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Certification-Board NAB-NHA : Nursing Home Administrator (NAB) Exam

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Test Number : NAB-NHA
Test Name : Nursing Home Administrator (NAB)
Vendor Name : Certification-Board
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NAB-NHA exam Format | NAB-NHA Course Contents | NAB-NHA Course Outline | NAB-NHA exam Syllabus | NAB-NHA exam Objectives


Required Activity Areas:
The AIT Program should be based on the five domains of practice, which are covered in the various departments found in a long term care facility. The tool presents
the departments as modules and rotations; it is through these departments/modules that the program should be designed, so that the individual AIT can meet an appropriate and tailored amount of time in each of the domains as appropriate. These modules include:
Administration
Human Resources
Nursing
Business Office/Financial Management
Diet
Rehabilitation
Medical Records
Activities
Social Services/Admissions
Housekeeping/Laundry
Environmental Management/ Maintenance

A. Quality of Care/Nursing
1. Develop a rounding sheet with the administrator and director of nursing that is resident- centered; initiate implementation.
2. Observe nurse peer review on administration of medications.
3. With director of nursing, ensure medications are not expired.
4. Develop resident satisfaction surveys and make recommendations for implementation as necessary. B. Rehabilitation
1. Organize and implement a follow-up program for discharged residents to the community.
2. Develop audit for equipment inventory and complete audit; report.
C. Medical/Resident Records
1. Conduct admission audit of current in-house resident population, analyze data and report. Assist with recommendations, as needed.
2. Conduct audit of flu vaccination response variables, analyze data and report. Assist with recommendations, as needed.
3. Conduct audit of admission and annual required vaccines, analyze data and report. Assist with recommendations, as needed.
4. Conduct medical records audit with appropriate staff.
D. Activities
1. Develop and implement a volunteer program
2. Develop/enhance Life Enrichment/Person Centered Care program
a.Interview residents and families and analyze information to ensure that desired activities are planned and implemented as necessary
b.Working with Directors of Activities and other personnel as needed, help develop in-service for Life Enrichment/Person Centered Care; assist appropriate staff with delivering in-services.
E. Social Services/Admission
1. Conduct an audit of admissions documents (per regulations and organization policy), analyze and report.
2. Complete an audit of resident preferences, such as time to eat, rise and retire, bath/showers, time of therapy, etc. Make recommendations as necessary
3. Develop and implement an outreach program that communicates regularly with residents and/or families post discharge.
F. Dietary
1. Develop a questionnaire for residents related to dietary satisfaction including variables such as taste, temperature, timeliness, presentation, etc; implement, analyze and report; make recommendations.
2. Meet with the dietician and dietary manager to learn how menus are developed, followed, and implemented; conduct an audit to confirm residents are receiving correct foods, drinks and adaptive devices.
3. Understand nutritionally compromised concerns and how weights are monitored.
4. Audit purchasing and storage of dietary supplies and food; report to dietary manager and administrator.
5. Audit to ensure foods are served and maintained at proper temperatures and in accordance with the Food Code.
G. Housekeeping/Laundry
1. Conduct weekly audits, evaluating such variables as dust, floors, toilet, showers of designated public areas; track, trend and report accordingly.
2. Audit resident rooms for housekeeping variables;track, trend and report accordingly.
3. Audit residents to determine if laundry is clean and received promptly.
4. Audit infection control, safety and cross contamination procedures and make recommendations as necessary.
5. Follow the linen distribution system from soiled to clean and report accordingly.
6. Observe resident clothing management

