Title 22 Flashcards

1
Q

Which equipment requires hospital grade 3-prong plug?

A

d) oxygen 72637(e) (p. 869)

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2
Q

Temperature of pipes specified in

A

Title 24 (73649)

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3
Q

If a B Citation of $200 is received and facility chooses not to contest, what should be done:

A

pay $50 in 4 business days 73719 (p. 913)

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4
Q

What happens if facility is not in substantial compliance in 6 months?

A

a) 23-day fast track to termination

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5
Q

What happens if not in compliance after 3 months?

A

Denial of payment for new admissions

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6
Q

Information NOT required to be posted:

A

HCFA Regional Office (Medicaid Fraud Unit must be posted per OBRA) 72503 (p. 859) & OBRA (F-156)

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7
Q

Written manual required for:

A

heating, a/c, ventilation systems 72655 (p. 871)

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8
Q

Three Quality Indicator reports that the Department will review with the administrator during entrance conference:

A

Facility Characteristics, Quality Indicator Profile, Resident Level Summary OBRA (Task 1)

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9
Q

Patient Care Policy Committee includes

A

DON, activity leader, pharmacist, plus: administrator and at least one physician (p. 862)

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10
Q

Isolation bed ratio in ICF:

A

1:35 (same as SNF) 73623 (p. 907)

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11
Q

Medical Director role

A

acts as liason between administrator and attending physician 72305(b)(1) (p. 848.5)

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12
Q

Storage of non-legend drugs at bedside must meet all requirements except

A

be specifically ordered by prescriber of drugs 72357(j)(1-3) (p. 851)

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13
Q

In an ICF, keep records relating to drugs returned to pharmacy for

A

3 years 73369(c)(3) (p. 888)

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14
Q

Who authorizes conversion of utility room to office?

A

Department of Health 72603 (p. 867)

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15
Q

Who approves administrative policies & procedures?

A

Governing body 72521(b) (p. 861)

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16
Q

What follows Standard Survey?

A

Extended Survey

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17
Q

Patient funds cannot be

A

mingled between facilities (p. 864.1)

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18
Q

Health records can leave the facility:

A

for storage after discharge 72543(i) (p. 865)

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19
Q

3 committees required:

A

Patient care policy committee, Infection control, Pharmaceutical (PIP) (p. 862)

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20
Q

Unusual occurrences reported in

A

24 hours (p. 864.1)

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21
Q

Who should screen patients for admission?

A

Administrator or designee (p. 860)

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22
Q

Who holds final responsibility for the care of patients in an ICF?

A

Physician 73303(a) (p. 881), 73519(1)(2) (p. 902)

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23
Q

For what size facility is an RN required at all times in addition to the DON:

A

100+ beds 72329(d) (p. 848.8)

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24
Q

Upon change of attending physican, the follwoing is included:

A

review of orders for care and treatment 72303(b)(2) (p. 848.5)

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25
Q

Emergency generator required to come on within

A

10 seconds after power failure (p. 870)

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26
Q

Minimum light in Title 22 for stairways, corridors, ramps, exits, entrances:

A

20 foot candles (in ICF is 5, but this was not listed as a choice) (p. 871)

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27
Q

Work areas in rooms shall have minimum light of

A

30 foot candles (lumens) (p. 871)

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28
Q

Water for human consumption checked at least

A

every 3 months 72651(a) (p. 870)

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29
Q

Non-movable containers shall have all but one of the following:

A

be labeled 72645(a) (p. 870)

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30
Q

Telephone may not be required when there are

A

6 or less beds for ambulatory patients (p. 868)

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31
Q

Minimum info required on name band:

A

resident name, name of facility (p. 867)

32
Q

Records of patients maintained:

A

7 years Title 22 / 5 years OBRA (p. 865)

33
Q

An administrator can act as a patient’s representative or manage the estate if:

A

the administrator is a blood relative (2nd degree of consanguinity) (p. 859)

34
Q

After any advance rent paid must be returned within

A

2 weeks (p. 864.1)

35
Q

Initial assessment shall begin

A

at time of admission (p. 848.6)

