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Flashcards in Environment Deck (64):

Fire Safety

The Life Safety Code


home health aide

is expected to perform only health-specific tasks, such as administering medicines, changing bandages, and the like


Fire Safety, Smokeproof Enclosures

a smokeproof enclosure is a set(s) of enclosed stairs designed to limit the infiltration of heat, smoke, and fire gases from a fire in any part of a building which limits entry of the products of combustion into the stairway


resident rate

the number of nursing home residents (all ages) per 1,000 resident population 85 years of age and over



The Fair Labor Standards Act requires overtime for all hours over 40 hours per week, to be paid at one and one-half the regular rate of pay


OSHA defines an occupational injury as

any injury, such as a cut, fracture, sprain amputation, that results from a work accident or from an exposure involving a single accident in the work environment



Area Agency on Aging subcontractors offer the services of persons who will come into older persons' homes to perform specific tasks. Choreworkers usually do window washing or other less routine tasks.


Fire Safety, Doors

locks are not permitted on patient sleeping room doors


Safe Medical Devices Act of 1990

nursing homes must report to the Food and Drug Administration and/or the manufacturer all incidents in which a medical device caused or contributed to a resident’s death or serious injury or illness



describes an object that can be perceived using the sense of touch


The Equal Employment Opportunities Act, 1972

The Equal Employment Opportunities Act (EEOA) amended Title VII of the Civil rights Act. EEOA strengthened enforcement of the original Act and expanded its coverage to additional groups, such as state and local government workers and private employment of more than 15 persons.


Fire Safety, Fire Drills

shall include the transmission of a fire alarm signal and simulation emergency fire conditions


Accessible Route must meet this definition

be at least 36 inches wide (32 at doors), allow for turns around objects (see ADA Figure 4-14 Accessible Route), have passing spaces 60 inches wide at least every 200 feet, 80 inch turn room, stable, firm and slip-resistant surface texture, and meet change of level requirements



Continuing Care Retirement Community


Meals on Wheels

title 3c of the Older Americans Act pays for home-delivered meals


Consumer Credit Protection Act, 1968

Title III of this act limits the amount of an employee’s earnings that may be garnisheed and protects employees from being discharged for any one indebtedness


Fire Safety, Horizontal Exits

a horizontal exit is a passage from one area of a building to another, separated by a fire barrier, space or other protection enabling each area to be a fire compartment independent of the one in which a fire exists


changes in level

Up to 1/4 inch may be vertical and without edge; Between 1/4 and 1/2 inch beveled edge required; Over 1/2 inch, ramp treatment required


The Patient Self-Determination Act (PSDA) of 1990

technically an amendment to the federal Medicare and Medicaid law passed as part of the 1990 Omnibus Budget Reconciliation Act



when a physician or supplier accepted an assignment of the medical insurance payment under Plan B, he/she agreed that the total charge to the patient would be the one approved by the carrier


The Equal Employment Opportunity Commission (EEOC)

established by the 1964 Civil Rights Act. The Commission was empowered to interpret the Act and resolve charges brought under it


child labor

minors under 16 may not be employed except under a temporary permit issued by the Department of Labor


Sexual Harassment

defined as follows; Unwelcome sexual advances, request for sexual favors, and other verbal or physical conduct of a sexual nature, constitutes sexual harassment when (1) submission to such conduct is either explicitly or implicitly a term or condition of an individual’s employment, (2) submission or a rejection of such conduct by an individual is used as a basis for employment decisions affecting such individual or (3) such conduct has a purpose or effect or reasonably interfering with an individual’s work performance or creating a hostile work environment


American College of Healthcare Executives

40,000 members, mainly hospital executives


Type C or fee-for-service CCRCs

(about 38% of CCRCs) usually offer no meals or personal care service in the monthly fee


OSHA compliance officers may categorize employer violations as

1.imminent danger (can close operations down) 2.serious (calls for a major fine) 3.nonserious (a violation in which a direct and immediate relationship exists between the condition and occupational health, but not such as to cause death or serious physical harm) 4.de minimus (small violation) - a notification is given, but no fine imposed; a violation of a standard


home health care

Services Under Medicare Plan A. Unlimited home health visits at no cost are available to any Medicare recipient hospitalized under Plan A and evaluated to need post-hospital home health care for the final DRG diagnosis.


