Indiana Health Facility Administrator Regulations PDF

Offense - Action with high risk of death or life-threatening condition Commissioner - Authority issuing orders for correction and penalties Fine - Monetary penalty for violations, up to \$10,000 Suspension of Admissions - Halting new resident intake for specified days Revocation - Withdrawal of...

Offense - Action with high risk of death or life-threatening condition Commissioner - Authority issuing orders for correction and penalties Fine - Monetary penalty for violations, up to \$10,000 Suspension of Admissions - Halting new resident intake for specified days Revocation - Withdrawal of facility license by director Deficiency - Immediate serious impact on residents' well-being Repeat Deficiency - Recurring issue within 15 months, higher penalties Noncompliance - Indirect threat to residents' health or safety Pattern of Noncompliance - Repetitive noncompliance leading to stricter actions Nonconformance - Rule violation not fitting other categories Transfer Appeal - Resident\'s right to challenge transfer within 34 days Nonpayment Discharge - Resident can pay balance to stay in facility Informal Hearing - Meeting to resolve transfer or discharge disputes Administrator - Required manager in each licensed health facility Positive Skin Test - Mandatory chest x-ray for employees with reactions Health Record - Documentation of employee health screenings Active Disease Symptoms - Signs requiring exclusion from work until ruled out Communicable Disease Policy - Guidelines for handling employees with infections Hot Water Control - Regulation for automatic temperature adjustment Water temperature - Maintained between 100°F and 120°F at point of use Nourishment station - Separate from resident\'s unit for supplemental food service Readily available ice - Always accessible to residents in the facility Janitor\'s closet - Contains sink, storage, and lock for hazardous materials Primary care physician - Selected by each resident Dentist selection - Residents may choose their own dentist Medication administration policy - Delineated in facility manual and admission agreement Medication documentation - Includes time, medication name, dosage, and administrator\'s name PRN medication administration - Authorized by licensed nurse or physician for each instance Medication error notification - Physician informed of errors with detrimental effects Availability of licensed nurse - On premises or on call at all times Dietary requirements - Must meet daily needs, allergies, and preferences Self-medication guidelines - Residents secure and use medications in their units Medication assistance policies - Clear written procedures with ongoing staff training Pharmaceutical services arrangement - Ensure availability of prescribed medications Consultant pharmacist duties - Review drug practices, provide consultation, and report irregularities Labeling of prescription drugs - Includes resident\'s name, physician\'s name, and more Over-the-counter medication identification - Includes resident name, expiration date, drug name, and strength Medicine storage - Locked cabinets except when authorized personnel are present Pharmacy choice for medications - Residents may choose pharmacy meeting facility policies Activities director course - Required for personnel without approved course completion Clinical records maintenance - Complete, accurate, accessible, and organized records Comprehensive care plan development - Includes psychosocial services and various activities Tuberculin skin test exemption - For people with documented history or preventive therapy Infection control measures - Isolation based on need to prevent spread of infection Health Facility Administrator - A natural person who administers, manages, supervises, or is in general administrative charge of a licensed health facility. Health Facility - Any institution or facility defined for licensing under IC 16-28 and classified into care categories by rules adopted under IC 16-28. Board - Refers to the Indiana State Board of Health Facility Administrators. Provisional License - Issued after fulfilling specific requirements before full licensure. Temporary Permit - Issued for practice under certain conditions before full licensure. National Examination - Required test for licensure with a specific passing score. Disciplinary Provisions - Rules for handling violations by license holders. License Transferability - A license cannot be transferred to another individual. License Validity - Remains valid until surrendered, suspended, or revoked. Appeal Process - Allows for challenging denials or revocations through a formal request. Classification of Health Facilities - Categorized as comprehensive or residential with specific licensing requirements. License Fee - Amount paid for obtaining a health facility administrator license. Board Organization - Structure and procedures governing the licensing board. Qualifications Determination - Sole authority of the board to assess fitness for health facility administration. Powers and Duties of the Board - Responsibilities including setting practice standards and licensure requirements. License Issuance - Grant licenses based on standards and impose sanctions for nonconformance. Probation - Temporary monitoring of licensees failing to meet standards. License Revocation - Official cancellation of a previously issued license. Compliance Procedures - Establish and enforce protocols for licensed health facility administrators. Investigation - Examine complaints and take actions against non-compliance. Continuing Study - Ongoing research to enhance licensing standards and enforcement. Professional Education - Courses and training to maintain competence and meet requirements. License Renewal - Process of extending a license after meeting renewal criteria. License Expiration - License becomes invalid if not renewed by the specified date. License Reinstatement - Process of restoring an expired license under certain conditions. License by Reciprocity - Granting a license based on qualifications from another jurisdiction. Supervision Requirement - Health facilities must be overseen by a licensed administrator. Practice Violations - Operating without a valid license constitutes an offense. Rules Approval - Board endorsement and promulgation of regulations for licensing. Injunction - Legal action to stop violations of licensing regulations. Administrator-in-training - A person registered with the board who desires to become involved in a program of professional health care training. AIT program - An internship in a licensed health facility approved by the board, administered under the supervision of an approved preceptor. HF - Abbreviation for a licensed health facility or licensed residential facility. HFA - Abbreviation for health facility administrator. HFA license - A license granting authority to administer a licensed residential facility or a licensed health facility under IC 25-19. Person - A natural individual, excluding firms, corporations, associations, partnerships, institutions, public bodies, joint stock associations, or other groups of individuals. Practice of health facility administration - The act of planning, organizing, developing, directing, or controlling the operation of a health facility by a designated person. Preceptor - An individual approved by the board to teach and develop prospective health facility administrators or residential care administrators. RCA - Abbreviation for residential care administrator. RCA license - A license granting authority to administer a licensed residential facility under IC 25-19. Related health care administration - Administration in health-related institutions, excluding services to individuals or administrative positions without direct responsibility. Student intern - A person enrolled in a degree program from an accredited university participating in an approved student internship in a health facility. Student internship - An educational experience in a health facility as part of a degree program, administered under the supervision of a preceptor. Training center - An educational center approved by the board to oversee and manage the Administrator-in-training program. University accredited program - A university offering a degree in health facility administration accredited by the National Association of Long-Term Care Administrator Boards. HFA License - License issued by the board for Health Facility Administrators. RCA License - License issued by the board for Residential Care Administrators. Assistant HF Administrator - Title not to be used by unlicensed individuals in Indiana. Assistant RC Administrator - Title not to be used by unlicensed individuals in Indiana. Administrator - Term indicating a licensed Health Facility Administrator or Residential Care Administrator. AIT - Abbreviation for Administrator-in-Training program. Baccalaureate Degree - Undergraduate degree from an accredited institution. Master\'s Degree - Postgraduate degree from an accredited institution. Residency-Internship - Training program completed as part of a degree requirement. Chief Executive Officer - Top executive responsible for a company\'s operations. Chief Operations Officer - Executive responsible for managing the day-to-day operations of a company. AIT Requirements - Requirements for completing the Administrator-in-Training program. Training Hours Waiver - Potential waiver of up to thirty percent of required training hours for applicants. Licensure by Endorsement - Process allowing consideration of previous experience for licensure. Verifiable Experience - Experience that can be confirmed and approved by the board. Educational Attainments - Qualifications related to educational achievements for licensure. Specialized Course of Study - Specific program of study approved by the board. Student Internship - Internship completed as part of a university program. Long-Term Health Care Administration - Field of healthcare focused on long-term care services. Maximum Residents per Room - Rooms must not accommodate more than 4 residents Single resident Room Size Requirement - Rooms must be at least 100 square feet Multiple Occupancy Room Size (Pre-1964) - facilities must provide 60 square feet per bed. Usable Floor Area Requirement (Post-1964) - facilities must have at least 70 square feet per bed. Increased Bed Capacity Floor Area post-1977 - facilities must provide 80 square feet per bed. Lounge Area Size (Pre-1970) - lounge area must be at least 10 square feet per bed Total Activity Area Requirement (Post-1970) - activity area must be at least 20 square feet per bed. Minimum Area for Dining and Activities For plans after 1984 - at least 30 square feet per bed. Any room utilized for more than one bed occupancy must be at least - 8x10x8 Plans for which were approved after December 19, 1977, for single occupancy - min of 100 square ft Toilet facilities (toilets and Open-Front Lavatories) before July 1, 1984, for residents (same sex) shall be provided by census: 3 to 18 - 1/1 Toilet facilities (toilets and Open-Front Lavatories) before July 1, 1984, for residents (same sex) shall be provided by census: 19 to 30 - 2/2 Toilet facilities (toilets and Open-Front Lavatories) before July 1, 1984, for residents (same sex) shall be provided by census: 31 to 42 - 3/3 Toilet facilities (toilets and Open-Front Lavatories) before July 1, 1984, for residents (same sex) shall be provided by census: 43 to 54 - 4/4 Toilet facilities (toilets and Open-Front Lavatories) before July 1, 1984, for residents (same sex) shall be provided by census: 55 to 66 - 5/5 Toilet facilities (toilets and Open-Front Lavatories) before July 1, 1984, for residents (same sex) shall be provided by census: 67 to 78 - 6/6 Bathing facilities for residents not served by bathing facilities in their rooms shall be provided as number of residents: 03 to 22 - 1 Bathing facilities for residents not served by bathing facilities in their rooms shall be provided as number of residents: 23 to 37 - 2 Bathing facilities for residents not served by bathing facilities in their rooms shall be provided as number of residents: 38 to 52 - 3 Bathing facilities for residents not served by bathing facilities in their rooms shall be provided as number of residents: 53 to 67 - 4 Bathing facilities for residents not served by bathing facilities in their rooms shall be provided as number of residents: 68 to 82 - 5 Bathing facilities for residents not served by bathing