Human Resources Flashcards
One practical reason the administrator must rely more and more on the expertise of department heads is
Requirements are too numerous for one person to remember
One overarching consideration in deciding at what level, threat is, the number of nursing hours per patient day, to staff the facility is
Medical complexity of care given
The one person most responsible for resident rights in the nursing facility is the
Administrator
Quality assessments and control, infection control, and physical plant health and safety are
Federally required committees and/or functions
Generally, the percentage of nursing facilities with deficiencies for resident rights in 2015 was
Less than 3
In the typical nursing facility of 100 patients, the administrator normally has ___ reporting to him/her
Eight or nine department heads
Larger facilities (200 or more patients) might consider the appointment of perhaps ___ middle level managers to whom tow or more department heads may report
Half a dozen
Activities such as ensuring quality of care for all residents, advocating for all residents, and developing and managing the budget are normally associated most closely with the
Administrators office
In 2015 US nursing facilities achieved ___ compliance with physician services
98% or more
Activities such as empowering department heads, setting the tone, and settling territorial disputes are normally associated most closely with the
Administrators office
The rate of compliance with dental requirements in US facilities in 2015 was
99%
Federal, congressionally written requirements for the roe(s) the medical director may/must play are
Brief and vabue
When attending physicians fail to visit their patients on a timely basis, the medical director
Often substitutes and accomplishes the required physician services
In most nursing facilities of 100-200 beds, there is ___ medical staff
Usually no organized
Pharmacy services in US nursing facilities in 2015 were about 98% in compliance with the exception of
Procedures and storage
One of the main advantages of a closed medical staff is that
One of the staff can be on call all the time
Facility compliance with laboratory services requirements in 2015 was
Nearly 100%
Closed medical staffs are more likely in___ facilities that serve a large ___ patient population
Larger/Medicaid
Dental care is often a neglected area of care in nursing facilities because dentists
Are typically reimbursed approximately half the office fee
Dental care is also often a neglected area of care in nursing facilities because dentists
Are often insecure about functioning outside their office with complex cases
Total RN and LPN hours per patient day in US nursing facilities during 1993 to 2015
Rose perceptibly and then decreased slightly
Successful solutions to oral care in the facility will likely be linked to
Retaining a dental director at perhaps $5-$8 per patient per month
There is need in most nursing facilities for a ___ who will make rounds, see patients on a monthly basis, and train nursing staff to observe and meet patients’ oral needs
Dental hygenists
One practical solution to attaining a satisfactory level of oral care for nursing facility patients is to
Train oral care aides ( a regularly employed nurse’s aide)