Human Resources + Flashcards
(131 cards)
1
Q
What Department enforces Corp. Compliance
A
DHHS
Dept of Health and Human Services
2
Q
What is the law(s) and regulations for Sharps?
A
OBRA
1- Must be Discarded Right away
OSHA (Needle-stick Prevention Act)
1- Must choose Safer needle devices, and employee must help choose.
2- Must maintain a log injuries related to contaminated Sticks.
3
Q
What is OBRA?
A
OBRA is the act that is used for regulating Nursing homes and SNF’s . 483…. Anything with OBRA is the MAIN REG for Nursing Homes
4
Q
What act sets up LONG TERM CARE OMBUDSMAN ? Who pays for it? Who administers it?
A
1-Older Americans ACT (OAA) 1965
2-Administration on Aging pays for it,
3-The STATE administers it
5
Q
What is the EEOC?
A
EEOC-Created by the WAGER ACT
Equal Employment Opportunities Commission
1-It enforces HIRE Policies like: (EPA/Title VII Civil Rights or Tower Amendment/Age Discrimination Issues)
6
Q
What is EPA?
What enforces the EPA?
What qualifies an employer for EPA?
What does the EPA require as far as work files?
A
EPA
Equal Pay Act
Enforced by EEOC—For the equal pay of Opp.SEX peoples who do the same work.
1- 15 or more Employees
2-Work Files and Medical files of work employees must be kept separate
7
Q
What is ADEA?
Who enforces the ADEA?
What are some qualifications of ADEA?
A
Age Discrimination Employment Act - Enforced by EEOC
Title I has most impact on Hire Processes.
1-Can not refuse to hire 40-70 age
2-Can not discriminate pay because of age.
8
Q
What is is the FLSA?
What are some points to FLSA?
A
Fair Labor Standards Act
Over:
Minimum Wage $7.25 / Age of Children to work / OVERTIME
Normal Overtime: Over 40+ for a 7 day work week
SNF: 8 and 80 rule –Pay for OT when go over 8 hours a day or 80 hours in a 14 work week.
8 and 80 must have a Prior agreement
9
Q
What is the 8 and 80 RULE?
A
1- 8 and 80 rule –Pay for OT when go over 8 hours a day or 80 hours in a 14 work week.
2- 8 and 80 must have a Prior agreement
10
Q
What is OSHA?
A
(Occ. Safety and Health Admin) in the Dept. of Labor & NIOSH (Nat. Institute of Occ. Safety)
2) Deals All things with WORK PLACE SAFTY and HEALTH and PRIMARILY PROTECTES WAGES EARNERS
11
Q
What is the COLOR of OSHA?
A
Green for First AID
12
Q
OSHA- What are the most common work place accidents?
A
unsafe working conditions, and employee behavior
Most common behavior is LIFTING
13
Q
When and how must an accident or Death be reported to OSHA?
A
1-Death and/or Multiple accident = 8 hours by phone
2- Death and/or Multiple Hospitalization = 8 hours by phone
2-Accident or Illness = 6 days
** if death or Hospitalization occur with in 30 days of accident. Must be reported.
14
Q
When does a work place accident not need to be reported to OSHA?
A
i. Just FIRST AID (excluding if lost consciousness)
ii. Injury NOT seen by doctor
iii. Employer has 10 employees or Less
15
Q
OSHA requires a Blood Pathogen control program to be written. What must be included as part of that written plan? When and how often is it revised?
A
1-.Revised at least 1 a year
2.-Must: ID job Class /
3- Explain Protective Measures /
4- Establish Procedures
16
Q
By what method controls Hazardous energy?
A
Lock out Tag Out
Physical Lock on equipment to prevent being used OR
Physical TAG that lets employees to not engage or use equipment
** a Hazard is anything LIKELY to cause injury or Death
17
Q
By what form is the yearly accident report taken from , and when must it be posted according to OSHA?
A
1-Form 300a
2-February 1 through April 30.
18
Q
What are the OSHA Fines? $$$$
A
a. $70,000 per violation for Willful or Repeated violation. (Mandatory)
i. $5,000 minimum willful
b. $7,000 per Violation for Serious Violation (Mandatory)
c. $7,000 Per Violation for Non Serious Violation (Optional)
d. $7,000 per DAY with Failure to Correct.
