On Call
How do you call out from your shift?
Check Sling and look for coverage. Call (NOT TEXT) 1st On Call. You are responsible for finding coverage for your own shift.
If you need help finding coverage, we can provide you a list of people to call.
Is Alex being assisted properly?
No. Alex must have staff walking with him at all times he is mobile, and should use proper handling skills with an open palm.
When erroring out a mistake on a DSL, what are the 3 things you need to add?
Your initial, the date, and the word “error”, legibly
Chewan is ready for bed. Staff asks him if he is going to get undressed. He does not respond. Staff says, “Chewan, let’s take your shirt off,” and partly pulls his shirt up. Chewan finishes the job and removes it.
Which prompt was Chewan’s shirt program ran at?
Partial Physical
You are moving Robin from her chair to his bed using her Hoyer. She is upright and has her seat belt and chest strap on. What is the first thing you do before starting the transfer?
Tip her chair back! Gravity is your friend.
During 8a-4p, who do you call for concerns?
Your personal manager, or the staff who is causing the concern’s manager, not On Call
Jasper is cycling through many behaviors. He has found several cups and has been redirected from throwing them over the fence. He is also showing signs of frustration, by groaning and slapping his forehead. He seems stressed and unable to relax. What 3 things would you do as staff to help him?
Keep him safe and try to keep him away from any triggers.
Assist Jasper with his anxiety prn.
Offer a different activity, like a walk or drive to the park to cool down.
How do you sign for a PRN in the MARS?
Initial PRN, turn to the back. Add the medication name and dosage. State the reasoning for giving the PRN. Add date and time given.
Add results later in the shift (with date and time). Inform on coming staff if they need to add results if this occurs after your shift.
Doris has fallen asleep at the table. She has a stain on her shirt from her strawberry milkshake. When Doris wakes up, staff says, “Doris, I see you spilled something on your nice shirt.” Doris notices as well and asks for you to help her find her favorite shirt to change into.
What prompt was Doris’ stained shirt program ran at?
Indirect Verbal
You are moving Tom in his sit to stand from his chair to the recliner. He is positioned properly in the sling and is standing solidly. You push him over his recliner, and he is now ready to be lowered. What is the next step?
Put on his brakes! The sit to stand could move the wrong way if not secured.
If 1st On Call doesn’t answer, what is the proper protocol?
Wait 15 minutes and try again. If you have made 2 phone calls go up the chain (2nd On Call).
Dylan is upset. He is clearly wet and needing changed, but he does not want to stop watching his show. Dylan is yelling and thrashing on the floor. How would you best support Dylan?
Keep Dylan safe. Try to keep him from hurting himself on anything jagged, by utilizing pillows/safety equipment.
Explain to Dylan that you need to change him so he is clean but allow him a minute to cool down and finish whatever he is watching.
Try again in 15 mins after he is calm.
How often do you need to check incontinent participants? Where in the books would this be documented?
Every 2 hours. It is documented in the hourly logs section of the book.
Staff is assisting Rick with his medication. After Rick pops the bubble and helps push the meds out onto the med tray, he points at his Baclofen.
What prompt was Rick’s medication program ran at?
Independent
What do the different colored hooks on slings do to the participant’s positioning?
Hooks closer to the chair allow for a seated position. Hooks further away from the chair allow for a “laying” position.
Who do you call if there is a life-threatening emergency (911)?
4th On Call, after addressing the emergency
Matthew is very agitated. He is irritable at most comments given and doesn’t seem like he feels very well. You check his Dexcom and see it is reading high. How do you support Matthew?
Be patient with Matthew, and understand his perspective/feelings.
Encourage Matthew to drink water.
Try to find a way to get Matthew to do some exercise. Play some Just Dance on the Wii or start playing some fun music.
When participants check out, what needs to be documented?
Who they went with, what time they left, the date, staff initials and participant signature.
Caleb is very upset and showing signs of anxiety while in his chair. What are the items on his comfort list?
Checking to see if he is wet, having a snack/drink, listening to country music, watching his favorite shows, offering a PRN for pain.
Chewan is about to be transferred into his chair from his shower. Is he ready for a safe transfer?
No, he needs his braces on for support.
You come on shift and notice that the previous staff did not take out the trash from their shift. This has happened multiple times and you’re growing frustrated. Do you call 1st On Call?
No. provided safety isn’t sacrificed, you should report this to their manager during manager hours.
Doris has had an emotional morning. She is constantly asking when she is able to visit her mother in heaven. She also seems obsessive about painting the house jade and will not take redirection. How would you support Doris?
Validate her emotions but limit discussion as much as possible. Remain positive with answers.
See if Doris is able to have her PRN if she shows enough signs of stress.
Keep some distance between yourself, her and Kathleen for safety. Remind Doris she is doing well at being safe.
You are the staff working on shift when you see this in the participant’s tracking. What protocol needs to be followed?
Report to thread and help assist with constipation med, like MOM.
Linda has $20 of personal spending money. She really needs some new socks as hers have gotten worn, but she really has been wanting to order Chinese food for dinner with her money.
How would you help Linda run her SODAs program?
Explain the disadvantages of not being able to afford the new socks. Remind her that she likely will go out soon with family for lunch, so she could still have a good meal later in the week and still get her socks. Allow Linda the independence to make her own assessment of the situation.
You are about to move a participant using a Hoyer from their bed to their chair. Where do you have the participant’s head positioned on the sling?
The participant’s head should be positioned at the top of the sling, as high as comfortable to allow them to be comfortably moved.
If you go too low, you could obstruct the airway of the person because their head is not elevated enough.