36
Q

Bond required for resident funds of $750 or less

A

$1000 (848.5)

37
Q

Department must be notified of change of administrator within

A

10 days

38
Q

Administrator can be responsible for

A

no more than 3 facilities and 200 beds (p. 860)

39
Q

During training or after completion of training and evidence of competence,

A

laxatives can be given by non-licensed staff 72313(5)(B) (p. 848.6)

40
Q

Standing orders are

A

not permitted (p. 848.7)

41
Q

What can be an optional service in a SNF

A

Audiology

42
Q

Glass thermometers cleaned and disinfected:

A

10 mins. in 70% ethyl alcohol 72323(e) (p. 848.8)

43
Q

Temperature of water for washing by non-mechanical means:

A

110 degrees F 72347(c) (p. 849)

44
Q

Temperature of readily perishable foods:

A

45 degrees F or below, 140 degrees F or above 72343(c) (p. 849)

45
Q

When maintenance repairs/service is contracted, must show that the work was done:

A

in accordance with acceptable standards 72655 (p. 871)

46
Q

Informed consent shall be responsibility of

A

the physician (p. 863)

47
Q

Soiled linen should be sorted

A

in a separate room (p. 868)

48
Q

Piped oxygen or nitrous oxide system should be checked

A

upon installation (p. 909)

49
Q

Patients must be provided with

A

bed, mattress, pillow, blankets, linen (no electric bed) (p. 868)

50
Q

Outpatient Physical Therapy must have:

A

handwashing facilities (p. 854)

51
Q

Hours of orientation required for CNAs within the first 40 hours of work:

A

16 hours 71833(e) (p. 841)

52
Q

How many hours minimum of direct group or individual program services required in special rehab for mentally disordered?

A

27 hrs/week

53
Q

If one resident hits another. Both have dementia. Resident who hit and his responsible party refuse to agree to a psych eval for resident and the physician has been notified. What should be done next?

A

Informed that discharge will happen if unable to contol behavior

54
Q

Emergency supply drugs must be checked

A

by pharmacist (p. 852)

55
Q

Bedside nursing can be provided in ICF on a temporary basis when

A

attending physician determines illness is temporary and minor 73315(h) (p. 882)

56
Q

Who determines self-administration of drugs?

A

IDT

57
Q

Survey can come to facility to review records

A

anytime

58
Q

Activity plan to be reviewed

A

quarterly and approved by physician to verify it is not interfering with treatment plan (p.853)

59
Q

Temperature range needed for drugs requiring room temperature storage

A

59-86 degrees (p. 851)

60
Q

Must have at least one week’s supply of

A

staple foods and at least 2 days of perishable foods (p. 850)

61
Q

E-kit drugs in ICF checked

A

monthly

62
Q

Medication error rate should be

A

5% or less (OBRA)

63
Q

External disaster plan reviewed

A

annually (p. 866)

64
Q

In an special treatment program, Licensed Psych Tech can:

A

administer medications and be a charge nurse

65
Q

In ICF, activities are encouraged how often

A

10 hrs/week 73381 (p. 889)

66
Q

Signed orders for drugs must be sent to pharmacy within

A

48 hours

67
Q

Provisional license shall be granted for

A

6 months (p. 858.4)

68
Q

Facility must release drugs upon discharge if physician’s orders

A

do not include provisions for drug disposition 72371(a) (p. 852)

69
Q

Who approves optional service unit (policies & procedures?)

A

Patient Care Policy Committee

70
Q

Physical therapy policies & procedures approved by

A

physical therapist and patient care policy committee

71
Q

Therapeutic diet manual approved by

A

dietician & patient care policy committee

72
Q

Drugs may be brought in by patient if checked by

A

patient’s physician and pharmacist retained by facility

73
Q

Minimum number of hours that an RN is required

A

8 hours

74
Q

Who approves infectious wastes and solid wastes being stored together?

A

local health agency

75
Q

Unit dose medication system requires supply of medication for

A

24 hours

76
Q

Records should be maintained for temporary health service personnel employed in the facility for

A

3 years 72533(c) (p. 864.1)