NAB NHA Exam Compiled Cards Study Questions
and Answers| 100% Verified Answers
Preventative Maintenance definition. - ✔✔checking all systems, including roof, on regular
basis and documenting.||roof protects all other assets. (log or cards)
3 points of Preventative Maintenance - ✔✔1. Value:| Everything safe and operative for
resident care (#1)| saves downtime| small reparis cost less than complete breakdown|
equipment and systems last longer|2. personnel - major error in hiring|3. work orders
environmental quality - clean, attractive, home. - ✔✔1. housekeeping - procedures for
floors, rooms, aseptic cleaning, storage of materials, ODOR CONTROL, role in infection control,
equipment care, safety|2. homelike - residents brings own belongings as long as it does not
interfere with staff work or infringe on other residents' rights. de-emphasize institutional look.
| a. sound - comfortable, does not interefre with hearing. background noise under resident
control. Level not require staff to raise voices. consider differences in room assignments.| b.
lighting - adequate for resident/staff to perform. comfortable - minimize glare, GIVE RESIDENT
CONTROL.
environmental design - ✔✔now part of all new construction. Must be designed to provide
most attractive, comfortable, usable environment. | a. landscaping - all grounds, nursing home
sign.| b. choice of colors.| c. room size- too small?, adequately designed?| d. medical records
storage| e. parking - inconspicuous| f. functional equipment - not just fancy.
linen supply and laundry - ✔✔clean linens in good condition, not ragged, stained. what
resident clothing will launder?| a. monitoring costs - bulk soap, temperatures,
overloading/under loading, overydrying, filters| GUIDELINES- after 10 years of use,
maintenance cost usually justify replacement of equipment| b. Theft|
Occupational Safety and Health Administration (OSHA) - ✔✔programs OSHA falls under U.S.
Department of Labor
,safety and infection control program - - ✔✔complete procedures for all staff to follow best
infection control. committee may be desirable.
universal precautions - ✔✔checked by OSHA; includes|-CDC HAND WASHING procedures.
NOW recommend use of alcohol-based solution to cleanse hands (except dietary employees)|-
SOILED LINENS and bedclothes means used linens.|-Contaminated linen is soiled by blood or
other potentially infectious materials. Mishandling is most frequent exposure to communicable
materials. OSHA requires contaminated to be containerized at location. aseptic cleaning of
isolation area. |OSHA APPROVED SPILL KITT***
CMS STANDARDS for infection control - ✔✔investigate, control, prevent infections|set up
procedure for entire program|document incidents and correctivev action|isolate infected
resident|no employee with communicable diseases or skin lesions can have contact with food
or residents|hand washing after each direct resident contact|handle, process, store, and
transport linens in manner to prevent spread of infection
blood born pathogens (BBP) - ✔✔focused on AIDS and Hepatitis B. (OSHA)
Training for BBP - ✔✔all staff trained in how to handle| 1. blood spills and materials that
may be infected, and | 2. exposure incidents
PERSONAL PROTETIVE EEQUIPMENT (PPE) - ✔✔FACILITY MUST PROVIDE GLOVES, GOWNS,
LAB COATS, FACE SHIELDS, EYE PROTECTION, MOUT PIECES, AND RESUSCITATION BAS, POCKET
MASKS, OR OTHER VENTILATION DEVICES. TRAINED TO USE
Disposal - ✔✔of sharps and other contaminated materials (OSHA) must have container in
nursing, laundry, etc. and policy on emptying container (med carts: check levels)|
regulated waste - ✔✔contaminated sharps, blood, pathological waste, etc. Have written
procedures for handling.
