Complains a lot
Displays a loss of intellectual capacity
Appears to be completely unconcerned
Psychology of aging
Illnesses of the aged
ADL levels of the aged
One of choice
Acquiring social skills
The end result
Resident contracts HIV
Resident's needs cannot be met
Resident's health has improved significantly
Resident has failed to pay after reasonable notice
Monitor restraints every two hours
Monitor restraints every 30 minutes
Release patients from restraints every two hours and leave them out of the restraint for at least one hour
Release patients from restraints every hour and leave them out of the restraint for at least 10 minutes
Has applied for a waiver
Is licensed for less than 100 beds
Has an average daily occupancy of 60 residents or less
Accepts only residents requiring minimal nursing services
Review of physical resources
Quality of care actually provided
Monitoring of management procedures
Compliance with state and federal regulations
The family should be notified of this complication and asked that a month's worth of adult briefs be supplied for Mrs. Jones.
A complete assessment should be done to determine the reason Mrs. Jones is incontinent and place her on a bladder-training program if appropriate.
Make Mrs. Jones and/or her responsible party aware that the facility specializes in short-term rehabilitation and does not accept incontinent patients.
The attending physician should be immediately contacted with a request that he/she come to the facility to perform a complete assessment to determine the reason Mrs. Jones has become incontinent.
The facility can prohibit all residents from smoking inside the building, but must provide them a climate controlled smoking area.
The facility can prohibit all employees from smoking inside the building, but must allow them access to a climate-controlled smoking area on campus.
The facility must allow those residents who lived in the facility prior to the implementation of the new polic to smoke in a designated, climate controlled area.
The facility is not allowed to prohibit residents from smoking in designated areas in the nursing home as that right is protected under the Federal Resident Rights for Nursing Home Residents.
A family member
The attending physician
Enforced by the social service department.
Discussed during the resident assessment.
Mailed out annually to all residents and families.
Given to the resident and family at the time of admission.
Be controlled by the administrator.
Have the participation of residents and employees.
Be given the opportunity to control the activities of the facility.
Have continued support by the administration and the residents.
Next of kin.
Maintaining family contact regarding the resident's condition.
Telling the family that the facility will handle the resident's condition.
Advising the family not to visit until the resident has adjusted to the facility.
Advising the family to have someone visit each day until the resident is adjusted.
Capacity to share the interests of another person.
Process whereby one strives to be like another person.
Unconscious conferring of undesirable traits or tendencies on another person.
Ability to comprehend the meaning and relevance of the thoughts and feelings of another.
110 degrees Fahrenheit
140 degrees Fahrenheit
160 degrees Fahrenheit
180 degrees Fahrenheit
Labeling of cans and leftovers
Utensils left in large containers
Infected food handlers.
Communication with sick persons.
Contamination of food by insects.
Improper refrigeration of perishable foods.
Cannot eat unassisted.
Is confined to a wheelchair.
Has been contraindicated to do so by physician's orders.
Director of Nursing
The assessment team
Licensed Nursing Home Administrator
At each visit.
As deemed necessary.
Monthly for the first 90 days.
Equipped with a CAT scan and a MRI.
Withing a radius of 5 miles of the facility.
Able to provide ambulance transportation.
Approved for participation under both Medicare and Medicaid.
A general practitioner.
Discharge the resident as his needs cannot be met without the use of physical restraints.
Refer him to Rehabilitation Service so they can assess him for appropriate therapy as well as position devices.
Request the family employ a private sitter to stay with Mr. Boudreaux during the day in order to reduce the chances of him falling and hurting himself.
Assign the resident to restorative therapy to help him with ambulation issues and have him confined to a geri-chair with appropriate wedges to promote safety and proper posture.
Maintaining adequate records.
Planning and organizing activity programs.
Preparing care plans and writing progress notes.
Completing the assessments and identifying the interests and needs of the residents.
Supervise therapeutic programs.
Record notes in the resident's medical record.
Conduct the interdisciplinary assessment programs.
Conduct in-service training programs for all employees.
Procedure used to recruit residents for group activities.
Procedure used to encourage resident-staff cooperation.
Program designed to stimulate the resident's interests in community affairs.
Group therapy program designed to stimulate the resident's interest in the real world around him.
Age and sex of the resident.
Former life style of the resident.
Recommendations of the nursing staff.
Nursing Facility Administrator
Therapeutic Recreation Staff
Take him on group walks in the community.
Enroll him in male craft projects like building bird houses.
Invite him to participate in current events including small group discussions.
Suggest to the attending physician that antidepressant medication be considered.
Director of Nursing
Medical Record Librarian
A court order.
An attorney at law.
A third party contract including Medicare.
Another nursing home to which the resident is being transferred.
Electronic signatures are acceptable.
Signatures are acceptable with appropriate safeguards.
