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MISSOURI NURSING HOME BOARD EXAM|
QUESTIONS AND CORRECT VERIFIED
ANSWERS|ALREADY GRADED A+|NEW UPDATE
How long must SNF keep personnel records? One year How often must SNF bathe residents? As often as necessary to keep resident clean What types of activities must be offered? Individualized, group, outdoor What is maximum space between kitchen wall and sink? 1/32 inch In intermediate care facility, the requirements for a RN include? An RN consultant must provide a minimum of 4 hours per week if DON is LPN What is the maximum number of residents that may be in single unit of an SNF and ICF? 60
What is true about fire drills?
- 12/year
- rotate shifts
- 4 unannounced
- 1 simulated evacuation
- fire alarm must be activated at night, does not have to be sounded. What is a distinct part? portion certified SNF or NF services. Must be physically different (wing, ward, hallway) How many residents must be in a facility for a survey to be done? Two What must be done if administrator of DON changes? Written notification to the state What does it mean that a facility is allowed only two changes in size of distinct part in cost reporting year? Two increases in size One increase/one decrease NOT TWO DECREASES IN SIZE
What are state requirements for discharge?
- failure to readmit if discharged and not allowed back...must have consent to move. State requires documentation by DON or Admin as to why need for transfer. STATE requires ombudsman is provided copy of discharge notice What is good cause waiver? DHSS can grant waiver to persons with criminal background hiring exclusion How many hours of training does CNA program require? 75 classroom hours, 100 OJT Who teaches CNA course? Approved, RN instructor. RN or LPN clinical supervisor. Approved RN Examiner. What are requirements for completion of CNA course? Must complete within 1 year if licensed. Must complete within 4 months if certified by Medicare or Medicaid. What are testing requirements for CNA? Three written or oral tests. 80% passing score. Final exam: 40/50.
What does course for CMT include? 60 classroom hours and 8 RN supervised clinical hours. Must be CNA to enroll Must pass by 80% What kind of sink is required for washing dishes? Three compartment sink, even if facility has Dishwasher What are regulations about refrigerators? 2 refrigerators, or two separate sections for meat dairy, and one for general storage. How many square feet for physical therapy? What about other requirements? 40, and it can be shared with OT. need treatment area, hand washing sink, toilet room What must nursing units have? nurses station, no more than 140 feet from nurses station to resident, med prep area with sink and refrigerator, separate bathroom for each sex, night lights, electrical call system, door alarm on exterior doors. How much space must be available around beds in resident rooms? 3 feed around beds. How much square footage in resident room?
Both sides of corridors and stairways. What determines life safety codes? Construction date of facility What are basic life safety codes? ext. walls less than 30 feet from adjacent building, property line, or parallel wing --OR-- have 2 hr fire-resistance rating --OR--can be 15 feet with 1 hr fire rating. What are regulations for laundry and trash? fire resistant with flashing ring, vent to atmosphere and floor drains in basement, automatic sprinkler at top of each laundry and trash chute, self-closing 1 1/2 hour FIRE DOOR that does not open to corridor What are heating regulations? capable of heating resident-use areas to 80 degrees in winter, cannot rely on fireplaces for heating, keep exhaust to outside where odors, What are temperature parameters for resident areas? 105 - 120 degrees
What must be capability of water heater? 5 gal/hr/bed @120 degrees. During peak: 8 gal/hr/bed@160 for laundry/kitchen What is back-flow preventer? stops water from coming to clean water supply What are other water regulations? must insulate all pipes in outside walls, if water is softened, must be to hot water only, not cooking/drinking, before operational, DISINFECT ENTIRE WATER SYSTEM What are in-room lighting regulations? in room, must be shaded/globed to minimize glare. 10 FT candle What are generator regulations? need emergency generator if approved after 1/1/99. Generator or battery operated to sustain 1 1/2 hr before 1/1/
What are regulations for new fire extinguishers? ABC-rated, K-rated in kitchen and cooking areas, rating of 10 lbs in or within 15 ft. areas. Rating of 5 in other areas. RANGE HOOD EXTINGUISHER MUST BE PROVIDED. What are requirements for fire alarm system? auto transmit to fire dpt. visual and audio signs, manual PULL STATION at nursing station and exists, smoke detectors connected to alarm, must have sprinklers What activates a fire alarm? sprinkler system flow alarm, smoke detectors, heat detectors, manual pull station, activation of range hood extinguisher How often to test fire alarm system? Once a month. How often does SERVICE REP need to service and inspect fire alarm system? Annually.