,Needlestick Safety and Prevention Act - ✔✔follow OSHA standards|engineering controls -
shield, retracting needles, shielded catheters, needles housed in protective covering, and jet
injections. NOW required to USE SAFETY SYRINGES.|Law requires employee input on what
works best.
isolation room procedures - ✔✔single occupancy|toilet|hand washing faciltities|vented to
outside|sign when in use|
HBV requirements - ✔✔vaccine offered free to all employees (OSHA)
Employee with lesions - ✔✔never works in kitchen or patient care area
post-exposure procedures - ✔✔must have written plan for evaluation and follow-up.
individuals involved tested (consent may be gained-OSHA says not required)-test blood of
exposed person
documentation - ✔✔every exposure incident. facility should have "OSHA Compliance and
Exposure Control Plan Checklist" in order to know if incompliance
reporting communicable diseases to: - ✔✔state agency
SAFETY mandated by CMS, OSHA: Goals - ✔✔1. reduce work-related illness, injury, death in
staff.|2. reduce accidents, injuries among resident, families, visitors.
programs - ✔✔procedures to cover preventive measures, investigating of accidents,
documentation, corrective action, reporting. committee may be useful - not required
identify potential hazards - ✔✔BED RAILS, wheelchairs, walkers (misuse or poor
maintenance|WET FLOORS mopping, spills|HOT WATER-temperature set by state. Automatic
, control valves|extension cords|frayed electrical wires|unattended cleaning carts (medication
carts)|restraints|adapters (cheaters)
accidents - ✔✔unintentional damage to object or injury to person. two causes: |(1) unsafe
behavior|(2) unsafe working or living conditions
investigate - ✔✔every accident, document, corrective measures - identify patterns, discuss
with dept. head.
document - ✔✔on OSHA forms log (FORM 300***) only inventory staff, not residents. need
copy of "what every employer needs to know about OSHA Record-keeping . keep records for 5
years.
non-recordable- - ✔✔if only first aid unconscious
reportable - ✔✔accidental death, and 5 or more hospitalized (within 8 hours report)
POSTER - ✔✔required by OSHA
HCP - ✔✔Hazard Communication Program ||Mandated by OSHA
Purpose of HCP - ✔✔all chemicals are evaluated and information concerning hazard
communicated to employer and employees.
HCP Program written: - ✔✔a. list of all hazardous chemicals (anything with a warning
label)|b. label all chemical containers|c. prepare and distribute MSDS (any chemical)|d.
develop and implement employee training
and Answers| 100% Verified Answers
Preventative Maintenance definition. - ✔✔checking all systems, including roof, on regular
basis and documenting.||roof protects all other assets. (log or cards)
3 points of Preventative Maintenance - ✔✔1. Value:| Everything safe and operative for
resident care (#1)| saves downtime| small reparis cost less than complete breakdown|
equipment and systems last longer|2. personnel - major error in hiring|3. work orders
environmental quality - clean, attractive, home. - ✔✔1. housekeeping - procedures for
floors, rooms, aseptic cleaning, storage of materials, ODOR CONTROL, role in infection control,
equipment care, safety|2. homelike - residents brings own belongings as long as it does not
interfere with staff work or infringe on other residents' rights. de-emphasize institutional look.
| a. sound - comfortable, does not interefre with hearing. background noise under resident
control. Level not require staff to raise voices. consider differences in room assignments.| b.
lighting - adequate for resident/staff to perform. comfortable - minimize glare, GIVE RESIDENT
CONTROL.
environmental design - ✔✔now part of all new construction. Must be designed to provide
most attractive, comfortable, usable environment. | a. landscaping - all grounds, nursing home
sign.| b. choice of colors.| c. room size- too small?, adequately designed?| d. medical records
storage| e. parking - inconspicuous| f. functional equipment - not just fancy.
linen supply and laundry - ✔✔clean linens in good condition, not ragged, stained. what
resident clothing will launder?| a. monitoring costs - bulk soap, temperatures,
overloading/under loading, overydrying, filters| GUIDELINES- after 10 years of use,
maintenance cost usually justify replacement of equipment| b. Theft|
Occupational Safety and Health Administration (OSHA) - ✔✔programs OSHA falls under U.S.
Department of Labor
,safety and infection control program - - ✔✔complete procedures for all staff to follow best
infection control. committee may be desirable.
universal precautions - ✔✔checked by OSHA; includes|-CDC HAND WASHING procedures.
