Test Questions Flashcards
How must washbasins be sanitized?
30 minutes in boiling water, autoclave, or gas sterilization (not to be cleaned with chemicals)
How much food should be kept on hand?
Non perishable food 1 weeks worth, Staples 2 days worth
At what temperature should readily perishable foods be stored?
Below 45 degrees or over 140 degrees
At what specifications should an autoclave function?
15 pounds pressure, 250F, 20 minutes
How long should utensils be disinfected (after washing with soap) by immersion in clean water?
2 Minutes at 170F; 30 seconds at 180F; or in water containing bactericidal chemical (at least 110F)
What is the minimum dishwashing water temperature?
110F
When must the initial assessment be completed?
Within 7 days of admission
Drugs that are to be stored at room temperature should be stored at what temperature?
59F to 86F
When must drugs be destroyed?
90 Days
The food service supervisor must complete a what type of course?
90 Hour
How often must care plans be completed?
Quarterly
How often must the dentist provide in-service for the staff?
Annually
How often must humidifier bottles be changed or sterilized?
Q24 Hours (Every 24 hours)
With what may a humidifier be filled?
Water that is sterile distilled, deionized or demineralized.
When should resident call lights be answered?
Promptly
All patients are to be assisted and encouraged to maintain?
The highest level of self-care and independence
All of the following are considered restraints (unless used for postural support)?
Soft Ties, Seat Belts, Spring Release Trays, and Cloth Vests
How long may treatment restraints be used?
ONLY for the time required to complete the treatment.
The planned menu may repeat less than what time frame?
Every 3 weeks
How often must the menu be revised?
Q90 Days (every 3 months)
A doctor must be notified for what weight gain in a 30 period?
5lbs.
The Dietary Manual must be review how often?
Annually
The Dietary Manual must be revised how often?
Every 5 Years
Drugs ordered Stat in 1 hours must be given how soon?
2 Hours Maximum
How must Glass Thermometers be cleaned?
With 70% alcohol for minimum of 10 minutes
How long must Drug Order records be kept?
1 Year
How long must Drug Destruction records be kept?
3 Years
How long is 1 hour of learning experience?
50 Minutes
How many hours of orientation must a C.N.A. have prior to providing care?
8 Hours
How many hours of orientation must a C.N.A. have during their first 40 hours worked?
16 Hours
What is the annual renewal fee for the C.N.A.’s certificate?
$20
How long must Employee health records be kept?
3 years
How long must patient records be kept?
7 years (title 22); 5 years OBRA
How often must the Patient Care Policy committee meet?
Annually
How long must the unusual occurrence reports (24 hour reports) be kept?
One Year
When must a patients money be returned if they expire?
30 days after death.
When must prepaid room and board be returned upon discharge?
Within 2 weeks
Are nurses progress notes necessary?
Yes
How long must a bed be held should a patient go to an acute care facility?
7 Days
What is the minimum amount of light required for reading in a patient room?
30 ft candles
What is the minimum amount of light required in nonreading areas of patient room?
20 ft. candles
How often must drinking water be tested?
Every 3 Months
How often must Ice be tested?
Every Month
What is the minimum width of handicap parking spaces?
13 Feet
What is the acceptable height range for hand rails?
34 Inches to 38 inches high
What is the maximum height of the bottom of the window in a patient room?
36 Inches
Curtains must be how many inches below fire sprinklers?
18 Inches
How often must the autoclave be tested?
Monthly
How often must the autoclave thermometer be tested?
Weekly
When must DHS (Department of Health Services) be notified of construction?
Within 5 Days
Hot water for resident use must be how hot?
Between 105F and 120F
A warning sign must be posted if water from a faucet is over what temperature?
125F (Sign must be at least 2 inch high letters)
When must a C.N.A.’s training be completed?
Within 4 months
How many wires per square inch must a bug screen have?
16 Wires per square inch
How often must residents be weighed?
Monthly
When must an admission evaluation be performed?
From 5 days prior to 48 hours after admission.
What documentation is required for the HVAC system?
Written Manual
Drugs brought into the building must be checked by?
Physician and Pharmacist
What is the minimum RN hours in a day?
8 Hours
What Medicare info must be posted on the facility info board?
Medicare fraud unit contact info
During survey what three items do surveyors review?