19
Q
When can you file for an appeal from an OSHA violation?
A
15 days after receiving
** Takes 3 days to receive violation
20
Q
What is FDA?
A
Food and Drug Administration
1-Is over the Medical Devices Act (SMDA)
21
Q
If a death or injury occurs involving medical equipment how long do you have to report, and to WHOM? How long must you keep those recorders on file?
A
10 days
1- DEATH = FDA and Manufacture
2- Injury = Manufacture Only
3- 2 years
22
Q
What is the RATIO for Handicap Spaces?
A
1-4-1:25 in the for the first 4 spaces
5- 100-150
6-150
23
Q
How wide must a parking handicap space be?
A
13 feet wide
60 inches in the aisle side.
24
Q
What type of labeling must be on all chemicals that come into the facility?
A
1-Contents
2-any Hazard Warnings
3-Name and Address of the MANUFACTURE
** Lables should not be removed or defaced.
25
What info is required on the MSDS? and where Must it be STORED? (As required by OSHA.)
```
Design of MSDS is different all include this info:
PIC / HELP /FEDS
1-Product
2-Ingredients (Haz)
3-Characteristics (physical & chemical)
4-Health (Haz Data on health)
5-Exposure Limits
6-Listing (Haz Chemical Listing)
7-Protective Measures (Safe Handeling)
8-Fire Potential
9-Emergency (First Aid Procedures)
10-Date (MSDS or last change)
11-(S) --Control Measure(S)
```
** must be acessible to each work area for each shift
26
What is FMLA?
| If you qualify for it, how much time do you get?
```
Family Medical Leave Act
Unpaid leave for a Medical Reason
1-12 weeks of unpaid leave
2-come back to work to job same job at same rate and benefits
3-Health Insurance is maintained.
```
27
How do you qualify for FMLA? Including Type of Family Medical Issues.
Self
Family
1-Must have WORKED for 12 months AND 1250 hours
2-Location employs 50 or more employees(20 weeks out of the year) that are with in 75 miles of the facility
3-30 day notice
SELF
Pregnancy / Child Birth / Adoption / Serious Medical
Family (medical illness)
CHILD / SPOUSE / PARENT
** other provisions can be made like Reduced hours , and required to take PTO or vacation time
28
What do you get if you recive FMLA?
1-12 weeks of UNPAID time off
| 2-ENTITLED to come back to work to FORMER JOB or EQUIVALENT and at SAME RATE and BENEFITS
29
Who monitors the proper storage and destruction of DRUGS?
DEA
| Drug enforcement Agency
30
What law gives health care the ability to MARKET?
Open Market Ruling of 1977
31
What is USERRA?
Uniformed Service Employment and Reemployment Rights Act of 1994
* * Everything is on FREEZE for people of the armed forces, but when come back everything must be as it was as if they had never left. --- Benefits and Pay ect...
* * Must R
32
IN USERRA When must re-apply for re-employment?
Depends on how long was in service
| IF 180 days in service must re-apply 90 days after released.
33
How long are IRS employment tax files kept for?
At least 4 years
34
What is FICA TAX?
Tax imposed on both employees and employers to fund Social Security and Medicare? Both Employee and Employer pay equal amount 50%
35
How many surveys are conducted each year? what are the different Types?
2
36
What is a Standard Certification Survey? When does it happen? How many Records will be looked at?
For Continued participation
Must be 3 months BEFORE or AFTER the last yearly Survey.
** About 4-5% of resident’s records will be looked at. NO MORE than 5 (standard)
37
What is a Abbreviated Survey? when does it happen?
Less timely than Standard Survey and is for:
a Facility always passes
Complaints / Change in Ownership or Head Office (Admin / DON)
Happens normally 6 months after change
38
What is a Special Survey? When dose it happen?
Appendix P
Survey team need not be onsite for the entire survey. Specialty surveyors participating in surveys (e.g., a pharmacist, physician, or registered dietitian) must be onsite during that portion of the survey dealing with their area of expertise
39
What is an EXTENDED survey? When dose it happen?
