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
Fridges storing drugs must have?
Accurate Thermometers
When can the DON act as the charge nurse?
If facility ADC (average daily census) is less than 60
How much notice must a resident be given if they are being involuntarily Dc’d (discharged)?
30 Days (written notice)
Which committee is not required by Title 22?
QA Committee
What bond amount is required for a patient trust with $750 or less?
$1,000 bond
Who must be notified if a resident is injured?
Physician, Family Member, or Legal Representative
How often must the administrator be present at a facility?
Sufficient Hours to run the facility
Patients may only be admitted with what?
Physicians Orders
When may “approved by DHS” be used in advertising?
Never
What must a transfer record include?
Date, Time, Condition of patient, and Reason for transfer (Name is Not Included)
When may a patient smoke in bed?
Only if supervised.
If Administrator is absent for how many days he/she must appoint an acting administrator?
30 Days
When must employee health exams be completed?
90 prior to or 7 days after employment; Annually Thereafter
When must the DHS (department of health service) be notified if patient records are damaged or defaced?
Within 3 Days
When must the patients chart be closed upon discharge?
30 Days
How long must X Ray film be kept?
7 Years
When must fire drills be performed?
Quarterly, for all shifts
What items must be in a patients room (other than the bed)?
Bedside Table, Chair, Reading Light, and Over bed Table
How long must the thermometer check log be kept?
12 Months
How often must mop heads be changed?
The must be removed and changed daily
The head of housekeeping is qualified through?
Training and Experience
How much linen should be at the facility?
Sufficient for 3 complete changes at capacity
What type of containers should be used to transport soiled linens?
Closed Containers
How often must generators be tested? For what interval?
Every 14 Days, for 30 minutes load conditions
A hand washing facility may not have?
Aerators
Who may not transfer gasses between containers?
Staff
What must the inspection and cleaning records of air filters include?
Information on static pressure drop
Where must bedpans be emptied?
In Utility Rooms or in Toilets with flushing attachments
Piped oxygen tests are to what agencies standards?
NFPA (National Fire Protection Agency)
No additional liscensed personal are need at an ICF if fewer than how many beds?
50 Beds
What organization establishes dishwasher standards?
National Sanitation Foundation
How must drugs for internal and external use be stored?
Separately
How must emergency drugs be stored?
In a portable sealed container
How often must activities in-service occur?
Annually
Your activities leader may be?
Occupational Therapy Assistant
What size of room is stipulated in the regulations?
The size of the room is not stipulated
What is demonstration and return demonstration?
Clinical Training
What is the standard for measuring student learning?
Student Performance Standard
What are mandatory reports?
Brucellosis, TB (tuberculoses), Pertussis
What type of lighting is required for the emergency supply?
Working Flashlights
Where must the dentists contract be located?
The Administrative Office
What must be included in the disaster program?
P&P for recalling off duty staff, unified medical command, P&P for patient relocation
Each facility must maintain what types of storage space?
General and Specialized
Where must telephones be installed?
Each floor with residents
Which types of housekeeping schedules should be maintained?
Daily, Weekly, and Monthly
What sign must be posted outside of ambulatory rooms?
“Reserved for Ambulatory Patients”(in 1/2 inch letters)
Grab bars must be maintained where in residents rooms?
In the bathroom
What must utility rooms contain?
Rim Flush Sink, Work Counters, and Storage Cabinets (call system not required)
What gases are utilized for medical use?
CO2, NO, O2, Ethylene, Cyclopropane, Helium (not nitrogen or CO)
What must autoclaves have?
Time Record, Mercury Thermometer
How often does the PCP meet?
Annually
When calculating floor space what does the OT floor space equal?
The PT floor space
What organization certifies occupational therapy assistants?
AOTA
Is a hospital licence correction required for ownership change?
No
Dieticians are certified by which organization?
American Dietetic Association
How are violations with direct relationship to health and safety of patients classified?
Class B Violations
Where must he supervisor be located as defined by “direct supervision”?
In the Same building as the employees being supervised
Admitting a patient without an attending MD is what type of violation?
Class B Violation
Water that is too hot in fixtures is what type of violation?
Class A Violation
What may be shared by facilities?
Centralized Services
At a citation review conference the licencee may not?
Subpeona Witnesses, Record Testimony, or Cross Examine
Unauthorized administration of medication is what type of violation?
Either a Class A or B Violation
When must physicians visit?
As needed, or every 30 days
What factors are taken into consideration when deciding the time for elimination of a condition of a vilation?
Department considers the number of patients, seriousness, and availability of resources
What factors are considered during a physical therapy evaluation?
