VA
Consent must be...
informed - VA must understand what they are agreeing to
voluntary - no pressure, fear, or coercion
What is the facility with the highest level of care?
private hospital
True or False:
Investigators should keep an investigation open until the risk is fully resolved?
false
How soon must initial SAP be submitted?
within 6 days
How can you commence a case?
1. Backgrounds & Priors
2. Reporter Contact
3. Collateral Contact
4. Initial on-site attempt
True or False:
You should always presume capacity at the being of a case?
True
always starting with capacity, removes chance of negative mindframe
What are some items you should request at a facility? (@ least 3)
Face sheet, MARs, RN records, PT records, bed/turn records
True or False:
The hotline will not accept a report of death due to self-neglect.
true
If case comes in with death, how soon must you notify RN?
If VA dies in open investigation, how soon must you notify RN?
24 hours
48 hours
True or False
Short-Term disability qualifies an individual to be a VA
False
Long-Term disability only
What are some automatic qualifications for a VA?
18 Years or older
Qualifying impairment/condition
Functional Impact
Sally, a nursing home resident that needs constant supervision, was left alone in the bathroom by a CNA. When the CNA returns, they call Sally names & hit her while she's down resulting in a bruise. The CNA then gives Sally extra medication to keep her quiet about the incident.
What type of maltreatment is this? What will it say on intake?
Neglect: Inadequate supervision & Medical Neglect- excessive drugs given
Abuse: Physical injury - bruising & mental injury - harassment, belittlement, ridicule
What are the 2 types of VAINs intakes/referrals?
Self-Neglect
Caregiver Unavailable
What is the timeframe for follow-up checks with VA?
Every 15 days before case closure
SAP must be updated when...
1. there is a change in capacity
2. there is a change in services
3. new allegation/subjects
4. risk change
What are something that can cause capacity to change? (@ least 3)
1. medication
2. medical conditions
3. emotional state
4. substance use
5. time
Sally, nursing home resident needing constant supervision, was left alone in the bathroom by a CNA. During this time, Sally fell and fractured her hip. Case came in as Inadequate supervision.
If this case is substantiated, who must by notified?
ACHA
LTCOP
DOH/MQA
LE
State Attorney
Who receives a NOS? NOC?
VA with capacity = NOS & NOC
caregiver/guardian =NOS & NOC
AP = NOS
Facility = NOS & NOS
How long does a supervisor take to review SAP?
72 hours
What is the difference of Safety & Risk?
Give an example of both
safety- right now
risk- what could happen
What are the relationship criteria for Abuse? Neglect? Explotation?
Abuse = caregiver, relative, household member
neglect = caregiver
exploitation = someone that should have known and someone in trust & confidence
What 2 statements need to be include in background & prior tab for facility cases?
Internal system priors (Prior APS history)
AHCA licensure history (licensure violations reviewed)
What are the risk levels & explain them?
no risk - no VA, dead, no jurisdiction
low - situation stabilized
intermediate- ongoing concerns
high - severe, ongoing harm
How soon must you complete F2F with VA?
How many attempts must be made within the initial time frame?
How many attempts if you still cannot find VA?
Who must be notified?
within 24 hours
2 attempts 2 hours apart
1 every day until notified
Supervisor and Program Administrator
What are the different types of evidence? (@ least 2)
1. Direct - information that directly states or shows what occurred
2. Circumstantial - facts or patterns that support a reasonable inference
3. Expert - professional opinions, medical assessments, or specialized findings
4. Demonstrative Evidence - visual or illustrative evidence that supports other evidence