipment service company?
Certification that req. work completed in accordance with accepted standards.
- When may facility convert utility room to an office?
When DHS approves conversion.
- Which pieces of 110-120 volt equipment must be equipped with a 3-wire ground cord with a hospital grade 3-prong plug?
Concentrator
- Required hours of orientation of NA’s during first 40 hours of employment
16 hours
- How large supply of food must be maintained?
1 wk staple & 2 days perishable
23 Who is responsible for standards, surveillance, coordination and improvement of medical care?
Medical Director
- When must initial assess of patient need commence?
At time of admission
- After issuance of B citation with penalty of $200, what action must you take if you do not wish to contest?
Transmit sum of $50 within 4 business days to DHS
- ICF- which is a patient right?
Privacy for visits, established daily visiting hrs from clergy, reimburse for personal property lost.
- With in a special rehab. program for mentally disabled, what min. avg. number of groups or individual program hrs for each resident per week?
27 hours
- How frequently is every drug supply checked by pharmacist in ICF?
Monthly
- Who assumes overall care of residents in ICF?
Physician
- With in how many months of date of issuance, provisional license of ICF expire?
6 months
- What is minimum required ration of isolation rooms to ICF beds?
1:35
- When can authorized officers of DHS enter ICF to examine DC’d resident’s records?
At any time
- Under what circumstances can bedside nursing care be provided in ICF?
Temporary or minor
- From whom approval required if infections waste is stored w/ other solid waste?
Local Health Dept
- What part of CA code of reqs of H2O delivered to plumbing fixtures used by ???? Which part gives req for max. water temp?
Title 24
- How long results of patient bact. testing be kept of file?
12 months
- In addition to dietician, who approves therapeutic diet menus?
Patient Care Policy Committee
- Min temp by title 22, utensils not washed by mechanical means
110 degrees F
- Temp range drugs @ room temp stored?
59-86 degrees
- What max # hrs allowed for signed order for drugs to be transmitted to issuing pharmacy?
48 hrs
- Who must examine and ID meds brought by patient at admission?
Patient’s physician or pharmacist retained by facility
- Who must review each patients’ activity care plan and approve in writing as not being in conflict w/ patient treatment plan?
Attending physician
- With in what max period of time after admission, bowel and bladder program indicated.
2 weeks
- Temp perishable foods and beverages stored
45 or below or 140 degrees
or above
- With the unit dose medicical system, how many hours worth of meds must they keep on hand for all patients
24 hrs
- When patient changes attending physician evaluation required. What else?
Review of orders for care and treatment
- Which of the following conditions is not req. for Non Legend drugs to be kept at bedside.
Specifically ordered by prescriber
Conditions for non-legend drugs to be kept at bedside:
- Limit access
- record useage
- record qty originally supplied
- Temperature needed to maintain readily perishable foods and beverages
45 deg and 140 deg
- Which item does a refrigerator need to have according to pharmacy services if storing meds?
Accurate Thermometer
- When can standing physician’s orders be used in a facility?
They cannot be used
- Which optional service unit maybe operated in a NF?
Audiology
- How are glass thermometers disinfected?
Submersion for 10 min in 70% Ethyl Alcohol
- Size (#of beds) of NF RN on duty day and night in addition to DON?
100 Beds
- Which duties require responsibility of Medical Director?
Liaison between Admin and Attending physicians.
Consultant to DON
- When DHS notified of change in administrator?
Within 10 days of change
- What amount of bond is required for facility handling $750 or less patients?
$1000
- In addition to the PCP committee, who reviews the diet manual?
Dietician
- Which med can unlicensed persons administer with training and demonstration of competence?
Laxative Suppositories.
- Under what circumstances can a facility provide properly labeled and ordered medications to a patient upon discharge?
When the docs discharge order does not specify provisions for drug disposition.
- Unit dose medication system, min supply of meds to be on hand at all times?
24 hrs
- Facility must ensure free of med error rates of ?
