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1. What is required EACH VISIT, progess notes must be:|-Written|-Signed|-Dated||Orders must
of the physi- be:|-Signed|-Dated||(except influenza and pneumococcal polysoccharide vac-
cian in relation cines, which may be administered per physician APPROVED facility policy after an
to progress notes assessment for contraindications.)|
and orders?
2. What are the du- -Implementation |-Coordination||of resident care policies|
ties of an MD?
3. What must MD -medical care |-policies on accidents/incidents|-lab radiology|-pharma-
supervise? (5) cy|-quality of care
4. Must regs YES
be communicat-
ed to MDs and
between staff
and MD?
5. What are the op- -they record residents' progress and problems|-electronic signatures are accept-
tions for MD with able|
plan of care?
6. What are the con- -Physician should have signed and retained the original copy of the order|-facility
ditions for FAX- should have photocopy of the faxed order since FAX fades over time|
ING?
7. Where can con- PHARMACIST only
trolled drug or-
ders be faxed to
8. What is required when authorized by facility management, the individual whose signature the
of stamp signa- stamp represents shall place in the administrative offices of the facility a signed
tures? satement to the effect that he/she is the only one who has the stamp and uses it.
, NAB NHA Exam- Resident Care Management and Quality of Life (2)
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9. What is re- must be readily available and maintained under adequate safeguards.
quired of com-
puter codes and
written signa-
tures?
10. what is required - new history |- New orders|- written releases from prior MD
when changing
MDs? (3)
11. Physician/resi- To be promoted by staff, how to talk to the doctor
dent relationship
12. What is the de- Social|Recreational|Religious|And other activities that promote quality of life.
fionition of a res- |Over and above activities related to activities of daily living
ident activity pro-
gram? (4)
13. What should resi- On individual needs, interests of each resident as identified in the assessment.
dent activities be
based on?
14. Can residents Only if in care plan.| - if does not volunteer, facility must pay them (at least
participate in minimum wage)
useful services
15. How activi- Must provide adaptive equipment so can participate.
ties accommo-
date handi-
capped?
16. No. Must have PPRs to cover work
, NAB NHA Exam- Resident Care Management and Quality of Life (2)
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Can The facili-
ty rely on volun-
teers?
17. Is the facility re- Yes. Must take residents out to community activities, as well as bring community
quired to have groups in.
community pro-
grams?
18. What does the fa- It is the best means of interesting residents in each other. AHCA study determlned
cility newsletter this
accomplish?
19. What are the Provide space|Provide material|Provide resorce person - meeting by invitation
4 roles of only.|Implement recommendations when possible
the resident/fam-
ily council admin-
istrator?
20. What is re- Must be:|Complete |Accurate|Accessible|Organized
quired of medical
records (4)?
21. What content Identification data- social history, SS #, doctor, family|Assssments|Plan of care
and format does and services provided|pre admission screening results|Progress notes|Closing
CMS require? (9) data when discharges (checked by surveyors)|Correcting charting error: mark
through, correct, date, initial; by person who made error.|Discharge summary
22. What is included Recap of residents stay|Final summary of status|Post d/c plan|Must be complet-
in the discharge ed 90 days after discharge.
summary? (4)
23.