II. Possible Activities/Assignments related to Domain 20: Human Resources
A. Conduct an employee file audit per regulations and organizational policy.
B. Collect annual turnover rates for last few years, and develop a strategic plan with activities, timeframes, etc. for identified changes.
C. Develop an employee satisfaction questionnaire, administer it and analyze data;develop a subsequent plan.
D. Develop, organize and implement several employee activities.
E. Track absentee information, such as shift, day of week, reason, frequency;
analyze and report the findings.
F. Audit external health care providers (e.g., physicians, dentists, podiatrists) to determine current licenses, liability insurance, etc.; analyze and report the findings.
G. Study and analyze recruiting plans/staffing patterns and offer ideas to improve current processes to ensure that the needs of the residents cared for are met.
H. Review and understand the facilitys employee handbook to ensure accuracy and that all federal/state guidelines are followed and make recommendations as necessary.
I. Review and evaluate payroll plans, compensation plans, and benefit packages
J. Participate in a complete employee hiring and orientation process ( interview, background check, etc.).
K. Conduct a staff meeting and an in-service training program.
L. Participate in a disciplinary/grievance procedure and an employee counseling session.
M. Understand and have knowledge of National Labor Relations Board (NRLB) as it relates to the facility.
N. Review and evaluate the unemployment compensation record of the facility and attend an unemployment compensation hearing as necessary.
O. Review and report on ways to encourage and support professional development of team members.

III.Possible Activities/Assignments related to Domain 30: Finance
A. Assist the administrator with all budget (capital, cash, operating, etc.) development and submission.
B. Understand and assist with accounts payable processing.
C. Analyze and understand how aged accounts work.
D. Understand the facilitys bad debt and write-off policy; determine avenues for improvement.
E. Understand triple-check systems for private pay and all third party payors.
F. Describe and review regularly produced financial reports to determine if fiscal issues have arisen and make recommendations as necessary
G. Review and describe the chart of accounts, bookkeeping procedures, income and expense statements and balance sheets; make recommendations as necessary.
H. Understand the financial audit process utilized by third party payors to ensure billings are in accordance with services provided.
I. Analyze and understand third party payor cost reporting systems.

IV. Possible Activities/Assignments related to Domain 40: Environment
A. Audit preventative maintenance logs per regulations and company policy;track and trend such variables as time of day, season, staff member, etc.
B. Audit resident rooms, utilizing audit tools to evaluate such items as electrical outlet plates, call bells, water temperatures and beds; track, trend and report accordingly.
C. Review emergency generator and life safety regulatory requirements according to state, local, and federal laws specific to your building(s) and prepare a compliance report.Conduct audit of past year of the log; develop/revise preventative
maintenance log with maintenance supervisor.
D. Conduct an audit of the past years log; develop and/or revise preventative maintenance logs with the maintenance supervisor.
E. Assist the administrator and maintenance supervisor with developing and implementing an emergency plan.
F. Develop a rounding sheet with the administrator and maintenance supervisor that is environmental and safety centered; initiate its implementation.
G. Audit Log Out/Tag Out procedures to ensure compliance.

V. Possible Activities/Assignments related to Domain 50: Management & Leadership
A. Review policy and procedure manuals to determine if they are appropriate and timely, per regulations and organization policy and make recommendations for change as necessary.
B. Develop and assist the administrator with an annual strategic planning meeting.
C. Review current internal and external contracts and agreements for accuracy, efficiency and timeliness; organize and make recommendations as necessary.
D. Review and become comfortable with federal regulations and state specific regulations; assist with educating department leaders, if needed.
E. Assist with writing a Plan of Correction and/or identified regulatory violations.
F. Review and update the facilitys organizational chart and job descriptions.
G. Review short-term and long-term goals of the organization for appropriateness.
H. Study the bylaws/mission statement/vision of the governing body and how decisions and policies are made within the organization. Analyze the authority throughout the facility.
I. Plan and attend internal and external meetings and prepare reports for the organization, as necessary.
J. Review the facility marketing plan and make recommendations for change as necessary based upon facility dynamics and community needs.
K. Review and understand the facilitys media publicity efforts, including (but not limited to) writing news releases, facility publications, newsletters, etc.
L. Organize and write a report to include competitive information, such as description of services and amenities, survey history, CMS 5-Star rating and community involvement.
M. Review the facilitys corporate compliance program to ensure all appropriate rules and regulations are followed.
N. Review and describe how the facilitys risk management program minimizes legal liability.
O. Review and analyze facilitys information management system, including technology, to ensure safeguards are in place to provide resident confidentiality, data security, social media, cell phones, etc.
P. Review and analyze the facilitys quality improvement programs.
Q. Review the facilitys customer satisfaction program, including resident relations initiatives, reception/concierge duties and resident/family surveys.
R. Transitional Care: understanding the various regional lines of service and how they relate, as well as initiatives to ensure continuous delivery of safe and quality care as consumers transition between the different lines of service.



