RCAL Part 2 Exam 2023 Questions and Answers

12, 20 - ANSWER-For RCFI—Staff must be awake at all times, however, if a facility is licensed for ______ or fewer residents, this person may be asleep during night shift. If the facility is licensed for _____ or fewer residents and there is a sprinkler system, the staff may be asleep. 100 - ANSWER-in a facility more than ____ residents, the administrator cannot be counted when determining personnel requirements 5 minutes - ANSWER-All residents shall be physically and mentally capable of negotiating a normal path to safety unassisted or with the use of assistive devices within _________ of being alerted of the need to evacuate the facility 45 - ANSWER-Residents suffering from short periods of incapacity due to illness, injury, or recuperation from surgery may be allowed to remain or be readmitted from a hospital if the period of incapacity does not exceed _____ days and written approval of a physician is obtained for the resident to remain in or be readmitted to the facility 16 - ANSWER-Residents under the age of ___ shall not be admitted 10 days - ANSWER-An admission physical by a physician must be obtained prior to a move-in, but it needs to be on file not later than ______ after admission 24 hours - ANSWER-For infection control, category 1 diseases or findings shall be reported to the local health authority or to the department within _____ of first knowledge or suspicion 3 days - ANSWER-For infection control, category 2 diseases or findings shall be reported to the local health authority within ____ of first knowledge or suspicion 24 hours - ANSWER-For infection control, category 3 diseases shall be reported within ______ of first knowledge or suspicion Meds MUST be viewed by a pharmacist, physician, or nurse to make sure they are ok. The person performing the identification shall document the review. - ANSWER-If a resident brings in unsealed medication, what has to happen? behind at least one locked door or cabinet - ANSWER-All medication shall be safely stored at proper temperature and shall be kept where? annually - ANSWER-Written approval for self-control of prescription medication shall be rewritten as needed but at least _____ and after any period of hospitalization False--stored separately - ANSWER-True or False: Medication that is not in current use and is not destroyed can be stored with medication that is in current use. residents name - ANSWER-Over-the-counter medication for individual residents shall be labeled with at least what? cautionary instructions, expiration date, name of meds - ANSWER-Prescribed medication labels shall say at least what? LIMA or CMT - ANSWER-Injections shall be administered only by a physician or licensed nurse, except that insulin injections may be administered by who? Insulin - ANSWER-What type of injection is the ONLY injection that LIMAs and CMTs can administer? 18 - ANSWER-Personnel must be how old to administer meds? 8 hours, 30 residents - ANSWER-The facility shall employ a licensed nurse how many hours per week for every how many residents? True - ANSWER-True or False: for RCF, Physician's written and signed orders are not required for medication orders, but if it is the facility's or physician's policy to use the orders, they must include: name of the medication, dosage, frequency and route of administration, and orders shall be renewed at least every 3 months. at least every 3 months - ANSWER-If a facility requires physician's written and signed orders, how often must the orders be renewed? The order has been reviewed via telephone, fax, or in person by a nurse or pharmacist. - ANSWER-If a medication order is taken via telephone by a medication technician or LIMA, an initial dosage shall not be administered until when? 7 days - ANSWER-The medication order review shall be documented by licensed nurse of pharmacist signature within when? 7 days - ANSWER-The physician shall sign all telephone and other verbal orders within when? 2 years - ANSWER-Records shall be maintained upon receipt and disposition of all controlled substances and shall be maintained separately from other records for how long every shift - ANSWER-Inventories of controlled substances that are controlled substance schedule II shall be reconciled how often? at least weekly - ANSWER-Inventories of controlled substances that are controlled substance schedule III-V shall be reconciled how often? 1. 2 medication personnel, one a nurse 2. 2 medication personnel, one the administrator when no nurse is available on staff 3. 