5% or more
- DON may serve as a charge nurse only when ADC is lower than ?
60 residents
- 3 QI reports discussed with Admin during entrance conference of Survey are know as ___________,______________,____________
Quality Indicator Profile
Oscar (not reviewed)
Facility Characteristics
Resident Level Summary?
- Facility not found to be in Sub Comp w/in 3 months of last day of survey, what happens?
Denial of pmt for new admissions
- Facility considered out of sum comp. with deficiencies at or above ____.
No actual harm with potential for more than minimum harm not IJ
- Resident being DC’d must receive at least a __________.
30 day notice
- Who is responsible for disclosing of material info & obtaining informed consent?
Attending MD
- Which committee not req’d by title 22?
QA
- After 90 days of admission, resident must be seen at least every ______.
60 days
- Clinical records of residents, not minors, retained for ??
7 years after DC date
- Survey that evaluates additional participation req’s subsequent to find substandard care known as _____
Extended Surveys
- Informal opportunity at facility request to dispute survey findings upon receipt of written deficiency (CMS-2567) is known as an __________ ________ ____________.
Informal Dispute Resolution
- What happens when a facility is not found in Sub comp w/ in 6 months of last day of survey
Terminated provider agreement
74, Ind. who willfully or knowingly certifies or causes cert. in res. assess ____
Civil $ penalties
- Must use RN for at least?
8 hours/day
- Which not red’d to be posted?
HCFM Admin, Res Office
- Res. Has accident w/ injury. Who must be notified?
Res. Physician, Fam member, Legal Rep.
- Res. self admin drugs if approved by ?
IDT
- Who conducts preadmission screening interviews to ensure admission of pts who it can provide adequate care?
Admin or designee
- Max period of time after DC $ returned?
2 wks
- Mingling of pt funds w/ funds of another facility?
They may not be
- What is one component of fac. Org. chart?
Major programs of facilities
- Topics included in personnel P&P manual?
Employee Benefits
- W/ in ____ days prior to admission TB screening completed?
90 days
- Who approves in writing, admin P&P after revised each year?
Governing Board or Licensee
- In add to DON, Pharm, Act Leader & reps of req’d services, who is a member of PCP committee
Administrator & one physician.
- W/ in ___ hours unuausal occ. reported to DHS?
24 hrs
- When pts rights denied or limited?
Only as auth’d by law
- Mr A suddenly w/o provoke punches B, both have dementia. Both Mr. A and resp. party have refused medication and pschy eval. Other than notify responsible party what to do you do?
Notify Mr. A and responsible party that he will be transfered if behavior does not change.
- When may heath records be removed from the building?
After DC for outside storage
- External disaster, mass casualties, programs- what is the frequency of review?
Annually
- Limit on # of facilities/beds admin responsible
3 facilities/200 beds
- Requirement of PT unit w/ out patient services?
Separate handwashing facility
- Groups required to establish and implement SNF P&P for optional units?
PCP committee
- In consult w/ PT, who establishes and implements P&P governing PT unit?
PCP committee
- Title 22, task may be performed by L.C. psych tech or special TX program?
Admin meds & services as charge nurse.
- Min avg nursing hrs ppd – each ICF req’d to employ?
1.1
- Unless health record indicates otherwise, at what level is ICF responsible to patient encouraged to participate in social/ rec activities?
10 hrs/week
- Within _____ hrs telephone order for meds in ICF signed by prescriber?
48
- Min period log retained by ICF for drugs returned to facility?
3 years
Anti-infectives and drugs used to treat severe pain, nausea, agitation, diarrhea or other severe discomfort shall be available and administered within _____ hours of the time ordered.
4 hours
Drugs requiring refrigeration shall be stored in a refrigerator between 2 C (__ F) and 8 C (__ F)
2 C (36 F) and 8 C (46 F)
Storage of non-legend drugs shall be limited to ______ or _______ forms of emergency drugs.
sublingual or inhalation forms of emergency drugs.