Electronic signatures are acceptable only for the medical staff.
Signatures must be recorded both electronically and on a hard copy.
A full-time staff member.
Destroy all unused prescriptions.
Determine that drug records are in order.
Conduct a review of each resident's drug regimen.
Determine that an account of all controlled drugs is maintained and periodically reconciled.
The nursing staff.
A family member.
The legal guardian.
Pharmacist and the medical director.
Pharmacist and the director of nursing.
Notify the pharmacist.
Never renew the medication.
Notify the physician before the last dose is administered.
Notify the physician at the time the drug is last administered.
Some family members assist.
The staff, including nursing, is involved.
The physician observes the process and follows up.
Therapy has its own department and dedicated room.
Use of ventilators
Must include games and crafts.
Support, maintain, and empower.
Are first approved by the medical staff.
Are based upon past interests and hobbies.
Treatment to be provided only by a therapist
Passive ROM is performed by the staff.
Active ROM is performed by the resident.
Adequate preventative care must include ROM.
Active assistive ROM exercises are performed by the resident and the staff.
Dismiss the resident.
Transfer the resident to an accredited hospital.
Obtain the required services from an outside resource.
Utilize the services available in the nursing department and in the activity department.
Assessing the resident's restorative needs.
Assisting the resident with his/her bed mobility.
Assisting the resident with his/her prosthesis care.
Assisting the resident with Range of Motion, both active and passive.
Hold individual conferences with department heads.
Review written reports from all department heads and consultants.
Visit each department and observe daily activities and the environment.
Conduct staff meetings and secure verbal reports from each department.
Listen to rumors
Reject any information
Ignore all communication
Time to complain
Time to share challenges
Company rules apply in lieu of FMLA.
The employee is not eligible for coverage under FMLA.
The rate paid to the employee must equal the employee's current salary.
The employer can require the employee to substitute eligible leave for any part of the 12 weeks required by the Act.
Test the applicant for drugs.
Require a "fitness for duty examination" providing it is job related.
Ask questions relative to family members who may have disabilities.
Require a pre-employment medical examination to determine if the applicant has a disability.
A collection of tasks that can be performed by an employee.
The behavior, knowledge, and skills necessary to perform a duty.
The duties, authority, and qualifications of each employee classification.
A classification of employees such as secretaries, housekeepers, and nurses.
Establish a program of peer review.
Discourage all formal and informal "grapevines".
Promote employees from within the organization.
Establish clear lines of authority and responsibility.
Effect a desired behavior change.
Ensure that the behavior will never be tolerated in the future.
Experience no effect from the lack of evaluation.
Make less progress than those who are not evaluated.
Make more progress than those who are not evaluated.
Make about the same progress as those who are evaluated.
Only wage employees.
Only salaried employees.
Only non-administrative personnel.
Both salaried and wage employees.
For a photograph.
About child care plans.
About willingness to work religious holidays.
About willingness to work a required schedule.
The establishment of a complaint procedure.
A statement clearly prohibiting sexual harassment.
A description of conduct that constitutes sexual harassment.
A warning that anyone who violates the policy will be immediately dismissed.
Employee's marriage is dissolved.
Employee's work hours are reduced.
Employee is fired for gross misconduct.
Equal Pay Act.
Fair Labor Standards Act.
Title VII of the Civil Rights Act.
Age Discrimination in Employment Act.
Discharge an employee without cause.
Not discharge an employee without due notice.
Discharge an employee only with a valid reason.
Not discharge an employee if the employee is following the job description.
On a monthly basis.
As they are capitalized.
When they are incurred.
When they are paid or received.
A declining balance.
A cost allocation of equipment.
The change in value over a stipulated period.
The decrease in value due to obsolescence, wear ,and tear.
Minus fixed assets.
Minus current liabilities.
Divided by current liabilities.
Minus inventories divided by current liabilities.
Assets and liabilities.
Net profit and net worth.
Past cost and future cost.
Past experience and projected expectations.
As soon as possible.
Before they get out of hand.
That only involve a legal risk.
To adhere to federal guidelines.
Are discounted based upon volume
The risk class of the occupations involved.
Safety programs provided for the employees.
The number of years insured by the same carrier.
Obtain bids and accept the lowest price available.
Purchase in the largest quantity available to reduce cost.
Let each department purchase their own supplies since they will use them and know what is needed.
Standardize the products and vendors used, organize a central purchasing department, and minimize the people authorized to purchase.
Breach or violation of a contract or promise.
Rendering substandard or poor quality care.
Failure to obtain effective consent before intervening in the life of a resident.
Agreeing to withhold prescribed treatment at the request of a competent resident.
Place all orders with a single supplier.
Observe supply levels in the storeroom.
Limit access to supplies and requisitioning to specified individuals.
Record requisitions in an inventory-control system utilizing reorder levels.
