What are the steps to help Ellis deescalate when he is yelling, cursing and slamming doors?
Offer water
Give space to vent
Offer phone to speak into and vent
How often and when do we complete Person we support COVID monitoring checklist?
Daily in the evening shift.
True or False
------------------------------------
Its okay to text the supervisor that you can't make it to work for your shift.
False
How do we support the individuals at Rose Lane with maintaining connections with the natural support system/families?
Phone calls
Facetime
Home visits
How often should you check your email?
Daily
How do you respond to Laura when she is hitting self on face?
If Laura is hitting herself staff should provide verbal redirection and focus her attention to the task at hand. For example: "Laura, what are you coloring? Show me your work." "Laura, how is your dinner?" If cognitive distraction does not work then staff should say "Laura, put your hands down and focus on what you are doing." If She is not responding staff should use SCIP-R Touch grasp to prevent injury to self.
What do you bring with you for an urgent care or ER visit?
Where do you find it?
Emergency to go packets. Located underneath the TV in the living room cabinet.
Make a copy of current MAR.
If a family member calls and is upset about something you don't know the answer to, what do you do?
Tell them that you will do your best to find the answer and the SUP, BIS or RN will call back with the information.
what are some proactive things we can do to help Jonathan have a good transition?
Ensure his tablet is charged and available for him.
In summer keep air conditioner on in his room
What are the steps for withdrawing money from petty cash or personal money?
1. Make sure there is thorough documentation- date, reason and amount
2. Bring back receipts for all purchases - ensure receipt has staff person name and if it is personal money it should have the person's initials.
Name some proactive interventions in Conrad's Behavior Plan.
1. Throughout the day staff should meet with Conrad and provide him individualized attention in order for him to talk to you about his interest
2. Conrad is aware of his limitations when he compares himself to peers that are more capable. Staff should promote self management and independence.
3.Staff should offer and engage Conrad in activities of interest. Conrad likes to listen to gospel music on the tablet or computer.
Who has thicken liquid consistency?
Bobby
Barbara
What is the process to request one week of time off?
1. Log into workday
2. Select days you are requesting off- select vacation time
3. A month notice is needed for 1 week off
Demonstrate how you make the sign for:
1. Help
2. Do not
See pictures in outcome book
What should you fill out each time after contacting a Nurse?
Bonus: Where do you file it?
Health Communication Note
Bonus One in nurse's mailbox and one in log book for the next 3 days
What is Conrad's PRN protocol for challenging behaviors?
PRN Protocol should be followed if Conrad is continuously hitting/slapping self or biting his hand and is not open to going to another area of the house and/or is not responding to verbal redirection and SCIP-R Touch has been ineffective.
Staff should contact the nurse after 5 minutes of the above-mentioned behavior to get approval to administer Chlorpromazine HCL 100mg oral tab 1 tab as prescribed for agitation and aggression.
Once notifying the nurse AMAP staff should bring the medication to Conrad and administer.
Describe how you would use the nursing call list if someone has a fever and you have already contacted the nurse on her cellphone and the nurse did not answer. It is 1pm on a weekday.
1. Call program nurse, if no answer leave a message.
2. Call program nurse at other residence that they work at.
3.Continue down the call list using cell phone and program phone numbers.
4.If nobody has called you back and 30 minutes is approaching contact the Director on call.
how do you use the administrative call list if you are running late?
1. Contact program supervisor
2. Call program Director
3. If you do not speak to a live person continue down the administrative call list.
True or False
---------------------------------------------
Cheryl is able to go to Dunkin Donuts even if she did not eat her dinner.
True
What is the 3 primary forms of communication between shifts?
1. Verbal communication
2. Log Book
3. Email
What are some early warning signs that indicate Mike is highly anxious and beginning to dysregulation?
perseverating on topics, withdrawing from conversation, ignoring staff questions and requests, putting his hand over his face with his thumb in his mouth, randomly moving and picking up objects, coarse neck tremors, placing his fist in his mouth and dropping his pants to his knees.
What are the 3 ways to avoid constipation?
Bonus- What is the definition of constipation?
1. Hydrate
2. Activity
3. High fiber diet (ex. vegetables)
Bonus- 3 or more days without a BM or less than 3 BM a week.
What is YAI's Cell phone policy?
Personal use of cell/smartphones (including calls, texts, emails, or internet) by staff while working with participants is prohibited as stated in the YAI/NIPD Professional Standards. Our number one concern is the safety of the individuals. Cell/smartphone use is considered a distraction from staff’s assigned responsibilities and could potentially lead to an unsafe situation. Use of any type of head set or ear piece is also prohibited while working with individuals.
How to establish a positive rapport with Conrad?
What should be included in the comments section in DA when billing for a service?
Give example for room cleaning outcome.
The Comments box is used to provide quality information related to the person’s response to the service. This is especially useful when completing monthly narratives. Remember to use person specific, objective and professional language. There may be specific information to consider including outlined in the METHOD section of the plan.