Abuse 1
Can your tone of voice or unwillingness to respond to a resident's simple request be considered abuse and/or neglect?
What is yes
An example would be, if a resident tells you he is in pain and requests pain medication. If you do not follow through on this request, this could be seen as neglect because the resident suffered physical harm or mental anguish.
There are many types of abuse. Financial abuse is one of them. Can you give an example of how financial abuse may happen in our nursing home?
Taking a small amount of cash out of a resident's drawer to buy a soda from the vending machine
We know that medical information about residents is considered protected health information. Is it appropriate to share a resident’s birth date, home phone, address or other personal information with others?
No. This is all considered protected health information and should only be shared with people for purposes of medical treatment or healthcare operations.
Revenue Enhancement
Operating Margins
Meaningful Results
Innovation
If you were to take a resident’s computer home without being told you could, what form of abuse could this fall under?
What is Misappropriation of property
If John, a resident at your location, wanders up and down the halls and does not stay in one area and Sally, a CNA, takes John to a lobby area and locks John’s brakes, what form of abuse is this?
What is Involuntary seclusion. This can be considered deliberate abandonment.
Is posting a picture of you and your favorite resident on Facebook OK?
No. Photos of residents are considered Protected Health Information (PHI). This would be considered a HIPAA breach.
-wash hands, wash hands, wash hands
-know residents and respond to their personal needs
-be aware of survey process by reviewing stand up or Bee Great Bee Ready for State
-Know how to greet surveyor, get binder and escort them to conference room to get started
Prevention is everything when it comes to abuse. What are some signs we might look out for that could increase staff stress that could lead to staff abusing our residents/clients?
Burnout, overly tired, decreased appetite, lack of sleep, decreased emotions
Once an allegation of abuse or neglect is made, how soon after do skilled nursing facilities need to contact the state survey agency?
Within 2 hours after the incident
What are some safeguards we could apply here at our location to prevent HIPAA violations?
Know our location’s policy and procedure b. Never discuss anyone’s protected healthcare information (PHI) with fellow staff unless for the purpose of treatment and then when necessary in private c. Never leave PHI unattended d. Turn computer screens away from room e. Properly shred PHI that is no longer needed
Staff are responsive to my requests
Staff are effective in knowing and supporting my preference and needs
Resident feels a sense of belonging to GSS
On the floor A student that is actually in class at the time of the in-service A night person that works BOTH the night before and the night of in-service On an approved vacation day (It is considered to be part of everyone’s schedule so just because you are not scheduled that day does not excuse you from attendance
If you suspect abuse or neglect in our center, who should you report it to?
Immediately report this to your supervisor or the facility administrator
As an employee, what are your reporting responsibilities if you suspect one of our residents has been a victim of a crime, such as abuse, theft, fraud, etc.?
You must report any reasonable suspicion of a crime against a resident at your center immediately
Wanda and Rose are roommates at a nursing home. At shift change, you are informed that Rose had to go to the hospital because she had a mild stroke in the night. Later in the day, you see Wanda in the hallway and she asks where Rose is. Can you tell Wanda that Rose went to the hospital because she had a stroke?
No. You cannot share this information with Wanda because she is an unauthorized individual. Rose or her family would need to authorize the release of this information to her roommate. Instead, tell Wanda “I need to check with a nurse to see about your roommate’s condition.”
-talking about our personal troubles, home life, escapades
-talking about co-workers in a negative way....lift each other up!
If you don’t report a reasonable suspicion of a crime right away, what could happen to you?
You could be personally fined up to $300,000, lose your right to work in healthcare and our facility could lose its federal funding.
Who would you report a suspected crime to?
Immediately report this information to your supervisor or to your facility's administrator
You see that another staff member at our facility has posted resident pictures on Facebook. You think this may be an unauthorized disclosure of protected health information. What should you do?
Talk to your supervisor or the facility’s administrator. Provide the following information: i. What and whose information was disclosed? ii. Who disclosed it? iii. When did the incident occur? (date and time)
Fill out a concern
Attempt to address/fix the concern right away and if not able, turn concern in to SS who will assign to the correct department director
Follow up with resident in a day or two to ensure that they are satisfied with results.