Exam 1 Flashcards
(103 cards)
0
Q
- In addition to a patient care policy committee & infection control committee, what other committee is required in SNF?
A
Pharmaceutical
1
Q
- For which members of SNF is CPR required?
A
All licensed nurses
2
Q
- How often do accounting of financial transaction on patients’ behalf need be made?
A
Quarterly
3
Q
- When Nursing Home Admin allowed to act as patient’s authorized rep with money or valuables?
A
Close Blood Relative (consanguinity)
4
Q
- Per title 22, how long should a record of hours and dates worked by employees be kept on file?
A
Most recent 12 month period
5
Q
- How long must perm. log of temporary health services workers (registry) be kept?
A
3 years
6
Q
- What minimum amount of light is required by Title 22 for corridors, storerooms, stairways, ramps and exits?
A
20 foot candle
7
Q
- Which conditions exempt facility from installing a public telephone?
A
6 beds or fewer and restricted to ambulatory patients
8
Q
- Title 22 requires each bed to be clean & comfortable & _________
A
Adequate mattress, sheets, pillow case and blankets
9
Q
- What is min foot-candles in rooms for reading and work services?
A
30 foot candles
10
Q
- According to title 22, which condition is not a requirement of non-movable solid waste container?
A
Clearly Labeled (is not req.) (external handles, leak proof, rodent proof, tight fitting lids in good repair are req.)
11
Q
- With in how many seconds of power failure must emergency lighting & power systems provide auto restoration of power for emergency circuits?
A
10 seconds
12
Q
- What systems must be covered in written maintenance manual?
A
HVAC
13
Q
- Where should soiled linen be sorted?
A
A separate room
14
Q
- In general emergency, who is authorized to allow nursing facility to take more patients/have more beds than licensed for?
A
Director of DHS
15
Q
- How often water for human consumption from independent source be tested for bacteria analysis?
A
3 months
16
Q
- When must piped in O2 or NO2 be tested & written report maintained
A
When initially installed, integrity breach, or changes made.
17
Q
- What documentation must be provided by SNF when maintenanced is performed by equipment service company?
A
Certification that req. work completed in accordance with accepted standards.
18
Q
- When may facility convert utility room to an office?
A
When DHS approves conversion.
19
Q
- Which pieces of 110-120 volt equipment must be equipped with a 3-wire ground cord with a hospital grade 3-prong plug?
A
Concentrator
20
Q
- Required hours of orientation of NA’s during first 40 hours of employment
A
16 hours
21
Q
- How large supply of food must be maintained?
A
1 wk staple & 2 days perishable
22
Q
23 Who is responsible for standards, surveillance, coordination and improvement of medical care?
A
Medical Director
23
Q
- When must initial assess of patient need commence?
A
At time of admission
24
25. After issuance of B citation with penalty of $200, what action must you take if you do not wish to contest?
Transmit sum of $50 within 4 business days to DHS
25
26. ICF- which is a patient right?
Privacy for visits, established daily visiting hrs from clergy, reimburse for personal property lost.
26
27. With in a special rehab. program for mentally disabled, what min. avg. number of groups or individual program hrs for each resident per week?
27 hours
27
28. How frequently is every drug supply checked by pharmacist in ICF?
Monthly
28
29. Who assumes overall care of residents in ICF?
Physician
29
30. With in how many months of date of issuance, provisional license of ICF expire?
6 months
30
31. What is minimum required ration of isolation rooms to ICF beds?
1:35
31
32. When can authorized officers of DHS enter ICF to examine DC’d resident’s records?
At any time
32
33. Under what circumstances can bedside nursing care be provided in ICF?
Temporary or minor
33
34. From whom approval required if infections waste is stored w/ other solid waste?
Local Health Dept
34
35. What part of CA code of reqs of H2O delivered to plumbing fixtures used by ???? Which part gives req for max. water temp?
Title 24
35
36. How long results of patient bact. testing be kept of file?
12 months
36
37. In addition to dietician, who approves therapeutic diet menus?
Patient Care Policy Committee
37
38. Min temp by title 22, utensils not washed by mechanical means
110 degrees F
38
39. Temp range drugs @ room temp stored?
59-86 degrees
39
40. What max # hrs allowed for signed order for drugs to be transmitted to issuing pharmacy?
48 hrs
40
41. Who must examine and ID meds brought by patient at admission?
Patient's physician or pharmacist retained by facility
41
42. Who must review each patients’ activity care plan and approve in writing as not being in conflict w/ patient treatment plan?
Attending physician
42
43. With in what max period of time after admission, bowel and bladder program indicated.
2 weeks
43
44. Temp perishable foods and beverages stored
45 or below or 140 degrees
| or above
44
45. With the unit dose medicical system, how many hours worth of meds must they keep on hand for all patients
24 hrs
45
46. When patient changes attending physician evaluation required. What else?
Review of orders for care and treatment
46
47. Which of the following conditions is not req. for Non Legend drugs to be kept at bedside.
Specifically ordered by prescriber
Conditions for non-legend drugs to be kept at bedside:
1. Limit access
2. record useage
3. record qty originally supplied
47
48. Temperature needed to maintain readily perishable foods and beverages
45 deg and 140 deg
48
49. Which item does a refrigerator need to have according to pharmacy services if storing meds?
Accurate Thermometer
49
50. When can standing physician’s orders be used in a facility?
They cannot be used
50
51. Which optional service unit maybe operated in a NF?
Audiology
51
52. How are glass thermometers disinfected?
Submersion for 10 min in 70% Ethyl Alcohol
52
53. Size (#of beds) of NF RN on duty day and night in addition to DON?
100 Beds
53
54. Which duties require responsibility of Medical Director?
Liaison between Admin and Attending physicians.