Type B or modified CCRCs

(about 26% of facilities) usually offer nursing care at no substantial increase in monthly fees, but include fewer services


The Older Americans Act (OAA)

can be characterized as Congress' response to non-institutional primarily non-health care needs of the elderly


approved charges

under Plan B, approved charges were those determined as follows


Fire Safety, Total Concept

all health care facilities shall be designed, constructed, maintained, and operated to minimize the possibility of a fire emergency requiring the evacuation of occupants


Fire Safety, Goals and Objectives

the goal is to close as many doors as possible to prevent smoke from spreading and, to the extent feasible, to confine the fire to the room of origin


responsibilities of the national labor relations board

(1)to determine what the bargaining unit or units within an organization shall be; (2)to conduct representation elections by secret ballot for the purpose of determining which, if any, union shall represent the employees within a unit; (3)to investigate unfair labor practice charges filed by unions or employees and to prosecute any violations revealed by such investigations.


Title I of the Americans with Disabilities Act of 1990 (ADA)

prohibits facilities from discriminating against qualified individuals with disabilities in job application procedures, hiring, firing, advancement, compensation, job training, and other terms, conditions and privileges of employment


The four primary foci of the Fair Labors Standards Act

(a) minimum wage rates, (b) overtime, (c) child labor and (d) equal rights


DRG stands for

Diagnostically Related Group (of diseases)


Buy-in Agreements

to maximize the contribution of federal dollars to state programs, participating states have signed "buy-in agreements" under which the state pays for Plan B costs for Medicaid recipients


Egress, means of

a continuous and unobstructed way of exit travel from any point in a facility to a public way


Fire Safety, Emergency lighting

must have automatic transfer between normal power and an emergency source


American Health Care Association

the for-profit national nursing home association



Occupational Safety and Health Act, protects and enforces workplace safety


Objects located between 27 and 80 inches above the floor

must protrude no more than 4 inches into any hall or passageway or walk



Executive, professional, administrative and outside sales occupations are exempt from FSLA coverage. Non-exempt occupations are covered and include most hourly employees such as the nurses and nurses’ aides. It is estimated that about 20% of employees are in the exempt category


American Association of Homes and Services for the Aging – (AAHSA)

The national not-for profit industry group


National Citizens’ Coalition for Nursing Home Reform

the major national coalition for new legislation in the long term care field


intermediaries and carriers

medicare payments were actually made by private insurance organizations that had contracted with the federal government to do so


An individual with a disability is a person who

has a physical or mental impairment that substantially limits one or more major life activities ( e.g., walking, lifting, seeing, learning, doing manual tasks); has a record of such an impairment (e.g., has been treated for a mental illness) or; is regarded as having such an impairment (e.g., a person who has extensive scars from burns).


hospice care

is given persons usually believed to be at the end of their lives, with perhaps 6 months or less to live, who mainly seek alleviation from pain rather than intensive technological medical treatment


Type A or all-inclusiveCCRCs

(about 33% of CCRCs) guarantee fully paid nursing care for as long as needed at no extra cost beyond the resident's monthly fee



Americans with Disabilities Act of 1990


Access aisle

an accessible pedestrian space between elements, such as parking spaces, seating and desks that provides clearances appropriate for use of the elements


OSHA directly affects the operations of nursing care facilities in at least three main areas

1.Meeting the standards set by OSHA 2.Cooperating in OSHA inspections of the facility 3.Keeping the necessary records on job related accidents and illnesses


Health Insurance Portability and Accountability Act (HIPAA) of 1996

Effective April, 2001, the Department of Health and Human Services issued privacy standards which facilities must ensure for their residents in order to continue to be eligible for Medicare funds


respite care

a relatively new program under Medicare Plan A, where it is defined as a short term inpatient stay that provides temporary relief to the person who regularly assists with home care


Worker's compensation laws

based on the principle that employees themselves should not have to pay costs associated with injuries that occur at work


Accessible route

a continuous unobstructed path connecting all accessible elements and spaces of a facility


The Wagner Act of 1935

the landmark law that, for the first time in federal legislation, defined the rights of workers. The Wagner Act limited the freedom of employers to give their views on proposed unionization.


Services under Medicare Plan B

Unlimited visits, at 80% of cost, are available to persons covered by Medicare Plan B who are found to need part-time health care in their home for the treatment of an illness or injury.


Civil Rights Act, 1964

Title VII of the Civil Rights Act of 1964 prohibited employers and others from discriminating against employees on the basis of race, color, religion, sex or national origin


American Association of Retired Persons (AARP)

over 33 million Americans aged 50 and over


Family and Medical Leave Act (FMLA)

a covered employer (50 or more employees) must allow up to 12 weeks per year of unpaid leave connected with pregnancy, childbirth and recovery, or a serious health condition affecting an employee or his family member


Clear floor space

the minimum unobstructed floor or ground space required to accommodate a single, stationary wheelchair and occupant


American College of Health Care Administrators

the professional organization for nursing home administrators


Fire Safety, Ramps

the usual definition is; 20 degrees to 50 degrees = a stairway; 7 degrees - 20 degrees = a stairway and landings; under 7 degrees = a ramp