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What’s the difference Between a Doula and Midwife? | NAB-NHA Latest syllabus and Latest Questions

© offered with the aid of Fatherly

The procedure of giving birth comes with many, many questions. Do you need an epidural? Who might be present for the delivery? Are there first rate meals options outside the health center? a different you may ask, reckoning on the nature of your beginning plan: can they want a midwife or a doula? And talking of which, what's the difference between a doula and midwife, anyway? How does a doula support all the way through delivery? How does a midwife?

Doulas and midwives serve reasonably distinct functions throughout start — and have diverse levels of training. The change between a doula and a midwife can in fact, from time to time, be somewhat stark, however they both work to aid you've got a much better, healthier start journey. One manages a mother’s power, and ensures she’s focused handiest on her birth. The different is all about really beginning. The doula and the midwife each and every have their own particular usefulness, in addition to their personal set of considerations about cost. The breadth of suggestions may also be, every now and then, somewhat overwhelming.

So what in case you recognize? here, with advice from Dr. Kecia Gaither, a boss, MPH, FACOG and Director of Perinatal functions and Maternal Fetal medicine, NYC fitness+Hospitals, at Lincoln medical and mental fitness middle within the Bronx, big apple metropolis, is what to grasp concerning the difference between a doula and midwife.

okay. So, What’s the change Between a Doula And a Midwife?

Midwives are medically certified authorities with masters levels in midwifery and a license in the course of the American Midwifery Certification Board, who lead certification standards in midwifery and is the country wide certifying physique for midwives. they're identified as fitness practitioners in some states but no longer others. Regardless, their certification is national, which means that if a midwife can follow in a single state that recognizes them, they could observe in the others. 

There are a number of various kinds of midwives: licensed-nurse midwives (CNMS), certified Midwives, and authorized professional Midwives. certified-nurse midwives are registered nurses that additionally acquired an accepted training in midwifery, can apply in all 50 states, and handed a country wide exam. certified Midwives are non-nurses who can’t apply in every state however have a bachelor’s degree or greater in a health container and have completed a midwifery education software and the country wide examination. As for licensed professional Midwives? These are not nurses, however they have training and medical experience in childbirth, and have handed a country wide exam. 

Doulas, then again, are hired to provide assist within the delivery room, even if that’s a health facility or scientific middle. they are educated specialists who supply actual, emotional, and educational assist earlier than and right through childbirth. as an alternative of a master’s degree or accepted degree in midwifery, doulas need about seven to 12 hours of childbirth training, 16 hours of delivery doula training, and need to attend any place from two to five births. American doulas are most frequently certified via Doulas of North the usa (DONA), some of the greatest certification corporations, which additionally provides practicing for doulas-to-be. 

The reality is that these with low-chance pregnancies who need to provide beginning at domestic or a start middle can do so with the assist of a midwife on my own, and never a physician; doulas, meanwhile, suggest for and help sufferers but can’t support a person supply start on their personal. 

should you have a low-chance pregnancy, hiring a midwife to supervise your prenatal care and subsequent birth is completely exceptional, Dr. Gaither notes. however, whereas Midwives are medically certified, they don’t have the clinical working towards to operate operative births or c-sections. should anything go sideways in a delivery, says Gaither, being near a physician or a physician could make the entire difference. 