An insurance company
A state nursing home association
Federal Withholding Tax.
Statement of cash flow
Statement of revenues and expenses
Statement of changes in fund balances
Income tax withholding
Federal unemployment tax
Arrange for an energy audit.
Determine whether excessive hot water is being used.
Have all lights and equipment turned off when not in use.
Check all heating and air conditioning units for efficiency.
Outlined in OBRA
Federal versus state
More recently enforced
2 feet above the floor
3 feet above the floor
4 feet above the floor
4.5 feet above the floor
Preventing disasters in nursing homes.
Providing safety and security procedures.
Providing emergency preparedness protocols.
Providing a reasonable degree of safety from fires.
Immediately after use.
At the end of every shift.
Within a reasonable time period.
After being sheared and broken.
Not using disinfectants.
Improper garbage storage.
Contracting is less expensive than operating the facility's own program.
The facility staff is not efficient in identifying key areas to target for control.
Contractors are more thorough in their pest control measures than facility staff.
Contractors are generally more knowledgeable than staff about rotating appropriate pesticides to ensure effectiveness.
Hire a part-time employee
All laundry employees to work overtime.
Stagger employee schedules to provide extended daily laundry service.
Assign underutilized personnel in another department to the laundry on a part-time basis.
Personal appliances should not be allowed in the facility.
Personal appliances should be inspected prior to initial use and at regular intervals.
Personal appliances should always be removed from the resident's room and stored when not in use.
Personal appliances must be inspected and certified as safe by an outside appliance technician.
Class A Fires
Class B Fires
Class C Fires
Class D Fires
A list provided by OSHA.
Material safety data sheets.
Discard the contents of the spray bottle.
Terminate the housekeeper immediately.
Determine the contents of the bottle and label it appropriately.
Remove the spray bottle and replace it with one that is labeled.
At the end of the fiscal year
Every year from February 1 through April 30
When an accident involves more than three persons
A warning time.
That everyone is informed.
That communication problems are reduced.
That the fire department is always notified immediately.
Entrances and exits
Resident call system
To the egress
To the ingress
One to the egress and one to the ingress
In either direction but never be propped open
Disclosure of ownership for nursing homes must be made available upon request by DHHS.
Special Focus Facility (SSF) must be inspected at least every nine months.
Disclosure of ownership for nursing homes upon request by State Ombudsman.
Facilities must have available for review the annual surveys and complaint investigations for the preceding three years.
The mission statement
Employ a person who handles all HIPAA requirements.
Give hospitals immediate access to a resident's records.
Have written policies and procedures to ensure the protection of clinical records.
Have a family member or legal representative approve all transfers of resident clinical information.
1 week prior to the transfer
10 days prior to the transfer
15 days prior to the transfer
30 days prior to the transfer
Position replaces a full-time employee.
Resident agrees to the work arrangement.
Compensation is at or above prevailing wage rates.
Plan of care specifies the nature of the service performed.
Evaluate alternate solutions.
Review policies and procedures from an ethical perspective.
Educate the residents, families, and staff about ethical decision-making.
Hiring all staff
Establishing goals and objectives
Appointing the licensed nursing home administrator
Increase personal goals.
Promote efficient operation.
Prevent employee arguments.
Creation of a mission statement
Creation and implementation of procedures
Obtain signed standing cardiac orders for all residents in advance.
Frequently review standing orders for a procedure to be followed in the event of such an emergency.
Institute an ongoing in-service training program to teach the nursing personnel the use of cardiac monitoring equipment.
Insist that all physicians who admit residents with histories of cardiac disorders write cardiac orders at the time of admission.
Have access to facility records
Issue citations against a facility
Serve as an advocate for the elderly
See resident records without written consent or a court order
Quality improvement team
Health care institutions
Statistics regarding population
A market-opportunity analysis
A study of hospital census ratios
A review of existing advertisements
An assessment of competitive institutions
Consumers' wants and needs
Various public relation programs
Supplementing the work of the nursing staff
Meeting the personal needs of the resident
Changing attitudes toward the physically disabled
Bringing the nursing facility and the community closer together
By first-line supervisors
At the lowest level authorized to make them
Through the contribution of ideas by several people
Try to help by agreeing
Be logical and explain everything
Realize that there is usually no truth in such statements
Have clear communication among staff so all will be consistent
Span of management
Two or more employees working together
Three or more employees working together
Five or more employees working together
Seven or more employees working together
The types of services offered.
The entity's responsibilities to its stakeholders
The clear and succint representation of its purpose
The procedure for the tasks necessary to achieve the mission
An LLC simplifies recordkeeping
An LLC limits personal liability for business debts
Partner(s) of an LLC are required to be US citizens
An LLC combines corporate protections with partnership tax flexibility
Involve all staff
Provide good resident care
Hire specialists in public relations
Develop a public relations program