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Nursing Home Administrator > State Exam > Flashcards

State Exam Flashcards

(69 cards)

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1
Q

Persons with disclosable interested

A

Must be licensed under Health and Safety code CH. 242

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2
Q

SNF licensure rules and regulations are found in

A

Title 40 TAC CH. 19

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3
Q

Nursing facility administrator rules are found in

A

Title 40 TAC CH. 18

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4
Q

Practitioner who encompasses the care and treatment of feet.

A

Podiatrist

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5
Q

Individual who is licensed, or provisionally licensed, by Texas State Board of Social Worker Examiners, at least a bachelors in social work or similar professional qualifications.

A

Qualified Social Worker

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6
Q

Title 16 XVI

A

Supplemental Security Income of the social security act. (SSI) (SSA)

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7
Q
  1. Change of 50% or more in ownership of the business.
  2. Change in fed. tax ID.
  3. Relinquishment by the license holder of the mgmt. of the facility
    New owner must submit application w/in 30 days of effective date.
A

CHOW

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8
Q

Must be completed w/in 30 days of effective date of the change and cost is $20

A

Change in Administrator

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9
Q

All ________ not exempted by the Texas Health/Safety code must be inspected and certified for operation by the TX Dept. of Licensing and Regs.

A

Boilers

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10
Q

Must supply power adequate for at least lighting all entrances, exits, equipment to maintain the fire detection, alarm, and extinguishing system, life supporting systems.

A

Emergency Electrical Power System (Generator)

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11
Q

Must be capable of sustaining power for a duration of at least 1.5 hours

A

Battery systems

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12
Q

Must be sufficient for not less than 4 hour operation of required generator

A

Fuel capacity

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13
Q

Must be at least _____” between beds and _____” between any bed and the wall.

A

36 & 24

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14
Q

Must have an annual inspection and maintain documentation of such inspection at the facility regarding LSC

A

Local Fire Marshall Inspection. Fire Marshall enforces LSC

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15
Q

Must be one approved ______ within 300 ft. of the building

A

Fire Hydrant

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16
Q

Must not be more than 75 ft away from resident corridors.

A

Fire Extinguishers

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17
Q

When resident bedrooms are more than 150 ft. from the nurses station and adjacent corridors are not observable.

A

Auxiliary station must be established and used.

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18
Q

At peak load the kitchen must not exceed a temp. of how many degrees?

A

85 degrees at 5 ft. level

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19
Q

Must be 180 degrees or the manufactures suggested temperature for chemical sanitizers

A

Kitchen hot water sanitizing temp.

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20
Q

Must be 140 degrees.

A

Kitchen hot water general use

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21
Q

Liquid oxygen containers must be certified by which agency?

A

Underwriters laboratory

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22
Q

Wheelchair ramps slop must not be more than how much?

A

1:12 units

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23
Q

Mirrors must be no higher than how many inches?

A

40 inches

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24
Q

Must be 10 foot candles, measured 30” off the floor

A

Resident room lighting

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25
Must be at least 20 ft candles measured 30 " off the floor
Lighting for corridors, nurses station, lobbies, toilets
26
Must be at least 50 ft candles and measured 30" above floor
Overbed reading lighting, prep areas, storage areas, nurses stations desk.
27
Sewage and water supply must by approved by this agency.
Texas Natural Resource and Conservation Commission
28
Must be rehearse quarterly on each shift with at least one rehearsal conducted each month?
Fire safety Plan
29
Sprinklers shut down for more than 10 hours, LTC building must do what
Evacuate the building or portion of the building and establish fire watch
30
Sprinklers shut down for more than 4 hours, LTC building must do what
Must do fire watch and notify local authorities
31
Must be inspected and run, underload for at least 30 mins each week.
Generators
32
1. Direction and control 2. warning 3. communication 4. sheltering arraignments 5. evacuation 6. transportation 7. health and medical needs 8. resource management
Facility Emergency Plan
33
In the kitchen, must use what type of fire extinguisher
Type B fire extinguisher
34
Gas pressure test must tested for leaks _______?
Annually
35
Residents should receive a record of their trust fund account at least _______?
Quarterly
36
Must transmit assessments to the _______ database within 31 days of the lock date.
State
37
At minimum must maintain a ratio of 1 nurse to 20 residents or a min. of .4 licensed care hours per resident
Licensed Nurse Ratio
38
How many hours does the dietary consultant work per resident?
60 or less residents = 8 hours Each additional 30 residents = 4 hours
39
Must write, sign, date, discharge summary, within 20 workdays of being notified by the facility of discharge
Physician/Physician discharge summary
40
Must be reviewed and revised as necessary at least once every 60 days
Physician Orders
41
Physician recertification of residents is required for admission and every ____ days thereafter
180 days
42
Must be screen for _____ within ______ weeks of employment and annually
TB 2 weeks
43
Must be offered ______ within ______ days of employment
Hep B 10 days
44
Employees with __________ can not care for residents or work in dietary
open lesions
45
Must be offered to all residents 65 years of age or older. Must be completed unless vaccine is medically contraindicated by a physician or resident refuses
Pneumococcal Vaccine
46
Must be completed by Nov. 30 of each year
Influenza
47
1. Performance evals done annually 2. required 12 hours of in-service per year 3. retraining required if not worked as a paid _________ within the past 24 months 4. can work up to 4 months without being certified
CNA/CNA Training
48
Clinical records must be retained for _______ years after medical services end or for a minor ________ after a resident reaches league age under Texas law.
5 years / 3 years
49
A new clinical record must be initiated if the resident is a _____________ or have been discharged for over _______ days
New Admission / 30 days
50
Quality assurance and performance improvement must meet at least _________?
Quarterly
51
Must consist of DON, medical director or designee, at least 3 other members and one must be the ED, owner, board member, or other individual in leadership role, and infection preventionist
QAPI
52
Personal inventory must be within _______ of admission
72 hours
53
A CHOW license is a _______ temporary license issued when CHOW takes place.
90 days
54
Cost reporting is due to TXHHSC no later than ____ following the end of the provers entities fiscal year or ____ from the transmittal date of the cost report forms.
90 days / 90 days
55
Must have ______ state approved paid feeding assistant course and cannot feed residents with complicated feeding problems.
16 hours
56
Dining space must have ______ per resident bed.
10 square feet
57
_______ cannot be counted in the nurse to resident ratio
Student nurses
58
Grab bars at toilet and bathing units must be _____ to ______ in diameter
1.25" to 1.5"
59
Water closet seat height in a toilet facilities for persons with disabilities must be _______ inches from floor
17-19
60
Handrails must withstand downward force of ________ pounds.
250
61
Handrails must be mounted _________ inches above the floor
33-36 inches
62
Facility must have a program to inspect, test, and maintain the fire alarm system and must execute the program at least once every _________?
3 months
63
An operating system providing water from 100 to 115 degrees is acceptable
True
64
Facility must within _______ days after the resident is admitted, orally review and discuss _________ when there is a sign. change in residents clinical condition
14 days / advance directive
65
Facility must notify the resident and either RP at least _______ days in advance before relocation of resident
5 days
66
Facility must maintain the posted daily nursing staff data for how long?
2 years
67
Physician must CERTIFY the residents need for SNF no later than _______ days after admit to facility
20 days
68
Physician must RE-CERTIFY residents need for SNF every ______ days that resident remains in the facility
180 days
69

Nursing Home Administrator (8 decks)

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