facilities in their rooms shall be provided as number of residents: 83 to 97 - 6 Corridors and interior ramp Footcandles - 15 Utility room Footcandles -15 Janitor\'s closet Footcandles -15 Stairways and landing Footcandles - 20 Toilet and bathroom facilities Footcandles - 20 Dining area Footcandles - 20 Resident care room Footcandles - 20 Reading and bed lamps Footcandles - 20 Recreation area Footcandles - 40 Nurses' station Footcandles - 40 Nurses\' desk for charts and records Footcandles - 60 Food preparation surfaces and utensil washing facilities Footcandles - 70 Medicine cabinet Footcandles - 75 (initials/acronym) means a licensed health facility or licensed residential facility. - HF HFA - (initials/acronym) means a licensed health facility administrator. RCA - (initials/acronym) means residential care administrator. Practice of health facility administration - means the practice of the person designated by a legal owner or owners of health facilities to perform any act or the making of any decision. Department - the Indiana state department of health. Storage - means the containment of infectious waste in such a manner as not to constitute collection, treatment, transport, or disposal. Blood - means human blood, human blood components, and products made from blood. Universal Precautions - means an approach to infection control in which all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other bloodborne pathogens. Waste - means any solid, liquid, or semi liquid material that: (1) is discarded or being accumulated prior to being discarded; or (2) has served its natural, biological, medical, or intended purpose and is generally discarded and not reused. Infectious Waste - except as provided in subsection (b), means waste that epidemiologic evidence indicates is capable of transmitting a dangerous communicable disease. The term includes, but is not limited to, the contaminated sharp or contaminated objects that could potentially become contaminated sharps. Infectious waste - evidence indicates is capable of transmitting a dangerous communicable disease. The term includes, but is not limited to, the carcasses, body parts, blood and body fluids in liquid and semi liquid form and bedding of laboratory animals. Veterinarian - means a person authorized to practice veterinary medicine semi liquid blood and blood products - which means blood and blood products that have intermediate fluid properties and are capable of flowing in a manner similar to a liquid. pathological waste - means: (1) tissues; (2) organs; (3) body parts; and (4) blood or body fluids in liquid or semi liquid form of humans; that are removed during surgery, biopsy, or autopsy. infectious waste activity - means the: (1) generation; (2) collection; (3) storage; (4) transportation; (5) treatment; or (6) disposal of infectious waste. mortuary - means a funeral home. container - means any portable device or material in which infectious waste is: (1) stored; (2) transported; (3) treated; (4) disposed of; or (5) otherwise handled. contaminated sharp - means an object that is capable of cutting or penetrating the skin and has been in contact with blood or body fluids. The term includes any of the following: (1) Hypodermic or suture needle. (2) Syringe. (3) Scalpel blade. (4) Pipette. (5) Lancet. (6) Broken glass. person - means any: individual; (2) facility; (3) partnership; (4) copartner ship; (5) firm; (6) company; (7) association; (8) joint-stock company; (9) corporation; (10) governmental entity; or (11) agent. bedding - means bedding that has been used for laboratory animals. Health care provider - means a person employed as, or by, or receiving training from, a provider as defined in IC 16-18-2-163, or by a laboratory, blood center, state institution, or any other facility where the person is likely to have direct contact with blood or body fluids. secured area - means area that is designed and maintained to prevent the entry of unauthorized persons. facility - means any of the following places where infectious waste activity occurs: (1) Hospital. (2) Ambulatory surgical center. (3) Medical/diagnostic laboratory. (4) Blood center. (5) Pharmaceutical company. (6) Academic research laboratory company. (7) Industrial research laboratory. (8) Health facility. (9) Office and mobile units of a health care provider. (10) Diet or health care clinic. (11) Office of a veterinarian. (12) Veterinary hospital. (13) Emergency medical services provider. (14) Mortuary. waste handler - means any person who handles infectious waste. Health care worker - means any covered individual providing health care for or to a patient during the patient\'s care or treatment and who\'s professional, employment, volunteer, or student training duties or activities can be reasonably anticipated to result in skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials. contaminated laundry - means laundry which has been soiled with blood or other potentially infectious materials or laundry which may contain sharps. Bloodborne pathogens - means pathogenic microorganisms that are present in human blood and can cause disease in humans. These include, but are not limited to, HBV, HCV, and HIV. covered individuals - means anyone who\'s professional, employment, training, or volunteer activities or duties include any reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials. parenteral - means piercing the mucous membranes or the skin barrier through such events as needle sticks, human bites, cuts, or abrasions. facility - means a building or location where an individual can be reasonably anticipated in the course of performing his or her professional, employment, training, or volunteer activities or duties to have skin, eye, mucous membrane, or parenteral contact with potentially infectious materials. abuse - means any physical or mental injury or sexual assault inflicted on a resident in the facility, other than by accidental means. advance directive - means a written instrument, such as a living will. cognitive - means a person\'s ability: (1) for short- and long-term memory or recall; (2) to make decisions regarding the tasks of daily living; and (3) to make self-understood. emergency - means a situation or physical condition that presents imminent danger of death or serious physical or mental harm to one (1) or more residents of a facility. department - means the Indiana state department of health. infectious - means capable of spreading infection. Communicable disease - means an infectious disease transmissible (as from person to person) by direct contact with an affected individual or the individual\'s discharges or by indirect means. dressing - means selecting, obtaining, putting on, fastening, and taking off all items of clothing, including donning or removing braces and artificial limbs. legal representative - means a person who is: (1) a guardian; (2) a health care representative; (3) an attorney in fact; or (4) a person authorized by IC 16-36-1-5 to give health care consent. comfortable and safe temperature levels - means that the ambient temperature should be in a relatively narrow range, seventy-one (71) degrees Fahrenheit to eighty-one (81) degrees Fahrenheit, that minimizes residents\' susceptibility to the loss of body heat and risk of hypothermia or susceptibility to respiratory ailments and colds. self-limiting condition - means the condition will normally resolve itself without further intervention or by staff implementing standard disease related clinical interventions. activities of daily living - means mobility, eating, dressing, bathing, toileting, and transferring. resident - means a person residing and receiving care in a health facility. For purposes of exercising the rights, such rights may be exercised by the person or his or her legal representative. division - means the part of the Indiana state department of health responsible for survey, licensure, and enforcement of health facilities. discipline - means any action taken by the facility for the express purpose of punishing or penalizing residents. certification - means that the federal Department of Health and Human Services has determined a facility to be in compliance with applicable statutory or regulatory requirements and standards for the purposes of participation as a provider of care and service for Title XVIII or Title XIX, or both, of the federal Social Security Act. assessment - means the identification of an individual\'s present level of strengths, abilities, and needs and the conditions that impede the individual\'s development or functioning. restraint - means a device or method, including chemical means, used to limit the activity or aggressiveness of a resident where such activity or aggressiveness could be harmful to the resident or others. Medical stable - means that a person\'s clinical condition is predictable, does not change rapidly, and medical orders are not likely to involve complex modifications or frequent changes except as appropriate to adjust medication dosage levels. respite care - means the provision by a facility of room, board, and care up to the level ordinarily provided for permanent residents of the facility to a person for not more than one (1) month for each stay in the facility. medication error - means a discrepancy between what the physician ordered and what was or was not administered. ambulation - means walking, once in a standing position. range of motion - means the extent of movement of a joint. interfacility - transfer and discharge means the movement of a resident to a bed outside of the licensed facility. Intrafacility - transfer means the movement of a resident to a bed within the same licensed facility. National Fire Protection Association - NFPA refers to offense - presents a substantial probability that death or a life-threatening condition will result. nonconformance - any other classified rule that does not fall in the other three categories when a breach has occurred deficiency - presents an immediate or direct, serious adverse effect on health, safety, security, rights, or welfare of a resident. noncompliance - presents an indirect threat to the health, safety, security, rights, or welfare of a resident. Container - means any portable device or material in which infectious waste is:- \(1) stored; (2) transported; (3) treated; (4) disposed of; or (5) otherwise handled. Infectious waste activity - means the: - (1) generation; (2) collection; (3) storage; (4) transportation; (5) treatment; or (6) disposal of infectious waste. pathological waste - means:- (1) tissues; (2) organs; (3) body parts; and (4) blood or body fluids in liquid or semi liquid form of humans; that are removed during surgery, biopsy, or autopsy. Expert Review Panel - ERP means activities of daily living - means mobility, eating, dressing, bathing, toileting, and transferring. Board - Indiana state board of health facility administrators Planning Developing Organizing Directorial; or Control; of the operation of an HF. - \"Practice of health facility administration\" \~ means the practice of the person designated by a legal owner or owners of health facilities to perform any act or the making of any decision involved in the: An RCA or HFA must retain copies of certificates of completion for CE\'s for \_\_\_ years from the end of the licensing period for which the continuing education applied. - 3 Accredited college courses related to the practice of HF administration are acceptable forms of continuing education. One semester hour equals \_\_\_ contact hours. One A quarter hour equals \_\_\_\_ contact hours. -15/10 A RCA must complete at least \_\_\_CEUs every \_\_\_years. or HFA must complete at least \_\_\_ CEUs every \_\_\_years. - 20/2 & 40/2 A maximum of \_\_\_ continuing education hours may be obtained through approved college courses and/or serving on the licensing board. -- 3 Approved continuing education sponsors must retain the attendance records for a period of \_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, during which time the board may request review of these records. - 5 years \_\_\_credit hours of continuing education will be granted for each complete month and HFA has served as preceptor for an approved AIT program. Not more than \_\_\_\_\_ hours per renewal cycle may be earned using this method. - 2/20 The RCA or HFA shall develop and administer resident centered policies that ensure the health, safety, welfare, and \_\_\_\_\_\_\_\_\_\_\_ of the resident. -- rights With regard to