1-happens for when there is a SUBSTANDARD QUALITY of CARE.
2- it happens 14 days after a standard survey where there is a substandard Quality of Care
*50% of Residents must be interviewable in a Quality Survey
40
When a survey is taking place what is the one thing they are most concerned about?
The STATE is OUTCOME oriented.
| Survey Teams are more concerned with Progress type information, than WHO or WHEN information is put in
41
What is the ORDER for getting in touch with a Physician?
1-Attending Physician
2-Back up Physician
3-Admin Makes the call who is NEXT in attending to the medical needs of the residents
42
How soon must a FULL medical evaluation be done of a new resident? Nurse ? Doctor?
Nurse
Within 48 Hours of ADMISSION [UNLESS was done 5 days BEFORE ADMIT] – THINK (1 Week) – 5 + 2 = 7
Doctor
72 hours or 3 days
43
How often are CNA's certified for?
How many hours of training are required?
How much inservice training is required?
How often must a CNA have an employee review?
2 years
** Req. 75 hours of training.
12 hours of inservice
1 review is required per year
44
Isolation Rooms must:
1- resident toilet,
2- bathing room and
3-facilities for staff hand washing.
4- Air in isolation rooms must be 100% exhausted outside and not returned.
5-Posted Sign (Cant not Reveal type of infection)
45
How do you qualify for COBRA coverage.
** 60 days to apply
```
1-Employee - 18 months of coverage (can be extended because of disability)
*Facility of 20 employees or more
*Loose of JOB (dose not include gross misconduct)
*Reduced Hours
2-Spouse+Child - 36 months of coverage
*Qualify for Medicare
*Death or Divorce of COVERED Person
3-Child - 36 months
* Loss of Child Status
```
46
What is the DIFFERENCE between MEDIATION and ARBITRATION?
Arbitration brings in a THIRD PARTY who listens to both sides and makes a decision independently
Mediation both Union and Facility Talk together, and mediator helps that process.
47
What can an ADMINISTRATOR NOT DUE in regards to UNION and attempts to UNIONIZE?
```
1-ASK about a SIGNED UNION CARD
2-ASK if has attended Meeting
3-ATTEND or SPY on meetings
4-Threaten action
5-Make PROMISES regarding wadges or BENEFITS.
```
48
How must Healthcare workers go about Un-Unionization?
1-By Petition through the National Relations Board
| 120-91 days BEFORE end of Contract.t
49
How much notice MUST healthcare workers give if they want to STRIKE?
10 Days
50
What is "Echelons"
Levels of Managment
51
What is SPAN of CONTROL?
Number of people that can effectively be managed
8-12 LINE
3 or more for "being in charge"
52
What are the functions of MANAGEMENT?
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1-Planning
2- / Organizing
3- / Staffing
4-/ Directing or Leading
5-/ Controlling
6- Coordinating
7-/ Reporting
8-/ Budgeting
```
53
What is LLC?
Like a regular corp (C corp) but can not sell stock
54
What is a CLOSED Corporation?
30- 50 Stockholders
55
What are S Corporations?
1-Special tax Status (No Double taxation)
Corporation then on Dividend
2-Small Buss, TRUST
3-35 Shareholders MAX
56
What is a TRIAL BALANCE?
makes sure every Debit has a Credit
57
What has T accounts and is known for Double Book keeping?
JOURNALS
58
What comes first LEDGER or JOURNALS in finance reporting?
JOURNALS come fist, it is the FIRST ENTRY
| ** ALL JOURNALS are put into the GENERAL LEDGER
59
Where are finance reports taken from?
The GENERAL LEDGER
60
What is validation Theory?
Opinions are acknowledged / respected / heard, reguardless of truth
**Best therapy for Severe Dementia Pt.
61
In infection control what is the most common way residents are exposed to infections?
Visitors
More common than invasive devices.
62
What is Milieu Therapy?
-psychotherapy in which the patient's social environment is controlled or manipulated with a view to preventing self-destructive behavior
63
How long must application for employment be kept on file?
1-IF not hired must hold for 1 year
| 2-If Hired becomes part of PERSONNEL FILE
64
How long must i-9 Forms be kept on file?
