SMQT
1. What is severity lev- Noncompliance that has potential to cause more than minimal harm that is
el 2 not IJ
resident has no more than minimal discomfort,
their is a potential to compromise residents ability to reach highest practica-
ble level,
shame/embarassment without loss of interest
minimal episodic pain,
facility has no system to prevent problems
2. The TC must com- Create/export shell from ACO
plete which tasks Import shell into ASE-q
during offsite prep? Add team members
Complete offsite prep screen
Make unit assignments
Make mandatory task assignments
print documents
Share offsite prep with team
3. What documents 1 matrix with instructions
are printed by the 1 entrance conference worksheet
TC during offsite 3 beneficiary worksheets
prep?
4. What is the purpose To briefly screen all residents and observe, interview and complete initial
of the initial pool record review.
process?
5. When should you At the end of each day and when the team composition changes.
share data?
6. What must be done The completed I.P data is shared and the TC confirms that the data is com-
prior to Sample Se- plete.
lection
, SMQT
7. What are the 7 1. Offsite prep
LTSCP steps? 2. Facility entrance
3. Initial Pool Process
4. Sample Selction
5.Investigation
6. Ongoing and other survey activities
7. Potential Citations
8. How wide must an 8 feet
exit corridor be?
9. Name 3 antipsy- Thorazine (chlorpromazine) Haldol (haloperidol) Abilify (aripiprazole) Clozaril
chotics (clozapine) Zyprexa (olanzapine) Latuda (lurasidone) Seroquel (quetiapine)
Risperdal (risperidone)
10. Indications of un- Excessive dose
necessary medica- excessive duration
tion include? without adequate monitoring
without adequate indication for use
use in the presence of adverse consequences
11. What is a psy- Any drug that affects brain activities associated with mental processes and
chotropic drug? behavior-include anti-psychotic, antidepressant, anti-anxiety and hypnotic
medications
12. What is "anticholin- an effect of a medication that may cause dry mouth, blurred vision, tachy-
ergic side effect"? cardia, urinary retention, constipation, confusion, delirium, hallucinations,
flushed and increased blood pressure
13. What is Extrapyra- a neurological side effect that may occur within a few day or years of treatment
midal symptoms" with antipsychotics. Includes various syndromes such as; akathisia, medica-
(EPS)? tion-induced Parkinsonism, and dystonia.
, SMQT
14. What is akathesia ? a distressing feeling of internal restlessnesss that may appear as constant
motion, the inability to sit still, fidgeting, pacing or rocking.
15. What is Medica- Syndrome of symptoms like Parkinson's; tremor, shuffling gait, slowness of
tion-induced Parkin- movement, expressionless face, drooling, postural unsteadiness and rigidity
sonism? of muscles.
16. What is dystonia? acute, painful, spastic contraction of muscle groups (commonly the neck, eyes
and trunk) that often occurs soon after initiating treatment.
17. What is Neurolep- Syndrome related to the use of antispychotics that presents with a sudden
tic Malignant Syn- onset of diffuse muscle rigidity, high fever, labile blood pressure, tremor, and
drome (NMS)? cognitive dysfunction. Potentially fatal if not treated immediatley, including
stopping the offending medication.
18. What is serotonin Serious clinical condition resulting from overstimulation of serotonin recep-
syndrome? tors. Commonly related to the use of SSRI's, SNRI's, triptans, and antibiotics.
Restlessness, hallucinations, confusion, loss of coordination, fast heartbeat,
rapid changes in blood pressure, increased temperature, overactive reflexes,
NV&D.
19. What is Tradive abnormal, recurrent, involuntary movements that typically present as lateral
dyskinesia? movements of the tongue or jaw, thrusting, chewing, frequent blinking, brow
arching, grimacing, and lip smacking. May be irreversible
20. Significant weight 5% weight loss
loss in 1 month?
21. Severe weight loss greater than 5% weight loss
in 1 month?
22. Significant weight 7.5% weight loss
loss in 3 months?