personnel management, the HFA or RCA shall promote job satisfaction, commitment to quality care, and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - resident rights The generator of infectious waste is responsible for the appropriate \_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_, effective \_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_, and disposal of infectious waste as required by this rule. - containment, labeling, treatment, transport Written policies, procedures: All persons and facilities subject to this rule shall (1) have a written policy and procedures that, at a minimum, contain: (A) the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ contained in this rule; and (B) the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, including discipline and dismissal of persons, if warranted, for failure to follow the requirements set forth in this rule. (2) provide necessary instruction and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, including protective garments, to implement this rule prior to giving a person an assignment where contact with infectious waste is likely. (3) maintain a \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of such instruction, including an attendance record of a person\'s participation in the instruction; and \(4) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_all records available to the department for inspection. - requirements, sanctions, materials, record Storage Containment: All people and facilities subject to this rule shall place contaminated sharps or contaminated objects that could potentially become contaminated sharps, infectious biological cultures, infectious associated biologicals, and infectious agent stock in containers that are: \(1) leak proof, rigid, \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. (2) tightly sealed to prevent \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. (3) labeled with the biohazard \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; and (4) effectively treated in accordance with this rule prior to being stored in an \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_area and sent for final disposal. - puncture - resistant, expulsion, symbol, unsecured If infectious waste is stored prior to final disposal, all persons subject to this rule shall store infectious waste in a secure area that: (A) is locked or otherwise \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ to eliminate access by or exposure to the general public. (B) affords protection from adverse environmental conditions and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; and (C) has a prominently displayed biohazard \_\_\_\_\_\_\_\_\_\_\_\_\_\_. - secured, vermin, symbol Treatment: All persons and facilities subject to this rule shall either effectively \_\_\_\_\_\_\_\_\_infectious waste in accordance with this rule or transport infectious waste off-site for effective \_\_\_\_\_\_\_\_\_\_\_\_\_in accordance with this rule. - treat, treatment Protection in transport: All persons and facilities subject to this rule shall: (1) transport infectious waste in a manner that reasonably protects \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ from contracting dangerous communicable disease; and (2) effectively treat infectious waste in accordance with this rule before it is \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - waste handlers, the public, compacted Transporting off-site: All persons and facilities subject to this rule who are transporting infectious waste off-site, whether effectively treated or not, shall provide a form that contains the name, address, and telephone number of the generating facility and treatment facility, if applicable; AND a brief description of the waste and the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of effective treatment; and the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of a responsible person. - method, signature Covered individuals\' minimum training and certification requirements: Covered individuals who are health care workers shall, either individually or through their employer, upon receipt of a written request by the department, employer, or a patient to whom direct services have been provided, provide evidence of \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ with the requirements of this section. -- compliance Precautions generally: All equipment and environmental and working surfaces shall be \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_and \_\_\_\_\_\_\_\_\_\_\_\_ after contact with blood or other potentially infectious materials. - cleaned, decontaminated Reusable equipment requiring sterilization that is destroyed or altered by heat must be sterilized by \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ means. - chemical An individual or entity that is a facility operator shall inform all \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ who's professional, employment, training, or volunteer activities or duties are performed at or on behalf of the facility, that it is strongly recommended by the department that all persons who have reason to believe they are at risk of HIV infection should know their HIV status. - healthcare workers, covered An individual or entity that is a facility operator shall inform all health care workers that it is strongly recommended by the department that all those: (A) who \_\_\_\_\_\_\_\_\_\_\_\_\_procedures during which there is a recognized risk of percutaneous injury to the health care worker, and, if such injury occurs, the health care worker\'s blood may contact the patient\'s body cavity, subcutaneous tissue, or mucous membranes; and (B) who do not have \_\_\_\_\_\_\_\_\_\_\_\_evidence of immunity to HBV from vaccination or from previous infection should know their HBsAg status and, if that is positive, should also know their HBeAg status. -performs, serologic An individual or entity that is a facility operator shall ensure that a record is maintained, as required under the Indiana occupational safety and health administration\'s bloodborne pathogens standards (as found in 29 CFR 1910.1030) of an individual\'s participation in the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_that is provided. The record shall be made available to the department for inspection \_\_\_\_\_\_\_\_\_\_\_\_. - raining upon, request An individual or entity that is a facility operator shall require all health care workers who's professional, employment, training, or volunteer activities or duties are performed at or on behalf of the facility to provide evidence of \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_with the continuing universal precautions education requirements contained in section 7.1 of this rule - \"covered individuals minimum training and certification requirements\". -- compliance The operator of a facility, if providing services to patients or the public in which there is a risk of skin, eye, mucous membrane, or parenteral contact to human blood or other potentially infectious materials, shall \_\_\_\_\_\_\_\_\_\_, or \_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_ to the public, written materials prepared or approved by the department explaining universal precautions and patients\' rights under this rule. These materials shall include information on how to report violations of universal precautions and shall include information regarding the department\'s duties to investigate. - display make, available A facility operator shall develop a written policy in compliance with this rule and the requirements of the Indiana occupational safety and health administration\'s bloodborne pathogens standards (as found in 29 CFR 1910.1030), that: (2) provides \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, including discipline and dismissal, if warranted, for failure to use universal precautions; and (3) proscribes the facility operator, or any covered individual acting at or on behalf of the facility, from \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ against any person, including any professional, employee, trainee, volunteer, or patient, for filing a complaint with the department in good faith under this rule. - sanctions, retaliating An HIV infected or HBV infected (and HBeAg positive) health care worker whose practices include digital palpation of a needle tip in a body cavity or the simultaneous presence of the health care worker\'s finger and needle or other sharp instrument in a poorly visualized or highly confined human anatomic site should either seek the \_\_\_\_\_\_\_\_\_\_\_\_\_ of an ERP approved by the department or \_\_\_\_\_\_\_\_\_\_\_\_\_these practices. - advice, volunteering Before any public or private medical, surgical, dental, nursing, or other health care organization may sponsor an authorized ERP under this section, the potential sponsor must be approved by the department as having provided credible assurances that: (1) the sponsor is \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_of establishing specific ERP protocols and procedures that will accomplish the purposes of an ERP under this section; and (2) it will \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_with general protocols to be established and disseminated on request by the department. - capable, comply \_\_\_\_\_\_\_\_\_\_\_\_ means a situation or physical condition that presents imminent danger of death or serious physical or mental harm to one (1) or more residents of a facility. \_\_\_\_\_\_\_\_\_\_\_\_\_\_ means the Indiana state department of health. \_\_\_\_\_\_\_\_\_\_\_\_\_\_ means capable of spreading infection. - Emergency, Department, Infectious The applicant (for a building license) shall submit a license application on the prescribed form in accordance with IC 16-28-2-2. The applicant shall identify direct and indirect ownership interests of \_\_\_\_\_\_\_\_ percent or more and of officers, directors, and partners. -- 5 The facility shall submit a renewal application (for a building license) to the director at least \_\_\_\_\_\_ days prior to the expiration of the license. -- 45 If the director issues a probationary license (for the facility), the license may be granted for a period of \_\_\_\_\_\_months. However, no more than \_\_\_\_\_\_ probationary licenses may be issued in a \_\_\_\_\_ month period. - 3, 3, 12 Noncompliance, Death deficiency, nonconformance - The categories of breaches of a state rule would include: Residents have the right to be free of \_\_\_\_\_\_\_\_\_\_, interference \_\_\_\_\_\_\_\_\_\_, discrimination, and threat of reprisal by the facility in exercising his or her rights. - the following, coercion The facility will distribute to each resident \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (when) the state developed a written description of law concerning advance directives. - upon admission If the facility participates in the Medicaid waiver or residential care assistance programs, or both, the facility must provide to residents written information about how to \_\_\_\_\_\_\_\_\_ Medicaid benefits written information about how to and room and board assistance. -- apply Residents have the right to be free from sexual, physical and mental abuse; corporal punishment; neglect; and involuntary seclusion; and\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - verbal abuse The resident\'s records shall be made immediately available to the resident for inspection, and the resident may receive a copy within \_\_\_\_ \_\_\_\_\_\_\_\_\_ days, at the resident\'s \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - 2 working, request Residents have the right to be treated as individuals with consideration and respect for their privacy. Privacy shall be afforded for at least the following: (1) \_\_\_\_\_\_\_\_\_\_\_\_\_\_ (2) \_\_\_\_\_\_\_\_\_\_(3) Physical examinations and treatments. (4) \_\_\_\_\_\_\_\_\_\_\_. - bathing, personal care, visitation The licensee shall notify the director within \_\_\_\_\_\_\_\_\_\_\_\_\_\_ days of a vacancy in the administrator\'s position. The licensee shall also notify the director of the name and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of the replacement administrator. - 3 working, license number The administrator must inform the division within \_\_\_\_\_\_\_\_\_ hours of becoming aware of an \"unusual occurrence\" that directly threatens the welfare, safety, or health of a resident. (... by telephone, fax or electronic mail.) - 24 Ensuring the facility maintains, \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, (where) an accurate record of actual time worked that indicates the employee\'s full name and the dates and hours worked during the past twelve (12) months. - on the premises The facility shall establish and implement a written policy manual to ensure that resident care and facility objectives are attained, to include: (1) the range of services offered; (2) residents\' rights; (3) personnel administration; and 4) \_\_\_\_\_\_\_\_\_\_\_\_\_. - facility operations Orientation of all employees shall include the following: (1) Instructions on the needs of the specialized populations: (A) aged; (B)developmentally disabled; (C) \_\_\_\_\_\_\_\_\_\_\_\_\_\_; (D)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; or (E) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; served in the facility. - mentally ill, dementia, children Inservice records shall be maintained and shall indicate the following: (A) The \_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_, and \_\_\_\_\_\_\_\_\_\_\_\_\_\_. (B) The name of the instructor. (C) The title of the instructor. (D) The names of the participants. (E) The program content of in-service. - time, date, location The facility shall maintain equipment and supplies in a safe and operational condition and in sufficient \_\_\_\_\_\_\_\_\_\_\_ to meet the needs of the residents. - quantity At least \_\_\_\_\_\_\_\_\_\_\_\_, heating and ventilating systems shall be inspected. - yearly The individual administering the medication shall document the administration in the individual\'s medication and treatment records that indicate the: (A) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; (B) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; (C) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; and (D) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.