Transportation
True or false: You do not have to obtain a for-hire endorsement to drive a bus for the agency and undergo training on the lift/strapping in a wheelchair.
FALSE
What is remuneration? What is it based on?
-Individuals that participate in a Facility-Base Day Hab Services will be eligible for a financial remuneration up to $1.00 each day they attend the facility.
-Remuneration is based on:
o (1) Your Attendance
o (2) Demonstration of Appropriate Interpersonal Skills
o (3) Participation (and) Successful Performance of your PCISP Objectives
If a Snow Emergency is issued and roads are closed in the county a C.A.R.S. Community Resource Location is located in...
The resource location will automatically be closed.
- C.A.R.S. will NOT use News Broadcasts, Radio or Facebook to post closings or delays.
-The decision whether to close or delay a Resource Location will be made by 7:00am - Typically try to do so before
True or false: You can pass medication without completing CORE A & B and all 5 supervised med passes with an agency nurse.
False - please don't do that
What clothing or footwear should you avoid wearing to work?
o Clothing that reveals a bare midriff
o Shirt with a plunging neck line
o Shorts, skirts and dresses that are higher than fingertip length
o Clothing with rips, tears and holes
o Clothing with writing and graphics that are offensive, vulgar or insulting
o Flip-flops type shoes that could become a trip or fall hazard.
True or false: Staff are required to do a walk around inspection of an agency vehicle before each trip.
True - this helps determine new damage, safe equipment, and overall adequate care of our agency vehicles. If we do not keep up on inspections - we do not receives more vehicles. We obtain our vehicles through grants, we have to document EVERYTHING.
If an individual is unhappy with their services, what can they file?
A Grievance - forms located in main hallway
If the day centers are closed for inclement weather, you may be required to...
-Report to a waiver home
-Report to a group home
-Complete Relias
-Use PTO time
What kind of medications require a double lock?
Controlled medications - narcotics, antipsychotics & seizure medication.
These should be locked within the med room in a LOCK BOX!
What drills & in-services are you required to complete? What forms do you need to complete? Where can you find the Drill Book?
-Fire Drill
-Tornado Drill
-Hostile Intruder Drill
-Bomb Threat Drill
-Power Outage Drill
-Earthquake Drill
-Medical Emergency Drill
-Vehicle Drills
Drill or In-Service Form and Attendance Form
PC's/PA's Office
How often are vehicle inspections submitted and how often are mileage sheets submitted?
Inspections due weekly
Mileage sheets due monthly
Are individual's allowed to smoke whenever they want?
Technically yes, but we do have a scheduled break times in place that we encourage individuals to follow as if they were in a place of employment.
Per the CARS Handbook updated recently:
All C.A.R.S. Community Resource Locations and agency vehicles are tobacco / smoke-free.
*Tobacco / Smoking use must be 8-feet away from the entrance of a building.*
-Tobacco products may include but is not limited to: o Tobacco cigarettes - Electronic cigarettes -Vapor cigarettes o Chewing tobacco - Cigars - Pipes
-While at the facility - - you are encouraged to be respectful of your peers that are non-smokers and use your tobacco product in the designated area.
-While in the community - - you are encouraged to be respectful of non-smokers and always follow no-smoking signs within the community.
What is our cell phone/electronic policy?
-You are encouraged to be respectful of staff and others while using your personal cell phone at C.A.R.S. and/or in the community.
-You are encouraged to follow cell phone etiquette at all times which may include but is
not limited to:
o Turn cell phone to silent / vibrate – especially in the community at locations
meant to be quiet such as library, museum, theatres, medical offices, etc.
o Obey cell phone rules that are posted within the community
o Keep cell phone calls short / Refrain from excessive phone calls and texting
o Do not scream while talking on a cell phone – speak in a lower-than-normal voice
o Do not use cell phone to take a picture/video of someone without their permission
o Sexting is not permitted at C.A.R.S. and/or in the community
*You will not be allowed to have access to C.A.R.S. Wi-Fi for your personal electronic device.
*Electronic devices may include but is not limited to:
o Tablet / Laptop - Music Playing Device
o Handheld Gaming Device - Gaming Device
o Cell Phone - Any other electronic device that requires Wi-Fi
*You are encouraged to be respectful of staff and others while using your electronic device at C.A.R.S. and/or in the community.
*You are encouraged to follow electronic device etiquette at all times which may include but is not limited to:
o Turn electronic device to silent – especially in the community at locations meant
to be quiet – library, museum, theatres, medical offices, etc.
o Refrain from excessive use during C.A.R.S. activities.
o Do not use electronic device to take a picture/video of someone without their
permission.
o Do not scream, get upset or angry while using your electronic device.
*We cannot restrict unless an HRC is filed - but we can encourage and remind of our rule. Phones can be out during break times, just as if it was a place of employment*
What window of time do you have to pass a medication before it becomes a med error? What do you need to do if discovering a med error?
1 hour before and 1 hour after
Notify your direct supervisor and complete Med Error/ Med Refusal Incident Report via Accel Trax. Depending on the numbers of occurrences for staff - staff may be suspended from passing meds and need to re-train in CORE A & B. Agency Nurse will determine and file - 3 occurrences will result in re-training.
Per the Employee Manual, are you allowed to post photos or individual's information on your personal social media accounts?
Absolutely not - you may share what is posted on the CARS Facebook page, but you cannot personally post.
The Employee Manual states....
-Employees are prohibited from posting comments, pictures and/or videos about clients, co-workers and/or CARS in general that are vulgar, obscene, threatening, intimidating, or harassing.
-Employees can be held liable for comments, pictures, videos deemed to be copyright infringement, defamatory, proprietary, slanderous, or obscene about clients, co-workers, and/or CARS in general.
