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Flashcards in Misc Deck (220):
1

Physical restraints must be moved

every 2 hours

2

regarding developmentally disabled HCFA recommends use of

justice system, consumer groups, etc. to determine type of active treatment

3

most significant aspect of resident care practice is

staff attitude towards residents

4

OBRA requires that rehab service

be prescribed by a licensed physician

5

Bodily fluid that does not transmit HIV

urine

6

facility cannot discharge resident if

court appointed guardian refuses transfer

7

If you have an Ethics committee

it must be free standing

8

discharge summary

may be the last progress note written

9

social workers do not provide

psychiatric therapy

10

stages of dealing with death

denial, anger, bargaining, depression, acceptance

11

initial responsibility to explain resident rights

is the social workers

12

Advanced Directives

1) Facility must have P&P
2) Not provide care that conflicts with directive
3) Resident must be informed of rights

13

Most nursing home residents are

widows

14

if a resident is declared legally incompetent

rights are assigned to legally responsible party

15

max hours between evening meal and breakfast

14 hours

16

primary purpose of having residents eat in dining room is

to provide socialization

17

Cause of liver damage is usually

poor diet

18

All menus must be approved by

the dietician

19

hot food should be served at what temperature

140F

20

opposite of acute condition is

a chronic condition

21

hearing loss refer to

ontologist

22

podiatrist may not be

attending physician

23

patients must be seen by doctor every

30 days for first 90 days then once every 60 days

24

who is responsible for paying dental service

family or resident

25

QA committee must include

1) physician
2) DON
3) three other staff members

26

RAI designed to

improve clinical assessments mandated by HCFA

27

Residents are most easily encouraged to participate in activities that are

personally satisfying

28

Primary IDT members usually include all but which of the following staff

1) activities director
2) rehab staff
3) therapy staff
but not Admin

29

Facility Administrator's role in activities is to

visit, observe, and support

30

volunteer program best achieved by

granting awards for years of service

31

most volunteers come from

religious organizations

32

Best communication of activities is through

signs, posters, and calendars

33

primary purpose of medical records is to provide

continuity of care

34

the primary value of varied colors on records forms is

quick identification

35

an assessment of resident condition gives

current status

36

medical records belong to

the facility

37

prescription drugs can only be given by

the licensed person who prepared the drug

38

Schedule 1 drugs

have no medical use

39

Schedule 2 drugs

cannot be fulfilled without Dr. new prescription

40

If drug error is reported to administrator

admin should determine disciplinary action

41

If there is a damaged drug label

return drug to pharmacy

42

prescription drugs can only be dispensed by

a doctor or pharmacist

43

rehab needs of patients are met by

therapists

44

Accrual is

an accounting system

45

assets appear on

the balance sheet

46

after entering a transaction in the journal one must

periodically balance each account

47

Interest can be both

revenue and an expense

48

Bank statements should be reconciled immediately because

neither they nor the facility ledger may show the correct balance

49

Current ratio is

assets divided by current liabilities

50

Prepaid expenses are

things purchased but not yet consumed

51

Best way to maintain inventory is to

record in an inventory control system with reorder levels

52

an invoice is usually a

list

53

to determine ability to meet short term cash need

use a cash flow statement

54

a balance sheet contains

1) assets
2) liabilities
3) net worth/owners equity

55

FUTA is

unemployment tax

56

Current trial balance has

debits, credits, and names but NO zero balances

57

Annual audits do what

verify accuracy of financial records

58

Distance between beds should be

3 feet

59

Maintenance program should emphasize

preventative maintenance

60

when two government agencies have different rules

go with the more stringent one

61

work orders in housekeeping and maintenance help

schedule work to be done

62

waste management is monitored by

OSHA

63

lighting temperature and sound levels relate primarily to

comfort

64

standard precautions are given by

the CDC

65

Best theft prevention is to

limit the number of items that could be stolen

66

MSDS sheets are from

OSHA

67

the number of patients per bathroom is established by

the State

68

Flashover is

an out of control fire

69

Agencies over emergency power are

NFPA and OBRA

70

Primary fire defenses are

resident doors, walls, and smoke barriers

71

employees right to know relates to

hazardous communications

72

minimum amount of square footage per bed

80 sq ft

73

maximum corridor without a smoke stop door

150 ft.

