Arkansas Nursing Home Admin State Exam (452.7) Where laundry is provided on the facility premises : "425.7.1 - 425.7.7" - ✔✔(452.7.1 ) An employee shall be designated in charge of the service. Administrator - ✔✔a person licensed as a nursing home administrator by the department who administers, manages, supervises, or is in general administrative charge of a nursing home Alteration - ✔✔any work other than maintenance in an existing building and which does not increase the floor or roof area or the volume of enclosed space Consultant - ✔✔a qualified person who gives professional advice or service within his/her speciality , with or without re -numeration Consultant Dietitian - ✔✔a person who is eligible for registration by the Dietetic Association, has a baccalaureate degree with major studies in food and nutrition, dietetics, or foodservice management; has one year of supervisory experience in the dietetic service of a health care institution and participates annually in continuing dietetic education Consultant Pharmacist - ✔✔a qualified licensed, registered pharmacist, who under arrangement with an institution , renders assistance in developing, implementing , evaluating, and revising where indicated , polices and procedures for providing the administrative and technical guidance of the pharmaceutical services relative to labeling, storing, handling, dispensing and all other matters pertaining to the administration and control of drugs and medication. He/she provides such services and monitors activities within the institution with the express purpose of creating and maintaining the highest standards in medication distribution, control, and service. Controlled Substances - ✔✔a drug, substance or immediate precursor in Schedules I through B of Article 11 of Controlles Substances Act. Department - ✔✔shall mean the Arkansas Dept. of Human Services (DHS) Director - ✔✔shall mean the Chief of Administrative Officer in the Office of Long Term Care Disinfection - ✔✔The process employed to destroy harmful microorganisms, but ordinarily not viruses and bacterial spores Division - ✔✔DHS/ Division of Medical Services Drug - ✔✔(a )articles recognized in the Official United States Pharmacopeia of the United States or Official National Formulary , or any supplement to any of them; and (b) articles intended for use in the diagnosis cure mitigation ,treatment , or prevention of disease in man or other animal ; and (c) articles (other than food) intended to affect the structure or any function of the body of man or other animals ; and (d) articles specified in clause (a) (b) (c) ; but does not include devices or their components , parts or accessories Drug administration - ✔✔is an act restricted to nursing personnel as defined in Nursing Practice Act 432 or 1971, in which a single dose of a prescribed drugs or biological is given to a patient. This activity includes the removal of the dose from a previously dispensed, properly labeled container, verifying it with the prescribers orders, giving the individual dose to the proper patient , and recording the time and dose given. Drug Dispensing - ✔✔is an act restricted to pharmacist which involves the issuance of one or more doses of a medication in a container other than the original , with such new containers being properly labeled by the designer as to content and/or directions for use as directed by the prescriber . This activity also includes the compounding ,counting , and transferring of medication from one labeled container to another Existing Facilties - ✔✔are those facilities which were in operation, or those proposed facilities which began construction or renovation of a building under final plans approved by the Division prior to adoption of these regulations Fire Resistance Rating - ✔✔shall mean the time in hours or fractions thereof that materials or their assemblies will resist fire exposure as determined by the fire test conducted in accordance with recognized standards. Governing Body - ✔✔Shall mean the individuals or group in whom the ultimate authority and legal responsibility is vested for conduct of the nursing home Institution - ✔✔is any facility requiring licensure under these regulations Intermediate Care Facility (ICF) - ✔✔is a nursing home licensed by Arkansas Social Services as meeting the Intermediate Care Facility regulations. It is a health facility or a distinct part of a hospital or Skilled Nursing Facility staffed, organized, operated, and , maintained to provide 24 -hour long term inpatient care and other restorative services under nursing supervision Legend Drugs - ✔✔are drugs , which, because of the toxicity or other potentially for harmful effect, or the method of their use, or the collateral measures necessary to their use, are not safe for use except under the supervision of a practitioner licensed by law to administer such drugs, or shall be dispensed only on prescription by the pharmacist . Such drugs bear the label "Caution Federal Law Prohibits Dispensing Without Prescription." License - ✔✔Shall mean the basic document issued by the Division permitting the operations of nursing homes. This document constitutes the authority to receive patients and to perform the services included within the scope of these regulations. Licensed Bed Capacity - ✔✔Shall mean the exact number of beds for which license application has been made and granted. Licensee - ✔✔Shall mean any state, municipality, political subdivision, institution , public, or private corporation, association, individual , partnership or any other entity to whom a license is issued for the purpose of operating the nursing home , who shall assume primary responsibility for complying with approved standards for the institution. New Construction - ✔✔Means those facilities which are constructed or renovated for the purpose of operating an institution according to architectural plans approved by the Division subsequent to adoption of these rules Nursing Home - ✔✔Shall mean and be construed to include any buildings, structure, agency, institution, or other place for the reception , accommodation, board, care, or treatment of two or more unrelated individuals , who , because of physical or metal infirmity are unable to sufficiently or properly care for themselves , and for which reception , accommodation , board, care, and treatment, a charge is made, provided the term "Nursing Home" shall not include the offices of private physicians and surgeons, board homes, or hospitals, or institutions operated by the Federal Government. (Section 2 Act 141 of 1961 as amended) Nursing Home Classifications - ✔✔shall mean the level of care the nursing home is capable of rendering such as Skilled Nursing Facility, Intermediate Care Facility, and Intermediate Care Facility for the mentally retarded Long Term Care Facility Advisory Board - ✔✔Shall mean the Long Term Care Facility Advisory Board as established under Act 28 of 1979 O.T.C Drugs - ✔✔are commonly referred to as "over the counter," or patient medication that may be provided without prescription Patient - ✔✔(interchangeable with resident) shall mean any individual who is being treated by a physician or whose health is being supervised by a physician while residing within the respective facility Patient Unit - ✔✔is an area designated to accommodate an individual patient bed, bedside cabinet, chair, reading light, and other necessary equipment placed at the bedside for the proper care and comfort of a patient. Restorative Nursing or Rehabilitative Nursing - ✔✔shall mean measures directed toward prevention of deterioration in normal body alignment, and muscle tone, restoration, of the resident to full activity insofar as his or her health problems permit and maintaining a state in which his or her total need for care is minimal Restraint - ✔✔is any device or instrument used to limit, restrict, or hold patients under control, not including safety vests or other instruments such as bed rails used for the safety and positioning of patients. Personal safety devices and postural support devices that restrict movement are considered restraints Sanitation - ✔✔is the process of promoting hygiene and preventing disease by maintaining sanitary conditions. Skilled Nursing Facility (SNF) - ✔✔is a nursing home, or a distinct part of another facility , licensed by the Office of Long Term Care as meeting the skilled nursing facility licensure regulations. A health facility which provides skilled nursing care and supportive care on 24 -hour basis to residents whose primary need is for availability of skilled nursing careon extended basis. Qualified Social Worker - ✔✔Is a person who is registered by the State Board of Social Work and is a graduate of a school of social work accredited or approved by the council on Social Work Education State Health Officer - ✔✔Shall mean the Director of the Arkansas Department of Health, Secretary of the State Board of Health