Functionality, Muscles, and Joints
What factor is no considered during a physical therapy evaluation?
Pain
What items must a physical therapy gym contain?
Training Stairs, Full Veiw Mirror, Overhead Pulley and Weights, and Treatment Table with Curtain
How are violations relating to care plans classified?
Class B Violations
What should be included on a dietary card?
Likes, Dislikes, Alergies, and Diet Order
What nurse staffing requirment is mandated for facilities with 59 or fewer beds?
At least on RN or LVN on duty and awake at all times
How are vilations relating to employee personnel records classified?
Class C Violations
Physical Therapists are registered through?
California Board of Medical Quality Assurance
How are violations related to nursing staff classified?
Class B Violations
Interpersonal relationship programs include?
Outings, Educational and Recreational Therapy, and Social Counselling
Interpersonal relationship programs do not include?
Mental Health Counselling
How are violations related to fire safety procedures classified?
Class A or Class B Violations
Refridgerated drugs must be stored at what temperature?
Between 36F and 46F
What is the maximum distance from the nurses station to room door?
90 Feet
What is the minimum square footage for a Utility Room?
100 sq.ft.
What is the minimum square footage for the dining room?
12 sq.ft. per bed plus 100 sq.ft.
What is the minimum square footage for clean linen storage?
8 sq.ft. per unit
What is the minimum square footage for soiled linen storage?
10 sq.ft. per unit
What is the minimum square footage for supply storage?
15 sq.ft. per unit
Who must reseal the 72 hour kit when drugs are replaced after having been used?
Pharmacist
What is the maximum allowable time between the dinner and breakfast?
14 hours
How long must itemized food records be kept?
1 Year
When must menus be posted in the kitchen?
One week before the meals will be prepared
How long must the menu “as served” be kept?
1 Month
What is the minimum Physical therapy space?
300 sq.ft. (no dimension less than 12 feet)
What is the minimum square footage for wheelchair storage?
15 sq.ft. per unit
What is the minimum ceiling height?
8 Feet
What is the minimum shower ration?
1 (shower):12(Beds)
What is the minimum toilet ratio?
1 (toilet):6 (Beds)
How wide must corridors be in patient areas?
8 Feet wide
How wide must corridors be in service areas?
6 Feet wide
What is the minimum square foot requirement for trash storage?
25 sq.ft.
How must supervisory experience must DON have?
One year of experience in the last 5 years
When may standing orders be used?
Standing orders may not be used.
When may powdered milk be used?
For cooking but NOT for drinking.
If the department intiates a disciplinary action a nurse has how many days to request a hearing?
15 Days (hearing must be within 5 days of request)
How is immediate supervision defined?
Instructor is in the building and present when clinical procedure is performed
What is the maximum instructor to student ratio?
1:15
What are the requirements for the DSD?
One year of patient care and one year planning and implementing educational programs
What are the DSD weekly hours worked requirments for facilities (with certification program) with 100 beds, 60-99 beds, and 59 or fewer beds?
40 hours (100 or more beds); 30 hours (60-99 beds); 20 hours (59 or fewer beds)
When must C.N.A. training be completed?
Within 4 months of being hired.
3 hours of clinical training equals how many CEU’s?
1 CEU
How long must certifcation programs records be kept?
4 years
Medications must be given how soon after preparation?
Within 2 Hours of being prepared and given by preparer.
When is drug preparation for more than one administration time permitted?
Never
How many hours of training should a C.N.A. have each year?
24 hours
How long must C.N.A. training records be kept?
4 Years
Who is responsible for the unit dose system?
Pharmacist
Physical restraints may not have which type of order?
PRN
Physcial restraint order must include?
Written physicians order specifying duration and circumstances of use
What type of restraint may not be used?
Seclusion
What is the maximum number and doses allowed in the Ekit?
6 emergency drugs, 4 doses each
How much time must a pharmacist spend in a facility?
As much as needed, must attend required quarterly review
When may the administrator act as patients authorized representative for money and valuables?
IF the administrator is a close blood relative
How may a facility dispute survey findings?
With an Informal Dispute Resolution
How high above the floor must dryfoods be stored?
12 Inches
How often must restraints be checked?
Every 30 minutes
Infectious disease rooms must have the following?
Vented to the outside; Separate Towel, Handwashing Facility, Soap Dispenser, and Toilet
How many facilities may a DON work in?
One
What are the required working hours for a DON?
A minimum of 8 hours per day, and 5 days per week (on the day shift)
The DON must be an?
RN
Orientation must include?
Facility Tour, Emergency P&P’s, and Intro to Patient Care (Must be 8 hours)
Legend drugs must have what warning on the label?
