Federal Nursing Home Administrator Practice Exam

In an emergency with no attending physician available, who makes decisions regarding the resident's care?

1. The attending physician

2. The family member

3. The healthcare team

4. The Administrator

The correct answer is: The Administrator

In an emergency situation where there is no attending physician available, the healthcare administrator typically assumes the responsibility for making decisions regarding the resident's care. This is grounded in the administrator's role, which includes overseeing the overall operation of the facility, ensuring compliance with regulations, and managing care delivery. In the absence of a physician, it is essential that a decision-maker is present to address immediate medical needs and take action that aligns with the facility's protocols and the resident's well-being. The administrator is knowledgeable about the policies of the facility and can coordinate with available medical staff and resources to make informed decisions quickly. While family members may be consulted, their involvement can vary based on the situation and the established policies of the nursing home. The healthcare team, which includes nurses and nurse practitioners, plays an important role in providing care, but ultimately, the chain of command typically designates the administrator as the person responsible for making critical decisions in emergencies. Thus, the administrator's role is pivotal in ensuring the continuity of care and the safety of residents during unforeseen circumstances.