- time, name of medication, dosage, name or initials of the person administering the drug or treatment The facility shall provide, arrange, or make available \_\_\_ well-planned meals a day, \_\_\_\_ days a week that provide a balanced distribution of the daily nutritional requirements. - 3,7 All food preparation and serving areas (excluding areas in residents\' units) are maintained in accordance with \_\_\_\_\_\_\_\_\_\_and \_\_\_\_\_\_\_\_\_\_\_\_\_ sanitation and \_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_ handling standards. - state, local, safe food Residents who self-medicate \_\_\_\_\_\_\_\_\_keep and use prescription and nonprescription medication in their unit, under certain conditions. - may At least \_\_\_\_\_ minutes of staff time shall be provided per resident per week for activities duties. - 30 Clinical records must be retained after discharge for a minimum period of \_\_\_ \_\_\_\_\_\_ in the facility and \_\_\_\_\_ \_\_\_\_ total; or for a minor, until \_\_\_\_\_\_\_\_ years of age. - 1 year, 5 years, 21 years The clinical record must contain the following: (1) Sufficient information to identify the residents. (2) A record of the residents' evaluations. (3) Services provided. (4) \_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_. - progress notes If a death occurs, information concerning the resident\'s death shall include notification of the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ and \_\_\_\_\_\_\_\_\_\_\_\_. - physician, family, responsible person, representative If a death occurs, information concerning the resident\'s death shall include the disposition of the \_\_\_\_\_\_\_\_\_\_\_\_\_, \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - body, personal possessions, medications If a death occurs, information concerning the resident\'s death shall include a complete and accurate notation of the \_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ and \_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_ and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ preceding death. - residents\' condition, most recent vital signs, symptoms. If the individual is a recipient of Medicaid or federal Supplemental Security Income (SSI), the individual needs screening for major mental illness, limited to the following disorders: \(A) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. (B) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ disorder. \(C) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (bipolar and major depressive type) disorder. (D)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ or \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ disorder. (E) Panic or other severe \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ disorder. (F) Somatoform or \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ disorder. (G) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ disorder. (H) Atypical psychosis or other \_\_\_\_\_\_\_\_\_\_\_\_\_\_ disorder (not otherwise specified). schizophrenia, schizoaffective, mood, paranoid, delusional, anxiety, paranoid, personality, psychotic If the individual is a recipient of Medicaid or federal Supplemental Security Income (SSI), the individual needs evaluation that includes obtaining a history of treatment received by the individual for a major mental illness within the last \_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_. - 2 years Each resident with a major mental illness must have a comprehensive care plan that is developed within \_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_ after admission to the residential care facility. - 30 days Each resident shall have a diagnostic chest x-ray completed no more than \_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_prior to admission. - 6 months The facility shall not allow a dining assistant to assist more than \_\_\_\_\_\_ residents at any one time. - 2 The dining assistant training program shall consist of, but is not limited to, the following: \(1) \_\_\_ hours of classroom instruction prior to any direct contact with a resident that includes the following and (2) \_\_\_\_hours of clinical instruction that consists of, but is not limited to, the following: (A) Feeding \_\_\_\_\_\_\_\_\_\_\_\_\_ (B) Assistance with \_\_\_\_\_\_\_\_\_\_\_\_\_\_ and \_\_\_\_\_\_\_\_\_. - 8,8, techniques, eating, hydration A comfortable and safe temperature levels\" means that the ambient temperature should in in a relatively narrow range of \_\_\_\_\_\_ to \_\_\_ degrees Fahrenheit. - 71, 81 To obtain a license to operate a facility, the applicant shall submit a license application and identify direct and indirect ownership interest of \_\_\_\_\_\_ percent or more and of officers, directors, and partners. - 5 Application for licensure fee - 1000 Application to repeat jurisprudence examination fee - 100 License renewal fee biennially - 100 Provisional license fee - 100 Application for continuing education sponsorship fee - 100 Continuing education sponsorship renewal fee annually - 100 Application to repeat national examination fee - 100 Preceptor application fee - 50 Temporary permit fee - 50 Verification of licensure fee - 10 Duplicate wall license fee - 10 The facility shall develop and implement policies for investigating and responding to complaints when made known and grievances made by \_\_\_\_\_\_. - anyone The licensee shall notify the director within how many working days of a vacancy of an administrator? \_\_\_\_\_\_\_. - 3 What are the 4 listed (not limited to) unusual occurrences that must be reported? \_\_\_\_\_\_\_\_\_\_\_\_, \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - epidemic outbreaks, poisoning, fires, major accidents How often must a pharmacist conduct a drug regime review in residential care? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - once every 60 days The RC facility should provide reasonable visiting hours at least how many hours a day? -12 What is the maximum amount of a RC resident\'s personal funds that a facility can maintain in a noninterest bearing account? - 100 If a resident appeals the transfer or discharge, the facility may not transfer or discharge within how many days after the resident receives the initial transfer or discharge notice? - 34 The RC facility shall establish and implement a written policy manual which includes\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_. - range of services offered, resident rights, personnel administration, facility operations Privacy shall be provided to the residents during \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, \_\_\_\_\_\_\_\_\_\_\_\_, \_\_\_\_\_\_\_\_\_\_\_\_\_\_ & \_\_\_\_\_\_\_\_\_\_\_\_\_\_. - personal care, physical exams, treatments, visitations The RC Director shall have a minimum of \_\_\_\_\_\_\_\_ hours of dementia-specific training within \_\_\_\_ months of initial employment as the director of the Alzheimer\'s and dementia special care unit and \_\_\_\_\_ hours annually thereafter. - 12, 3, 6 In residential care or comprehensive facilities, in addition to other required in-service hours, staff who have contact with cognitively impaired residents shall have a minimum of \_\_\_\_ hours of dementia specific training within \_\_\_\_\_ months of hire and \_\_\_\_ hours annually thereafter. - 6,6,3 Notice may be made as soon as practicable before transfer or discharge when \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - the health & safety of individuals in facility would be endangered Resident records must be maintained by an employee that \_\_\_\_\_\_\_\_\_\_. - is designated with that responsibility Upon discharge, Mrs. Jones\' records must include sufficient information to identify her; services provided; progress notes and \_\_\_\_\_\_\_\_\_\_\_\_\_. - record of evaluation /assessments This file must contain their: residents name, sex, room or apartment, phone number, age or date of birth, residents\' hospital preference, legal reps name & number physician of record\'s name & number, emergency contacts name & number, known allergies, photograph for identification, copy of advance directives. The resident emergency file should be secured. After a resident dies, notification of the physician, family, \_\_\_\_\_\_\_\_\_\_\_ person, and legal representative; the disposition of the body, personal possessions, and \_\_\_\_\_\_\_ and a complete and accurate notation of the resident\'s condition and most recent vital signs and \_\_\_\_\_\_\_\_\_\_\_\_\_\_preceding death is required clinical record information concerning the resident\'s death. - responsible, medications, symptoms Henry smith, a resident at Shady Pines, had his regular diet altered to change the caloric value- by order of his physician. The physician ordered a(n) \_\_\_\_\_\_\_\_\_\_\_\_\_ diet for Mr. Smith. - modified A dining assistant shall assist only residents who do not have complicated eating problems. A complicated eating problem would be \_\_\_\_\_\_\_\_\_\_\_\_\_\_. - tube or parental / IV feeding A dining assistant shall work under the supervision of a \_\_\_\_\_\_\_\_\_\_\_\_\_, who is on the unit or floor where the dining assistance is furnished and is immediately available if needed. - licensed nurse The Residential Care Administrator, is responsible for ensuring the minimum staff time that is provided per resident per week for \"Activities\" is \_\_\_\_\_\_. - 0 If a person has not completed an activities director course approved by the division, consultation shall be provided by a(n) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - OT assistant An assisted living facility must make sure that their activities director takes the board approved activities program within \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of taking the position. - 1 year \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ can be designated as the activities director in Happy Gulley Assisted Living? - Any individual who can complete the activities course within a year A(n) \_\_\_\_\_\_\_\_\_\_\_ could be the activities director \-\-- without additional training. - recreational therapist The RC facility shall \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ scheduled transportation to community-based activities. - provide and \\ or coordinate Wanda Winkler, our activities director, should decide what activities programs will be provided by identifying and choosing activities that \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - are appropriate to the abilities & interests of the residents being served The facility has 41 residents. How many bathing facilities must they have for residents who are not served by bathing