Federal Law Prohibits dispensing withou a prescription
Legend drugs include?
Dangerous drugs un the business professions code
Who licences clinical social workers?
California Board of Behavioral Science Examiners
Substantial Compliance is defined as?
Conformity to regulations to an extent that patient safety, welfare and quality of care are assured
The Freezer temperature must be below?
0F (-18C)
What must the temperature be on water during the rinse cycle of automatic dishwashers?
180F
Drug labels must be?
Legible
Legend drugs stored as bedside must be (6 items)?
Locked, Recorded in Chart, Be ordered by Prescriber, Stored in Original Containers, Sublingual or Inhalation, and Not kept in Stock after Expiration
Drug orders must be signed within how many days?
5 Days
Drug orders must be transmitted in?
48 Hours
How often must a pharmacist review a patients drug regimin?
Monthly
ICF - when must the special programs evaluation be completed?
30 Days prior to or within 15 days after admission
ICF - How many hours of oreintation must be comleted?
20 hours in the first 60 days of employment
ICF - Who must be provided if attending physician is unavailable?
Facility must provide a physician for emergency care
ICF - How long must the drugs returned log records be kept?
3 Years
ICF - What must be obtained prior to aquiring more than 10% ownership in a facility?
Written Department Approval
ICF - What services must the facility provide?
MD, Intermittent nursing, Dietary, Pharmacy and Activities
ICF - What must be provided if there are only LVN on the day shift?
RN consultant (at least 4 hours a week)
ICF - What are the menu requirments?
Posted 3 days in advance, Written 1 week in advance
ICF - How often must a resident by seen by a physician after the first 90 days after admission?
Every 60 Days
ICF - Specialty Treatment programs must initially have how many points?
30 Points
ICF - Specialty Treatment programs may not drop below how many points?
27 Points
ICF - What three types of Special Disability services are provided?
Mentally Disordered, Substance Abusers, and Developmentally Disabled
ICF - Specialty treatment programs for the mentally disordered include?
Money Management, Use of Community Resources, Use of Public Transportation
ICF - Specialty treatment progrmas for the mentally disordered do not include?
Homemaking
ICF - basic patient rights include?
Privacy for Visits, Reimbursement for lost property, and visiting hours daily for clergy
ICF - What are the weekly minimum number of hours in activities for each patient?
10 hours for each patient
ICF - What are the actvities staffing requirments for 50+ beds, 25-49 beds, 24 and under beds?
50+ beds (full time staff); 25-49 beds (20hrs per week); 24 and under beds (10 hrs per week)
ICF - How often must the E-Kit be checked?
Monthly
ICF - What position many the DON and Administrator no have?
Special Program Director
ICF - What are the minimum patient room square foot requirement for each bed?
110 sq.ft. for a single bed room; 80 sq.ft. per bed in mulitbed rooms
ICF - What is the minimum storage requirement per bed?
12 sq.ft. per bed
ICF - When may bedside nursing be provided?
IF doctors says temporary and minor
ICF - What is the minimum nursing hours ppd?
1.1 ppd
ICF - When is skilled care allowed?
When it is non continous
ICF - When must the drug order be signed?
Within 48 hours
ICF - Who must review the drug orders monthly?
Pharmacist or RN
ICF - When must the meal menu be written and posted?
Written 1 week in advance; Posted 3 days in advance
ICF - What is the maximu number of drug doses in the Ekit?
3 Doses Maximum
ICF - How many hours of psychiatric special treatment per week?
30 hours per week
What must be received to show the resident was fully informed of their rights?
Signed Acknowledgement
Residents must be fully informed of?
Services and Charges
Residents must be informed by the doctor of?
Their health status and be involved in their plan of care
Patients have the right to refuse or consent to?
Treatments, Procedures, or involvement in Research
Patients are intitled to what material to their decision to consent or refuse treatment?
All Information Material to the Decision
Patients may only be transferred or discharged for the following reasons?
Medical Reasons, Patients or other patients welfare, or nonpayment of stay
Patient have a right to be?
Encouraged and Assisted
Patients have what rights regarding policies and services?
The right to voice grievances and recommend changes
Patients have what right regarding their finances?
To manage their fiancial affairs and to be given quarterly accounting of transactions on their behalf
Patients have what rights regarding abuse?
To be free from physical and mental abuse
Patients have a right to confidentiality of what information?
Health and Financial Information
Patients have a right what type of treatment?
To be treated with respect, full recognition of dignity and individuality, including privacy and care or personal needs
Patients are not required to perform which services?
Those that are not for therapeutic purposes
