But Did You Document It?
Let’s not raise anybody's blood pressure by forgetting to put it in this section!
What is the Vital Signs section of Therap?
What is the Behavior Data?
*Note: Individuals with behavior data to complete daily: Sarah, Romeo, Mary, DeDe, Harry & Howie
The five rights of medication administration
What are the right individual, right medication, right dose, right route, and right time?
It's a RACE against time: the 4 actions you must take for fire safety.
What are Rescue, Alert, Contain and Evacuate?
This sea creature has three hearts and blue blood.
What is an Octopus?
DeDe hits her head while you are preparing to give her a shower. Where should this be documented?
What is the Behavior Data?
*Note: Individuals with behavior data to complete daily: Sarah, Romeo, Mary, DeDe, Harry & Howie
A pill has been popped out of the last row of a blister pack, and no overstock remains. What two steps must you take?
What are calling the pharmacy and completing a T-log?
"Whoa, stop right there! That mac and cheese isn’t grounded up for Sarah!” Only this qualified professional can evaluate and/or change an individual's food/liquid consistency.
Who is the Speech-Language Pathologist (SLP)?
"Au stole my watch!" is a panicked exclamation that secretly names this precious metal on the periodic table.
What is gold?
When nature calls, we document it! How often must BMs be recorded?
What is after every check & change, OR What is at least once per shift?
What must be verified at the end of a medication pass?
What are the MAR/eMAR, blister packs (signed and initialed), PRNs (if needed), and BM documentation (protocol)?
* Note:
If the AMAP passing medications receives a documentation/medication error, the AMAP responsible for verification will also receive a documentation error.
There is a 24-hour policy to sign off on documentation in the EMAR and controlled medication count sheet
You must initial and date the fire evacuation plan, site specific evacuation plan and this monthly.
What is the GPOP (General Plan of Protective Oversight)?
Seismologists said fans at a 2023 concert by this singer in Seattle shook the ground hard enough to cause a 2.3-magnitude earthquake
Who is Taylor Swift?
When it comes to skin/wound T-Log follow-ups, details matter! Name all six things that must be documented during each follow-up.
Location of the wound
Approximate size of the wound
Color of the wound
Drainage of the wound
Odor of the wound
Any change in the baseline color of the surrounding skin
The notifications made after discovering a bruise
What are Nurse on Call (or house nurse), Management, Family/Guardian & Case Manager?
What 2 things must you do when a medication is dropped, expired, or damaged?
What is destroying the medication with a witness present and completing the Destroyed Medication Form?
The tip you give when taking an individual out to get a haircut
What is 20%?
Just like our wonderful team here at Northgate, this historic European capital city 'wasn't built in a day.'
What is Rome?
All documentation that must be completed by the end of your shift?
What are goals, T-Logs/GERs as needed, behavior data, intake/elimination, and time tracking?
What should you do if you discover a medication error, such as a dose being given twice?
What is notifying the nurse immediately and completing the GER?
"Whoa! Who let you drive that wheelchair into the wall? Now there’s a small hole!” What should you submit to get it fixed?
What is a work order?
A shocking 1972 TV exposé of this Staten Island "State School" led to a landmark lawsuit, forever changing how New York protects and serves people with developmental disabilities.
What is Willowbrook?