Misc Flashcards
Physical restraints must be moved
every 2 hours
regarding developmentally disabled HCFA recommends use of
justice system, consumer groups, etc. to determine type of active treatment
most significant aspect of resident care practice is
staff attitude towards residents
OBRA requires that rehab service
be prescribed by a licensed physician
Bodily fluid that does not transmit HIV
urine
facility cannot discharge resident if
court appointed guardian refuses transfer
If you have an Ethics committee
it must be free standing
discharge summary
may be the last progress note written
social workers do not provide
psychiatric therapy
stages of dealing with death
denial, anger, bargaining, depression, acceptance
initial responsibility to explain resident rights
is the social workers
Advanced Directives
1) Facility must have P&P
2) Not provide care that conflicts with directive
3) Resident must be informed of rights
Most nursing home residents are
widows
if a resident is declared legally incompetent
rights are assigned to legally responsible party
max hours between evening meal and breakfast
14 hours
primary purpose of having residents eat in dining room is
to provide socialization
Cause of liver damage is usually
poor diet
All menus must be approved by
the dietician
hot food should be served at what temperature
140F
opposite of acute condition is
a chronic condition
hearing loss refer to
ontologist
podiatrist may not be
attending physician
patients must be seen by doctor every
30 days for first 90 days then once every 60 days
who is responsible for paying dental service
family or resident
QA committee must include
1) physician
2) DON
3) three other staff members
RAI designed to
improve clinical assessments mandated by HCFA
Residents are most easily encouraged to participate in activities that are
personally satisfying
Primary IDT members usually include all but which of the following staff
1) activities director
2) rehab staff
3) therapy staff
but not Admin
Facility Administrator’s role in activities is to
visit, observe, and support
volunteer program best achieved by
granting awards for years of service
most volunteers come from
religious organizations
Best communication of activities is through
signs, posters, and calendars
primary purpose of medical records is to provide
continuity of care
the primary value of varied colors on records forms is
quick identification
an assessment of resident condition gives
current status
medical records belong to
the facility
prescription drugs can only be given by
the licensed person who prepared the drug
Schedule 1 drugs
have no medical use
Schedule 2 drugs
cannot be fulfilled without Dr. new prescription
If drug error is reported to administrator
admin should determine disciplinary action
If there is a damaged drug label
return drug to pharmacy
prescription drugs can only be dispensed by
a doctor or pharmacist
rehab needs of patients are met by
therapists
Accrual is
an accounting system
assets appear on
the balance sheet
after entering a transaction in the journal one must
periodically balance each account
Interest can be both
revenue and an expense
Bank statements should be reconciled immediately because
neither they nor the facility ledger may show the correct balance
Current ratio is
assets divided by current liabilities
Prepaid expenses are
things purchased but not yet consumed
Best way to maintain inventory is to
record in an inventory control system with reorder levels
an invoice is usually a
list
to determine ability to meet short term cash need
use a cash flow statement
a balance sheet contains
1) assets
2) liabilities
3) net worth/owners equity
FUTA is
unemployment tax
Current trial balance has
debits, credits, and names but NO zero balances
Annual audits do what
verify accuracy of financial records
Distance between beds should be
3 feet
Maintenance program should emphasize
preventative maintenance
when two government agencies have different rules
go with the more stringent one
work orders in housekeeping and maintenance help
schedule work to be done
waste management is monitored by
OSHA
lighting temperature and sound levels relate primarily to
comfort
standard precautions are given by
the CDC
Best theft prevention is to
limit the number of items that could be stolen
MSDS sheets are from
OSHA
the number of patients per bathroom is established by
the State
Flashover is
an out of control fire
Agencies over emergency power are
NFPA and OBRA
Primary fire defenses are
resident doors, walls, and smoke barriers
employees right to know relates to
hazardous communications
minimum amount of square footage per bed
80 sq ft
maximum corridor without a smoke stop door
150 ft.
Closing doors in a fire is to
contain the smoke
generators must be checked how often
weekly
Major problem with fire drills is
there is no fire
Standard precautions, right to know, and HBV are under which agency
OSHA
all healthcare facilities must be
licensed
Respondiat Superior means
both employee and employer may be held responsible for employee screwup
It is not the role of the Ethics committee to
make decisions
Ethics committees usually do not include
residents
Strategic planning is
planning for future uncertainties
Residents rights are categorized by
OBRA
Ombudsman program funded by
the Administration on Aging
Resident and family should both participate in
the first meeting of the resident assessment
Nondirective counseling
guides person to discover the best action themselves
Privacy is required in
Records, treatment, and communication
Best time to inform patients of their rights is
before or during admission