Consultant to DON
54
55. When DHS notified of change in administrator?
Within 10 days of change
55
56. What amount of bond is required for facility handling $750 or less patients?
$1000
56
57. In addition to the PCP committee, who reviews the diet manual?
Dietician
57
58. Which med can unlicensed persons administer with training and demonstration of competence?
Laxative Suppositories.
58
59. Under what circumstances can a facility provide properly labeled and ordered medications to a patient upon discharge?
When the docs discharge order does not specify provisions for drug disposition.
59
60. Unit dose medication system, min supply of meds to be on hand at all times?
24 hrs
60
61. Facility must ensure free of med error rates of ?
5% or more
61
62. DON may serve as a charge nurse only when ADC is lower than ?
60 residents
62
63. 3 QI reports discussed with Admin during entrance conference of Survey are know as ___________,______________,____________
Quality Indicator Profile
Oscar (not reviewed)
Facility Characteristics
Resident Level Summary?
63
64. Facility not found to be in Sub Comp w/in 3 months of last day of survey, what happens?
Denial of pmt for new admissions
64
65. Facility considered out of sum comp. with deficiencies at or above ____.
No actual harm with potential for more than minimum harm not IJ
65
66. Resident being DC’d must receive at least a __________.
30 day notice
66
67. Who is responsible for disclosing of material info & obtaining informed consent?
Attending MD
67
68. Which committee not req’d by title 22?
QA
68
69. After 90 days of admission, resident must be seen at least every ______.
60 days
69
70. Clinical records of residents, not minors, retained for ??
7 years after DC date
70
71. Survey that evaluates additional participation req’s subsequent to find substandard care known as _____
Extended Surveys
71
72. Informal opportunity at facility request to dispute survey findings upon receipt of written deficiency (CMS-2567) is known as an __________ ________ ____________.
Informal Dispute Resolution
72
73. What happens when a facility is not found in Sub comp w/ in 6 months of last day of survey
Terminated provider agreement
73
74, Ind. who willfully or knowingly certifies or causes cert. in res. assess ____
Civil $ penalties
74
75. Must use RN for at least?
8 hours/day
75
76. Which not red’d to be posted?
HCFM Admin, Res Office
76
77. Res. Has accident w/ injury. Who must be notified?
Res. Physician, Fam member, Legal Rep.
77
78. Res. self admin drugs if approved by ?
IDT
78
79. Who conducts preadmission screening interviews to ensure admission of pts who it can provide adequate care?
Admin or designee
79
80. Max period of time after DC $ returned?
2 wks
80
81. Mingling of pt funds w/ funds of another facility?
They may not be
81
82. What is one component of fac. Org. chart?
Major programs of facilities
82
83. Topics included in personnel P&P manual?
Employee Benefits
83
84. W/ in ____ days prior to admission TB screening completed?
90 days
84
85. Who approves in writing, admin P&P after revised each year?
Governing Board or Licensee
85
86. In add to DON, Pharm, Act Leader & reps of req’d services, who is a member of PCP committee
Administrator & one physician.
86
87. W/ in ___ hours unuausal occ. reported to DHS?
24 hrs
87
88. When pts rights denied or limited?
Only as auth’d by law
88
89. Mr A suddenly w/o provoke punches B, both have dementia. Both Mr. A and resp. party have refused medication and pschy eval. Other than notify responsible party what to do you do?
Notify Mr. A and responsible party that he will be transfered if behavior does not change.
89
90. When may heath records be removed from the building?
After DC for outside storage
90
91. External disaster, mass casualties, programs- what is the frequency of review?
Annually
91
92. Limit on # of facilities/beds admin responsible
3 facilities/200 beds
92
93. Requirement of PT unit w/ out patient services?
Separate handwashing facility
93
94. Groups required to establish and implement SNF P&P for optional units?
PCP committee
94
95. In consult w/ PT, who establishes and implements P&P governing PT unit?
PCP committee
95
96. Title 22, task may be performed by L.C. psych tech or special TX program?
Admin meds & services as charge nurse.
96
97. Min avg nursing hrs ppd – each ICF req’d to employ?
1.1
97
98. Unless health record indicates otherwise, at what level is ICF responsible to patient encouraged to participate in social/ rec activities?
10 hrs/week
98
99. Within _____ hrs telephone order for meds in ICF signed by prescriber?
48
99
100. Min period log retained by ICF for drugs returned to facility?
3 years
100
Anti-infectives and drugs used to treat severe pain, nausea, agitation, diarrhea or other severe discomfort shall be available and administered within _____ hours of the time ordered.
4 hours
101
Drugs requiring refrigeration shall be stored in a refrigerator between 2 C (__ F) and 8 C (__ F)
2 C (36 F) and 8 C (46 F)
102
Storage of non-legend drugs shall be limited to ______ or _______ forms of emergency drugs.
sublingual or inhalation forms of emergency drugs.
