Medications
Is it okay to mix liquid medications together?
NO NEVER
Mixing liquid medications can alter the medications, even though they both go to the same place they react differently once they enter the body!
How long can food be sitting on the counter prior to serving?
10 minutes
COLD FOOD STAYS COLD/ HOT FOOD STAYS HOT
RJ is hanging on you/touching you what do you do?
Remind him no touching and that he will lose his punch for McDonald's and encourage to shake hands
If continues after one verbal prompt he will lose his McDonald's punch for that interval
Staff are to assist MO with calling his sister once weekly?
TRUE OR FALSE
TRUE
MO will call his sister on Wednesdays in assignment book (TLOG THAT HE DID)
How should supper be served to the PWS?
Family Style-Each food item goes around the table starting at one end
(Pre-Cut food before placing in serving bowl so staff don't do it at the table)
Steps for nasal spray administration
1. Counter Sanitized
2. Hands Washed/apply gloves/PWS open cupboard
3. PWS grab their medication/MAR checks
4. Have PWS blow nose prior, if staff touches dirty kleenex staff have to rewash hands and put on new gloves
5. Count to three then instill medication
6. Remind PWS not to blow nose for a few minutes, dab any excess drainage below nose with kleenex
7. Sign off on MAR/PWS lock cupboards
It's okay to wear gloves throughout the house and carry dirty towels.
NO
place dirty linen/towels in a plastic bag or place in the bins in the bathrooms if unable to transfer to laundry room
GLOVES SHOULD NEVER BE WORN OUT IN THE COMMON AREAS
JS is upset and is flinging his arms and telling staff to shut up?
What should staff do?
Staff are to request that he puts his hands down, and that they will talk with him when he is calm. Staff will then step away from him or engage in another activity.
Multiple staff talking with him will increase his agitation more
Which two people are staff to monitor for seizure like activity?
MO
NS
Who can be offered seconds at supper?
AF
What are the steps for administering JM's Inhaler? Very first step to finish
1. Sanitize Counter/Wash Hands
2. JM unlock cabinet
3. JM grabs inhaler, staff does 1st Mar Check
4. Shake Inhaler
5. Ask JM what his inhaler is for- 2nd MAR Check
6. Before administering check MAR 3rd time-HOH hold inhaler with JM, having him take a deep breath before instillation
7. Staff/JM push down on inhaler for release, count to 10 holding breath
8. Offer drink of water
9. Have JM cleanse mouth piece with alcohol wipe
10. Have JM place inhaler back away and sign of on MAR, Lock Up
When do you wear gloves when preparing supper with PWS?
Anytime you are in direct contact with food
ie. Cutting up watermelon, meat, or taking meat out of the package
What are calming techniques for MO to help elevate his level 2 and 3 behaviors
deep breathing, snack, music, hand/arm massage, going for a walk, stay out of crowded areas, offer his stuff animals/papers, rocking chair and go on a van ride
Have a staff that MO clicks with work with him
Use sign language/gestures to help communicate his needs
Who should staff utilize universal precautions with when assisting with wound cares. Due to having a Hx of VERSA?
JM
What do staff do if they use broccoli instead of green beans that were listed on the menu?
Fill out the menu substitution form
Make sure you are substituting food in the same food group
NS's chin quivers, he's shaking and he goes limp having one of his "seizure" like episodes what steps need to be done?
What happens after both doses of Diazepam are given and he still is having episodes?
After 5 minutes of "seizure" activity staff are to administer PRN Diazepam
Have him lie down/reclined on recliner (Try not to offer him to much attention sometimes makes worse)
If continues administer another dose of Diazepam 30 minutes later
If NS is still having episodes after both PRN doses are administered you are to just keep a eye on NS and guarantee he is still responding and doing semi-purposeful movements during/after event.
ONLY call 911 or transport to ER if he becomes unresponsive or injures himself.
FILL OUT SEIZURE REPORT ON THERAP
Where are our spare flash lights kept?
In the office in the bottom drawer under medication cabinet
AF has hit himself in the head. What steps should you do to help alleviate AF's behavior prior to placing him in the helmet after the third SIB.
-Redirect/Block
-Offer him drinks, snacks ask yourself is he in pain or need freshening?
- Try Calming Techniqes
(Take a walk, hand massages, sensory items, aromatherapy...)
Do these prior to placing him in helmet or any first signs of him becoming agitated.. There is to much staff just counting his hits saying AF there's two.. there's three okay helmet! You need to at least try to alleviate his agitation.
Who has a ADA, high-protein diet and is very important to follow his dietary meal plans?
JS
RJ has his hands down his pants on the couch what do you do?
Discreetly ask RJ to take his hands out and remind him that it isn't appropriate
Ask him to come with you to wash his hands, if refuses offer Isagel
What steps do staff take if they notice a medication doesn't match the MAR?
Staff are to contact nursing if unable to contact nursing call pharmacy
NEVER GIVE A MEDICATION IF LABELS DON'T MATCH
What must be on the PWS when they are out in common areas?
Shoes or slippers with rubber sole
SOCKS DO NOT COUNT
JM touches RJ on the shoulder.... 5 minutes later he does it again. What are steps staff should be taking?
First time staff are to remind JM to shake hands instead...After first reminder and JM still continues to touch RJ on the shoulder JM will be placed on 24-hr restriction
Who has Hyponatremia tendencies?
Hyponatremia refers to a low level of sodium in the blood
What does this person get a meal times?
SL
Extra salt at meal times and Gatorade after supper
What two sets of keys should med staff carry on them at all times?
Fire Key
Medication Cupboard Keys