facilities in their rooms? \_\_\_\_\_\_\_\_\_. - 3 With regard to resident care, the HFA or RCA shall develop and administer resident centered policies that ensure the: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, and rights of the residents. - health, safety, welfare An HFA or RCA must complete at least \_\_\_\_\_continuing education hours during the previous \_\_\_\_\_ year licensing period. - 40/20, 2 The HFA or RCA shall retain copies of certificates of completion for continuing education courses for \_\_\_\_ years from the end of the licensing period for which continuing education applied. - 3 A preceptor must have active work experience as an HFA or RCA for at least \_\_\_\_\_\_\_\_ years prior to the date of application. - 2 Records of the AIT programs must be maintained for a period of \_\_\_\_\_ years - by the preceptor, during which time the board may request review of these records. - 5 In residential care or comprehensive facility, upon the death of a resident with a personal fund deposited in the facility, the facility must convey within \_\_\_\_\_ days the residents' funds and a final accounting of those funds to the individual administering the resident\'s estate. - 30 In residential care or comprehensive facilities, residents have the right to be informed, by the facility, at least \_\_\_\_\_\_ days in advance of the effective date, any change in the rates or services that these rates cover. - 30 In residential care or comprehensive facilities, the administrator is responsible for maintaining reports of surveys conducted by the division in each facility for \_\_\_\_\_ years. - 2 In residential care or comprehensive facilities, a copy of the resident\'s rights must be available in \_\_\_\_\_\_\_\_\_\_. - a publicly accessible area In residential care or comprehensive facilities, a copy of the resident\'s rights must be available and in at least \_\_\_\_\_ point type and a language they understand. - 12 In residential care or comprehensive facilities, the administrator is responsible for ensuring the facility maintains, on the premises, time schedules and an accurate record of actual time worked that indicates the employees\' full names, hours, and dates worked during the past \_\_\_\_\_\_\_\_\_\_\_. 1 year In residential care or comprehensive facilities, labeling of prescription drugs does not have to include the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - pharmacists name In regard to residential care or comprehensive facilities, Indiana CODE 25-19-1 / Chapter 1 / Regulation of Health Facility Administrators may use the word \"board\" when referring to \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - Indiana State Board of Health Facility Administrators Indiana code defines a \"Health Facility / HF\" as a \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - comprehensive facility/ all health facilities The resident needs help with some of his ADL\'s. These may include \_\_\_\_\_\_\_\_\_\_ / \_\_\_\_\_\_\_\_\_\_ / \_\_\_\_\_\_\_\_\_\_\_ / \_\_\_\_\_\_\_\_\_\_ / \_\_\_\_\_\_\_\_\_\_\_\_\_. - eating, bathing, toileting, mobility, transferring The resident is able to walk, once in a standing position. Therefore, when assessed it was noted that she was able to \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - ambulate Ms. Murphy was able to get from her room to the dining room using a walker. She is said to be \_\_\_\_\_\_\_\_\_\_. - mobile If any of the following occurs, the person responsible could be charged with \_\_\_\_\_\_\_\_\_\_\_\_. \(1) an act or omission that places a resident in a situation that may endanger the resident\'s life or health. (2) abandoning or cruelly confining the resident; or (3) depriving the resident of necessary support, including food, clothing, shelter, and medical care; or (4) depriving the resident of education as required by statute. - neglect A resident, by order of her physician received a modified diet. This means that her regular diet is altered by \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ &/or \_\_\_\_\_\_\_\_\_\_\_\_ &/or \_\_\_\_\_\_\_\_\_\_\_\_. - consistency, nutrive, caloric value If the surveyors checked closely, they would find that Treelined Meadows Residential Care Center was in compliance - as it relates to marking resident clothing. They were laundering Ms. Wilson\'s clothing and made sure that the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ identified the clothing in a suitable manner \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - facility, at the residents request A resident of an assisted living facility filed a complaint because he was made to wait 3 days to view his personal and clinical records and could not get copies for 7 working days. Orange Grove was responsible for making them available for inspection \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ and copies within \_\_\_\_\_\_\_\_\_\_\_ , at his expense. - immediately, 5 working days An Indiana facility admitted a resident prior to obtaining director approval. This was a problem because he was only 17 years old, and the Indiana Laws and Regulations require that prior to the admission of an individual under \_\_\_\_\_\_\_ years of age to an adult facility, approval be obtained from the director. - 18 Happy Haven Assisted Living and Happy Haven Nursing Care were both approved for licensure after July 1, 1984. They must provide at least \_\_\_\_\_\_ toilet(s) and \_\_\_ lavatory(ies) shall be provided for each \_\_\_\_ residents. - 1,1,8 An assisted living facility is required - as stated in the Indiana Laws and Regulations - to establish an infection control program that includes the following: \(1) A system that enables the facility to \_\_\_\_\_\_\_\_ patterns of known infectious symptoms. (2) Provides orientation and in-service education on infection prevention and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, including universal precautions. (3) Offering health information to \_\_\_\_\_\_\_\_\_\_\_\_, including, but not limited to, infection transmission and immunizations. (4) Reporting \_\_\_\_\_\_\_\_\_\_\_\_ disease to public health authorities. - analyze, control, residents, communicable Green Lawn has both an assisted living and a nursing care facility and they are required, as stated in the Indiana Laws and Regulations - in either setting, to have each resident have a diagnostic chest x-ray completed no more than \_\_\_\_\_\_ prior to admission. - 6 months Green Lawn has both an assisted living and a nursing care facility and they are required - as stated in the Indiana Laws and Regulations - prior to admission, to have each resident have a health assessment, including history of significant past or present infectious diseases and a statement that the resident shows no evidence of \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ in an infectious stage as verified upon admission and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ thereafter. - TB, yearly In addition to a chest x-ray, Green Lawn Assisted Living and Nursing Care must require a tuberculin skin test be completed within \_\_\_\_\_\_ months prior to admission or upon admission and read at \_\_\_\_\_\_\_ to \_\_\_\_\_\_ hours. - 3, 48, 72 In addition to a chest x-ray, Green Lawn Assisted Living and Nursing Care must require a tuberculin skin test be completed by each resident and the result recorded in millimeters of induration with the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, - dates given and read, initials of who administered and read Each dining assistant shall successfully complete a \_\_\_\_\_ hour training program for dining assistants that has been approved by the department. - 16 The facility shall ensure that resident selection for dining assistance is based on the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ assessment and the resident\'s most recent assessment and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - charge nurse, plan of care The facility must ensure the dining assistant is oriented to the resident\'s diet, \_\_\_\_\_\_\_\_\_\_, \_\_\_\_\_\_\_\_\_\_\_\_\_ and feeding \_\_\_\_\_\_\_ appropriate to the individual resident. - likes, dislikes, techniques The dining assistant training program shall consist of \_\_\_\_\_ hours of classroom instruction prior to any direct contact with a resident. - 8 Current clinical records shall be completed \_\_\_\_\_\_\_\_\_\_\_\_\_\_ and those of discharged residents shall be completed within \_\_\_\_\_\_ days of the discharge date. - promptly, 70 The dining assistant training program must have a qualified instructor. Dining assistant training may only be provided by: - qualified dietician, RN, LPN, OT, SLP The dining assistant training program must maintain a student file that is retained for \_\_\_\_ year(s) and contains \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. 3, dates of attendance and areas of instruction Returned, or destroyed medication shall be documented in the resident\'s clinical record and shall include the following information: 1\. The name of the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. 2. The name and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_of the drug. 3\. The prescription \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. 4. The \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ for disposal. 5. The \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ disposed of. 6. The \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of disposal. 7. The \_\_\_\_\_\_\_\_\_\_\_\_ of disposal. 8. The \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of the \_\_\_\_\_\_\_\_\_\_\_\_\_\_ the disposal of the drug. 9. The \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of a \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, \_\_\_\_\_\_\_\_\_\_\_\_\_\_, to the disposal of the drug. - resident, strength, number, reason, amount, method, date, signatures, person conducting, signature, witness, if any Over the counter medications must be identified with the following information: 1\. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ name. 2. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ name. 3. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ date. 4. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of drug. 5. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - resident, physician, expiration, name, strength The \_\_\_\_\_\_\_\_\_\_\_\_\_ and/or \_\_\_\_\_\_\_\_\_\_\_\_\_\_ for all meals shall be approved changes by a registered dietician. - menu, menu changes An RCA \_\_\_\_\_\_\_\_\_\_\_ offer comprehensive care under the same RCA license. A comprehensive facility \_\_\_\_\_\_\_\_\_\_\_ offer RC under the same comprehensive license. - cannot, can The facility shall have, for each bedroom, light and ventilation by means of outside windows with an area equal to \_\_\_\_\_\_ of the total floor area of such rooms. - 1/10 If a resident does not need 24-hour comprehensive nursing care/oversight or rehabilitative therapies and has not contracted those services, a residential care facility that retains appropriate professional staff may provide comprehensive nursing care to residents needing care for a \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - Self-limiting condition (sprained ankle for example) Every applicant for a examination as a HFA or RCA, after meeting the requirements for qualification, shall pass successfully \_\_\_\_\_\_\_\_\_\_\_\_\_ or \_\_\_\_\_\_\_\_\_\_\_\_\_examination or \_\_\_\_\_\_\_\_\_. - written, an oral, both Applicable standards of environmental health and safety. Every applicant for examination as a HFA or RCA, after meeting the requirements for qualification, shall pass successfully an examination which shall include, but need not be limited to, the following: \(1) Local health and safety regulation. (2) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. (3) Psychology of patient care. (4) Principles of medical care. (5) Pharmaceutical services and drug handling. (6) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. (7) Therapeutic and supportive care and services in long-term care. (8) Departmental organization and management. (9) \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - General administration, Personal and social care, Community interrelationships Any course of study, offered by an educational institution, association, professional society, or organization for the purpose of qualifying an applicant for licensure must be \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - approved by the board Resident Care \~ Policies must ensure residents are free from the following: \(A) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. (B) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. \(C) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. (D) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. \(E) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. (F) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. \(G) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - sexual abuse, Physical abuse, Mental abuse, Corporal punishment, Exploitation, Neglect, Involuntary seclusion After July 1, 2023, CEs are required for both HFA\'s and RCA\'s. True or False? - false With regard to personnel management, the administrator must ensure that personnel are present in \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ to attain or maintain the highest practicable level of physical, mental, and psychosocial well-being for each resident. - number, ability Children\" means individuals who are less than \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ years of age and not legally \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - 18, emancipated \"Children\" (other than determined by age) also means individuals who require by the reason of physical or mental handicap, care of the type usually accepted as \_\_\_\_\_\_\_\_\_\_\_\_\_\_; or are suffering from a handicap or ailment which, in the judgment of the attending physician, indicates that the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ facility is more appropriate to their needs than an \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ facility. - pediatric / childcare /adult care The facility must complete a performance review of every nurse aide at least once every \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ and must provide regular \_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_based on the outcome of these reviews. - 12 months, in-service education At the time of employment, or within \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ prior to employment, and at least \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ thereafter, employees and nonpaid personnel of facilities shall be screened for tuberculosis. 1 month, annually Each dining assistant shall successfully complete a \_\_\_\_\_\_\_\_\_\_\_ hour training program for dining assistants that has been approved by the department. - 16 The facility shall ensure that resident selection for dining assistance is based on the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_assessment and the resident\'s most recent assessment and plan of care. - charge nurse The resident\'s diet, like & dislikes/ Feeding techniques appropriate to the individual resident. - The facility shall ensure the dining assistant is oriented to the following: A. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_B.\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ - charge nurse The facility shall ensure a dining assistant works under the supervision of a \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ who is on the unit or floor where the dining assistance is furnished and is immediately available to provide assistance as needed-- licensed nurse The facility shall provide \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ to the resident to carry out the relocation plan. - reasonable assistance The facility should provide reasonable visiting hours, which should include at least \_\_\_\_\_\_\_ hours a day, and the hours shall be made available to each resident. - 12 The \_\_\_\_\_\_\_\_\_\_\_\_ or his or her\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ is responsible for investigating reports of lost or stolen resident property and that the results of the investigation are reported to the resident. -- administrator, designee If the resident\'s personal laundry is laundered by the facility, at the residents\' request the facility shall identify these items in a suitable manner \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - at the resident\'s request The administrator must obtain director's approval prior to the admission of an individual under \_\_\_\_\_\_\_\_ years of age to an adult facility. - 18 Fire drills shall be conducted \_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_ to familiarize all facility personnel with signals and emergency action required under varied conditions. At least \_\_\_\_\_\_ drills shall be held every year. - quarterly on each shift, 12 Orientation of all employees shall include the following: \(1) Instructions on the needs of the specialized populations: \(A) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; (B) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. (C) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; (D) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; or (E) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; served in the facility. - aged, developmentally disabled, mentally ill, dementia, children Orientation of all employees shall include the following: \(2) A review of the facility\'s policy manual and applicable procedures, including: \(A) \_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; (B) \_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. (C) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ and grooming policies for employees; and (D) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - organizational chart, personnel policies appearance, resident rights At least \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, heating and ventilating systems shall be inspected. - yearly An evaluation of the individual needs of each resident shall be initiated \_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ and shall be updated at least semi-annually and upon a known substantial change in the resident\'s condition, or more often at the resident\'s or facility\'s request. - prior to admission The state board of health facility administrators is composed of how many members? - 13 All members of the state board except representatives of the state agencies shall be appointed by the governor for how many years? - 4 The board may issue a provisional license for a single period not to exceed how many months? - 6 A majority vote of the quorum is required for action of the state board. How many members constitute a quorum? - 7 A health facility administrator\'s license expires at what time on the renewal date specified. - Midnight A person who uses the title, sign, card, or device to indicate that the person is a health facility administrator but is not truly licensed commits a \_\_\_\_\_\_\_\_\_\_\_\_. Class C Infraction Plans for projects involving more than \_\_\_\_\_\_\_ cubic feet require certification by an architect, or an engineer registered in Indiana. - 30,000 Pertaining to CEU 1 semester hour is equal to how many contact hours? - 15 Pertaining to CEU 1 quarter hour is equal to how many contact hours? - 10 Service on the state board of health facility administrators earns how many hours of continuing education hours for each hour of service? - 1 A maximum of how many hours can be obtained through service on the board or semester, quarter hours from an accredited school? - 20 How many hours of CEU will be granted to a preceptor for each complete month served as a preceptor for an AIT? - 2 If an intrafacility transfer is required, the resident must be given notice of at least \_\_\_\_ days before relocation. - 2 The facility must maintain reports of surveys conducted by the division in each facility for a period of \_\_\_\_\_ years. - 2 The director of an Alzheimer\'s and dementia special care unit shall have a minimum of \_\_\_\_\_ hours of dementia specific training within \_\_\_\_ months of initial employment as the director of the Alzheimer\'s and dementia unit and \_\_\_\_ hours annually thereafter. - 12 / 3 / 6 Inservice for non-nursing personnel shall include \_\_\_ hours per calendar year. - 6 A nurse aide must have no less than \_\_\_\_ hours of in-service sufficient to ensure the continuing competence of nurse aides. -- 12 Residents\' rooms must not accommodate more than \_\_\_\_ residents. - 4 In emergencies when immediate physical restraint or seclusion is needed for protection of the resident or others, restraint or seclusion may be authorized by a licensed nurse for a period not to exceed \_\_\_\_\_\_ hours. - 12 \_\_\_\_\_\_ \_\_\_\_\_ restraints shall not be used or available in the facility. - Key lock Fire extinguishers must be checked - quarterly Fire extinguishers must be serviced - Annually Applicants for a temporary permit will be required to take the Indiana Jurisprudence examination within how many days of issuance? - 90 Identify human responses to health: - Nurse diagnoses, Minor regimen, Administration Contract License status, Services and rates, Division of Aging Disclosure form, Rights, MC Unit, RC Scope of care - Personal care, help with ADLs; based on needs and preferences, 3 meals, Activities, Nursing care, Med Administration - Required Disclosures 24 hr comprehensive care, less than 24 hr comprehensive but no help, not medically stable, 2 of the 3 total care: toileting, eating, transferring - Must discharge if Danger to self or others At minimum, assessment should have - Physical, mental, cognitive status, ADLs, Weight, Med Self Administration Corp structure, all places owned, Agreements and contracts, Registration with Sec of State, Staffing plan, Disaster plan - For the application for the facility license Lease, Rates and services, Admit, discharge, voluntary termination, MC Unit disclosure - Provide at time of admission May file complaint to- Department, Family and social services, Ombudsman, Agency on aging, Local mental health, APS - Also provide at admission Residents must be free from \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - Abuse: physical mental sexual, Punishment, Neglect, Seclusion Provide privacy for - Bath, Care, Exams, treatments, Visits The administrator is responsible for - Organize, Manage, Operation, Control Written policies available to residents - Services, Rights, Personnel Admin, Facility Operation Needs of the specialized population (dementia), Manual, Org chart, Personnel policies, Grooming, Resident rights, First aid, emergency, Ethics and confidentiality, Intro to residents for care staff - employee orientation Personnel records contain - Name, SSN, Dates of employment Job, Job Description Licenses, experience, education, General and specific orientation, Resident rights, Evaluations Residents\' rights, Infection control, Fire, safety, accidents, needs of the specialized population (dementia), Med admin and nursing care for care staff - Required annual in-services Prescription and OTC, Resident, Doctor, Name and strength of drug, Expiration date, and for prescriptions only add, Issue date, Prescription \#, Directions for use, Pharmacy information - Required for medication labels Resident, Drug, Prescription number, Reason, Amount, Method, Date, Signature of person disposing and witness - Documentation for disposal of medications Complete, accurate, accessible, organized, Identify resident, Evaluations, Services, Progress notes - Clinical records ID data, where from and to, Personal property, Nurse\'s notes, Abilities and limitations: care, meds, treatments, diet, Diagnoses, Dates of x-ray and TB tests - Transfer forms Name, sex, room, apartment, phone, age, DOB, Hospital preference, Leg rep, Doctor, Emergency contacts, Allergies, Advance Directives, Picture - Resident emergency file Notify doctor, legal rep, family, Document disposition, possessions, medications, describe condition and most recent vitals, (Notify state if suspicious, unusual or violent.) - In the event of death Schizophrenia, schizoaffective disorder, Mood disorders - bipolar, Delusion, paranoia, Panic, severe anxiety, Somatoform disorder, Personality disorder, Psychoses, Get 2-year history - Mental Illness Screening Infection Control Policy has - Analyze patterns, Education on prevention, control, universal precautions, educate residents on infection and vaccines, reporting to authorities Comprehensive Care - IV and enteral feeding, breathing tubes, insert clean and replace catheters Infected wound care Stage 2-4 pressure ulcers Heat treatments Beginning stage of medical gases Board - Indiana state board of health facility administrators A natural person who