5.7 Cardiopulmonary Resuscitation
Who is responsible for the administration of the policy?
Registered Nurses (RNs), Licensed Practical Nurses (LPNs) (if applicable), Direct Support Professionals (DSPs), Direct Support Professionals II (DSPs II), Residence Managers (RMs) and Assistant Residence Managers (ARMs), Day Habilitation With and Without Walls Managers and Specialists and, Community Habilitation Managers and Specialists are responsible for implementation, oversight and compliance with this policy.
Who is responsible for the administration of this policy?
The Registered Nurse (RN), Residence Managers (RMs), Assistant Residence Managers (ARMs), Approved Medication Administration Personnel (AMAP), Direct Support Professionals (DSPs) and Direct Support Professionals II (DSP II) are responsible for implementation, oversight and compliance with the policy.
Who is responsible for administration of this policy?
Direct Support Professionals (DSPs), Residence Managers (RMs), Assistant Vice Presidents (AVPs), Assistant Resident Managers, Day Habilitation Managers (with walls), Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) (if applicable), will ensure implementation, oversight and compliance with this policy.
Who is responsible for the administration of this policy?
ALL Supervisory Staff
If a person supported has a DNR, should we perform CPR?
If there is a DNR order, staff should not perform CPR. Staff must be aware of whether an individual has a DNR order and where to access it so that it can be provided to EMS if a copy of the order is requested.
What is the minimum timeframe that would be ideal for a RM to notify persons and staff of scheduled home visit?
4 Days must be given to the residence staff for a planned home visit to properly prepare and coordinate the medication process.
RM - Makes a list of all the medications the person is on and checks to ensure there is adequate supply for the home visit plus an additional reserve of five (5) days in the event of a return trip delay, etc.
What are the basic objectives of this policy?
Increase the quality of care and prevent injuries for the persons we support and the staff
Create a safe working environment for the staff by reducing the frequency of manual lifting, transferring and repositioning
Reduce and prevent work related injuries to staff
Reduce time hours lost due to injury and/or fatigue in staff
(1) Are coaching sessions mandatory?
(2) If missed, are they required to be rescheduled?
(1) Yes
(2) Yes
What are the three steps in order that should be followed to promote any possibility of survival when a person is unconscious and not breathing?
Know and clearly understand the New York Foundling’s procedures for responding to life-threatening emergencies
Immediately call 911 to notify EMS and then contact the RN
Initiate CPR whenever possible, consistent with the New York Foundling’s emergency response procedures unless the person has a Do Not Resuscitate (DNR) Order in place
What are two key points that must be discussed with the family member/advocate?
(1) Review each medication, with instructions
(2) emergency procedures and support needs
(1) Who provides training on SPHM equipment?
(2) what is included in the training?
(1) RN and/or designee
(2)
Hands-on practice of all equipment with trained staff
Demonstration of competency prior to using transfer and lift equipment with persons receiving services
Safe operation procedures including back-up and/or manual transfer procedures if the equipment’s electronics or batteries fail
Familiarizing staff and instructing them to follow an individual’s safeguarding plan regarding use of lift equipment. The plan must specify the type of lift, the type of sling, and the number of trained staff required for its safe use
Identification of broken lifts or missing parts or parts that are not functioning in a safe and typical manner.
A thorough review of Safe Patient Handling and Mobility (SPHM) Policy #6.11 and the Safe Patient Handling and Mobility (SPHM) Protocols/Procedures document associated with the policy
To whom staff need to report damaged or broken equipment during business hours and off-shift hours
(1) Where should you save your individual coaching notes?
(2) Where do you save team meeting notes?
(1) In a shared location such as one note or Teams
(2) MyEvolv -- Site Residential --Documents -- Meeting Minutes
Who is apart of the debriefing meeting and who works with who?
Debrief Meeting:
A debriefing is conducted as needed with the RN and the staff involved for quality improvement purposes.
The RN also works with Human Resources to address the emotional support needs of the staff, particularly those who were involved
What is the name of the form that releases New York Foundling of any further responsibility concerning the said medications and who signs it?
(1) Release of the medication form
(2) Parent/advocate, RM countersigns
Who should be notified when there is damage to equipment?
All equipment is maintained on a regular basis following manufacturer’s guidelines to ensure safe function and use
Damaged slings, a broken lift or any other broken, compromised and unsafe equipment including wheelchairs, are evaluated for safety and repairs are made as necessary. Staff must report the issue, via email to the RM, the AVP and/or the RN immediately upon discovery
What are the three tiers that define a person's coaching needs, and what is the coaching frequency that is required?
(1) Novice: someone new to the agency and/or new to their role. Additionally, staff who passed probation and need additional support. Requires a minimum of three (3) times per month
(2) Proficient: Staff who have passed probation and who can complete their work satisfactorily. They should receive a minimum of two (2) 60 minute coaching sessions a month.
(3) Expert: is defined as: 1) Achieving full Clinical Licensure and/or level of competence for the core competency needed to operate autonomously, 2) Meeting the expectations of the job, and 3) Meeting all KPIs. All three would need to be achieved to move to the Expert staff coaching frequency, i.e. this role, is not defined by longevity in the role or agency. Expert staff are to receive coaching a minimum of two (2) times per month for 30-45 minutes. For instance, a staff may be meeting 2 out the 3 areas and as of result that staff would remain in Proficient Coaching frequency until all 3 areas are met. The frequency of coaching may increase based on needs and areas of improvements and until agreed upon in Coaching log and Development Plan.
Is your CPR certificate and that of your staff up to date?
GO CHECK!!!!! :-)
(1) On the Release of medication form, what column must be filled in for every medication upon return of the person supported?
(2) Who is responsible for ensuring the medication is returned, confirms the entries, and signs the return of medication form to be filed in the persons chart?
(1) Amount Returned
(2) AMAP
What are the key responsibilities of the RM as it relate to monitoring and documenting?
The RM monitors and maintains accurate training records to ensure all appropriate staff are adequately trained on equipment used to transfer persons supported
The RM creates and implements tracking tools for preventive maintenance, repair and/or replacement (if necessary) of lift equipment that follow manufacturer’s guidelines for specific criteria
The RM is responsible for reviewing the Wheelchair Safety checklist weekly and signing off on the completed form before it is filed in the Wheelchair Checklist Binder
The RMs conduct a thorough review of the residences wherein they ensure that walkways, ramps and driveways (all emergency escape routes) are clear of debris. All findings are documented on the Safety Checklist. If repairs are needed, RMs are responsible for requesting maintenance in Service Now.
Please describe the corrective action steps.
If coaching meetings are not attended the Supervisor will document it in their coaching notes.
During coaching meetings, if a supervisor determines that a supervisee is out of compliance with the regulatory requirements listed above please reference the Compliance with Medicaid Documentation Policy (Add Link). Increased coaching sessions may be required if staff is not performing at a satisfactory level.