What steps must be taken if fire alarm is out of service for more than 4 hours in a 24 hour period? contact DHSS and local authority. How many exits are required? at least two unobstructed and remote from each other. Locks must be easy to release and only 1 lock per door. What are regulations related to emergency lights? Generator --OR--UL approved battery capable of operation at least 1 1/2 hour, test 30 sec every 30 days. What are regulations related to barriers for smoke and/or fire? 1 hour if 3 or fewer stories, 2 hour if 4 or more stories. What are regulations related to smoking? only in designated areas, must be supervised, need annual/sig change smoking assessment, ashtrays of non-combustible What are regulations related to fire drills and staff training?
What are size requirements for rooms built before 1965? 60 ft/res What are size requirements for rooms built after 1965? 80 ft/res How big must private rooms be? 100 sq feet. What is requirement for grade outside room? no more than 3 ft, 15 ft from wall or window. What must facilities do for isolation if facility was built before 1965? Make provisions for isolation What must facilities do for isolation if facility was built after 1965?
have two private rooms for isolation What is the minimum ratio for toilet/resident 1: What is the minimum ratio for shower/resident? 1: What are the water temperature ranges for hot water used in showers? 105 - 120 What are regulations for beds? 36 inches, no cots or roll-away beds. What are requirements for room cleanliness? Neat, orderly, cleaned daily. Furniture and equipment in good repair and clean. clothing storage, comfortable chair.
What sorts of policies and procedures are required? For everything related to facility operation. Screening employees for communicable disease. MUST MAKE SURE RESIDENTS ARE NOT UNNECESSARILY EXPOSED TO DISEASE. What are regulations for potential employees? Criminal background check within two days of application for a position What about employee disqualification list? Cannot employ or volunteer anyone on that list. What must be covered on DAY of hire orientation? infection control, P&P for emergencies, job responsibilities and lines of authority, confidentiality of information, preservation of dignity, property rights of residents What must nursing personnel inservice include? ROM, turning and positioning, transfers, B&B training, self-care for ADL
What are peronnel regualtions? disease screening, personal file maintained, record of hours, name badge, What are age limits for staff? CNAs 18, 17 if completed training. All other must be 16 What is required for RN coverage at SNF? RN/DON full time, RN charge or DON on days, RN or LPN on eve/night. RN on call at all times. What is ICF ruse staffing? RN or LPN DON. If not RN, consult with RN 4 days/week. Must have LPN or DON on call at al times. What must physician provide upon admission? diagnosis, orders for care, extent of activity. Who complete monthly drug regimen review?
What are regulations related to timing of meals? 4 - 5 hours apart No more than 14 hours between supper/breakfast Allow at least 30 min to eat. How far in advance must menus be planned? 2 weeks in advance. What is the shortest meal cycle allowed? 3 weeks. How long must food menus be kept? menu for 30 days. Record of food purchased for one month. How much food must be on hand? 1 week of staples 3 days of perishable
Which foods must be cooked to 165? poultry, stuffing, stuffed meats, and stuffing containing meat What are three parameters for food thawing? refrigerated to 45 degrees water 70 degrees or less microwave if cooked immediately. What do licensed facilities provide? room, board, 24 hour protective oversight What is protective oversight? an awareness twenty-four hours a day of the location of a resident, ability to intervene on behalf of the resident, and the supervision of nutrition, medication, or actual provisions of care, and responsibility of the welfare, except when on voluntary leave. What is voluntary leave? Off premise leave initiated by the individual or guardian.
