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14 Cards in this Set
- Front
- Back
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daily staffing sheets |
this date sheet must be in a format that is legible, displayed at the beginning of each shift, reflects the following info(facility name, date residents census, total # & actual hours worked by categories of licensed and unlicensed nursing staff directly responsible for resident care. RN, LPN, CNA. must be kept for minimum of 18 months, or as required by individual state, whichever greater, (p. 31) |
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OBRA RN services |
nursing facilities are mandated to use the services of a___________for eight consecutive hours per day, seven days a week. p. 29 |
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OBRA DON services |
may serve as the charge nurse only when the facility has an average of 60 or fewer residents per day p. 29 |
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Changing physicians |
when a resident changes physicians, the new physician is required by standards of practice to: conduct an new H & P, write new orders, obtain a written release from the former physician if when possible. if former physician becomes disabled, dies or simply neglects to provide a release as requested, this should be documented in the resident's record. p. 33 |
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emergency drug kit |
nursing facilities must have _________________ as discussed under pharmacy and medications. It must contain drugs used by a nurse during emergencies. p. 35 |
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crash cart |
contains materials the nurse and physician may use p. 35 |
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separate record (infection monitoring) |
...should be maintained on each infection. It should identify each resident with the infection, date of infection, causative agent, origin or site of infection, describe what cautionary measures were taken to enable the facility to analyze clusters and/or significant increases in the rate of infection. p, 35 |
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influenza immunization |
federal requirement (783.25 (n)) that nursing homes offer each resident the _____________ between October 1 and March 31 annually. resident and/or legal rep must be educated to benefits and potential side effects of immunization prior to administering it. p. 35 |
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pneumo immunization |
783.25(n) mandates each resident is offered ___________ unless it is medically contraindicated or if the resident has already had ben immunized. p. 35 |
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second pneumo immunization |
It should be noted that a resident can receive a second pneumococcal immunization, upon a practitioner's recommendation, five years after the first immunization and as long as that vaccine was administered to the person before the age of 65. p. 35 |
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residents at high risk of infection |
..includes the immobilized residents who have invasive devices or procedures, pressure sores, mental disabilities or mental illness, altered immune systems, and those recently discharged from a hospital. p. 35 |
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Primary risk factors for decreased ROM |
immobilization(bedfast), strokes, multiple sclerosis, cerebral palsy, polio, pain spasms, and immobility due to arthritis or Alzheimer's Disease. p. 36 |
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Physical restraints |
may be applies only with the doctor's orders. p. 37 |
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monitoring of physical restraints |
if physical restraints are used, standards are requires they be ______________ every 30 min. the restraint must be removed at least every two hours for ten minutes and the resident exercised at that time. p. 37 |
