49 Pa. Code § 39.7 - Subject matter for examinations
(a) Every
applicant for a license as a nursing home administrator, after meeting the
requirements for qualification for examination as set forth in the act, shall
successfully pass both a written examination given by professional examination
services and a written or oral examination or both based on the rules and
regulations which shall include, but need not be limited to, the following subjects:
(1) Applicable standards of environmental health
and safety.
(2) Health and safety rules
and regulations.
(3) General
administration.
(4) Psychology of
patient care.
(5) Principles of medical
care.
(6) Personal and social
care.
(7) Therapeutic and supportive
care and services in long-term care.
(8)
Departmental organization and management.
(9) Community
interrelationships.
(b) The
following shall be considered as guidelines with respect to the subjects for the
written examinations:
(1) Applicable standards of
environmental health and safety which includes the following:
(i) Hygiene and sanitation.
(ii) Communicable diseases.
(iii) Management of isolation.
(iv) The total environment, including noise,
color, orientation, stimulation, temperature, lighting and air
circulation.
(v) Elements of accident
prevention.
(vi) Special architectural
needs of nursing home patients.
(vii)
Drug handling and control.
(viii) Safety
factors in oxygen usage.
(2)
Health and safety rules and regulations including applicable local, State and
Federal regulations.
(3) General
administration which shall include the following:
(i) Institutional administration.
(ii) Planning, organizing, directing, controlling,
staffing, coordinating and budgeting.
(iii) Human relations, including the following:
(A) Management/employe
interrelationships.
(B) Employe/employe
interrelationships.
(C) Employe/patient
interrelationships.
(D) Employe/family
interrelationships.
(4) Training of personnel which shall include the
following:
(i) Training of employe to become
sensitive to patient needs.
(ii) Ongoing
inservice training and education.
(5) Psychology of patient care which shall include
the following:
(i) Anxiety.
(ii) Depression.
(iii) Drugs, alcohol and their effect.
(iv) Motivation.
(v) Separation reaction.
(6) Principles of medical care which shall include
the following:
(i) Anatomy and
physiology.
(ii) Psychology.
(iii) Disease recognition.
(iv) Disease processes.
(v) Nutrition.
(vi) Aging processes.
(vii) Medical terminology.
(viii) Materia medica.
(ix) Medical social service.
(x) Utilization review.
(xi) Professional and medical
ethics.
(7) Personal and
social care, including the following:
(i) Resident
and patient care planning.
(ii) Activity
programming, which shall include the following:
(A)
Patient participation.
(B)
Recreation.
(iii)
Environmental adjustment, including interrelationships between patient and the
following:
(A) Patient.
(B) Staff, including staff sensitivity to patient
needs as a therapeutic function.
(C)
Family and friends.
(D)
Administrator.
(E) Management, including
self-government and patient council.
(iv) Rehabilitation and restorative activities,
including the following:
(A) Training in
activities of daily living.
(B)
Techniques of group therapy.
(v) Interdisciplinary interpretation of patient
care to the following individuals:
(A) The
patient.
(B) The staff.
(C) The family.
(8) Therapeutic and supportive care and services
in long-term care which shall include the following:
(i) Individual care planning as it embraces
therapeutic care and supporting services.
(ii) Meaningful observations of patient behavior
as related to total patient care.
(iii)
Interdisciplinary evaluation and revision of patient care plans and
procedures.
(iv) Unique aspects and
requirements of geriatric patient care.
(v) Professional staff interrelationships with
patient's physician.
(vi) Professional
ethics and conduct.
(vii) Rehabilitative
and remotivational role of individual therapeutic and supportive services.
(viii) Psychological, social and religious needs,
in addition to physical needs of patient.
(ix) Needs for dental services.
(9) Departmental organization and
management, including the following:
(i) Criteria
for coordinating establishment of Departmental and unit objectives.
(ii) Reporting and accountability of individual
Departments to administrator.
(iii)
Criteria for Departmental evaluation which shall include nursing, food, service,
therapeutic services, maintenance and housekeeping.
(iv) Techniques of providing adequate
professional, therapeutic, supportive and administrative services.
(v) The following departments may be used in
relating matters of organization and management:
(A) Nursing.
(B) Housekeeping.
(C) Dietary.
(D) Laundry.
(E) Pharmaceutical services.
(F) Social service.
(G) Business office.
(H) Recreation.
(I) Medical records.
(J) Admitting.
(K) Physical therapy.
(L) Occupational therapy.
(M) Medical and dental services.
(N) Laboratories.
(O) X-ray.
(P) Maintenance.
(10) Community interrelationships, including the
following:
(i) Community medical care,
rehabilitative and social services resources.
(ii) Other community resources, including the
following:
(A) Religious institutions.
(B) Schools.
(C) Service agencies.
(D) Government agencies.
(iii) Third-party payment organizations.
(iv) Comprehensive health planning
agencies.
(v) Volunteers and
auxiliaries.
(c)
Nothing contained in subsections (a) and (b) will preclude the Board from exempting
a candidate from examination on subjects and knowledge which shall be in derogation
of or in conflict with the teachings and practices of recognized religious faith of
the candidate.
(d) For the examination
composed by the Board, the Board will either prepare its own examination or use the
services of a professional testing service it may deem appropriate.
Notes
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