74

Closing doors in a fire is to

contain the smoke

75

generators must be checked how often

weekly

76

Major problem with fire drills is

there is no fire

77

Standard precautions, right to know, and HBV are under which agency

OSHA

78

all healthcare facilities must be

licensed

79

Respondiat Superior means

both employee and employer may be held responsible for employee screwup

80

It is not the role of the Ethics committee to

make decisions

81

Ethics committees usually do not include

residents

82

Strategic planning is

planning for future uncertainties

83

Residents rights are categorized by

OBRA

84

Ombudsman program funded by

the Administration on Aging

85

Resident and family should both participate in

the first meeting of the resident assessment

86

Nondirective counseling

guides person to discover the best action themselves

87

Privacy is required in

Records, treatment, and communication

88

Best time to inform patients of their rights is

before or during admission

89

Upon death, return funds to estate within

30 days

90

Must have residents rights in sign, audio, or other language but not

Braille

91

The hardest resident right to follow is

choosing physician

92

Public liability insurance covers

visitor injury on property

93

Two most important risk management tools are

education and quality control

94

ADA does not cover

illiteracy

95

Recreation therapy does not

count as treatment

96

the most overlooked aspect of communication is

confidentiality

97

Use written communication when information

goes through levels of management

98

most effective communication is

face to face

99

Best method to obtain honest feedback

resident survey

100

Must inform resident rights

orally and in writing in their own language

101

Major problem with on the job training is

day to day demands made on trainers

102

Personel management is

staffing

103

best hiring source is

other employee referrals

104

pregnancy discrimination is part of

the Civil Rights Act

105

Fair labor standards act requires

overtime pay

106

Minimum number of cards signed to initiate a union election is

30%

107

Fair labor standards act includes

equal pay

108

Agency responsible for Retirement Income Act is

EEOC

109

Must have a hazardous communication program to

evaluate the hazards of chemicals

110

Employee accidents are caused by

unsafe working conditions or behavior

111

Too little responsibility increases

risk of accidents and disease

112

Update budget

annually

113

Investigate accidents to

prevent reoccurrence

114

Accelerated depreciation means to

depreciate higher percentages of cost in the first year

115

Rectal temperature is higher than

oral or arm pit

116

Gerontology

the study of the aging process

117

More acute residents in SNF because of

increased Medicare rates

118

Cannot discharge or transfer a resident who

contracts HIV

119

Continued need for restraints reevaluated and documented

every 24 hours

120

DON can be charge nurse only in

60 residents or less

121

If residents wants to leave, we must

assist and arrange for information transfer

122

A curator is

a guardian

123

Highest protein food is

meat

124

Dishwater rinse water temperature

180F

125

Significant weight loss over 6 month period

10%

126

Syndrome is

a group of symptoms

127

Pathologist is involved in

causes and histories of diseases

128

Who is responsible for the implementation of care policies

Administrator

129

Social Security Act requires nursing home to have

a written transfer agreement with at least one hospital that takes Medicaid and Medicare

130

OBRA requires QA to meet

at least quarterly

131

Pet therapy should have

limited participation

132

Activity Coordinators must chart

in medical record

133

Keep medical records for

5 years after discharge or 3 years after resident turns 18

134

Medical Device Reporting keeps records for

2 years

135

Resident request for their records

24 hours to comply

136

Morphine, Codeine, and Ritalin are which type of drug

Schedule 2 drug

137

Medication with automatic stop order

must notify physician before last dose given

138

Prescription label must have

1) date dispensed
2) expiration date
3) lot number

139

The five drug schedules were established by

The Comprehensive Drug Abuse Prevention and Control Act

140

OBRA requires pharmacists to

1) determine drugs are in order
2) conduct reviews of each residents regimen
3) maintain and reconcile a record of all controlled drugs