administers, manages, supervises, or is in general administrative charge of a licensed health facility whether such an individual has an ownership interest in the health facility and whether the person\'s functions and duties are shared with one (1) or more individuals. - health facility administrator HF - means a licensed health facility or licensed residential facility. HFA - means a licensed health facility administrator. RCA - means residential care administrator. \"Practice of health facility administration\" \~ means the practice of the person designated by a legal owner or owners of health facilities to perform any act or the making of any decision involved in the: -Planning Developing Organizing Directorial; or Control; of the operation of an HF A RCA or HFA must retain copies of certificates of completion for CE\'s for \_\_\_ years from the end of the licensing period for which the continuing education applied. - 3 Accredited college courses related to the practice of HF administration are acceptable forms of continuing education. One semester hour equals \_\_\_ contact hours. One quarter hour equals \_\_\_\_ contact hours. - 15/10 An RCA must complete at least \_\_\_CEUs every \_\_\_years. or HFA must complete at least \_\_\_ CEUs every \_\_\_years. - 20/2 & 40/2 A maximum of \_\_\_ continuing education hours may be obtained through approved college courses and/or serving on the licensing board. -3 Approved continuing education sponsors must retain the attendance records for a period of \_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, during which time the board may request review of these records. - 5 years \_\_\_credit hours of continuing education will be granted for each complete month an HFA has served as preceptor for an approved AIT program. Not more than \_\_\_\_\_ hours per renewal cycle may be earned using this method. - 2/20 The RCA or HFA shall develop and administer resident centered policies that ensure the health, safety, welfare, and\_\_\_\_\_\_\_\_\_\_\_of the resident. - rights With regard to personnel management, the HFA or RCA shall promote job satisfaction, commitment to quality care, and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - resident rights Department - means the Indiana state department of health. Storage - means the containment of infectious waste in such a manner as not to constitute collection, treatment, transport, or disposal. Blood means human blood, human blood components, and \_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_ human blood. - products made from Universal precautions - means an approach to infection control in which all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other blood borne pathogens. \_\_\_\_\_\_\_\_\_\_\_\_ means any solid, liquid, or semi liquid material that: \(1) is discarded or being accumulated prior to being discarded; or \(2) has served its natural, biological, medical, or intended purpose and is generally discarded and not reused. - Waste \_\_\_\_\_\_\_\_\_, except as provided in subsection (b), means waste that epidemiologic evidence indicates is capable of transmitting a dangerous communicable disease. The term includes, but is not limited to, the contaminated sharps or contaminated objects that could potentially become contaminated sharps. -Infectious waste Evidence indicates it is capable of transmitting a dangerous communicable disease. The term includes, but is not limited to, the carcasses, body parts, blood and body fluids in liquid and semi liquid form and bedding of laboratory animals. - Infectious waste \_\_\_\_\_\_\_\_\_\_\_\_ means a person authorized to practice veterinary medicine. - veterinarian \_\_\_\_\_\_\_\_\_\_ means blood and blood products that have intermediate fluid properties and are capable of flowing in a manner similar to a liquid. - semi liquid blood and blood products \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ means: (1) tissues; (2) organs; (3) body parts; and (4) blood or body fluids in liquid or semi liquid form of humans; that are removed during surgery, biopsy, or autopsy. - Pathological Waste \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ means the: (1) generation; (2) collection; (3) storage; (4) transportation; (5) treatment; or (6) disposal of infectious waste. - Infectious waste activity \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ means a funeral home. - Mortuary \_\_\_\_\_\_\_\_\_\_\_\_\_ means any portable device or material in which infectious waste is: (1) stored; (2) transported; (3) treated; (4) disposed of; or (5) otherwise handled. - Container \_\_\_\_\_\_\_\_\_\_\_\_\_\_ means an object that is capable of cutting or penetrating the skin and has been in contact with blood or body fluids. The term includes any of the following: (1) Hypodermic or suture needle. (2) Syringe. (3) Scalpel blade. (4) Pipette. (5) Lancet. (6) Broken glass. - Contaminated sharp \_\_\_\_\_\_\_\_\_\_\_ means any: individual; (2) facility; (3) partnership; (4) copartnership; (5) firm; (6) company; (7) association; (8) joint-stock company; (9) corporation; (10) governmental entity; or (11) agent. - Person \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ means bedding that has been used for laboratory animals. - Bedding \_\_\_\_\_\_\_\_\_\_\_\_ means a person employed as, or by, or receiving training from, a provider as defined in IC 16-18-2-163, or by a laboratory, blood center, state institution, or any other facility where the person is likely to have direct contact with blood or body fluids. - Healthcare provider \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ means area that is designed and maintained to prevent the entry of unauthorized persons. - Secure area \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ means any of the following places where infectious waste activity occurs: (1) Hospital. (2) Ambulatory surgical center. (3) Medical/diagnostic laboratory. (4) Blood center. (5) Pharmaceutical company. (6) Academic research laboratory company. (7) Industrial research laboratory. (8) Health facility. (9) Office and mobile units of a health care provider. (10) Diet or health care clinic. (11) Office of a veterinarian. (12) Veterinary hospital. (13) Emergency medical services provider. (14) Mortuary. - Facility \_\_\_\_\_\_\_\_\_\_\_\_\_\_ means any person who handles infectious waste. - Waste handlers The generator of infectious waste is responsible for the appropriate\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, effective\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, and disposal of infectious waste as required by this rule. - containment, labeling, treatment, transport Written policies, procedures: All persons and facilities subject to this rule shall (1) have a written policy and procedures that, at a minimum, contain: \(A) the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ contained in this rule; and \(B) the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, including discipline and dismissal of persons, if warranted, for failure to follow the requirements set forth in this rule. \(2) provide necessary instruction and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, including protective garments, to implement this rule prior to giving a person an assignment where contact with infectious waste is likely. \(3) maintain a \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of such instruction, including an attendance record of a person\'s participation in the instruction; and \(4) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_all records available to the department for inspection. - requirements, sanctions, materials, record, make Containment: All persons and facilities subject to this rule shall place contaminated sharps or contaminated objects that could potentially become contaminated sharps, infectious biological cultures, infectious associated biologicals, and infectious agent stock in containers that are: \(1) leak proof, rigid, \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. (2) tightly sealed to prevent \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. \(3) labeled with the biohazard \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; and (4) effectively treated in accordance with this rule prior to being stored in an \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_area and sent for final disposal. - puncture - resistant, expulsion, symbol, unsecured Storage: If infectious waste is stored prior to final disposal, all persons subject to this rule shall store infectious waste in a secure area that: \(A) is locked or otherwise \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ to eliminate access by or exposure to the general public; \(B) affords protection from adverse environmental conditions and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; and \(C) has a prominently displayed biohazard \_\_\_\_\_\_\_\_\_\_\_\_\_\_. - secured, vermin, symbol Treatment: All persons and facilities subject to this rule shall either effectively \_\_\_\_\_\_\_\_\_infectious waste in accordance with this rule or transport infectious waste off-site for effective \_\_\_\_\_\_\_\_\_\_\_\_\_in accordance with this rule. - treat, treatment Protection in transport: All persons and facilities subject to this rule shall: (1) transport infectious waste in a manner that reasonably protects \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ from contracting dangerous communicable disease; and (2) effectively treat infectious waste in accordance with this rule before it is \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - waste handlers the public compacted Transporting off-site: All persons and facilities subject to this rule who are transporting infectious waste off-site, whether effectively treated or not, shall provide a form that contains the name, address, and telephone number of the generating facility and treatment facility, if applicable; AND a brief description of the waste and the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of effective treatment; and the \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of a responsible person. -- method, signature \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ means any covered individual providing health care for or to a patient during the patient\'s care or treatment and who\'s professional, employment, volunteer, or student training duties or activities can be reasonably anticipated to result in skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials. = Healthcare worker \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_means laundry which has been soiled with blood or other potentially infectious materials or laundry which may contain sharps. - contaminated laundry \_\_\_\_\_\_\_\_\_\_\_\_\_\_means pathogenic microorganisms that are present in human blood and can cause disease in humans. These include, but are not limited to, HBV, HCV, and HIV. - bloodborne pathogens \_\_\_\_\_\_\_\_\_\_\_\_\_ means anyone who's professional, employment, training, volunteer activities or duties include any reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials. - covered individual \_\_\_\_\_\_\_\_\_\_\_\_\_\_ means piercing the mucous membranes or the skin barrier through such events as needle sticks, human bites, cuts, or abrasions. - parenteral \_\_\_\_\_\_\_\_\_\_\_\_\_\_ means a building or location where an individual can be reasonably anticipated while performing his or her professional, employment, training, or volunteer activities or duties to have skin, eye, mucous membrane, or parenteral contact with potentially infectious materials. - facility Covered individuals\' minimum training and certification requirements: Covered individuals who are health care workers shall, either individually or through their employer, upon receipt of a written request by the department, employer, or a patient to whom direct services have been provided, provide evidence of \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ with the requirements of this section. - compliance Precautions generally: All equipment and environmental and working surfaces shall be \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_and \_\_\_\_\_\_\_\_\_\_\_\_ after contact with blood or other potentially infectious materials. - cleaned, decontaminated Reusable equipment requiring sterilization that is destroyed or altered by heat must be sterilized by \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ means. - chemical An individual or entity that is a facility operator