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CA Exam > Misc > Flashcards

Misc Flashcards

1
Q

For which members of SNF is CPR required?

A

All licensed nurses

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2
Q

In addition to a patient care policy committee & infection control committee, what other committee is required in SNF?

A

Pharmaceutical

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3
Q

How often do accounting of financial transaction on patients’ behalf need be made?

A

Quarterly

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4
Q

When Nursing Home Admin allowed to act as patient’s authorized rep with money or valuables?

A

Close Blood Relative

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5
Q

Per title 22, how long should a record of hours and dates worked by employees be kept on file?

A

Most recent 12 month period

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6
Q

How long must perm. log of temporary health services workers (registry) be kept?

A

3 years

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7
Q

According to title 22, which condition is not a requirement of non-movable solid waste container?

A 
Clearly Labeled (is not req.)
(external handles, leak proof, rodent proof, tight fitting lids in good repair are req.)
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8
Q

What is min foot-candles in rooms for reading and work services?

A

30 foot candles

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9
Q

Title 22 requires each bed to be clean & comfortable & _________

A

Adequate mattress, sheets, pillow case and blankets

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10
Q

Which conditions exempt facility from installing a public telephone?

A

6 beds or fewer and restricted to ambulatory patients

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11
Q

What minimum amount of light is required by Title 22 for corridors, storerooms, stairways, ramps and exits?

A

20 foot candle

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12
Q

When may facility convert utility room to an office?

A

When DHS approves conversion.

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13
Q

What documentation must be provided by SNF when maintenanced is performed by equipment service company?

A

Certification that req. work completed in accordance with accepted standards.

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14
Q

When must piped in O2 or NO2 be tested & written report maintained

A

When initially installed, integrity breach, or changes made.

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15
Q

How often water for human consumption from independent source be tested for bacteria analysis?

A

3 months

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16
Q

In general emergency, who is authorized to allow nursing facility to take more patients/have more beds than licensed for?

A

Director of DHS

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17
Q

Where should soiled linen be sorted?

A

A separate room

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18
Q

What systems must be covered in written maintenance manual?

A

HVAC

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19
Q

With in how many seconds of power failure must emergency lighting & power systems provide auto restoration of power for emergency circuits?

A

10 seconds

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20
Q

What part of CA code of reqs of H2O delivered to plumbing fixtures used by ???? Which part gives req for max. water temp?

A

Title 22

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21
Q

From whom approval required if infections waste is stored w/ other solid waste?

A

Local Health Dept

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22
Q

Under what circumstances can bedside nursing care be provided in ICF?

A

Temporary or minor

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23
Q

When can authorized officers of DHS enter ICF to examine DC’d resident’s records?

A

At any time

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24
Q

What is minimum required ration of isolation rooms to ICF beds?

A

1:35

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25
Q

With in how many months of date of issuance, provisional license of ICF expire?

A

6 months

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26
Q

Who assumes overall care of residents in ICF?

A

Physician

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27
Q

How frequently is every drug supply checked by pharmacist in ICF?

A

Monthly

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28
Q

With in a special rehab. program for mentally disabled, what min. avg. number of groups or individual program hrs for each resident per week?

A

27 hours

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29
Q

ICF- which is a patient right?

A

Privacy for visits, established daily visiting hrs from clergy, reimburse for personal property lost.

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30
Q

After issuance of B citation with penalty of $200, what action must you take if you do not wish to contest?

A

Transmit sum of $50 within 4 business days to DHS

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31
Q

When must initial assess of patient need commence?

A

At time of admission

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32
Q

Who is responsible for standards, surveillance, coordination and improvement of medical care?

A

Medical Director

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33
Q

How large supply of food must be maintained?

A

1 wk stables & 2 days perishable

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34
Q

Required hours of orientation of NA’s during first 40 hours of employment

A

16 hours

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35
Q

When patient changes attending physician evaluation required. What else?

A

Review of orders for care and treatment

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36
Q

With the unit dose medicical system, how many hours worth of meds must they keep on hand for all patients

A

24 hrs

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37
Q

With in what max period of time after admission, bowel and bladder program indicated.

A

2 weeks

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38
Q

Who must review each patients’ activity care plan and approve in writing as not being in conflict w/ patient treatment plan?

A

Attending physician

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39
Q

Who must examine and ID meds brought by patient at admission?

A

Patient’s physician or pharmacist retained by facility

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40
Q

What max # hrs allowed for signed order for drugs to be transmitted to issuing pharmacy?

A

48 hrs

41
Q

Temp range drugs @ room temp stored?

A

59-86 degrees

42
Q

Min temp by title 22, utensils not washed by mechanical means

A

110 degrees F

43
Q

In addition to dietician, who approves therapeutic diet menus?

A

Patient Care Policy Committee

44
Q

How long results of patient bact. testing be kept of file?

A

12 months

45
Q

Which med can unlicensed persons administer with training and demonstration of competence?

A

Laxative Suppositories.

46
Q

In addition to the PCP committee, who reviews the diet manual?

A

Dietician

47
Q

What amount of bond is required for facility handling $750 or less patients?

A

$1000

48
Q

When DHS notified of change in administrator?