141

Successful exercise program should

follow a routine

142

Bulletin boards are usually

outdated

143

Develop staff rapport by

establishing clear lines of authority and responsibility

144

Don't have to offer COBRA if

employee is fired for gross misconduct

145

Employee productivity =

required staff divided by provide staff X 100

146

HCFA requires that

50% of residents selected for review in survey be interviewable

147

Must have full time Social Worker if

more than 120 beds

148

Best time to inspect and weigh food

when it is received

149

Peanuts have no

potassium

150

Nephritis is

inflammation of the kidneys

151

In emergency with no doctor

the administrator decides who will attend the resident

152

Medical Record Manager is not responsible for

the adequacy and accuracy of records

153

Patient can take medications home with

physician's written permission

154

Drug storage and destruction is enforced by

DEA

155

Person responsible for checking all drug records

Pharmacist

156

Delegation leads to better

efficiency

157

the most essential step in decision making is

problem identification

158

development of training programs is the responsibility of

each supervisor

159

Wage evaluation is based on

merit

160

board and lodging may be part of

wages

161

Fatal or multiple (3 or more) hospitalizations must be

reported to OSHA in 48 hours

162

C Corporations can make their financial year

anytime they want

163

Employment tax records must be kept for

4 years

164

1099 form is for

contract workers

165

income statements are prepared from

the general ledger

166

Book Value =

Cost of Asset - Accumulated Depreciation

167

In finance, Control is a way to

identify problems when they occur

168

Minimum width of a bedroom is determined by

the State

169

Forced air ventilation must change air every

6 minutes

170

ANSI requires what for wheelchairs

60 inch diameter space for wheelchair to make a 180 degree turn

171

Life safety code published by

NFPA

172

Handrails on ramps and stairs must be how high

30"-34" inches

173

Must have 3 handicapped parking spaces if total is

60 spaces (one for every 20 regular parking spaces)

174

Angle of rise on a wheelchair ramp is determined by

ANSI

175

Medicare A coverage provides

1) Inpatient hospital
2) post hospital home health
3) post hospital rehab

176

Theory Y

Reward

177

Theory Z

Trust, Long Term Goals, and Incentives while working cooperatively

178

Mission Statement is set by

Governing Body

179

Ombudsman

1) funded by Administration on Aging
2) administered by State agencies

180

Organizing is guided by

1) Authority
2) Span of Control
3) Unity of Command

181

OBRA requires you report abuse within

5 days

182

Developing marketing plan is

not democratic

183

OBRA does not classify recreation therapists as

rehab

184

Occupational therapists spend most time on

ADLs

185

If special rehab service is required and you don't have it

get it from outside source

186

In order to improve resident ability to eat independently, you must

provide assistive eating devices

187

Employees accept increased census and responsibility if

increase is linked to improvement

188

most documentation is done by

nurses in the charts

189

Placing a message in oral, written, or chart form is called

encoding

190

Key to understanding communication is

listening

191

Bulletin boards problem is that they are

outdated

192

An example of a communication problem is

the language barrier

193

Assessments and care planning

help communication

194

Most important part in communication in policy and procedure is

confidentiality

195

two most important skills for administrator

problem solving and communication

196

Purpose of disciplinary action is

to effect a desired behavior change

197

pay scales are required for

both salary and wage employees

198

Sexual harassment policy includes

1) Complaint procedure
2) Clear prohibition
3) description of conduct

199

ADA reasonable accommodation does not include

transportation

200

Workers comp rates depend on

claim experience, state regulation, and risk class of occupations

201

Amortization is defined as

a declining proration of asset cost

202

Depreciation is defined as

the decrease in value due to obsolescence, wear, and tear

203

Working capital is defined as

current assets minus current liabilities

204

Retained earnings are defined as

income left after taxes and dividends have been paid

205

Well capitalized companies should have a debt to equity ratio of

less than 1 to 1

206

Safe harbor prohibits

extra payments for items reimbursed under Medicare or Medicaid

207

Most accurate measure of net income

when accrued income is allotted to the period in which the expediters are incurred

208

60 day accounts outstanding should never exceed

5%

209

employees pay what % of FICA

50%

210

Corridor doors must have a fire protection rating of

1.5 hours

211

Major cause of fires in nursing homes is

smoking

212

Class C fires

fires involving electrical equipment

213

Life Safety Code requires all doors except for bathroom doors to have a clearance of

41.5 inches

214

State surveys are

outcome oriented

215

Most prevalent fall risk

weakness

216

therapeutic recreation

meant to increase capabilities

217

Medical records must be stored

under lock and key

218

work should be assigned on the basis of

individual abilities

219

Appraisal of a job in relation to standards

job evaluation

220

Max number of beds per room determined by

Medicare and Medicaid