What features Does a Midwife give?

Midwives frequently operate out of start facilities, and thru start centers, folks can entry a whole suite of holistic care services. Midwives, who support women with low-chance pregnancies through labor, birth and after start — they could convey the babies at birthing facilities or at home, and hospitals. they could also provide family planning, preconception care, function prenatal checks, help with a diet and endeavor plans, offer guidance about your pregnancy, childbirth and the way to take care of your new child, support carry your child, and provide referrals to medical doctors in case you require outdoor help.  

What functions Does a Doula supply?

The note doula is a Greek word that literally capability “women’s servant.” real to that identify, a doula helps supply emotional and physical support to moms who are expecting, about to provide delivery, or have given birth. the connection between a doula and a brand new mother most commonly begins smartly earlier than it’s time to provide delivery. Doulas frequently function advisors to new moms, reachable with the aid of mobile or appointment to assist explain complicated clinical language. right through start, they could deliver massages, leisure thoughts, and guide the mom via diverse positions in labor. Postpartum doulas can additionally help mothers transition into being mothers, offering advice on their physical and hormonal changes, in addition to teach mothers on what to expect with their new little ones.

Can a Doula bring a baby? Can a Midwife?

A doula cannot bring a baby. They can not change the position of a doctor or a midwife or a nurse. youngsters, they do provide emotional and informational assist for laboring mothers. 

Midwives, youngsters, can bring infants, but they can’t deliver c-sections or other surgical procedure-adjacent processes within the birthing technique. Many midwives operate out of birthing facilities, where they're the basic care providers. Others do work in hospitals alongside OBGYNs. 

Are Doulas Healthcare Practitioners?

No. Doulas are affected person advocates, now not scientific experts. They offer a advantageous help system in the delivery room. That being stated, they don’t have the practicing to bring a baby through themselves or made your medical selections for you. What they can do is train you on what could occur in the start room and confirm that your delivery goes as close to how you desired it to as viable. They’ll go get the ice chips, they’ll elevate vomit luggage, and they’ll aid you breathe in the beginning room. They regularly show themselves on the chain of command in your clinic, and that may come in useful. as an example, if you’re upset by what number of scientific interns are jogging in and out of your beginning room, your doula can discuss with your nurse or nurse supervisor to ensure that the room has as little traffic as viable. 

“A doula is a teach. Nothing greater than a coach,” says Dr. Gaither. “they're there to present support — nothing extra.” 

That doesn’t imply they’re any much less constructive than a midwife. if you happen to have a low-risk pregnancy, be a single dad or mum, or a young person, Dr. Gaither stresses, doulas are excellent to have in the room to suggest to medical doctors about needs, clarify what’s happening, and supply emotional assist. however that’s authentic even for fogeys now not having low-chance pregnancies or if a better half is in the room. 

Are Doulas lined by means of assurance? Are Midwives?

As midwives are medically knowledgeable gurus, they are sometimes lined via assurance. but with doulas, it can be of venture. parents often shoulder out-of-pocket expenses to employ their doula for what they see as an essential carrier. 

while there's, of route, all the time first-class print, midwives are coated throughout the low-priced Care Act and private insurers, but simplest if you supply start in a birthing middle or at a health facility — now not in case you’re doing a home birth. Doulas, nonetheless, notwithstanding they in fact help mothers, are generally not covered by way of coverage, besides the fact that children that one examine found that moms with doulas had been four instances less more likely to have a low beginning weight child, two times less prone to experience delivery complications, and far extra prone to initiate breastfeeding. 

but still, insurance groups often received’t reimburse fogeys who appoint a doula and won’t say up front in the event that they will or received’t cover the doula in the first region, so folks can also be caught with surprise billing. doing your financial analysis — and being prepared to cowl any charges when you wish to appoint a doula — is deeply crucial. 

How a good deal Does a Doula charge? How a good deal Does a Midwife charge?