1. 3 years from date of hire OR
| 2. 1 year after Termination
65
Who must be notified for Automatic Stop Orders in DRUGS?
Notification to the physician must happen before the last dose of a medication that has an automatic STOP ORDER. is administered for Medication STOP ORDERS.
66
What are Single Task workers and what can they do?
They Can Transport and feed Residents that have minimal needs.
** Called "Paid feeding assistants" or "Single Task" workers
** Ex: Can assist in some CNA duties like transporting someone in w a wheelchair.
67
What are the three CNA development programs recommended by the office of the Inspector General (OIG) ?
1-Mentoring
2-TQM - Involve CNA in decision making
3-Provide flexibility in schedules.
68
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Under Medicare;s billing, nursing homes must now bill for almost all services a resident receives. Which of the following services are excluded.
1-PT
2-Non-Emergency medical transportation
3-Durable Medical Equipment
4-Physician Visits to the resident.
```
4-Physician Visits to the resident.
*** anything that is OBRA mandated are included in the BILLING.
69
Owner of a new nursing home is concerned that he has not yet realized any income yet. As an administrator, there are three things you can advise him to do to lower the facility's break-even point and help the owner realize a quicker profit. Which of the following is not included.
1-Sell off excess supplies and unused equipment
2-Increase prices to private pay residents
3-Reduce fixed cost by refinancing long-term debt
4-Reduce variable cost by negotiating better prices with vendors and maintain lower inventories.
1-Sell off excess supplies and unused equipment
** You are trading in an Assets for another asset [CASH]
This will increase your CASH but do nothing for break-even, and profit.
70
What are the Levels of Deficiencies?
4 Levels:
1-No Harm with potential for minimal harm
2-No Actual Harm with potential for more than minimal harm, that is NOT an IJ
3-Actual Harm that is NOT IJ
4-Immediate Jeopardy
RANGE:
Isolated / Pattern / Widespread
1 2 3 4
ABC / DEF / GHI / JKL
** E2 would be : a Patterm that had No Actual Harm with potential for more than minimal harm, that is NOT an IJ that was patterned
71
What are the laws and or ACTS that effect REIMBURSMENTS (Kickbacks)
```
1-Anti-Kickback Law
2-Stark Act
3-False Claim Act
4-Safe Harbor
5-Qui Tam Actions -- Sue the facility on behalf of the government
```
72
What is FICA? And when must it be filed?
1-FICA is the TAX what the FACILITY takes from employees and MATCHES it.
----So if Employee gets $10 taken out of there check, the facility also takes $10 out of its money , and SUBMITS $20 to the government.
2-It FUNDS SOCIAL SECURITY
3-Must be filed each QUARTER.
73
What FORMs does FICA and FUTA use?
FICA-Form 941
| FUTA-Form940
74
What FUTA Mean?
1-Federal Unemployment Tax Act
| 2-in Most States it is JUST the EMPLOYER that pays. **[ If more than a $100 every three months, Must FILE every quarter]
75
What is a W-2 / W-4 / W-5 Form?
1-W-4 Authorization for TAX deductions
2-W-2 What WAS taken from the EMPLOYEE [ Must give by Jan 31st]
3-W-5 Taking out Advanced payments from the Earned Tax credits because of a child. (think standard Deduction re-reimbursement in chunks)
76
What is a "Hold Harmless" clause in Vendor contracts?
| What is a "indemnify"
1-Hold Harmless -Facility agrees not to hold "HARM" to the seller for any losses that might occur.
2-Indemnify- compensate (someone) for harm or loss.
"the amount of insurance that may be carried to indemnify the owner in the event of a loss"
secure (someone) against legal responsibility for their actions.
** In many cases when a vendor puts in a HOLD HARMLESS CLAUSE, the facility will insist on a clause by witch the vendor agrees to INDEMNIFY the facility for any claims the facility may be forced to pay because a product defect.
77
What is the OIG? and what does it do?
| What is the OIG list of excluded entities?
