Rules & Regulations
Better Safe
Than Sorry
The TIP Philosophy
Doin' the
RIGHT Thing
Promoting Independence
100
True or False: In the residence, the participants do not need to lock their individual suite doors due to accessibility issues because the main suite door locks when it is closed.
FALSE! The only way participants can ensure their belongings are secure is to lock their individual suite door. Bonus question: What strategies could individuals use if the door is not accessible?
100
ROLE PLAY: Alex asks you to drive him to the drug store so he can pick up the medication that he has run out of. What should you do?
•Staff should not drive participants in their vehicles. •Encourage him to find another means of transportation and offer to accompany him if your schedule permits.
100
What is independence?
-The ability to take control over decisions related to your life or the care you receive -It doesn’t mean doing everything by yourself or independently -Can be interdependent -Includes directing care
100
A participant asks you to borrow some money. What should you do?
•Staff should not lend money to participants. •Encourage them to visit the bank machine and support them to do so. •If they do not have any money left, they will need to meet with staff to develop a plan •If they have money and can not access a bank machine immediately, encourage them to borrow money from a fellow participant and ensure the participant gets paid back.
100
True or False: You are out in the community with Jane who is struggling to push herself up a ramp. Even though people are giving you dirty looks because you are just standing there watching her, you still shouldn’t help her.
True! If Jane wants your assistance she will ask! This is part of learning to direct care – knowing when to ask for help. Maybe this is a goal she wants to achieve. Maybe she wants to be deemed independent in the community. Besides you should never push someone in their chair without asking them first.
200
True or False: Participants are not allowed to consume alcohol during the program even if they are of age.
Participants are not permitted to drink alcohol in their suites. HOWEVER if they are of age, they are permitted to have alcohol when at a restaurant. They should consider how the alcohol will impact their disability, medication interactions and their ability to safely participate within the program. Drunkeness during the program is not tolerated.
200
Barney has identified that he has a recent history of falls. What would you do to minimize his risk of falling?
•Discuss what causes his falls – fatigue, heat, forgetting to take medication, etc. •Talk about strategies to avoid these issues both with Barney and staff as a team •When going out in the community, review these strategies with Barney prior to departure. Ask how he will attempt to manage this risk. •If you are out and feel Barney is starting to be at increased risk of falling, prompt him to consider the strategies.
200
Someone from Holland Bloorview calls the office and informs you 5 Blue Jay tickets have been donated for the program. How would you deal with this?
•Consider how the game time fits within the program schedule •If timing is appropriate (i.e. during free time, group outing), consider staffing resources needed to support participants to attend •If all seems feasible from a program perspective, seek input from participants in terms of interest in attending and have them determine most appropriate method of deciding which 5 participants will attend •Participants can elect not to use the tickets
200
One of the participants that you are very fond of gives you a gift at the end of the program. What would you do?
•Thank the participant. •BUT staff can not accept gifts from participants. Cards of thanks are fine. A box of chocolates that can be shared across the team may be acceptable. •Depending on the gift, the staff may not be able to accept it. Staff do inform the participants about this prior to the end of program to prevent participants from buying staff gifts.
200
ROLE PLAY: You walk into the sixth floor suite for a dinner booking. You notice there are no groceries to be seen. What do you do?
•Ask the participant who booked your services how you can help them. •Confirm the menu or if the suite has a meal plan. •Ask how you can support the participant to prepare this meal. •Await direction for meal preps. •If needed ingredients are not available, problem solve next steps with the participant (i.e. can they prepare a different meal with available food, do they need to go to the grocery store, etc.) •May want to encourage other suite members to help in problem solving as well. •Support them based on the time you have available for the booking.
300
True or False: You don’t have to follow Holland Bloorview’s dress code when working in a community program in the summer because you are often outside in the summer heat.
FALSE! Policies related to dress code and footwear must still be adhered to when working in the community. You should consider both the weather and the activity of the day when considering what to wear. Shorts and running shoes are encouraged.
300
LIST the things you would do in an emergency
•Call 911 if necessary •Contact Kim Jones-Galley Work together as a team to address the situation – give examples such as the blackout, physical accidents, etc. •Document the incident so it can be formally reported on an incident report
300
LIST 3 similarities and 3 differences between the roles that attendant staff and program staff play during the program?
Similarities •Both promote independence in participants •Both support program delivery by acting as a scribe, a shadow during outings •Both provide feedback and input on progress of participants Differences •Attendant staff provide personal care •Attendants work the night shift (know what happens after hours!) •Program staff develop and deliver the majority of the program sessions
300
Jane wants to get a tattoo. You don’t think tattoos are a good idea for young people to have and think she will regret her decision in the future. You also think her parents will be really angry! What should you do?
•Discuss the pros and cons of getting a tattoo. •Highlight any risks involved in getting a tattoo and what Jane can do to minimize these risks. •Help Jane to gather the information and resources she need to make an informed decision. •Do not pass judgment based on your values. Jane can make her own decisions about what is right and wrong for her.
300
When facilitating the group to plan their Dinner Out, LIST three things to keep in mind.
•Travel plans like transportation •Cost •Accessibility of the Restaurant including the washrooms •Reservation Availability •Restaurant’s Ability to Seat a Group •Delegating a participant or team of participants to book the reservation and report back to staff.
400
A participant has left the residence without signing out. List 4 things you would do.