1. What is severity lev- Noncompliance that has potential to cause more than minimal harm that is
el 2 not IJ
resident has no more than minimal discomfort,
their is a potential to compromise residents ability to reach highest practica-
ble level,
shame/embarassment without loss of interest
minimal episodic pain,
facility has no system to prevent problems
2. The TC must com- Create/export shell from ACO
plete which tasks Import shell into ASE-q
during offsite prep? Add team members
Complete offsite prep screen
Make unit assignments
Make mandatory task assignments
print documents
Share offsite prep with team
3. What documents 1 matrix with instructions
are printed by the 1 entrance conference worksheet
TC during offsite 3 beneficiary worksheets
prep?
4. What is the purpose To briefly screen all residents and observe, interview and complete initial
of the initial pool record review.
process?
5. When should you At the end of each day and when the team composition changes.
share data?
6. What must be done The completed I.P data is shared and the TC confirms that the data is com-
prior to Sample Se- plete.
lection
, SMQT
7. What are the 7 1. Offsite prep
LTSCP steps? 2. Facility entrance
3. Initial Pool Process
4. Sample Selction
5.Investigation
6. Ongoing and other survey activities
7. Potential Citations
8. How wide must an 8 feet
exit corridor be?
9. Name 3 antipsy- Thorazine (chlorpromazine) Haldol (haloperidol) Abilify (aripiprazole) Clozaril
chotics (clozapine) Zyprexa (olanzapine) Latuda (lurasidone) Seroquel (quetiapine)
Risperdal (risperidone)
10. Indications of un- Excessive dose
necessary medica- excessive duration
tion include? without adequate monitoring
without adequate indication for use
use in the presence of adverse consequences
11. What is a psy- Any drug that affects brain activities associated with mental processes and
chotropic drug? behavior-include anti-psychotic, antidepressant, anti-anxiety and hypnotic
medications
12. What is "anticholin- an effect of a medication that may cause dry mouth, blurred vision, tachy-
ergic side effect"? cardia, urinary retention, constipation, confusion, delirium, hallucinations,
flushed and increased blood pressure
13. What is Extrapyra- a neurological side effect that may occur within a few day or years of treatment
midal symptoms" with antipsychotics. Includes various syndromes such as; akathisia, medica-
(EPS)? tion-induced Parkinsonism, and dystonia.
, SMQT
14. What is akathesia ? a distressing feeling of internal restlessnesss that may appear as constant
motion, the inability to sit still, fidgeting, pacing or rocking.
15. What is Medica- Syndrome of symptoms like Parkinson's; tremor, shuffling gait, slowness of
tion-induced Parkin- movement, expressionless face, drooling, postural unsteadiness and rigidity
sonism? of muscles.
16. What is dystonia? acute, painful, spastic contraction of muscle groups (commonly the neck, eyes
and trunk) that often occurs soon after initiating treatment.
17. What is Neurolep- Syndrome related to the use of antispychotics that presents with a sudden
tic Malignant Syn- onset of diffuse muscle rigidity, high fever, labile blood pressure, tremor, and
drome (NMS)? cognitive dysfunction. Potentially fatal if not treated immediatley, including
stopping the offending medication.
18. What is serotonin Serious clinical condition resulting from overstimulation of serotonin recep-
syndrome? tors. Commonly related to the use of SSRI's, SNRI's, triptans, and antibiotics.
Restlessness, hallucinations, confusion, loss of coordination, fast heartbeat,
rapid changes in blood pressure, increased temperature, overactive reflexes,
NV&D.
19. What is Tradive abnormal, recurrent, involuntary movements that typically present as lateral
dyskinesia? movements of the tongue or jaw, thrusting, chewing, frequent blinking, brow
arching, grimacing, and lip smacking. May be irreversible
20. Significant weight 5% weight loss
loss in 1 month?
21. Severe weight loss greater than 5% weight loss
in 1 month?
22. Significant weight 7.5% weight loss
loss in 3 months?