Per above, midwives are coated by way of most insurance coverage. That being spoke of, while a midwife continually expenses about $2,000, most of those costs end up being coated via assurance. The prices associated with midwives usually cowl prenatal visits, the act of giving beginning itself, and postnatal care. 

Doulas can charge any place from $150 to basically $three,000, a pay that’s always commensurate with the doula’s adventure, even if or no longer the doula is thru a private observe, and no matter if or not they settle for a fee plan or sliding scale functions. due to the fact doulas are not lined with the aid of assurance, these fees are usually paid for out of pocket.

will they Use both a Doula and a Midwife?

sure. Dr. Gaither stresses that many folks don’t ought to opt for only one or the other. they could, whereas a pricey proposition, have both a doula and a midwife in their health center room alongside their OBGYN, Dr. Gaither says.

“I’ve worked with patients doing both of those, and it’s excellent,” she says. “If some thing goes gruesome, which you can at all times run down the hall and do anything needs to be done. I believe each of them are exquisite.” 

linked Articles:

The publish What’s the change Between a Doula and Midwife? appeared first on Fatherly.


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GAQM [12 Certification Exam(s) ]
Genesys [4 Certification Exam(s) ]
GIAC [17 Certification Exam(s) ]
Google [14 Certification Exam(s) ]
GuidanceSoftware [2 Certification Exam(s) ]
H3C [1 Certification Exam(s) ]
HDI [9 Certification Exam(s) ]
Healthcare [3 Certification Exam(s) ]
HIPAA [2 Certification Exam(s) ]
Hitachi [30 Certification Exam(s) ]
Hortonworks [5 Certification Exam(s) ]
Hospitality [2 Certification Exam(s) ]
HP [771 Certification Exam(s) ]
HR [4 Certification Exam(s) ]
HRCI [1 Certification Exam(s) ]
Huawei [34 Certification Exam(s) ]
Hyperion [10 Certification Exam(s) ]
IAAP [1 Certification Exam(s) ]
IAHCSMM [1 Certification Exam(s) ]
IBM [1547 Certification Exam(s) ]
IBQH [1 Certification Exam(s) ]
ICAI [1 Certification Exam(s) ]
ICDL [6 Certification Exam(s) ]
IELTS [1 Certification Exam(s) ]
IFPUG [1 Certification Exam(s) ]
IIA [3 Certification Exam(s) ]
IIBA [2 Certification Exam(s) ]
IISFA [1 Certification Exam(s) ]
Intel [2 Certification Exam(s) ]
IQN [1 Certification Exam(s) ]
IRS [1 Certification Exam(s) ]
ISA [1 Certification Exam(s) ]
ISACA [5 Certification Exam(s) ]
ISC2 [7 Certification Exam(s) ]
ISEB [25 Certification Exam(s) ]
Isilon [4 Certification Exam(s) ]
ISM [6 Certification Exam(s) ]
iSQI [9 Certification Exam(s) ]
ITEC [1 Certification Exam(s) ]
ITIL [1 Certification Exam(s) ]
Juniper [68 Certification Exam(s) ]
LEED [1 Certification Exam(s) ]
Legato [5 Certification Exam(s) ]
Liferay [1 Certification Exam(s) ]
Linux-Foundation [1 Certification Exam(s) ]
Logical-Operations [1 Certification Exam(s) ]
Lotus [66 Certification Exam(s) ]
LPI [25 Certification Exam(s) ]
LSI [3 Certification Exam(s) ]
Magento [3 Certification Exam(s) ]
Maintenance [1 Certification Exam(s) ]
