Person Served
What are some of the techniques or strategies that you are prohibited from using?
x.18.2
Describe what is prohibited by policy to use within the program
Describe the nature of services provided through the program. 401.1.1
Staff is aware of the scope of service that is provided (should fit with the pre-site material)
Have you ever administered any specialized/invasive medical procedures(needles, shunts, etc.) or used any adaptive equipment (mobility aids, etc.)? If so, did you have any specific training to do that?
x.23.5, x.23.6
Define the process for consents, training, maintenance of equipment
How does the organization ensure the electronically stored data is protected and access is limited?
3.2.1 Protection Of Information
Define:
Technologies used – computers, cells, PDAs, flash drives etc.
How is abuse and harassment defined by your program?
5.1.3 Abuse
Abuse and harassment although are the same in response, yet are different in their definition.
Abuse – to treat a person cruelly, whether physically, psychologically, or sexually, especially when it is on a regular or habitual basis
Harassment - behavior that threatens or torments somebody, especially when it is persistent
Describe how a parent has access to speak to the staff and the person served. Are there situation in which this would not be appropriate or encouraged?
401.5.4
1. Describe the process
2. Provide examples
What is the supervisor to staff-ratio?
401.2.4
1. Staff can describe 1 FTE to 12 frontline workers (1:12)
2. Document rationale for not subscribing to the ratio.
Pharmacy service is used to support the use of medication in what areas?
x.23.4
1. To gain a thorough understanding of the medication (possible side effects, proper administration, or adverse reactions etc.)
2. To consult on the use of the medication is specific situations (missed medication, drug interactions, altering prescription etc.)
Does the organization permit the use of devices to store personal information?
If so, what safeguards are in place to monitor the use?
3.2.1 Protection Of Information
Define:
What is the process for addressing a moral or ethical dilemma between professional expectations and personal values of the employee?
5.1.5 Response to Ethical and Moral Conflicts
Describe:
How the person is served re-informed of their rights? how often?
x.8.2
Define:
1. Process to re-inform PS rights
2. Process to document
3. Timeline matches care planning
How does the program manage the belongings of the person served?
401.7.7
1. Inventory all personal belongings (i.e. Clothing, electronics, etc.) Of a person coming into the program.
2. Provide for safe storage of their belongings
3. Protect belongings from the loss and/or damage.
When are person served permitted to handle and administer their own medications?
x.23.2
1. Conditions under which a person served may self administer prescription and/or non-prescription medication
2. Consent of the guardian
3. Ensure person served is aware of:
a. Reason for taking medication
b. Correct administration
c. Potential adverse effects
d. What to do in an emergency situation
Please describe your quality improvement activities.
How do you engage your staff in this process?
1.2.6 Support for the Quality Improvement Plan
1. Defining the roles and responsibilities at all levels of the organization
2. Involving various personnel from all levels of the organization
3. Incorporating current practice research on service delivery to improve organization
What are the expectations of staff and/or the organization in responding to both professional and personal legal issues?
5.1.7 Response to Legal Issues
When a person served comes into the program how do you measure their needs and strengths to determine how to best provide services?
1. Staff are able to describe the pre/post measurement tool used within the program.
2. Staff can identify who is responsible to perform these measurements (i.e. Keyworker, clinician, etc.)
3. staff can define when these measures are done intake and discharge.
Describe the supports that are provided to person served within the program.
4x.15.5
1. Introduction to the staff, volunteers and other PS
2. Tour of the home
3. Assignment of staff(keyworkers)
4. 24- hour crisis support
Describe the hygiene routines in place for persons served.
118.7.3
1. Regular bathing
2. Clean, appropriate clothing
3. Daily dental hygiene
4. Protocols to ensure health and safety. (Soiled or wet diapers/clothing changed promptly).
What needs to be considered when collecting person served data?
What would happen if you or another staff violated the code of ethics?
5.2.6 Contravention of Policy
Describe:
1. (Discipline measures, but can involve a process that uses an ethic committee) Process that would apply
2. Timelines, etc.
How are persons served supported in their personal choice to connected to individuals, resources and opportunities outside of the program?
x.8.11, x.8.15, x.8.16, Adult programs x.8.17
1. What are the limits
2. Role of staff
3. Documented efforts
4. The role of the program to manage risk of the PS personal life choices ( Adults only )
5. Provide examples of activities/ resources used.
Describe the types of recreational activities you engage the person served in? What is involved in delivering recreational activities that require an specialized skill set?
x.26.3, x.26.4
1. Activities described
2. Activity records are kept
3. Qualification, level of supervision and equipment
4. Portable first aid supplies
5. Emergency procedure
6. Beyond scope require
a. Written consents
b. Pertinent information
c. Means to communicate
d. Emergency Plan
4.
When would a medication review be required?
x.23.3
1. Upon admission
2. Change in medication/routine
3. Injury that hospital, noted change in behavior, adverse reaction
5. Required by legislation(narcotics)
6. When natural/ homeopathic remedies are used
What is included in the Organization's Risk Management plan?
1.2.3 Risk Management Plan
The plan will address:
1. The development of written policies and procedures to outline:
How risks are identified
How risks are reported
How risks are managed
How risks are acted on
How risks are acted on
Protocols defining response time
Protocols defining type of response provided
2. The identification of potential and actual risks, which are recorded in a risk register
3. An assessment of the probability of occurrence and/or severity of the risks recorded
4. Strategies used to mitigate identified risks, including but not limited to:
Prevention
Risk-reduction activities
Adequate insurance coverage to cover potential liabilities
If there was a conflict between staff, how would it be resolved?
5.2.7 Conflict Resolution Among Personnel