What is Autonomy
A resident's right to make choices
•What is the minimum time hand sanitizer must dry on your hands?
Until completely dry — usually 20 seconds
•Who is considered a mandated reporter in a nursing facility?
ALL staff — every employee, volunteer, or contractor.
•If it's not charted, it…
•First step before serving trays?
Confirm diet order + identity.
•If unsure how to answer a surveyor?
“Let me find the answer.”
What does R.A.C.E. stand for?
•Rescue, Alarm, Contain, Extinguish/Evacuate.
How should controlled substances be stored?
•In a double-locked compartment or system.
Name one privacy right
Pull Curtain, Knock, Confidential PHI
•True or False: PPE replaces handwashing.
False
•Reporting timeframe to state?
Immediately (2 hrs serious injury).
•What should you do if a resident refuses care?
Document refusal, offer alternatives, notify nurse/MD per policy
•What is CCHO?
Consistent Carbohydrate
Should you walk behind or in front of a surveyor
In front — never behind or leave them alone.
Should staff ever prop open fire doors?
No — fire doors must always close fully on their own
What must be monitored daily in medication refrigerators?
•Temperature and documentation.
Resident's have the right to be treated with what two things?
Dignity and Respect
Minimum alcohol-based sanitizer percentage?
60%
•Can another resident be the abuser?
Yes
•What should every pain entry include?
Location, intensity, intervention, effectiveness/follow- up.
True/False: Staff can adjust textures
False
•What should staff NEVER say to a surveyor?
: “We’re short-staffed,” “I don’t know,” or “We never do that.”.
What are you checking for during daily corridor rounds?
•No obstructions, no clutter, no equipment blocking exits.
Should med room refrigerators contain food or drinks?
•No — only medications.
What should staff do before entering a room?
Knock and wait for response. (Identify yourself)
Define cross-contamination
Transfer of organisms dirty→clean.
•What is neglect?
Failure to provide needed care.
•What is objective documentation?
Fact-based, no opinions.
•Proper feeding position?
Upright 75–90 degrees.
•What if a surveyor finds an issue?
Fix immediately + notify.
What items are never allowed to be stored in electrical rooms or under stairwells?
•Any storage—these areas must remain empty.
What documentation must accompany narcotic counts
•Start count, end-of-shift count, signatures, discrepancies documented immediately.
If a resident wants to file a grievance, what should staff do?
Help them access the grievance process and notify leadership.
•What is the biggest infection control issue during wound care?
Breaking sterile/clean technique or cross- contamination.
What should staff do FIRST if they witness abuse?
Ensure resident safety and report immediately to the charge nurse/leadership.
•When must pain reassessment be charted?
Per policy—usually 1 hr.
•Sign of aspiration?
: Coughing, watery eyes, gurgling voice.
•How long should your answers to surveyors typically be?
Brief, factual, and focused — no oversharing.
What should you do if you see an oxygen tank lying on a bed or floor?
•Secure it in an approved holder immediately.
What needs to be labeled on all multi-use medication vials?
Open date AND discard date.