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CNA-NIC F25 CH 1.14
Describe the Long Term Care Survey Process
| Question | Answer |
|---|---|
| why are inspections performed | to help ensure that long term care facilities are following state and federal regulations |
| who are inspections done by | the state agency that licenses facilities |
| when are inspections done | periodically |
| what are the inspections called | surveys |
| what happens when a facility is cited for problems | the surveys may be done more often |
| CITE | means to document a problem through a survey |
| how does a facility with a good record effect inspection frequency | inspections may be done less often if the facility has a good record |
| who is on an inspection team | include a variety of trained healthcare professionals |
| what do surveyors study | how well the staff cares for residents |
| what do surveyors focus on | focus on how residents nutritional , physical, social , emotional, and spiritual needs are being met |
| how do they gather data | they interview residents and families and observe the staffs interactions with residents and the care given by NAs and other team members . They review resident charts and observe meals. |
| what is one reason documentation done by the NAs are important | surveys |
| how do surveyors identify violations of specific federal regulations | using numbers codes called F-tags |
| what should staff do when surveyors are in the facility | try not to be nervous ,they should give the same quality care they give every day and answer any questions to the best of their abilities. |
| if an employee doesn't know the answer to the surveyors question she should | be honest and never guess. she should tell the surveyor that she does not know the answer but will find out as quickly as possible. then she should follow up with the surveyor after she has the answer |
| JOINT COMMISION | is an independent not for profit organization that evaluates and accredits healthcare facilities. |
| what is the joint commissions standards | focus on improving the quality and safety of care given to patients, residents, and clients |
| how does an organization receive accreditation from the Joint Commision | undergo a comprehensive survey process at least every three years - process includes checking performance in specific areas such as treatment, infection prevention, and patient rights |
| joint commission surveys are not associated with | state inspections |
| because the joint commission surveys are not associated with state inspections what is the result | healthcare facilities are not required to participate in the joint commissions survey process (they may do so on a voluntary basis) |
| what are the types of health care facilities that are accredited by the joint commision | hospitals, long term care facilities, rehabilitation centers, laboratories, and other organizations |
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