2 medication personnel, either CMT or LIMAs when neither nurse nor admin is available - ANSWER-Inventories of controlled substances shall be reconciled by who in RCF communities? date, time, resident name, med name, dose, and initials of the individual administering - ANSWER-What 6 things must be on the administration of meds record? reason for the waste and signature of another medication staff or administrator who witnessed the waste - ANSWER-documentation of the wasting of controlled substances at the time of administration shall include what? controlled substance shall be labelled and destroyed once someone is there to witness - ANSWER-When no medication staff member or administrator is available at the time of administration and controlled subastances need destroyed, what happens? controlled substance is immediately destroyed and the circumstance needs documented - ANSWER-When no medication staff member or the administrator is available and the controlled substance is contaminated by patient body fluids, what happens? 3 months, RN or pharmacist - ANSWER-At least every ______ in a residential care facility, a ______ shall review the controlled substances record keeping the department's Section for Long Term Care (SLTC) - ANSWER-Who must the facility notify for any theft or significant loss of any controlled substance medication written as an individual prescription? 1. actual quantity lost 2. type of substance lost 3. whether the loss can be associated with specific individual 4. whether there is a pattern of losses 5. if the substance is a likely candidate for diversion 6. local trends - ANSWER-What 6 things must a facility consider to determine if the loss of controlled substance is significant or not? 120 days - ANSWER-discontinued meds may be retained up to ______ prior to other disposition if there is a reason to believe that the meds might be reordered False- not controlled substances - ANSWER-True or False: After a resident dies, all medication can be given to the residents family. monthly - ANSWER-The resident record's general conditions and needs must be reviewed how often? monthly - ANSWER-How often must you review medication consumption if the resident does their own meds? 4 days - ANSWER-In regards to documenting in resident charts, all physicians orders must be documented. The facility shall submit to the physician written versions of any oral or telephone orders within _____ of giving the oral or telephone order 5 years - ANSWER-Resident records shall be maintained how long after the resident leaves the community? 7 days/week - ANSWER-The administrator of a facility must be a LIMA, unless the facility employs on a FT bases, a licensed nurse who is available how often? 4, 30, 100 - ANSWER-For RCF IIs, the administrator cannot be active for more than 1 community, unless they serve no more than __ communities which are within a ____ mile radios and in total no more than ____ residents. 30, The designated person in writing must have their license - ANSWER-For RCF IIs, the administrator shall designate, in writing, a staff person in charge. If absent for more then ___ consecutive days, what must happen? 60 - ANSWER-For RCF IIs, if the administrator is absent from the facility for more than ____ working days during the year, the person in charge must have their MO license Employee Disqualification List - ANSWER-No person who is listed on the ______ maintained by the department shall work or volunteer in the facility groups (scouts, bingo leaders, singers), priest, rabbi, minister - ANSWER-When does the facility not have to check the EDL list? 1 year - ANSWER-For RCF II, how long must employee records be kept on file after termination? 1 staff for every 15 residents - ANSWER-For RCF II, what is the staffing ratio for day shift? 1 staff for every 20 residents - ANSWER-For RCF II, what is the staffing ratio for evening shift? 1 staff for every 25 residents - ANSWER-For RCF II, what is the staffing ratio for night shift? 7a-3p - ANSWER-For RCF II, what time frame is "day shift" classified as? 3p-9p - ANSWER-For RCF II, what time frame is "evening shift" classified as? 9p-7a - ANSWER-For RCF II, what time frame is "night shift" classified as? 1 to 18 - ANSWER-For RCF II, that is conjunction with and is immediately adjacent to and contiguous to another long-term care facility, what is the staffing ratio for days? 1 to 25 - ANSWER-For RCF II, that is conjunction with and is immediately adjacent to and contiguous to another long-term care facility, what is the staffing ratio for evenings? 1 to 30 - ANSWER-For RCF II, that is conjunction with and is immediately adjacent to and contiguous to another long-term care facility, what is the staffing ratio for nights? 8 hours, 30 residents - ANSWER-For RCF II, there shall be one nurse who works at least __ hours per week for every ___ residents. 