NOW recommend use of alcohol-based solution to cleanse hands (except dietary employees)|-
SOILED LINENS and bedclothes means used linens.|-Contaminated linen is soiled by blood or
other potentially infectious materials. Mishandling is most frequent exposure to communicable
materials. OSHA requires contaminated to be containerized at location. aseptic cleaning of
isolation area. |OSHA APPROVED SPILL KITT***
CMS STANDARDS for infection control - ✔✔investigate, control, prevent infections|set up
procedure for entire program|document incidents and correctivev action|isolate infected
resident|no employee with communicable diseases or skin lesions can have contact with food
or residents|hand washing after each direct resident contact|handle, process, store, and
transport linens in manner to prevent spread of infection
blood born pathogens (BBP) - ✔✔focused on AIDS and Hepatitis B. (OSHA)
Training for BBP - ✔✔all staff trained in how to handle| 1. blood spills and materials that
may be infected, and | 2. exposure incidents
PERSONAL PROTETIVE EEQUIPMENT (PPE) - ✔✔FACILITY MUST PROVIDE GLOVES, GOWNS,
LAB COATS, FACE SHIELDS, EYE PROTECTION, MOUT PIECES, AND RESUSCITATION BAS, POCKET
MASKS, OR OTHER VENTILATION DEVICES. TRAINED TO USE
Disposal - ✔✔of sharps and other contaminated materials (OSHA) must have container in
nursing, laundry, etc. and policy on emptying container (med carts: check levels)|
regulated waste - ✔✔contaminated sharps, blood, pathological waste, etc. Have written
procedures for handling.
,Needlestick Safety and Prevention Act - ✔✔follow OSHA standards|engineering controls -
shield, retracting needles, shielded catheters, needles housed in protective covering, and jet
injections. NOW required to USE SAFETY SYRINGES.|Law requires employee input on what
works best.
isolation room procedures - ✔✔single occupancy|toilet|hand washing faciltities|vented to
outside|sign when in use|
HBV requirements - ✔✔vaccine offered free to all employees (OSHA)
Employee with lesions - ✔✔never works in kitchen or patient care area
post-exposure procedures - ✔✔must have written plan for evaluation and follow-up.
individuals involved tested (consent may be gained-OSHA says not required)-test blood of
exposed person
documentation - ✔✔every exposure incident. facility should have "OSHA Compliance and
Exposure Control Plan Checklist" in order to know if incompliance
reporting communicable diseases to: - ✔✔state agency
SAFETY mandated by CMS, OSHA: Goals - ✔✔1. reduce work-related illness, injury, death in
staff.|2. reduce accidents, injuries among resident, families, visitors.
programs - ✔✔procedures to cover preventive measures, investigating of accidents,
documentation, corrective action, reporting. committee may be useful - not required
identify potential hazards - ✔✔BED RAILS, wheelchairs, walkers (misuse or poor
maintenance|WET FLOORS mopping, spills|HOT WATER-temperature set by state. Automatic
, control valves|extension cords|frayed electrical wires|unattended cleaning carts (medication
carts)|restraints|adapters (cheaters)
accidents - ✔✔unintentional damage to object or injury to person. two causes: |(1) unsafe
behavior|(2) unsafe working or living conditions
investigate - ✔✔every accident, document, corrective measures - identify patterns, discuss
with dept. head.
document - ✔✔on OSHA forms log (FORM 300***) only inventory staff, not residents. need
copy of "what every employer needs to know about OSHA Record-keeping . keep records for 5
years.
non-recordable- - ✔✔if only first aid unconscious
reportable - ✔✔accidental death, and 5 or more hospitalized (within 8 hours report)
POSTER - ✔✔required by OSHA
HCP - ✔✔Hazard Communication Program ||Mandated by OSHA
Purpose of HCP - ✔✔all chemicals are evaluated and information concerning hazard
communicated to employer and employees.
HCP Program written: - ✔✔a. list of all hazardous chemicals (anything with a warning
label)|b. label all chemical containers|c. prepare and distribute MSDS (any chemical)|d.
develop and implement employee training
