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)
A podiatrist is an important component of foot care in the nursing facility because
Diabetics need podiatrists for safe toenail clipping
Ensuring all medications are available as ordered, that all reorders and stop orders are implemented, and reviewing each patients medications monthly falls to the
Consulting pharmacist
Observing medication passes and recording and reporting drug error rates falls to the
Consulting pharmacist
A facility of 120 patients with eight new admissions per month might ___ physical therapy services
Contract for
A facility of 120 patients with 30 to 40 new admissions each month would likely ___ physical therapy services
Offer in-house
One way some facilities have bridged the gap between formal physical therapy given and the ‘habilitative’ care given daily by the nursing staff is to
Establish a restorative nursing program led by a nurse
Increasingly facilities needing xrays are
Using mobile xray services
In the nursing facility, implanted ports, midline catheters, central line catheters and epidural lines are part of
Subacute care
For nursing to achieve its tasks
Nearly every department must cooperate
Keeping medical records must be assigned to
A full time employee
The major difference between the challenge faced by the nursing home dietary director compared with the hospital dietary director is
Diets over an extended period of time
During the years 1993 to 2006 the major area in dietary services that needed improvements in the view of the inspectors was
Sanitary conditions
A particular patient care related concern the administrator should address when evaluating the social workers sand activities directors work is
Whether less responsive patients are receiving attention
Deficiencies for housekeeping appear to be
Varying over time
The personnel for whom the personnel director has line responsibility is
Personnel department staff
In practice most of the actual hiring in nursing facilities is done by the
Department managers
In the typical facility of 100 patients there is/are ___ full time personnel directors
No
The process of defining a job in terms of tasks or behaviors required and specifying the qualifications is performing a
Job analysis
Informing about the job that results in a statement of the job to be done including a list of duties, title, and qualifications is a job
Descripton
That which distinguishes one job from all others is the job
Title
A coordinated and aggregate series of work elements used to produce an output for example making a bed is known as a
Task
The administrator asks the financial manager to identify competition for personnel, estimate in migration or out migration of workers and look at wage scales in the area. the administrator wants
A person power inventory
The authority of government agencies to review facilities recruitment sources advertising and statistics on the number of applicants, and persons hired by category stems from
The Civil Rights Act
The geographical scope of a search for applicants for a nursing assistant or housekeeping job is likely to be limited to
Commuting distance
Present employees career ladder job posting and job bidding are
Good recruiting sources
Career ladders are paths along with the employee
Can hope to progress
Posting a job opening on the facility bulletin board is
Generally a good practicie
Use of a search firm would be more appropriate for hiring a
New administrator
Recruitment is the process of ___ prospective staff
Locating
Personnel selection is the process of
Deciding which applicant best fits the job requirements
Prohibiting the discrimination on the basis of race, color, religion, sex, or national origin the basis of the
Civil Rights Act
