Misc Flashcards
For which members of SNF is CPR required?
All licensed nurses
In addition to a patient care policy committee & infection control committee, what other committee is required in SNF?
Pharmaceutical
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
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
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.)
What is min foot-candles in rooms for reading and work services?
30 foot candles
Title 22 requires each bed to be clean & comfortable & _________
Adequate mattress, sheets, pillow case and blankets
Which conditions exempt facility from installing a public telephone?
6 beds or fewer and restricted to ambulatory patients
What minimum amount of light is required by Title 22 for corridors, storerooms, stairways, ramps and exits?
20 foot candle
When may facility convert utility room to an office?
When DHS approves conversion.
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 must piped in O2 or NO2 be tested & written report maintained
When initially installed, integrity breach, or changes made.
How often water for human consumption from independent source be tested for bacteria analysis?
3 months
In general emergency, who is authorized to allow nursing facility to take more patients/have more beds than licensed for?
Director of DHS
Where should soiled linen be sorted?
A separate room
What systems must be covered in written maintenance manual?
HVAC
With in how many seconds of power failure must emergency lighting & power systems provide auto restoration of power for emergency circuits?
10 seconds
What part of CA code of reqs of H2O delivered to plumbing fixtures used by ???? Which part gives req for max. water temp?
Title 22
From whom approval required if infections waste is stored w/ other solid waste?
Local Health Dept
Under what circumstances can bedside nursing care be provided in ICF?
Temporary or minor
When can authorized officers of DHS enter ICF to examine DC’d resident’s records?
At any time
What is minimum required ration of isolation rooms to ICF beds?
1:35
With in how many months of date of issuance, provisional license of ICF expire?
6 months
Who assumes overall care of residents in ICF?
Physician
How frequently is every drug supply checked by pharmacist in ICF?
Monthly
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
ICF- which is a patient right?
Privacy for visits, established daily visiting hrs from clergy, reimburse for personal property lost.
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
When must initial assess of patient need commence?
At time of admission
Who is responsible for standards, surveillance, coordination and improvement of medical care?
Medical Director
How large supply of food must be maintained?
1 wk stables & 2 days perishable
Required hours of orientation of NA’s during first 40 hours of employment
16 hours
When patient changes attending physician evaluation required. What else?
Review of orders for care and treatment
With the unit dose medicical system, how many hours worth of meds must they keep on hand for all patients
24 hrs
With in what max period of time after admission, bowel and bladder program indicated.
2 weeks
Who must review each patients’ activity care plan and approve in writing as not being in conflict w/ patient treatment plan?
Attending physician
Who must examine and ID meds brought by patient at admission?
Patient’s physician or pharmacist retained by facility
What max # hrs allowed for signed order for drugs to be transmitted to issuing pharmacy?
48 hrs
Temp range drugs @ room temp stored?
59-86 degrees
Min temp by title 22, utensils not washed by mechanical means
110 degrees F
In addition to dietician, who approves therapeutic diet menus?
Patient Care Policy Committee
How long results of patient bact. testing be kept of file?
12 months
Which med can unlicensed persons administer with training and demonstration of competence?
Laxative Suppositories.
In addition to the PCP committee, who reviews the diet manual?
Dietician
What amount of bond is required for facility handling $750 or less patients?
$1000
When DHS notified of change in administrator?
Within 10 days of change
Which duties require responsibility of Medical Director?
Liaison between Admin and Attending MDS.
Size of NF RN on duty day and night in addition to DON?
100 Beds
How are glass thermometers disinfected?
Submersion for 10 min in 70% Ethyl Alcohol
Which optional service unit maybe operated in a NF?
Audiology
When can standing physician’s orders be used in a facility?
They cannot be used
Which item does a refrigerator need to have according to pharmacy services if storing meds?
Accurate Thermometer
Temperature needed to maintain readily perishable foods and beverages
45 deg and 140 deg
Which of the following conditions is not req. for Non Legend drugs to be kept at bedside.
Specifically ordered by prescriber (Limit access, record useage, record qty originally supplied - are the conditions)
Survey that evaluates additional participation req’s subsequent to find substandard care known as _____
Extended Surveys
Clinical records of residents, not minors, retained for ??
7 years after DC date
After 90 days of admission, resident must be seen at least every ______
60 days
Which committee not req’d by title 22?
QA
Who is responsible for disclosing of material info & obtaining informed consent?
Attending MD
Resident being DC’d must receive at least a __________
30 day notice
Facility considered out of sum comp. w/ deficiencies at or above ____
No actual harm with potential for more than minimum harm not IJ
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
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?
DON may serve as a charge nurse only when ADC is lower than ?
60 residents
Facility must ensure free of med error rates of ?
5% or more
Unit dose medication system, min supply of meds to be on hand at all times?
24 hrs
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.
Who approves in writing, admin P&P after revised each year?
Governing Board or Licensee
W/ in ____ days prior to admission TB screening completed?
90 days
Topics included in personnel P&P manual?
Employee Benefits
What is one component of fac. Org. chart?
Major programs of facilities
Mingling of pt funds w/ funds of another facility?
They may not be
Max period of time after DC $ returned?
2 wks
Who conducts preadmission screening interviews to ensure admission of pts who it can provide adequate care?
Admin or designee
Res. self admin drugs if approved by ?
IDT
Res. Has accident w/ injury. Who must be notified?
Res. Physician, Fam member, Legal Rep.
Which not red’d to be posted?
HCFM Admin, Res Office
Must use RN for at least?
8 hours/day
Ind. who willfully or knowingly certifies or causes cert. in res. assess ____
Civil $ penalties
What happens when a fiacility is not found in Sub comp w/ in 6 months of last day of survey
Terminated provider agreement
Informal opportunity at facility request to dispute survey findings upon receipt of written deficiency
Informal Dispute Resolution
Groups required to establish and implement SNF P&P for optional units?
PCP committee
Requirement of PT unit w/ out patient services?
Separate handwashing facility
Limit on # of facilities/beds admin responsible
3 facilities/200 beads
External disaster, mass casualties, program review?
Annually
When may heath records be removed from the building?
After DC for outside storage
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 pts rights denied or limited?
Only as auth’d by law
W/ in ___ hours unuausal occ. reported to DHS?
24 hrs
In add to DON, Pharm, Act Leader & reps of req’d services, who is a member of PCP committee
Administrator & one physician.
Who approves in writing, admin P&P after revised each year?
Governing Board or Licensee
Min period log retained by ICF for drugs returned to facility?
3 years
Within _____ hrs telephone order for meds in ICF signed by prescriber?
48
Unless health record indicates otherwise, at what level is ICF responsible to patient encouraged to participate in social/ rec activities?
10 hrs/week
Min avg nursing hrs ppd – each ICF req’d to employ?
1.1
Title 22, task may be performed by L.C. psych tech or special TX program?
Admin meds & services as charge nurse.
In consult w/ PT, who establishes and implements P&P governing PT unit?
PCP committee