Facility Characteristics, QI profile, Resident Level Summary
What is the penalty if not in compliance with surveyors in 3 months?
No payment on new admits
What is the penalty if not in compliance with surveyors in 6 months?
23 Day fast track to termination
How must no contest citations be handled?
Pay 25% in 4 days
How are the temperatures of pipes regulated?
Title 24
What type of equipment requires a 3 prong hospital grade plug?
Oxygen Equipment
Which type of survey follows a standard survey?
Extended Survey
What entity must approve the conversion a utility room to an office?
DHS (Department of Health Services)
What items must be present if storing non-legend (not ordered by prescriber) drugs at bedside?
Original Container, Recorded in Chart, Record of Amount
Who acts as the liaison between the administrator and the physicians?
Medical Director
What is the isolation bed ratio?
1:35
Who dictates the administrative policy and procedures for a facility?
The Governing Body
Who makes up the PCP committee?
DON, Activities Director, Administrator, Pharmacist and at least one Physician
Should power from the grid fail the generator must come on in how many second?
10 Seconds
How long must a generator be able to provide power to the building?
6 Hours
How many beds must a facility have to require an RN at all times who is not the DON?
100+ beds
Who has the final responsibility of care in a SNF (skilled nursing facility)?
Administrator
Who has the final responsibility of care in a ICF (intermediate care facility)?
Physician
When there is a change of physician what must the new physician do?
Review orders for care and treatment
Who is responsible for screening patients for admission?
The administrator or their designee
What are the three required committees?
PCP, Infection Control, and Pharmacy
When may patient health records leave a building?
May be put in storage after discharge
May funds be mingled between buildings?
No
What information is required on an ID band?
Resident Name and Facility Name
When are phones not required in patient rooms?
When the facility has less than 6 beds and all residents are ambulatory
When may Audiology service be provided?
As an optional service
What treatment may trained competent non licensed staff provide?
Medicinal Baths and Shampoo, Non Legend Cream or Ointment (to intact skin), and Laxative Suppositories
How many buildings may an administrator manage?
3 Buildings up to 200 beds IF same company
When must the DHS (department of health services) be notified of a change in administrator?
10 Days
When must the Bowel and Bladder management be completed?
Within 2 weeks of admission
What entity governs the self administration of drugs?
IDT
When can survey come?
At ANY Time
Who must check the emergency supply of drugs?
Pharmacist
When must piped gases be inspected?
Time of Installation, if Changes to the system are made, or the systems Integrity is Breached
Where must soiled linen be sorted?
In different room than the clean linen
What must outpatient therapy have?
A Separate hand washing facility
Who is responsible for the for the informed consent?
The Physician
The mentaly disordered receive how many hours of special rehab in a week?
27 Hours
How often must reports be made on patients financials?
Quarterly
Who is required to CPR training?
All nurses
What are the unit dose medication amount requirements?
Minimum of 24 hours supply and maximum of 48 hours supply
Who must approve the Therapeutic Dietary Manual?
Dietician and PCP
When must signed orders be sent to the pharmacy?
Within 48 hours
How long is a provisional license valid?
6 Months
The medication error rate must be?
5% or less
Who must approve optional services?
PCP
When must the facility release drugs upon patient discharge?
If the doctors orders do not include provision for drug disposition
How often must the external disaster plan be reviewed?
Annually
When can rights be denied or taken away?
Never
How long must the hours and dates worked by employees be kept?
12 Months
How long must the log of registry workers be kept?
3 Years
When may a SNF have more patients than licensed beds?
With the approval of the director of DHS
What are the bed requirements?
Clean, comfortable, must have a blanket, sheets, pillow (with pillowcase), and a Mattress
What are the requirements for non movable solid waste containers?
Must be leak proof, rodent proof, tight fitting lids, and external handles (labels are not required)
What is required if equipment is maintained by an outside company?
Must have documentation of the required standards
Who is responsible for standards, surveillance, coordination and improvement of medical care?
Medical Director
Who acts as consultant to DON, liaison be Administrator and Doctors, and is responsible for employee physicals?
Medical Director
Who must approve storing infectious waste and other waste together?
DHS (Department of Health Services)
How long must patient bacteriological tests be kept?
12 Months