-Employees can be held liable for comments, pictures, videos that violate privacy, confidentiality, and HIPPA laws for clients, co-workers and/or CARS in general.
Passengers and staff are expected to follow these guidelines...
o Seatbelts must be worn by everyone
o You are to follow your driver’s instructions at all times.
o You are to remain seated when the vehicle is moving.
o No eating, drinking, smoking or use of tobacco products while in the vehicle.
True or False: CARS has 9 different services to choose from within our agency for adults with disabilities.
True.
We offer the following:
DHG/DHI or Community Resource Services
Art Studios – Beyond ICAN (and) My Fabulous Self Program
BMG – Behavioral Management Services
PAC –Participant Assistance & Care Services
RSP – Respite Care Services:
RHS – Residential Habilitation & Support Services
SGL – Group Home Services
ES – Employment Services
Pre-ETS – Pre-Employment Transition Services
What is considered disruptive behavior? When does an incident report need to be filed?
-Disruptive behavior may include but is not limited to:
o Bullying, provoking, mocking and/or intimidating peers or staff members
o Demonstrating physical and/or verbal aggression to self, peers or staff members
o Swearing, screaming, name calling
o Throwing objects, damaging property
An IR should be filed is there is an act of physical aggression towards staff/peers, verbal threats are made to staff/peers, individual leaves with/without supervision, property destruction, or injury occurs.
What information should be labeled on an individual's medication?
Name of individual
Name of Ordering Physician
Name of medication
Date prescription was filled
Dosage
Expiration date
How often it should be taken
Cautionary instructions
What window of time is necessary for call-in procedure? What window of time is necessary for a time off request?
If you are going to be late- please let me know ASAP.
2 week window for time off requests - If there are a lot of requests of for that time period, your requests may be denied
Per the Employee Manual...
A consistent pattern of questionable absences can be considered excessive, and may be cause for concern. In addition, excessive lateness or leaving early without letting your supervisor know will be considered a "lateness pattern" and may carry the same weight as an absence. Other factors, like the degree and reason for the lateness, will be taken into consideration.
Your supervisor will make note of any absences or lateness, and their reasons, in your personnel file. Be aware that excessive absences, lateness or leaving early may lead to disciplinary action, including possible dismissal.
What is required on agency vehicle mileage sheets?
Date
Starting odometer reading
Ending odometer reading
Total Miles - use a calculator if needed, please do not quess
Start time
End time
Employee #
Total staff
Total clients
Total riders - the driver does not count in this #
Total clients over the age of 60 years old - if the vehicle does not have a "Over 60 List" please let PC/PA know and we will make sure it gets put in there
Staff initials
Failure to complete mileage sheet documentation consistently can result in a disciplinary action for performance
What are some of the Individual Rights listed within the CARS Handbook as our consumers and US citizens?
The Right to Choose
The Right to Worship
The Right to Speak Freely
The Right to Personal Liberty
The Right to Informed Consent
The Right to Adequate Treatment
The Right to have Government Assistance
The Right to be Free from Humiliation and Retaliation
The Right to Refuse Treatment
The Right to Manage your Own Funds
The Right to your Personal Information
The Right to Participate in Additional Programs
The Right to an Individual Plan for your Services
The Right to Advance Notice Prior to Transferring Out of C.A.R.S. services
The Right to Share a Room with your Spouse
The Right to Dress in your Own Clothing Each Day
The Right to have the Means to Send and Receive Unopened Mail
The Right to Retain and Use Appropriate Personal Possessions and Clothing
The Right to Personal Privacy and Privacy During Treatment and Personal Care
The Right to Participate in Social, Religious and Community Group Activities
The Right to Communicate, Associate & Meet Privately with Other People of Your Choosing
The Right to Access Telephone Services in Private for Incoming / Outgoing – Local / Long Distance Calls
Does CARS allow staff or individuals to borrow, lend, or gift to one another?
No. Per the CARS Handbook...
-You are encouraged not to borrow money or items from your peers or staff.
-You are also encouraged not to lend money or items to your peers or staff.
-Items may include but is not limited to:
o Money / DVD / CD / Clothing / Jewelry / Personal items
o Electronic devices (Cell phone / Tablets / Gaming devices / etc.)
-Due to various allergies, medical conditions, prescriptions, diet restrictions, choking issues, etc. – sharing food, drinks and/or tobacco products with your peers is not allowed at C.A.R.S.
Scenario: An individual comes in with a bottle of medication that is labeled "Risperidone" with the dosage 1 mg by mouth at lunchtime. The bottle has the individual's name on it, but the date prescribed on it is 2 years old and the expiration date is a year old. The description of the pill on the bottle reads "Circle - White". However, when you open the bottle, you observe oval shaped pills that are blue in color. Do you pass the medication? What is wrong with this scenario and what do you do?
DO NOT PASS THE MEDICATION
The bottle is not labeled correctly - the date the prescription was filled and expiration date is outdated. We have to have an updated bottle and prescription for all medications.
The appearance of the pill as labeled on the bottle is not the same as the pill inside the bottle - you do not know what that medication is. You cannot pass a medication that does not match the bottle.
If this happens, contact your PC or PA and they will contact the individuals family, guardian or residential provider to get the situation worked out.
Per the Employee Manual, why or when may you be terminated from CARS?
As stated in the Employee Manual...
CARS will consider you to have terminated your employment if you do any of the following:
1. Resign from CARS
2. Fail to return from an approved leave of absence on the date specified
3. Fail to report to work or call in for three (3) or more consecutive workdays without documentation
You may be terminated for poor performance, misconduct, excessive absences, tardiness, discrimination, harassment, or other violations of CARS policies. However, your employment is at-will, and you and CARS have the right to terminate your employment for any or no reason.