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NHA National James Allen Book > Resident Care > Flashcards

Resident Care Flashcards

0
Q

Anti-depressant

A

A chemical agent which uses serotonin reuptake inhibitors to improve mood and lessen depression

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1
Q

Anti-Coagulants

A

A chemical agent that keeps cells in the blood from coagulating or clumping together

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2
Q

Anti-Inflammatory

A

Reduces Inflammation

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3
Q

Anti-Psychotics

A

Used to treat symptoms of psychosis. Must have a documented and valid rationale for using an antipsychotic medication

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4
Q

Anti Virals

A

The medication used to inhibit the growth of viruses

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5
Q

Anti-Hypertensive

A

Medications designed to reduce the force of the heart muscle contractions and lower blood pressure

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6
Q

Aphasia

A

Difficulty in finding or forming words- especially after a stroke

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7
Q

Aricept

A

A medication that slows the progression of Alzheimer’s and memory loss

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8
Q

Aging

A

A highly individualized process that is different for each individual

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9
Q

Arthritis

A

Inflammation of the joints

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10
Q

Aspiration

A

A condition where fluids go down the air passageway instead of the esophagus

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11
Q

Asthma

A

A condition where the bronchial tubes constrict and the individual has trouble breathing

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12
Q

Arteriosclerosis

A

A narrowing or blockage in the arteries caused by plaque or cholesterol

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13
Q

Atherosclerosis

A

A hardening of the artery walls that weakens the artery and may rupture if pressure of blood flowing through artery is very high (hypertension)

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14
Q

Ativan

A

Anti-anxiety medication commonly prescribed in nursing homes

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15
Q

Bacteremia

A

Bacterial infection of the blood

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16
Q

BID

A

Twice a day

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17
Q

Bipolar

A

A condition where a person moves between mania and depression

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18
Q

Blood Pressure

A

Normal range is 140/80

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19
Q

Blood spills

A

Blood spills must be completely cleaned and sanitized

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20
Q

Bradycardia

A

Slow heartbeat

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21
Q

Bronchitis

A

Condition where the lungs produce a lot of sputum or mucus

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22
Q

Bronchodilators

A

A medication that opens or dilates to bronchial tubes in the lungs

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23
Q

Bruise

A

A break in the skin that allows blood to seep into surrounding tissue

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24
Q

CABG

A

Coronary Artery Bypass Graft (arteries are taken from arms and legs and used to replace damaged arteries in the heart)

25
Q

CAD

A

Means “Coronary Artery Disease”

26
Q

Calcium

A

The critical mineral for muscle contraction and bloodflow

27
Q

Cancer

A

A condition where cells grow at an uncontrollable rate and destroy healthy cells in the body

28
Q

Canula

A

A plastic tube that inserts into the nostrils to supply oxygen to the lungs

29
Q

Carbohydrates

A

such as starches and sugars are used by the body as energy or fuel

30
Q

Cardiac recovery therapy

A

Therapy designed to help an individual to recover from a heart attack

31
Q

Cardiologist

A

Physician who specializes in the diseases of the heart

32
Q

Cardiovascular system

A

The heart (cardio) pumps blood through a system of arteries and veins which supplies oxygenated blood to the major organs and cells in the body

33
Q

CAT scan

A

A scan of the brain

34
Q

Cataracts

A

Condition where a thin layer of tissue develops over the pupil of the eye and obstructs clear vision

35
Q

Catheder

A

Catheter is a tube inserted directly into the bladder and it drains urine directly into a collection bag. An indwelling catheter is changed every 30 days

36
Q

C-diff

A

Common bacterial infection of the intestinal tract that causes serious and unrelenting diarrhea for weeks at a time. Requires powerful antibiotics to resolve the infection

37
Q

Cerebral vascular system

A

System of arteries and veins that supplies oxygen to the brain. A clot in the system results in a stroke

38
Q

Cerebrovascular Accident

A

A stroke or blockage of the flow of blood in the brain

39
Q

CHF

A

Means congested heart failure where fluids builds up in the heart and lungs because of weakened heart valves

40
Q

How many days advance notice do you have to give residents of changes in state and federal law, facility rules, and the resident contract?

A

14 days

41
Q

Notice of rights and any amendments to it must be acknowledged how?

A

In writing by the resident

42
Q

How and when must you advise the residents of Medicaid benefits?

A

In writing upon admission or when they become eligible

43
Q

Within how many days must you inform the residents of changes in charges as they occur?