1-Dept. of Labor-> OIG (Office of the Inspector General
1a-OIG is the department that investigates FRAUD, and ABUSE in business. (Anti Kick Back laws)
- Stark Act--Against "self referral" Ex: Doctor sends a Pt. to a SNF where he has Direct or Indirect ownership
- Claims Act--When knowingly or accidentally making a false claim to a federal health care program
2-List of excluded entities This is a list that is kept by the OIG office on there website. Nursing homes are barred from doing business with any of these entities
78
How many different levels of care are there in "HOSPICE CARE" between participating Nursing Homes and Hospice companies.
P. 152 NAB
| 5 Levels of care.
79
What is LIFO and FIFO? What one dose a Nursing Home use? What one has a LOWER value on Inventory when Inflation happens?
```
LIFO = LAST in First Out Inventory Method
FIFO = FIRST in FIRST OUT Inventory Method
```
2-Nursing Home uses FIFO
3-In times of inflation LIFO lowers the value of items remaining in inventory. BECAUSE the things bought today will COST MORE than what is already in inventory. And with LIFO you USE UP what you BUY FIRST
80
How does the Deficit Reduction Act 2005 effect participating SNF/NF
1-Any entity that receives more than 5 million Dollars in reimbursement from MEDICAID must establish written policies to all about the FALSE CLAIM ACT.
81
What is Property Insurance? What are the different kinds, and what do they cover?
Covers Physical Damage to Building and contents by way of:
FIRE / SMOKE /Lightning
```
Extended Coverage (Endorsements) Covers:
Flood / Hail / wind / Ice / Snow / Sprinkler Leak / Earthquake / Tornado / Vandalism / Riot /
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Special Coverage:
Things related to the BOILER
82
What is General Liability Insurance? What does it cover?
Anything that occurs on the property of the facility because of maintenance or USAGE of the building:
Sickness / Injury / Death /
Any Accidents CAUSED by EMPLOYEE
83
What is PROFESSIONAL INSURANCE?
A more extensive version of liability insurance that focuses on CLAIMS brought on by Pt. accusing NEGLIGENCE in CARE. (Think any professional care given in a SNF is covered)
including OMISSION and COMMISSION of of providing care.
84
What is Business Interruption Insurance?
Covers LOSS of INCOME resulting in a reduction or STOPPAGE of business activity caused by FIRE or other insurance PERIL.
85
What is SURETY BOND Insurance?
Protects RESIDENTS FUNDS that the FACILITY MANAGES.
86
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When dealing with PA (Performance Appraisal) There are 4 Types of MANAGER errors when appraising an employees performance.
Halo Effect /
Leniency Error /
Strictness Error /
Error of Central Tendency
What do each mean?
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Halo Effect-When Manager forgives, OR focuses in on, ONE particular part of the JOB that effects the rest of the JOB RATING. Ex: Employ has poor performance in attendance, and that will effect, in the negative, the rest of the REVIEW.
Leniency Error-Manager gives higher scores in REVIEW because wants to avoid conflict.
Strictness Error- (Opposite of Leniency Error) - Manager Rates Everyone LOW
Error of Central Tendency-Manager gives ALL middle of the road REVIEWS because wants to avoid conflict.
87
According to OSHA, the Nursing home Industry has___ the amount of injury and illness incident RATE.
P.114 NAB
Double the Amount of the National Average for ALL industries.
88
What is PSDA? what dose it do?
1-Patient Self determination act.
2-Allows living Wills and Powers of attorney become advanced directives.
3-Must give a list of health care decision making rights at the time of admission.
4-Must also ask if there is an advanced directive in place.
89
Although the State carries out the state and federal survey who is final approval given to for certification?
CMS
State-Licence
Federal-Certification
90
When is a Extended survey conducted?
NAB. p76
| With in 14 days of a STANDARD Survey where there has been a Substandard of Care SS given. (F,H,I,J, K ,L)
91
What is an initial Survey?
NAB p.76
An onsite federal survey to determine whether a provider meets requirements to participate in the Medicare/Medicaid programs.
92
What is a Post Survey ReVisit?
NAB p.78
| Provider visit intended to verify correction of a deficiencies
93
When is a standard survey conducted? and for what reason?
NAB. p. 80
1-Conducted every 9-15 months
** Rule of Thumb happens 3 months before or after last standard survey.
2-For continuing participation of Medicare/Medicaid.