McAfee [9 Certification Exam(s) ]
McData [3 Certification Exam(s) ]
Medical [70 Certification Exam(s) ]
Microsoft [413 Certification Exam(s) ]
Mile2 [3 Certification Exam(s) ]
Military [1 Certification Exam(s) ]
Misc [2 Certification Exam(s) ]
Motorola [7 Certification Exam(s) ]
MuleSoft [1 Certification Exam(s) ]
mySQL [4 Certification Exam(s) ]
NBSTSA [1 Certification Exam(s) ]
NCEES [2 Certification Exam(s) ]
NCIDQ [1 Certification Exam(s) ]
NCLEX [3 Certification Exam(s) ]
Network-General [12 Certification Exam(s) ]
NetworkAppliance [42 Certification Exam(s) ]
NetworkAppliances [1 Certification Exam(s) ]
NI [1 Certification Exam(s) ]
NIELIT [1 Certification Exam(s) ]
Nokia [8 Certification Exam(s) ]
Nortel [130 Certification Exam(s) ]
Novell [38 Certification Exam(s) ]
OMG [10 Certification Exam(s) ]
Oracle [317 Certification Exam(s) ]
P&C [2 Certification Exam(s) ]
Palo-Alto [6 Certification Exam(s) ]
PARCC [1 Certification Exam(s) ]
PayPal [1 Certification Exam(s) ]
PCI-Security [1 Certification Exam(s) ]
Pegasystems [19 Certification Exam(s) ]
PEOPLECERT [4 Certification Exam(s) ]
PMI [16 Certification Exam(s) ]
Polycom [2 Certification Exam(s) ]
PostgreSQL-CE [1 Certification Exam(s) ]
Prince2 [7 Certification Exam(s) ]
PRMIA [2 Certification Exam(s) ]
PsychCorp [1 Certification Exam(s) ]
PTCB [2 Certification Exam(s) ]
QAI [1 Certification Exam(s) ]
Qlik [2 Certification Exam(s) ]
QlikView [2 Certification Exam(s) ]
Quality-Assurance [6 Certification Exam(s) ]
RACC [1 Certification Exam(s) ]
Real-Estate [2 Certification Exam(s) ]
RedHat [8 Certification Exam(s) ]
RES [5 Certification Exam(s) ]
Riverbed [9 Certification Exam(s) ]
RSA [16 Certification Exam(s) ]
Sair [8 Certification Exam(s) ]
Salesforce [13 Certification Exam(s) ]
SANS [2 Certification Exam(s) ]
SAP [98 Certification Exam(s) ]
SASInstitute [15 Certification Exam(s) ]
SAT [2 Certification Exam(s) ]
SCO [10 Certification Exam(s) ]
SCP [6 Certification Exam(s) ]
SDI [3 Certification Exam(s) ]
See-Beyond [1 Certification Exam(s) ]
ServiceNow [1 Certification Exam(s) ]
Siemens [1 Certification Exam(s) ]
Snia [7 Certification Exam(s) ]
SOA [15 Certification Exam(s) ]
Social-Work-Board [4 Certification Exam(s) ]
Splunk [3 Certification Exam(s) ]
SpringSource [1 Certification Exam(s) ]
SUN [63 Certification Exam(s) ]
SUSE [1 Certification Exam(s) ]
Sybase [17 Certification Exam(s) ]
Symantec [137 Certification Exam(s) ]
Teacher-Certification [4 Certification Exam(s) ]
The-Open-Group [8 Certification Exam(s) ]
TIA [3 Certification Exam(s) ]
Tibco [18 Certification Exam(s) ]
Trainers [3 Certification Exam(s) ]
Trend [1 Certification Exam(s) ]
TruSecure [1 Certification Exam(s) ]
USMLE [1 Certification Exam(s) ]
VCE [7 Certification Exam(s) ]
Veeam [2 Certification Exam(s) ]
Veritas [34 Certification Exam(s) ]
Vmware [76 Certification Exam(s) ]
Watchguard [1 Certification Exam(s) ]
Wonderlic [2 Certification Exam(s) ]
Worldatwork [3 Certification Exam(s) ]
XML-Master [3 Certification Exam(s) ]
Zend [6 Certification Exam(s) ]

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