Transportation
When is a pre trip required?
Anytime before billing NMT
Why is quality documentation important?
Quality documentation:
assists in outcome development
tracking trends/patterns
justfication of services ($)
help develop ISPs
What does MUI mean?
Major Unusal Incident
Alleged, suspected or actual occurrence of an incidnt affectnig the health and welfare of an individual based on facts.
What are the 4 hot topics we (as DSPs) look for within an ISP?
1) supervision
2) diet
3) risks
4) outcome
When should you wash your hands?
when hands are visably soiled
after using the bathroom
before and after applyig first aid
after blowing your nose
after handling pets or animals
after touching raw meat
Scenerio: You get rear ended at a stop sign. What do you do?
Ensure safety of all passengers
Pull into a safe location
Call the police and report incident- prepare your insurance card and drivers license to give to the officer
Notify administration
Exchange information with officer/other party involved
Obtain a copy of the police report #/badge # if available to you
Notify administration
Describe the difference between a support consideration and a learning log.
Support consideration: Supports we provide an individual generally related to health and safety (not always specfic to outcome development)
Learning log: Directly related to outcome development
Name 3 types of MUIs that can be filed on an individual.
(*example- neglect)
Accidental or Suspicious Death
Exploitation
Failure to Report
Misappropriation
Neglect
Physical Abuse
Sexual Abuse
Attemptd Suicide
Medical Emergency
Significant Injury
Scenerio: You are surrounded only by co-workers (clients have gone home for the day). You overhear a co-worker telling another co-worker that they dont like the way you structure your day. This upsets you because you and your group enjoys the structure of the day. What do you do?
Ask your co- worker if to talk.
Be honest with your co-worker. Tell them you do not like being talked about and you and your group enjoy the structure of your day.
Ask for their recommendations on what they think could make your structure better (from their perspective).
What are some things to monitor that could help identify that someone might be feeling sick or injured?
changes in behavior
changes in appearnce
changes in general manner/mood
Describe how to properly secure a wheelchair in a van for transportation.
ensure all safety straps/restraints on wheelchair are secured, brakes are locked on wheelchair
What does ABC stand for related to behavior documentation?
A- antecedent
B- behavior
C- consequence
*1000 gold stars for description of ABC
A well written incident report should allow the reader to "see what the incident _______"
What is the name of the new version of the ISP?
Ohio ISP
What is the first thing a DSP should do after a reportable incident occurs?
Take immedidate action to protect health and welfare as needed. Call 911 as needed
THEN notify administration
Scenerio: During your pre trip inspection you see the tire pressure light is on- but visually the tires look ok. What should you do?
Put air in tires- there are free air options at Get Go on Pike Street, Millcreek has a compressor, Langs as a compressor, Sheetz in Parkersburg
Notify maintenance and repair chat "#9 had low tire pressure light on, filled with air, light went off"
"Lucy went to cooking class and made a milkshake."
How can this documentation be better?
What specifically did Lucy do? What assistance was needed? How did she react to the activity? What worked? What didnt work?
"We had scheduled cooking class today. Lucy smiled and said "cooking" on the van ride. Upon arrival to cooking class Lucy independently grabbed a bowl from the shelf. She obtained the milk from the fridge with verbal directive. Staff assisted with the rest of the set up. Lucy poured the milk with minimal physical assistance to steady her hand. She turned on the mixer with gestural cues. Lucy laughed at the noise of the mixer and covered her ears. She poured the milkshake into a cup with minimal physical assistane. She smiled and laughed during this. I asked her if she liked it she responded "yes" Lucy assisted with clean up with directive given by staff- physical assistance to wash mixer."
How much time do we (WASCO) have to report incidents to the county board that could be deemed a MUI?
4 hours
What does "positive behavior strategies" mean?
Positive support strategies include ways to minimize situations or issues that are stressful for the individual and methods to help the individuals have maximum control over their life.
Give 3 general tips for lifts and transfers of individuals
+ Never lift more than you can
+ Get help
+ Make sure you and the individual are wearing proper footwear to avoid slipping
+ Position your feet hip width distance apart with one foot in front of the other
+Keep your back straight and lift with your hips and knees bent
+ Have the individual do as much of the work as they can
+Work at the indiviudals speed and level of comfort
Describe when you document time and mileage related to non medical transportation (NMT) documentation.
Facility: When the first client boards the bus until last client is dropped off.
Community: (AM) When the first client boards the bus until you arrive at the first community stop. (PM) When you leave the last community stop until the last client is dropped off.
What should be documented?
Respond to all prompts on BID
*In addition*
Anything worth telling your co workers or adminstration is worth documenting!
(i.e. "you'll never believe what Suzy did today")
What happens to an incident report after you write it? (UI)
WASCO administration develops a plan of prevention and notifies the individuals team of the incident. From here, teams can discuss and develop further strategies if needed.
WASCO reviews monthly to identify trends/patterns.
Scenerio: You are working with Bobby and when he unpacks his lunch he has 2 chocolate chip cookies. Your coworker tells you that Bobby isnt supposed to eat chocolate chip cookies. What do you do?
Ask your coworker why they think that Bobby isnt supposed to eat chocolate chip cookies.
Review his ISP- if it is not listed as a food to avoid or restriction in his plan then Bobby can eat chocolate chip cookies.
Inform your coworker of your findings.
Assist Bobby to set up his meal and enjoy his cookies.
List some tips for fall prevention that we can do.
Ensure an individuals clothes and shoes fit well
Encourage a person to not carry large object while walking
Keep walk ways clear of cords, cables, and clutter