94
What is the purpose of employee orientation?
```
NAB p.103
1-Tour
2-Mission and Goals of the facility
3-Culture - How things are done.
4-What things are expected.
5-Drug Testing / TB /
6-Emergency plan
Ect...
```
95
When it comes to employee retention what does the employee need from the facility?
Allen p.151
(a) social approval;
(b) self-esteem;
(c) security;
(d) use of power, accomplishment, service, and exercise of leadership; and, perhaps most important,
(e) to work for an organization with a vision that allows the employee to participate in a larger meaning,
** One huge key factor on retention is the culture, and environment at work.
96
What is the rule of thumb when determining staffing hours for LVN and CNA's
70% of Nursing Staff should be CNA
| 30% of Nursing Staff should be LVN
97
What is the one type of re-portable injury that OSHA requires even if the person does not go to a hospital, sees a doctor, or misses work?
NAB p.116
| If the person looses conscious
98
What is Nepotism?
NAB p.126
| favoring ones family members in hiring practices.
99
When it comes to contracting staff who is responsible for making sure that the contracting service "meets professional needs" and "Timeliness"
NAB p.149
The Facility OR Administrator
100
Under PPS and Medicare Part A what services are not included in the "package of care" that providers may bill for?
NAB p.150
1-Physician services that are paid on a "Fee-schedule"
2-Hospital AND Emergency Room Services
3-Some Outpatient Hospital Services.
101
When it comes to the OIG, what is one thing that is not allowed when making contracts and agreements with Hospice companies?
NAB p.153
1-You can not limit the choice of Residents of Hospice companies.
2-The hospice may not offer free goods and services in exchange for referrals
3-Referrals for Referrals
4-Hospice paying for room in board in excess amounts the nursing home would normally charge or receive.
102
What is FUND Accounting?
NAB p.166
Fund Accounting is a system of accounting used in SOME on-profit organizations where separate records are kept for assets donated to the organization.
30% of all NF/SNF are nonprofit
103
Which of the following is MOST likely to be part of the responsibility of a COMPLIANCE OFFICER?1
1-Rendering assistance to the residents advisory council
2-Coordinating the resident admission process and ensuring the exchange of all required information
3-Representing management in implementation of the grievance procedures under the facilities contract with a labor union.
4-Investigating and acting on certain kinds of problems that employees report regarding claims submissions to 3rd party payers
NAB p.192
4-Investigating and acting on certain kinds of problems that employees report regarding claims submissions to 3rd party payers
Having a compliance officer with this as part of his role is one of the OIG recommendations in its compliance program.
104
What is the purpose of a preventive maintenance program?
NAB p.196
1-Helps maintain USEFUL life of equipment.
2-Keep ahead of Major Equipment Breakdowns
that will be costly to OWNERS, and FRUSTRATING to CARE staff.
105
According to the CDC, when is the use of Alcohol-Based hand sanitizes not the best method for hand sanitation?
NAB p.204
1-When hands are noticeably dirty, or are contaminated (Blood)
** The use of Alcohol Based Hand Sanitation is Federal Approved, if they NO NOT Conflict with the STATE.
** ABHS must also be installed in a manor to limit leaks, and not accessible to Vulnerable populations.
106
What are Avoidable and Unavoidable accidents?
NAB p 205
Avoidable: Accident occurred because the facility FAILED to:
ID/ Evaluate / Implement interventions...
Unavoidable: Accident occurred DESPITE facility efforts to:
ID/ Evaluate / Implement interventions...
107
According to LIFE SAFTEY CODE (NFPA) what procudre should you use for fire drills and reafl fire situations?
NAB p.209
RACE +C
R-Rescue and remove anyone in immediate danger
A-Alarm everyone by activating the nearest fire alarm
C-Confine and contain the fire and smoke by closing all doors and windows
E-Extinguish the fire with portable extinguishers, wet sheets, and blankets
Added later
C-Calm -- panic kills
** Coded Phrases are not required, but recommend.
108
What are some of OSHA blood born pathogens standards when it come to laundry services?