A

Within 10 days of change

49
Q

Which duties require responsibility of Medical Director?

A

Liaison between Admin and Attending MDS.

50
Q

Size of NF RN on duty day and night in addition to DON?

A

100 Beds

51
Q

How are glass thermometers disinfected?

A

Submersion for 10 min in 70% Ethyl Alcohol

52
Q

Which optional service unit maybe operated in a NF?

A

Audiology

53
Q

When can standing physician’s orders be used in a facility?

A

They cannot be used

54
Q

Which item does a refrigerator need to have according to pharmacy services if storing meds?

A

Accurate Thermometer

55
Q

Temperature needed to maintain readily perishable foods and beverages

A

45 deg and 140 deg

56
Q

Which of the following conditions is not req. for Non Legend drugs to be kept at bedside.

A

Specifically ordered by prescriber (Limit access, record useage, record qty originally supplied - are the conditions)

57
Q

Survey that evaluates additional participation req’s subsequent to find substandard care known as _____

A

Extended Surveys

58
Q

Clinical records of residents, not minors, retained for ??

A

7 years after DC date

59
Q

After 90 days of admission, resident must be seen at least every ______

A

60 days

60
Q

Which committee not req’d by title 22?

A

QA

61
Q

Who is responsible for disclosing of material info & obtaining informed consent?

A

Attending MD

62
Q

Resident being DC’d must receive at least a __________

A

30 day notice

63
Q

Facility considered out of sum comp. w/ deficiencies at or above ____

A

No actual harm with potential for more than minimum harm not IJ

64
Q

Facility not found to be in Sub Comp w/in 3 months of last day of survey, what happens

A

Denial of pmt for new admissions

65
Q

3 QI reports discussed with Admin during entrance conference of Survey are know as ___________,______________,____________

A

Quality Indicator Profile
Oscar (not reviewed)
Facility Characteristics
Resident Level Summary?

66
Q

DON may serve as a charge nurse only when ADC is lower than ?

A

60 residents

67
Q

Facility must ensure free of med error rates of ?

A

5% or more

68
Q

Unit dose medication system, min supply of meds to be on hand at all times?

A

24 hrs

69
Q

Under what circumstances can a facility provide properly labeled and ordered medications to a patient upon discharge?

A

When the docs discharge order does not specify provisions for drug disposition.

70
Q

Who approves in writing, admin P&P after revised each year?

A

Governing Board or Licensee

71
Q

W/ in ____ days prior to admission TB screening completed?

A

90 days

72
Q

Topics included in personnel P&P manual?

A

Employee Benefits

73
Q

What is one component of fac. Org. chart?

A

Major programs of facilities

74
Q

Mingling of pt funds w/ funds of another facility?

A

They may not be

75
Q

Max period of time after DC $ returned?

A

2 wks

76
Q

Who conducts preadmission screening interviews to ensure admission of pts who it can provide adequate care?

A

Admin or designee

77
Q

Res. self admin drugs if approved by ?

A

IDT

78
Q

Res. Has accident w/ injury. Who must be notified?

A

Res. Physician, Fam member, Legal Rep.

79
Q

Which not red’d to be posted?

A

HCFM Admin, Res Office

80
Q

Must use RN for at least?

A

8 hours/day

81
Q

Ind. who willfully or knowingly certifies or causes cert. in res. assess ____

A

Civil $ penalties

82
Q

What happens when a fiacility is not found in Sub comp w/ in 6 months of last day of survey

A

Terminated provider agreement

83
Q

Informal opportunity at facility request to dispute survey findings upon receipt of written deficiency

A

Informal Dispute Resolution

84
Q

Groups required to establish and implement SNF P&P for optional units?

A

PCP committee

85
Q

Requirement of PT unit w/ out patient services?

A

Separate handwashing facility

86
Q

Limit on # of facilities/beds admin responsible

A

3 facilities/200 beads

87
Q

External disaster, mass casualties, program review?

A

Annually

88
Q

When may heath records be removed from the building?

A

After DC for outside storage

89
Q

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?

A

Notify Mr. A and responsible party that he will be transfered if behavior does not change.

90
Q

When pts rights denied or limited?

A

Only as auth’d by law

91
Q

W/ in ___ hours unuausal occ. reported to DHS?

A

24 hrs

92
Q

In add to DON, Pharm, Act Leader & reps of req’d services, who is a member of PCP committee

A

Administrator & one physician.

93
Q

Who approves in writing, admin P&P after revised each year?

A

Governing Board or Licensee

94
Q

Min period log retained by ICF for drugs returned to facility?

A

3 years

95
Q

Within _____ hrs telephone order for meds in ICF signed by prescriber?

A

48

96
Q

Unless health record indicates otherwise, at what level is ICF responsible to patient encouraged to participate in social/ rec activities?

A

10 hrs/week

97
Q

Min avg nursing hrs ppd – each ICF req’d to employ?

A

1.1

98
Q

Title 22, task may be performed by L.C. psych tech or special TX program?

A

Admin meds & services as charge nurse.

99
Q

In consult w/ PT, who establishes and implements P&P governing PT unit?

A

PCP committee

CA Exam (4 decks)

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