- Check with other participants to see if they know where the participant has gone. - Remind the participant upon their return
400
LIST four things you would do to prepare for an outing on an extreme hot day?
•Bring water and prompt the participant to bring water as well. •Ensure you are both dressed appropriately for the weather with light clothing, hat, sunglasses, sun screen, etc. •Pace your activity increasing breaks if necessary. •Modify your activity if the participant will not be able to tolerate the heat by going to an indoor location, taking TTC instead of walking, etc. •Know the signs and symptoms of heat illness •Know if the participants are taking any medications or have diagnoses that make them more susceptible to the heat
400
ROLE PLAY: You are running a session. John has an answer for every question, comment for every point made and goes off on tangents. He is speaking out of turn, interrupting others and monopolizing the conversation. The other participants are rolling their eyes every time he starts to speak. What do you do?
•Tell the group you would like to hear from everyone and want everyone to have a chance to respond to questions. •When John responds remind him of this and move onto someone else who has not yet had the chance to answer. •If John interrupts, ask him to wait until the other person has finished speaking. •If John goes off on a tangent, redirect the group back to the initial topic or question. •If this continues to be problematic, you may have a staff sit with John to prompt more appropriate participation. •You could structure the discussion, so there is a “speaking” item and you can only speak when you are holding that item.
400
One day, while working with Betty she tells you she engages in cutting behaviour, but she doesn’t want you to tell anyone. What should you do?
•If Betty tells you that she is going to tell you something but doesn’t want you to tell anyone else, let her know that it may not be possible for you to do that so she can decide if she wants to share it knowing that you may not be able to keep it a secret. •Balance the pros and cons of not sharing the information Betty has shared. If you feel it could impact on her participation in the program, it may be beneficial to share it with the team. •Talk to her about how the team shares information and needs open communication to be able to best support her. Remind her that this information is kept confidential within the team and her circle of care.
400
It is 3:50 p.m. and you are schedule to work until 4:00 p.m. You are at the grocery store with a group and they are having some difficulty making decisions on what to buy. What do you do?
•Ideally set boundaries including timelines on the outing prior to leaving the residence so everyone has the same expectations, particularly if you have to leave promptly or if you have another commitment (i.e. a booking). •Remind participants of the timeframe of the outing. •Support the group to explain the barrier they are facing and encourage problem solving, perhaps providing a variety of potential solutions. •Consider contacting the staff office to change shift/staff within the community if it is close by.
500
ROLE PLAY: A participant arrives 45 minutes late to your morning session. During the session, he is continually falling asleep. How would you address this issue?
- Ask the participant why they were late. - Support the participant to develop strategies to avoid being late (i.e. setting an alarm, going to bed earlier, making an earlier booking, etc.). - Document the occurence in the communication book so other staff are aware of the issue. - Discuss staff strategies at a staff meeting to support the participant.
500
You are crossing Yonge Street with Jack when his power chair loses power. What would you do?
•Attempt to put his chair into manual mode. •Stop traffic so Jack can be safely pushed to the sidewalk. This may involve asking others for assistance. •Try to reset the chair into power mode. •If it continues not to work determine whether you can push the chair back to the residence (consider the distance, the weight of the chair and the heat). •If you can not, contact the staff office – you may need to call a cab to get back to the residence.
500
When out in the community with participants, staff often “shadow” participants. What does shadowing mean and describe 4 different strategies you would use when shadowing.
Shadowing is when you accompany a participant into the community, however you are acting as their “shadow” meaning you give them little to no direction in terms of which way to go, when to cross the street, etc. dependent on the needs or request of the participant. •Allow them to take the lead by telling you where the destination is and navigating it independently. •Ensure when walking with them, you are not leading them indirectly by stopping or making turns where you anticipate you will be going. •Allow them to make wrong turns, mistakes and take risks within reason. Allow them to problem solve when these situations occur, prompting only when asked or if the participant is getting upset or agitated. •It is okay if the client doesn’t reach their destination, sometime the process is more important than the outcome. •Stop them when they are putting themselves in danger.
500
ROLE PLAY: You have heard that one of the participants thinks you are good looking. One evening after session, the participant approaches you and asks if you want to go out for a coffee. While you are out at Tim’s, the participant asks if you want to go out to a movie after the program ends.
•Staff can not date or go out socially with clients. •You can indicate that you are flattered, but that you are not permitted to do so. •Be kind…rejection is hard! •You may want to avoid going out one on one with this participant in the future. •Share this information with staff so they can support you and be aware when they are assigning staff pairings for outings.
500
The participants are asked to bring between $200 - $300 spending money to the program with them. During the first week, Sally has spent her money frivolously, spending over $150 dollars on coffee, sweets, and magazines. On the first City Survival, she is considering purchasing a pair of running shoes that will cost over $100. What would you do?
•Prompt Sally to consider how much money she has left and whether she can afford the shoes. •Attempt to discretely check if the shoes can be returned if needed. •Review her budget with her once returning to the residence including identifying the sessions that she will need money for and how much money is required to make it until the end of the program. •Discuss strategies she could use to budget her money more carefully •Discuss strategies she will need to use if she does not have enough money left (i.e. brown bagging lunches) and the possible implications of being broke (i.e. not being able to afford the final party) •Record this information in the communication book and share it at a staff meeting as the whole team will need to be on board to support the agreed upon strategies.
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