1-Bag Soiled Laundry WHILE in the residents room
2-Gloves, Gown, Masks must be worn when handling or Transporting SOILED laundry regardless of bagged or Not.
3-Never Shake out linen, in efforts to prevent and reduce the spread of disease.
4-Laundry Staff should follow appropriate hand-washing and hygiene practices, once they have removed there gloves.
109
What is NOT required with respect to fire safety. The Facility must have:
1-Audible and Visual communication notifying of a FIRE
2-a coded word phrase as a means of notifying staff of a fire event.
3-Illuminated exist sings with battery or generator back up
4-At least two exists on each floor, or each fire section.
2-A coded word phrase
A coded word phrase is a recommendation not a requirement.
110
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___ Contracts are those established EACH time a need arises, then terminated upon completion.
1-No-Route activities
2-Routine Activities
3-Job Unit
4-Temporary
```
3-Job Unit
| These contracts are for such things as roof repair, minor repairs, equipment install ... IF not done by HOUSE personnel.
111
What ideas enhance retention of employees?
NAB p 236
Respect -> Inclusion -> Teamwork
Acknowledgement for efforts
112
What are the 5 qualities an effective leader should have?
NAB p236
1-Vision and Leadership
2-Respect -> Inclusion -> Teamwork (Acknowledgement of efforts)
3-Preparation and Education Focused - "Educated empowered staff will do amazing things"
4-Communication - "Great communicators are Superb listeners"
5-Caring and Nurturing self and Others
113
What are the steps that happen when a surveyor enters the building.
1-Entrace Conferance - Reason why is there
1a- Signage must be posted for the public and residents that a survey is in process.
2-Initial Tour- Aimed at gathering Basic Information to compare offsite info with real info.
3-Resident Sample Selection- Representation of all the care needs of the facility
4-Information Gathering - Medical Review and observation
5-Findings and Deficiencies-
6-Exit Conference- With Administrator and KEY Personnel.
114
In a what is the main idea in a resident centered culture change vs traditional?
* In traditional Care the resident adopts to the institution, Bath Schedule, Wake Schedule , Toilet schedule.
* In resident Centered care, it is the other way around, where the STAFF are tuned into the RESIDENTS patterns of when they like something.
* * In a resident centered facility there is more focus on change vs Schedule.
115
What is the OSCAR 3 Report? What is the OSCAR 4 Report?
Appendix P
OSCAR3- History Facility Profile
-Contains the compliance history of the facility over the past 4 surveys.
-Determine if the facility has patterns of repeat deficiencies in particular tags or related tags.
-Lists the dates of any complaint investigations and Federal monitoring surveys during last 4-years.
OSCAR4-Full Facility Profile
-Contains information provided by the facility during the previous survey on the Resident Census
-This report compares facility population characteristics with State, CMS region, and national averages
*Both are from CMS OSCAR computer System.
116
For survey how what is the rule of thumb for how many residents are Interviewable? WHP Group?
1-96 - 299 = 5 must be interviewable and 5 are subject to Comprehensive Review
2- 57-85 = 5 in the whp group
*whp = weight / hydration / pressure sores
117
What are some things the Environmental protection agency (EPA) requires?
```
1- labels on
Pesticides / disinfectants /
2- labels for:
Not harming the environment
Not harming people
3- label also requires a Registration Number
```
118
What is an IRS Tax 1099 form?
1-Employees paid compensation in addition to regular wages.
*there are several versions of the 1099
Ex: when you sell company stock you get a 1099
When you are a contract employee you get a 1099
119
What is the CMS 671?
1-report that surveyors pull to look up Staffing patterns.
| 2-Always for hours worked not scheduled
120
What is the differance between a S corp and a Closed corp (closely held)?
S corp- gets special tax breaks ( no double taxation)
35 max stockholders
Closed Corp-
30-50 stockholders
121
What is imposed policy?
It is policy that comes from the government
122
Hepato-
Liver
123
Nephro-
Kidneys
124
Opt-
Vision
125
Odont-
Teeth
126
-ac
Pertaining to
127
-itsis
Inflammation
128
O_
Eye
129
_O
Mouth
130
q
Every
131
C
S
C=With
S=Without
