Resident Care
Where is the level of care book located?
Above the cabinets, at the nurse's stations.
Resident's have the right to be treated with _______ , consideration, dignity, and full recognition of his or her individuality and right to _______.
respect, privacy.
What is mandated by the North Carolina Department of Health and Human Services to be served at every meal?
WATER. Because hydration is an essential component of senior health care, facilities are strictly cited by the North Carolina Department of Health and Human Services (NC DHHS) if a state inspector notices that water has not been actively poured or set out for every resident in the dining room during meal services.
How should you answer the phone?
Good Morning/Afternoon/Evening, Thank you for calling Terrabella Hillsborough, this is ______, How can I help you?
When should a medication aide report a medication error to the supervisor?
IMMEDIATELY
Today is Bobby Joe's shower day. He has repeatedly stated that he does not want it. His hair is greasy. His hygiene is poor and he smells. The family is insistent that he gets a shower. What should you do?
Try again later, Ask a different care manager to see if they can assist, Notify the med tech, Complete shower sheet, and Document.
What is the Ombudsman's role?
The Ombudsman is considered a resident advocate and assists residents and families in the understanding and exercise of their rights.
Who regulates adult care home dining through specific sanitation, nutritional, and physical plant standards designed to ensure resident health and safety?
North Carolina Department of Health and Human Services (NCDHHS)
It's 8pm. Management is not available. A resident's family reports to you that they are upset that their loved ones laundry hasn't been done and their linens haven't been changed. How do you respond?
Apologize for their experience. Let them know that you will take care of it right away and will report their concern to the Oncall supervisor.
What orders should be prioritized before meal times?
Diabetic residents - blood sugar checks
How do you know when to pull linens for each resident? Laundry? Showers?
Care Books!
Betty Lou is a memory care resident. She frequently experiences sun downing and has become combative and aggressive towards other residents. Can you restrain her? How should you proceed?
NO. "Except in emergencies, to be free from chemical and physical restraint unless authorized for a specified period of time by a physician according to clear and indicated medical need." Separate resident from situation. Deescalate. Notify Family. Document.
What kind of fire extinguisher do you use for a grease fire?
A Class K fire extinguisher is a specialized wet chemical device used to put out high-temperature cooking fires involving vegetable oils, animal fats, and greases in commercial kitchens
It's 7pm. Phone rings. It is an inquiry for a prospective new resident and they would like to come tour the community. How would you handle this call?
What are the Six Rights of Medication Administration?
1. the right patient, 2. right drug, 3. right dose, 4. right route, 5. right time, and 6. right documentation
What are some best practices upon arrival for your shift?
Assignment Sheet, Call Bells, Check out Pager, Walkthrough with previous shift, Check Care books for scheduled linens, showers, and laundry due on your shift.
Why might a resident be subjected to discharge from a facility?
"To not be transferred or discharged from a facility except for medical reasons, the resident's own or other residents' welfare, nonpayment for the stay, or when the transfer is mandated under State or federal law. The resident shall be given at least 30 days advance notice to ensure orderly transfer or discharge, except in the case of jeopardy to the health or safety of the resident or others in the home."
What is an acceptable way to defrost/thaw hamburger?
in a pan in the bottom of the refrigerator.
A resident is cursing and yelling that someone stole his wallet. He accuses you of taking it. How do you handle this situation?
Deescalate. Assure him that you did not take it. Ask him where he last saw it and help look for it. Report to the SIC/manager. Contact the family.
What do you do if a resident refuses their medication?
What should you and your relief be looking for in your walkthrough prior to leaving work?
Call bells, Trash Removal, Room Tray Removals, Tidies, Residents who need to be changed.
True or False. Residents have the right to refuse their therapeutic diet.
TRUE. If you observe this, the administrator should be notified to ensue the resident's needs are met.
After hot foods have been prepared and are ready to be served, they should be held at what temperature to ensure bacteria does not grow rapidly?
Hot foods should be held at a temperature of at least 135 degrees Fahrenheit.
What are the 5 core rules of customer service?
Active Listening, Genuine Empathy, Clear Communication, Problem Solving, Follow Through.
How often should a med cart audit be completed?
Each shift (x3) Mon, Tues, and Wed.