Title 22 Flashcards by charlie j

Which equipment requires hospital grade 3-prong plug?

d) oxygen 72637(e) (p. 869)

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Temperature of pipes specified in

Title 24 (73649)

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If a B Citation of $200 is received and facility chooses not to contest, what should be done:

pay $50 in 4 business days 73719 (p. 913)

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What happens if facility is not in substantial compliance in 6 months?

a) 23-day fast track to termination

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What happens if not in compliance after 3 months?

Denial of payment for new admissions

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Information NOT required to be posted:

HCFA Regional Office (Medicaid Fraud Unit must be posted per OBRA) 72503 (p. 859) & OBRA (F-156)

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Written manual required for:

heating, a/c, ventilation systems 72655 (p. 871)

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Three Quality Indicator reports that the Department will review with the administrator during entrance conference:

Facility Characteristics, Quality Indicator Profile, Resident Level Summary OBRA (Task 1)

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Patient Care Policy Committee includes

DON, activity leader, pharmacist, plus: administrator and at least one physician (p. 862)

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Isolation bed ratio in ICF:

1:35 (same as SNF) 73623 (p. 907)

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Medical Director role

acts as liason between administrator and attending physician 72305(b)(1) (p. 848.5)

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Storage of non-legend drugs at bedside must meet all requirements except

be specifically ordered by prescriber of drugs 72357(j)(1-3) (p. 851)

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In an ICF, keep records relating to drugs returned to pharmacy for

3 years 73369(c)(3) (p. 888)

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Who authorizes conversion of utility room to office?

Department of Health 72603 (p. 867)

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Who approves administrative policies & procedures?

Governing body 72521(b) (p. 861)

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What follows Standard Survey?

Extended Survey

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Patient funds cannot be

mingled between facilities (p. 864.1)

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Health records can leave the facility:

for storage after discharge 72543(i) (p. 865)

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3 committees required:

Patient care policy committee, Infection control, Pharmaceutical (PIP) (p. 862)

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Unusual occurrences reported in

24 hours (p. 864.1)

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Who should screen patients for admission?

Administrator or designee (p. 860)

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Who holds final responsibility for the care of patients in an ICF?

Physician 73303(a) (p. 881), 73519(1)(2) (p. 902)

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For what size facility is an RN required at all times in addition to the DON:

100+ beds 72329(d) (p. 848.8)

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Upon change of attending physican, the follwoing is included:

review of orders for care and treatment 72303(b)(2) (p. 848.5)

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Emergency generator required to come on within

10 seconds after power failure (p. 870)

Minimum light in Title 22 for stairways, corridors, ramps, exits, entrances:

20 foot candles (in ICF is 5, but this was not listed as a choice) (p. 871)

Work areas in rooms shall have minimum light of

30 foot candles (lumens) (p. 871)

Water for human consumption checked at least

every 3 months 72651(a) (p. 870)

Non-movable containers shall have all but one of the following:

be labeled 72645(a) (p. 870)

Telephone may not be required when there are

6 or less beds for ambulatory patients (p. 868)

Minimum info required on name band:

resident name, name of facility (p. 867)

Records of patients maintained:

7 years Title 22 / 5 years OBRA (p. 865)

An administrator can act as a patient's representative or manage the estate if:

the administrator is a blood relative (2nd degree of consanguinity) (p. 859)

After any advance rent paid must be returned within

2 weeks (p. 864.1)

Initial assessment shall begin

at time of admission (p. 848.6)

Bond required for resident funds of $750 or less

$1000 (848.5)

Department must be notified of change of administrator within

10 days

Administrator can be responsible for

no more than 3 facilities and 200 beds (p. 860)

During training or after completion of training and evidence of competence,

laxatives can be given by non-licensed staff 72313(5)(B) (p. 848.6)

Standing orders are

not permitted (p. 848.7)

What can be an optional service in a SNF

Audiology

Glass thermometers cleaned and disinfected:

10 mins. in 70% ethyl alcohol 72323(e) (p. 848.8)

Temperature of water for washing by non-mechanical means:

110 degrees F 72347(c) (p. 849)

Temperature of readily perishable foods:

45 degrees F or below, 140 degrees F or above 72343(c) (p. 849)

When maintenance repairs/service is contracted, must show that the work was done:

in accordance with acceptable standards 72655 (p. 871)

Informed consent shall be responsibility of

the physician (p. 863)

Soiled linen should be sorted

in a separate room (p. 868)

Piped oxygen or nitrous oxide system should be checked

upon installation (p. 909)

Patients must be provided with

bed, mattress, pillow, blankets, linen (no electric bed) (p. 868)

Outpatient Physical Therapy must have:

handwashing facilities (p. 854)

Hours of orientation required for CNAs within the first 40 hours of work:

16 hours 71833(e) (p. 841)

How many hours minimum of direct group or individual program services required in special rehab for mentally disordered?

27 hrs/week

If one resident hits another. Both have dementia. Resident who hit and his responsible party refuse to agree to a psych eval for resident and the physician has been notified. What should be done next?

Informed that discharge will happen if unable to contol behavior

Emergency supply drugs must be checked

by pharmacist (p. 852)

Bedside nursing can be provided in ICF on a temporary basis when

attending physician determines illness is temporary and minor 73315(h) (p. 882)

Who determines self-administration of drugs?

IDT

Survey can come to facility to review records

anytime

Activity plan to be reviewed

quarterly and approved by physician to verify it is not interfering with treatment plan (p.853)

Temperature range needed for drugs requiring room temperature storage

59-86 degrees (p. 851)

Must have at least one week's supply of

staple foods and at least 2 days of perishable foods (p. 850)

E-kit drugs in ICF checked

monthly

Medication error rate should be

5% or less (OBRA)

External disaster plan reviewed

annually (p. 866)

In an special treatment program, Licensed Psych Tech can:

administer medications and be a charge nurse

In ICF, activities are encouraged how often

10 hrs/week 73381 (p. 889)

Signed orders for drugs must be sent to pharmacy within

48 hours

Provisional license shall be granted for

6 months (p. 858.4)

Facility must release drugs upon discharge if physician's orders

do not include provisions for drug disposition 72371(a) (p. 852)

Who approves optional service unit (policies & procedures?)

Patient Care Policy Committee

Physical therapy policies & procedures approved by

physical therapist and patient care policy committee

Therapeutic diet manual approved by

dietician & patient care policy committee

Drugs may be brought in by patient if checked by

patient's physician and pharmacist retained by facility

Minimum number of hours that an RN is required

8 hours

Who approves infectious wastes and solid wastes being stored together?

local health agency

Unit dose medication system requires supply of medication for

24 hours

Records should be maintained for temporary health service personnel employed in the facility for

3 years 72533(c) (p. 864.1)

Title 22 Flashcards

(76 cards)