Individual Plan of Protectoin
What is the goal of the IPOP?
To ensure the health and safety of the persons we support.
Who drives the development of the Staff Action Plan?
The person supported
Can we force a person to take their prescribed medication?
No!!!! The person has the right to refuse!
How many hours of support does our agency provide each day?
Providing around-the-clock care, this is the number of hours of support our agency offers each day. 24/7!
What is the definition of safeguards?
Safeguards are ways to prevent, manage and lessen risks for a supported person.
When does the initial staff action plan need to be completed by?
The initial Staff Action Plan must be in place no later than 60 days of the start of the individual’s habilitation service, or the Life Plan review date, whichever comes first (18-ADM-09R).
Who is responsible for training?
The RN trains the AMAPs as appropriate.
What is the definition of stay day?
A day (and occasionally two) in each work week selected in advance by a DSP in collaboration with an RM when the DSP is available to work one or two extra shifts to cover for another DSP who calls out of his/her scheduled shift due to an emergency.
What does Protective Oversight mean?
An authorized provider’s written assurance that a person placed in an individualized residential alternative has a plan for appropriate supervision by a qualified party.
How often should a Staff Action Plan be reviewed?
The Staff Action Plan is reviewed at least twice annually, and revised as frequently as necessary based upon the individual’s needs (the review and any modifications required is performed by the same team who developed the initial Staff Action Plan).
It is recommended that Staff Action Plan reviews occur at six-month intervals coordinated with the Life Plan review.
At least annually, one of the Staff Action Plan reviews is conducted at the time of the Life Plan meeting.
What are the 5 essential components of using a person centered approach to discuss medication?
1) what the medication is; 2) the physical form of the medication so they know what it looks like; how it is administered and the dosage; 3) the reason the medication was prescribed and the importance of following the prescription instructions; 4) the frequency of administration; 5) the duration of treatment, etc. Ask the person along the way if he/she/they have questions and be sure to let them know you welcome questions and respond to each in a manner they can understand.
Who is responsible for adherence to this policy?
Direct Support Professionals (DSPs), Residence Managers (RMs), Assistant Residence Managers (ARMs), Administrator on Call and Assistant Vice Presidents (AVPs) are responsible for implementation, oversight and compliance with this policy.
When is the initial IPOP done and how often should it be completed at minimum?
The initial IPOP should be completed within 30 days or as soon as possible
The IPOP must be reviewed at least twice annually as part of the Staff Action Plan review
If the supported person’s needs change such that a change is required in Section III Individual Safeguards/IPOP of the Life Plan, the RM must communicate this change to the Care Manager
When should the Staff Action Plan be forwarded to the care manager via secured email?
The Distribution Letter should be forwarded within no more than 60 days after the Life Plan Review date.
Can medication be administered without an active AMAP certification? Who is responsible for oversight of training certificates?
Can a DSP leave a shift prior to relief arriving?
DSPs must remain on shift until they are relieved by another employee. If a DSP calls out of his/her scheduled shift, the designated Stay Day staff member may not leave the residence until approval is received from an RM, an ARM or an administrator on call.
When does the new IPOP form go live?
December 16th!
What do we do if there is a delay in delivery of the finalized and signed Life plan from the care manager within the 45 days following the life plan meeting? Please provide all steps in order of events.
The Staff Action Plan development team follows up with the Care Manager
If the document is not received within two (2) business days of their contact, the team escalates the request to the support team of the Care Management agency
If the efforts of the development team do not result in the receipt of the life plan within two (2) days, the team will continue to follow up with the Care Manager, his/her supervisor, and/or the respective agency’s support team (phone line where concerns are escalated) while continuing to create the Staff Action Plan
The development team documents all efforts to obtain the finalized life plan in the Service Plan Addendum section in myEvolv
When the life plan is received (after 45 calendar days) the development team:
Reviews the document
Creates a note in the Service Plan Addendum section of myEvolv if modifications to the newly developed Staff Action Plan are required based on the information in the life plan, e.g. a modification to a goal
What do we do when a person refuses medication?
1. Speak with the person supported about the refusal
2. The RN must notify the prescribing physician after the supported person refuses the medication for the second time
3.
If the person continues to refuse the medication after three (3) attempts within a one-hour window (one hour before or one hour after the scheduled time of administration) the AMAP follows the protocol outlined below:
Notifies the RN
Documents on the Medication Administration Record (MAR):
As a refusal using the appropriate code listed on the MAR
In the notes section all attempts made to administer the medication
The date and time the RN was notified
Instructions given by the RN during the notification call
Completes the Medication Refusal Report
Ensures controlled and non-controlled medications are disposed of as per the procedures outlined in Policy #5.24 Medication Inventory, Changes, Storage, Disposal & Record Management .
When are stay days identified by staff?
During orientation!