NAB Review Human Resources Flashcards
Purpose of Human Resources in NH
To provide quality resident care (24/7/365) with efficiency and economy.
What is the first step in human resource management in a NH?
Policies, Procedures, and Rules
The purpose of PPR’s is?
To provide information on what management expect of employees and what employees expect from management.
Federal regs do not set specific ____________ for nursing homes.
Staffing Ratio
In 2016 regulations require a facility to have what as far as staffing?
Sufficient nursing staff to meet the needs of the residents.
Facilities must have ________ a least 8 consecutive hours per day, seven days per week.
RN coverage.
The DON must be ____?
RN
A licensed nurse must serve as a ________ on each work shift.
Charge Nurse
The DON may serve as the charge nurse only if the facility has how many residents?
60 or fewer.
CNAs must re-register how often?
Every 2 years.
MUST HAVE WORKED 8 HOURS IN THE LAST 24 MONTHS.
If a CNA has been reported of a violation of (abuse, neglect, or misappropriation of prop/funds) the Admin must?
ENSURE that it cannot happen again until the case is completed
REPORT incident to the state Medicaid complaint office.
INFESTIAGTE do a full investigation and document
NEVER hire a CNA found guilt of one of the 3 violations.
For a facility with more than 120 beds the SW must have what work/school background before hiring?
Bachelor’s in social work or in human services (sociology, spec ed, counseling, psychology, etc)
PLUS one year of supervised SW work in a health care facility
If a NH has less than 120 beds who determines SW?
State sets requirement.
Resident Activity Director (RAD) must have what to be hired?
Certifiion as a TRS OR
Activities professional by a recognized accrediting body OR
OT or a OTA
OR someone that has worked in social or recreational program within the last 5 years, 1 of which was full time in a patient activities program in a health care setting.
What are the steps to creating a Job Analysis?
- Identify tasks
- Knowledge, skills, and behaviors needed to complete the tasks.
- Best person to help determine is the employee. Used to develop the Job Description.
Job Description
List of duties, level of authority, distinguishing features of work, special requirements as standing, stooping, lifting, and qualification-required license, training, etc.
USED TO STAY COMPLIENT WITH AMERICAN DISABILTY ACT (ADA)
Interview method Non-Directive-Open Ended Question
Give problem and ask how handled
In-Depth interview method is what?
Ask specific questions (Directed)
Patterned interview method is?
Use list of sequential, detailed questions.
Some think this is the most reliable.
NH must keep Payroll Records for what duration?
At least 3 years
Timecards for 2 years.
Full Time Equivalent formula?
of positions x # of days worked/week x 20% = FTE’s
3 LPNs x 7 days x 20% = 4.2 FTE’s
Purpose of Equal Employment Opportunity Commission (EEOC)
No discrimination in employment and use of facilities
EEOC Title VII
Race, religion, sex, and national origin.
EEOC Title VI
Use of facilities, activities, bed assignment.
Rehabilitation Act of 1973 (Handicapped)
No discrimination if employer received federal funds, no discrimination in hiring or use of faculties by handicapped in programs using federal funds. Also, required Affirmative Action in federally funded programs.
Family and Medical Leave Act of Feb 1993 give the employee how long off?
Up to 12 weeks per year; does not have to be all at once.
What employees are eligble for Fam and Med leave?
Employees that have worked 1,250 hours during the past 12 months, includes person working part-time (at least 60%)
The Fam and Med Leave is regulated and enforce by whom?
Wage and Hour Division, U.S. Dept. of Labor.
How does a EMPLOYER qualify for the Fam and Med Leave?
Has at least 50 people (Ee’s) for at least 20 weeks per year
CNA’s must have ______ of continued education per year.
12 hours.
Required in services for dietary are?
Fire control and infection control
You want your Turnover rate to be below what %?
35%
If more than 35% in trouble.
How to calculate Turnover rate?
Number of Ee leaving/number of position = Turnover Rate
Purpose of Discipline and Counseling?
To change Ee behavior to acceptable and improve work performance.
Four types of discipline?
Oral
Written
Suspension
Dock Pay
Purpose of Personnel Records
To provide factual information for making objective personnel decisions.
Not required by CMS but by Wage & Hour Dept, EEOC, INS, State, etc.
Purpose of the National Labor Relations Act (NLRA)
- Define and protect employee and employer rights
- Encourage bargaining
- Eliminate harmful practice
First thing to do when Union Comes in?
Contact labor relations specialists and develop plan
NLRB (Union) may call election when ____ sign cards.
30%