RCFE Emergency Procedures 2 — Questions and Answers
Question 1: During a facility evacuation, a resident with dementia refuses to leave their room. What is the BEST action?
- Leave the resident and evacuate others first
- Use calm redirection and gentle physical guidance to move the resident (Correct answer)
- Sedate the resident to make evacuation easier
- Lock the resident's door and notify authorities
Correct answer: Use calm redirection and gentle physical guidance to move the resident
Staff should use calm verbal redirection and gentle guidance to assist cognitively impaired residents who resist evacuation.
Question 2: An RCFE's emergency generator fails during a power outage. What is the FIRST priority?
- Call the utility company to restore power
- Assess residents dependent on electric medical equipment (Correct answer)
- Document the outage in the facility log
- Notify the licensing agency immediately
Correct answer: Assess residents dependent on electric medical equipment
Residents relying on electric-powered medical devices (oxygen concentrators, feeding pumps) face immediate life safety risks and must be assessed first.
Question 3: Which document must be readily accessible to emergency responders arriving at an RCFE?
- Resident personal financial records
- Staff performance evaluations
- Resident roster with medical information and emergency contacts (Correct answer)
- Facility lease agreement
Correct answer: Resident roster with medical information and emergency contacts
A current resident roster including medical needs and emergency contacts must be available to first responders to ensure appropriate care.
Question 4: A wildfire is approaching the RCFE. The facility has received a voluntary evacuation advisory. What should the administrator do?
- Wait for a mandatory order before taking action
- Begin evacuation preparations and contact receiving facilities immediately (Correct answer)
- Notify residents' families and wait for their instructions
- Continue normal operations until the fire is confirmed closer
Correct answer: Begin evacuation preparations and contact receiving facilities immediately
A voluntary advisory warrants immediate preparation because conditions can deteriorate rapidly, and transferring non-ambulatory residents takes significant time.
Question 5: What is the minimum frequency for conducting fire drills in an RCFE under California regulations?
- Once per year
- Once per quarter (Correct answer)
- Once per month
- Twice per year
Correct answer: Once per quarter
California Title 22 requires RCFE fire drills to be conducted at least quarterly (four times per year).
Question 6: A staff member discovers smoke coming from the kitchen. Which action sequence follows the RACE protocol correctly?
- Rescue, Alarm, Contain, Extinguish (Correct answer)
- Run, Alert, Call, Evacuate
- Report, Assess, Contain, Extinguish
- Remove, Announce, Contain, Extinguish
Correct answer: Rescue, Alarm, Contain, Extinguish
RACE stands for Rescue (remove residents in danger), Alarm (activate fire alarm), Contain (close doors), Extinguish (attempt with extinguisher if safe).
Question 7: During a medical emergency, a resident collapses and has no pulse. The administrator is present. What is the correct first action?
- Call the resident's family physician
- Activate the emergency response system and call 911
- Review the resident's Do Not Resuscitate (DNR) order before acting (Correct answer)
- Begin CPR immediately regardless of any advance directives
Correct answer: Review the resident's Do Not Resuscitate (DNR) order before acting
Staff must first check for a valid DNR or POLST order before initiating CPR, as honoring advance directives is a legal and ethical obligation.
RCFE Emergency Procedures 2
During a facility evacuation, a resident with dementia refuses to leave their room.
What is the BEST action?