A

Within 14 days

44
Q

You cannot charge for services included in the Medicare and Medicaid plan but you can charge for the following items:

A 
A) telephone and television
B) personal clothing
C) gifts
D) Reading material
E) privately hired nurses and aides
F) specially prepared foods
G) social events and entertainment outside scope of activities program
H) A private room (unless required for infection control)
45
Q

What is required to hold residents funds

A

1) Must have a written agreement
2) must provide the resident a report at least quarterly about the status of funds held in trust
3) resident may request the facility to temporarily hold funds in a safe place without the trust agreement
4) facility must manage resident funds if the resident requests the facility to do so

46
Q

Interest-bearing accounts. Medicare and Medicaid amounts and procedure

A

Medicaid resident funds:

1) The facility must deposit funds into a non-interest-bearing account (totaling less than $50)
2) Must deposit funds into an interest-bearing account in excess of $50

Medicare resident funds (in excess of $100)

1) must deposit funds into an interest-bearing account if funds total more than $100

47
Q

Requests for $50 or less from residents should be honored within how many days?

A

Within three days

Note: cannot pass on the banking charges to residents for costs to maintain a trust account

48
Q

What are the allowable deductions from trust funds?

A

1) can deduct unpaid Medicare deductibles and copayments from a resident trust fund
2) can deduct for any services not covered by Medicare and Medicaid

Note: cannot deduct for any charges for services not requested by the resident

49
Q

Resident records mandatory response times

A

Must provide residents access to the records within 24 hours of either oral or written request

Must provide photocopies of records within 2 working days

50
Q

When can residents NOT refuse the release of personal medical information to others?

A

1) Transfer to another facility
2) When required by law (subpoena)

Note: The resident has to right to refuse the State Ombudsman to review their personal and medical information

51
Q

The resident has to right to refuse treatment. The facility must do the following:

A

1) staff must determine exactly what the resident is refusing and why
2) must advice to resident of the consequences of refusal of treatment and any alternatives
3) The physician should be notified
4) must document the refusal in the patient chart and describe the action taken
5) must provide all other treatment not refused
6) cannot provide any treatment that was not consented to

Note: resident has to right to refuse shower or bath

52
Q

What is the rule regarding the facility in establishing and maintaining policies and practices regarding transfer, discharge and provision of services under the state plan?

A

Facility must establish and maintain identical policies and practices, regardless of payment source

53
Q

What are the rules regarding labeling drugs and biologicals?

A

1) All drugs and biologicals must be labeled in accordance with accepted professional principles
2) critical element of the label is the name of the drug and the strength
3) The label must identify the resident and what the drug was intended for
4) must have the manufacturers expiration date on the label

54
Q

Rules about storage of drugs and biologicals?

A

1) all drugs and biologicals must be stored in locked compartments and under proper temperature controls
2) must only permit authorized personnel to have keys to locked drug compartments
3) schedule II controlled drugs must be stored in a permanently affixed drawer and have separate locks from the main compartment door
4) schedule I drugs are illegal drugs are not allowed in the facility

55
Q

Who is responsible to determine whether drug records are in order and all controlled drugs are accounted for, maintained and periodically reconciled?

A

The consultant pharmacist

56
Q

What is used as proof of receipt/disposition of a controlled drug?

A

The Medication Administration Record (MAR)

57
Q

How often must drug records be reconciled?

A

Quarterly

Note: identify any missing drugs or drug shortages - theft

58
Q

Who does the consultant pharmacist report any irregularities regarding medications to?

A

To the DON and the attending physician

59
Q

Missing controlled drugs

A

1) The consultant pharmacist must notify DON if any controlled drugs are missing
2) The facility must utilize proof of use sheets until the source of the loss is identified
3) when the drug records are again reconciled, the facility may revert to periodic reconciliation

Note: Federal rules do not prohibit shortages of controlled drugs if all drugs are accounted for

60
Q

Consultant Pharmacist reports

A

1) The consultant pharmacist is encouraged but not required to share the results of the drug regimen review with the medical director
2) both the DON and the attending physician must act upon the reports submitted by consultant pharmacist
3) the DON and the attending physician do not have to agree with the consultant pharmacist reports, but they are required to provide a rationale for the acceptance or rejection of the reports

61
Q

Biologics

A

A substance that is made from a living organism or its products and is used in the prevention, diagnosis, or treatment of cancer and other diseases. Biological drugs include antibodies, interleukins, and vaccines. Also called biologic agent and biological agent.

NHA National James Allen Book (3 decks)

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