shall inform all \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ whose professional, employment, training, or volunteer activities or duties are performed at or on behalf of the facility, that it is strongly recommended by the department that all persons who have reason to believe they are at risk of HIV infection should know their HIV status. - healthcare workers, covered individuals An individual or entity that is a facility operator should inform all health care workers that it is strongly recommended by the department that all those: \(A) who \_\_\_\_\_\_\_\_\_\_\_\_\_procedures during which there is a recognized risk of percutaneous injury to the health care worker, and, if such injury occurs, the health care worker\'s blood may contact the patient\'s body cavity, subcutaneous tissue, or mucous membranes; and (B) who do not have \_\_\_\_\_\_\_\_\_\_\_\_\_evidence of immunity to HBV from vaccination or from previous infection should know their HBsAg status and, if that is positive, should also know their HBeAg status. - performs, serologic An individual or entity that is a facility operator shall ensure that a record is maintained, as required under the Indiana occupational safety and health administration\'s bloodborne pathogens standards (as found in 29 CFR 1910.1030) of an individual\'s participation in the \_\_\_\_\_\_\_\_\_\_\_\_\_\_that is provided. The record shall be made available to the department for inspection \_\_\_\_\_\_\_\_\_\_\_\_. - Raining upon, request An individual or entity that is a facility operator shall require all health care workers whose professional, employment, training, or volunteer activities or duties are performed at or on behalf of the facility to provide evidence of \_\_\_\_\_\_\_\_\_\_\_\_with the continuing universal precautions education requirements contained in section 7.1 of this rule - \"covered individuals minimum training and certification requirements\". - compliance The operator of a facility, if providing services to patients or the public in which there is a risk of skin, eye, mucous membrane, or parenteral contact to human blood or other potentially infectious materials, shall \_\_\_\_\_\_\_\_\_\_, or \_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_ to the public, written materials prepared or approved by the department explaining universal precautions and patients\' rights under this rule. These materials shall include information on how to report violations of universal precautions and shall include information regarding the department\'s duties to investigate. - display make, available A facility operator shall develop a written policy in compliance with this rule and the requirements of the Indiana occupational safety and health administration\'s bloodborne pathogens standards (as found in 29 CFR 1910.1030), that: (2) provides \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, including discipline and dismissal, if warranted, for failure to use universal precautions; and (3) proscribes the facility operator, or any covered individual acting at or on behalf of the facility, from \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ against any person, including any professional, employee, trainee, volunteer, or patient, for filing a complaint with the department in good faith under this rule. - sanctions, retaliating An HIV infected or HBV infected (and HBeAg positive) health care worker whose practices include digital palpation of a needle tip in a body cavity or the simultaneous presence of the health care worker\'s finger and needle or other sharp instrument in a poorly visualized or highly confined human anatomic site should either seek the \_\_\_\_\_\_\_\_\_\_\_\_\_ of an ERP approved by the department or \_\_\_\_\_\_\_\_\_\_\_\_\_these practices. - advice, volunteering Before any public or private medical, surgical, dental, nursing, or other health care organization may sponsor an authorized ERP under this section, the potential sponsor must be approved by the department as having provided credible assurances that: (1) the sponsor is \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_of establishing specific ERP protocols and procedures that will accomplish the purposes of an ERP under this section; and (2) it will \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_with general protocols to be established and disseminated on request by the department. - capable, comply \_\_\_\_\_\_\_\_\_\_\_\_ means a situation or physical condition that presents imminent danger of death or serious physical or mental harm to one (1) or more residents of a facility. \_\_\_\_\_\_\_\_\_\_\_\_\_\_ means the Indiana state department of health. \_\_\_\_\_\_\_\_\_\_\_\_\_\_ means capable of spreading infection. - Emergency, Department, Infectious \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ means an infectious disease transmissible (as from person to person) by direct contact with an affected individual or the individual\'s discharges or by indirect means (as by a vector). (NOTE: independent definition - not in state regs.) - Communicable Disease \_\_\_\_\_\_\_\_\_\_\_\_ means selecting, obtaining, putting on, fastening, and taking off all items of clothing, including donning or removing braces and artificial limbs. - Dressing means a person who is: \(1) a guardian. \(2) a health care representative. \(3) an attorney in fact; or \(4) a person authorized by IC 16-36-1-5 to give health care consent. - Legal Representative means that the ambient temperature should be in a relatively narrow range, seventy-one (71) degrees Fahrenheit to eighty-one (81) degrees Fahrenheit, that minimizes residents\' susceptibility to the loss of body heat and risk of hypothermia or susceptibility to respiratory ailments and colds. - Comfortable and safe temperature means the condition will normally resolve without further intervention or by staff implementing standard disease related clinical interventions. - Self Limiting means mobility, eating, dressing, bathing, toileting, and transferring. - Activities of daily living means a person who is residing and receiving care in a health facility. For purposes of exercising the rights, such rights may be exercised by the person or his or her legal representative. - Resident means the part of the Indiana state department of health responsible for survey, licensure, and enforcement of health facilities. - Division means any action taken by the facility for the express purpose of punishing or penalizing residents. - Discipline means that the federal Department of Health and Human Services has determined a facility to be in compliance with applicable statutory or regulatory requirements and standards for the purposes of participation as a provider of care and service for Title XVIII or Title XIX, or both, of the federal Social Security Act. - Certification means the identification of an individual\'s present level of strengths, abilities, and needs and the conditions that impede the individual\'s development or functioning. - Assessment means a device or method, including chemical means, used to limit the activity or aggressiveness of a resident where such activity or aggressiveness could be harmful to the resident or others. - Restraint means that a person\'s clinical condition is predictable, does not change rapidly, and medical orders are not likely to involve complex modifications or frequent changes except as appropriate to adjust medication dosage levels. - Medically stable means the provision by a facility of room, board, and care up to the level ordinarily provided for permanent residents of the facility to a person for not more than one (1) month for each stay in the facility. - Respite care means a discrepancy between what the physician ordered and what was or was not administered. - Medication error means walking, once in a standing position. - Ambulation means the extent of movement of a joint. - Range of motion The applicant (for a building license) shall submit a license application on the prescribed form in accordance with IC 16-28-2-2. The applicant shall identify direct and indirect ownership interests of \_\_\_\_\_\_\_\_percent or more and of officers, directors, and partners. - 5 The facility shall submit a renewal application (for a building license) to the director at least \_\_\_\_\_\_ days prior to the expiration of the license. - 45 If the director issues a probationary license (for the facility), the license may be granted for a period of \_\_\_\_\_\_months. However, no more than \_\_\_\_\_\_ probationary licenses may be issued in a \_\_\_\_\_ month period. - 3, 3, 12 The categories of breaches of a state rule would include: - Noncompliance, Death deficiency, nonconformance Residents have the right to be free of \_\_\_\_\_\_\_\_\_\_, interference \_\_\_\_\_\_\_\_\_\_, discrimination, and threat of reprisal by the facility in exercising his or her rights. - the following, coercion The facility will distribute to each resident \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (when) the state developed a written description of law concerning advance directives. - upon admission \_\_\_\_\_\_\_\_\_\_\_ transfer and discharge\" means the movement of a resident to a bed outside of the licensed facility. - Interfacility \_\_\_\_\_\_\_\_\_\_\_\_\_ transfer\" means the movement of a resident to a bed within the same licensed facility. - Interfacility If the facility participates in the Medicaid waiver or residential care assistance programs, or both, the facility must provide residents written information about how to \_\_\_\_\_\_\_\_\_ Medicaid benefits written information about how to and room and board assistance. - apply for Residents have the right to be free from sexual, physical and mental abuse; corporal punishment; neglect; and involuntary seclusion; and\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. - verbal abuse The resident\'s records shall be made immediately available to the resident for inspection, and the resident may receive a copy within \_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_ days, at the resident\'s \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. 2 working, request Residents have the right to be treated as individuals with consideration and respect for their privacy. Privacy shall be afforded for at least the following: (1) \_\_\_\_\_\_\_\_\_\_\_\_\_\_ (2) \_\_\_\_\_\_\_\_\_\_ (3) Physical examinations and treatments. (4) \_\_\_\_\_\_\_\_\_\_. - bathing, personal care, visitation The licensee shall notify the director within \_\_\_\_\_\_\_\_\_\_\_\_\_\_ days of a vacancy in the administrator\'s position. The licensee shall also notify the director of the name and \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ of the replacement administrator. -- 3, license number The administrator must inform the division within \_\_\_\_\_\_\_\_\_ hours of becoming aware of an \"unusual occurrence\" that directly threatens the welfare, safety, or health of a resident. (... by telephone, fax or electronic mail.)- 24 Ensuring the facility maintains, \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_, (where) an accurate record of actual time worked that indicates the employee\'s full name and the dates and hours worked during the past twelve (12) months. - on the premises The facility shall establish and implement a written policy manual to ensure that resident care and facility objectives are attained, to include: (1) the range of services offered; (2) residents\' rights; (3) personnel administration; and 4) \_\_\_\_\_\_\_\_\_\_\_\_\_. - facility operations Orientation of all employees shall include the following: (1) Instructions on the needs of the specialized populations: (A) aged; (B)developmentally disabled; (C) \_\_\_\_\_\_\_\_\_\_\_\_\_\_; (D)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; or (E) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_; served in the facility. time, date, location - Inservice records shall be maintained and shall indicate the following: (A) The \_\_\_\_\_\_\_\_\_\_\_\_, \_\_\_\_\_\_\_\_\_\_\_, and \_\_\_\_\_\_\_\_\_\_\_\_\_\_. (B) The name of the instructor. (C) The title of the instructor. (D) The names of the participants. (E) The program content of in-service. - mentally ill, dementia, children The facility shall maintain equipment and supplies in a safe and operational condition and in sufficient \_\_\_\_\_\_\_\_\_\_\_ to meet the needs of the residents. - quantity At least \_\_\_\_\_\_\_\_\_\_\_\_, heating and ventilating syst