7 - ANSWER-If at any time in an RCF II, a resident is diagnosed with communicable disease, the department shall be notified within ____ days if approved in writing by a physician and if the company's policy allows - ANSWER-For RCF II, self-control of meds by a resident is allowed when? annually, hospitalization - ANSWER-In RCF II, written approval for self-admin meds shall be rewritten as needed but also at least ____ and after any period of______ at least every other month - ANSWER-For RCF II, a pharmacist or RN shall review the drug regime of each resident how often? possible drug and food interactions, contraindications, adverse reactions, and review of the medication system by facility - ANSWER-For RCF II, what must the drug regime review include, at minimum? 90 days--outdated, discontinued meds, discounted controlled substance, medications of dead residents not returnable to pharmacy and not sent with family - ANSWER-For RCF II, the following medications shall be destroyed within ___ days. 2 people--state inspector, nurse, or pharmacist - ANSWER-For RCF II, disposition of meds must be done by how many people, and one of the persons must be whom? individualized evacuation plan - ANSWER-a plan to remove the resident from the facility, to an area of refuge within the facility or from one smoke section to another within the facility. The plan is specific to the resident's needs and abilities based on the current community based assessment 5 minutes, 1, 3 - ANSWER-a resident needing minimal assistance is one who is able to prepare to leave and then evacuate the facility within _____ of being alerted of the need to evacuate and requires no more than ____ physical intervention and no more than _____ verbal interventions of staff 1. assistance with stairs 2. opening a door 3. assistance to propel wheelchair - ANSWER-What 3 things that are required of staff are considered to be more than minimal assistance for exiting a community? smoke section - ANSWER-a fire-rated separation of one section of the building from the rest of the building 6 months - ANSWER-For those employees working with residents who need more than minimal assistance and have specific duties and responsibilities under residents' evacuation plans, they should be instructed every _______ and upon any significant change in plan 1 staff for 15 residents - ANSWER-For an AL facility with residents with cognitive, physical, or other impairment, what is the staff to residents for day shift? 1 staff for 15 residents - ANSWER-For an AL facility with residents with cognitive, physical, or other impairment, what is the staff to residents for evening shift? 1 staff to 20 residents - ANSWER-For an AL facility with residents with cognitive, physical, or other impairment, what is the staff to residents for night shift? yes - ANSWER-For AL communities with cognitive or physical impaired residents, is the administrator allowed to count as one of the required staff members? 3-30 - ANSWER-For AL communities with cognitively or physically impaired residents, a licensed nurse must work at least 8 hours per week for what range of residents? 16 - ANSWER-For AL communities with cognitively or physically impaired residents, if the community has between 31-60 residents how many minimum hours must a nurse work/week 24 - ANSWER-For AL communities with cognitively or physically impaired residents, if the community has between 61-90 residents, how many hours/week must a nurse work? 91 - ANSWER-For AL communities with cognitively or physically impaired residents, a nurse must work 40 hours a week or more if there or at least how many residents? 5 - ANSWER-For AL communities, an administrator shall serve only 1 community, unless they are serving no more than ____ facilities in a 30-mile radius and no more than 100 residents total. 5 - ANSWER-A community based assessment must be within how many days of when the resident will move in to the community? semiannually - ANSWER-For AL, community based assessments must be completed how often? as least annually - ANSWER-How often must an ISP in AL communities be reviewed with the resident? 24-hour - ANSWER-For AL, when multiple doses of a med are required and the resident is leaving for a short time and it is not possible to get a dose from the pharmacy, up to a _____ supply of each prescription medication may be provided 18 - ANSWER-For AL, all residents' medication must be administered by personnel at least how old? 8 hours, 30 residents - ANSWER-For AL, a nurse must be on duty how many hours per week for every how many residents? every 3 months - ANSWER-For AL, medication orders shall be renewed how often? 7 - ANSWER-The medication order shall be documented with a nurse's signature within how many days of move in? 4 - ANSWER-The AL facility shall submit to the physician written versions of an oral or telephone orders within how many days of giving the oral or telephone order? 2 years - ANSWE