Documentation
A resident on Hospice has fallen. The resident hit their head. How do you proceed?
Call 911, Contact the POA, Contact Hospice, Document Incident, who was notified, and what time they left with EMS, Incident Report and Note.
Where can you locate housekeeping supplies such as toilet paper, trash bags, mop and bucket, etc?
Housekeeping closet on B Hall.
Hand hygiene: When should you switch from hand sanitizer to soap and water?
Your hands are visibly dirty or greasy. You feel a physical buildup. You have been exposed to certain germs. You have chemicals on your hands. Anytime you have assisted in physically changing a resident, even with gloves, WASH YOUR HANDS.
Where is the main water shut off?
The mechanical closet located on the right side of the porch.
What is the single best way to stop the spread of infection in healthcare?
HANDWASHING
A resident is on an antibiotic for 10 days. How often and how long should you document on them?
While on the antibiotic, documentation should occur every shift and for 3 additional days upon completion.
What is all included in daily tidies?
Making the bed, taking out the trash, removing room trays, putting dirty clothes in a hamper,
What are some helpful interventions we can implement to prevent resident falls/injuries?
Bed alarms, chair alarms, frequent room checks, fall mats, physical therapy, proper device for ambulation (ex. walker)
Where is the fire panel located?
Foyer at the building entrance
Who is authorized to change the shift assignment?
The On-Call Supervisor
A resident is being sent out to the hospital for chest pain. What all needs to be documented when resident leaves? What all needs to be documented upon return?
Leaves- Incident Report, A Note, "At hospital" in ECP.
Returns- Make Active in ECP, Fax Orders to Pharmacy, Observation Note documented for each shift x3 days.
What is the difference between "clean" and "sanitize"?
Clean refers to whether something is free from visible dirt. Sanitize means you are disinfecting, removing visible dirt but also killing bacteria and germs.
When are resident linens supposed to be changed?
The day prior to their laundry day.
What does the acronym RACE stand for? What about PASS?
Rescue, Alert/Alarm, Contain/Confine, Extinguish.
Pull, Aim, Squeeze, Sweep
In the closet in the dining room.
What all should be documented on a shower sheet? Who should sign it?
Skin Assessment - bruises, rashes, skin tears, etc. If refused, get another care manager to attempt. If still refused, notify the med tech and both the care manager and med tech should sign.
How frequently should a resident's room and bathroom be checked for cleanliness?
DAILY
When should beds be made by?
10am
How do you turn off the water to an overflowing toilet?
To stop an overflowing toilet immediately, turn off the water shut-off valve located on the wall near the base or behind the left side of the toilet by rotating it clockwise.
Bloodborne pathogens are microorganisms present in human blood that can cause serious disease in humans. What are the 3 most common bloodborne pathogen diseases of concern?
HIV, Hep B, Hep C.
When should medications be signed off on the MAR?
You document immediately after you administer the medications to a resident and after you observe the resident actually take the medications and prior to administering another resident’s medications. Remember, it is important for documentation on the MAR to be accurate. Documenting immediately after you administer a medication helps to ensure accurate documentation. Precharting or documenting the administration of a medication before the medication is administered is prohibited.
What should you do if a toilet is clogged?
Unclog it, clean as necessary.
What are the 5 C's of excellent patient care in healthcare?
Continuity: Providing coordinated, seamless care that follows the patient across time and various healthcare settings
What should you do if you are unable to evacuate a burning building?
Stay low under the smoke.
Define "Person Centered Care"
Person-centered care is a healthcare approach that treats individuals as equal partners in their own health and wellness, focusing on what matters to them rather than just their disease or condition