Bath/Shower
What are the Safe bath/shower temperature's
What is.. 38-43°C
( If temp is out of this range, let water run longer turn up/down temp in shower and recheck. If it is still out of range do not shower Resident and let Maintenance Manager know immediately)
care staff can file and trim Resident nails, the exceptions are:
What is.. True, diabetics and Residents on blood thinners
( Care staff should be trained in this by a Registered staff, HWM)
Insulin is stored in (blank) until first use, and what is the discard date after opening/removing from the fridge
What is Fridge and 28 days after opening
(Insulin is stored in the fridge until first use, it then stays in the med cart until discarded MP policy 13-3-13)
Care Staff on the Med routine are responsible for doing what with the MAP binder before beginning the med pass
What is Clip the MAP binder
(All staff MUST clip the MAP binder, it is a requirement of the med pass role)
how often are post falls VS done and where do you leave the forms
What is q30 mins for 2 hrs and in the Falls binder behind the front tab.
(Remember these are to be completed with as much detail as possible, should be more than a sentence- do not place in the corresponding month. they go at the front of the binder for HWM to read over)
Bath/Shower temps should always be taken
What is.. before Resident gets into the tub/shower
(this is your first check)
Care staff do NOT do any nail care for Residents who are on Blood thinners and are diabetics
What is.. FALSE- Care Staff can file these group's nails
(policy ADL-013)
What do Care Staff need to write on the Insulin pe once removed from fridge
What is.. date open, date discard and your initial
When a Resident refuses a med, care staff should
document refusal with appropriate code on the MAR as well as document in the resident's progress note then discard medication appropriately
(see Narc destruction slide, if non monitored see MP policy 5-4- see pg 5)
Care Plans received on the fax machine go
What is In the Blue Service Auth needing signed file above Linzi's desk.
(Remember to put file on Linz's desk so she can read and sign the Care Plan's)
How many temp check's for a tub and where do you document
What is.. 2 times in addition to one sensory check, temp check form in care binder
( sensory check- your skin checking the water is at a comfortable temp)
Where can The Policy on refusal of care be found in the med room, and what is the policy number is
What is.. the ADL toolkit on the shelf above the first aid box/sink, policy number is ADL-026
Care staff can inject insulin and the correct procedure is...
What is FALSE and Care Staff can give the pen to the Resident, the Resident dials up and injects themselves
When a Res uses a PRN what is the correct procedure for the MAR
What is.. document on back of MAR sheet all required fields, Clip the bottom of the MAR to come back and document effect
( you should check with Res 30mins post PRN admin to ask if it was effective and document on the PRN sheet)
What do you do with the pink communication sheet from medical Pharmacies
(hint 3 steps)
What is..
Read it
Go to Resident with the question on the form- usually is a request to approve a payment for the medication. Check applicable response and fax back to MP
Put form in shipping binder once faxed
how many temp check's for a shower and where do you document?
What is.. one temp in addition to 2 sensory check's, on the temp check form in the care binder
Residents do NOT have the right to refuse care and care staff do not have to try an alternate approach
What is FALSE
(policy number ADL-026, care staff can attempt a different approach, time of day, it is not necessarily the care that is refused, but the approach to it)
Care Staff can take a Residents Blood Sugar
What is TRUE
(there must be clear parameters for reporting on the Care Plan, this is a client specific activity that is non-transferable, meaning you must be shown for each Resident who requires blood Sugar assistance)
when a Res injects their Insulin, you should place a check mark to show it was done. What other documentation goes hand in hand with Insulin schedule
What is the Blood Glucose form should be completed for each check
( there should be 4 checks, B,L,D,Bed 4 initials to match. even if you are the one doing dinner and bed, still need to sign for it. Anytime the Res makes a change to the prescribed insulin amount, that should be documented in the progress notes)
What are the steps when sending someone to hospital?
(hint 6 steps, with many directions)
What is
call 911
call coworker and have them get the transfer to hospital record, a double sided copy of the MAR alert the front desk to expect the paramedics and the room number, Bring the forms and VS tote to staff with Resident and grab green sleeve on the Residents door.
Take VS and record on transfer to hospital record
hand off care to paramedics, answer any questions you are able to
empty garbages, make bed, clean up any spills, turn off lights and lock door when leaving
Call the primary contact, fill out incident or fall report, document in progress notes and fax HC and Medical Pharmacies
The hottest flowing temp of the day is taken from, by whom and documented where
What is.. the tub room, night care staff, temp book located in the tub room as well as the daily report book in the med room
( Any out of range temps should be reported to Maintenance- maintenance requests are now in Ken's cubby at the front desk)
What is the correct Documentation on refusal's of care
(hint 3 part answer)
What is R on the flowsheet and progress note written to back up R, HC also gets faxed if HC client
(there should be a progress note for every single R, with reason behind refusal. X should be used if Res out of the building/not available for care, or if care was not provided for whatever reason and document in the progress notes)
Narcotic's that are to be disposed of are put in the MP box on the wall with no signatures or double checks
What is FALSE
( compare the med strip to the MAR- it tells you if it is a Narcotic, then if it is, fill out the white drug destruction binder and have a coworker watch and sign, then leave it in the strip pack and place in the MP box on wall. This applies to Fentanyl patches as well- they are kept on the patch disposal sheet and put in the box)
Where is the MAP binder to be kept when not within eye sight?
What is.. in the bottom drawer of the med cart.
The procedure when a res returns from hospital
(hint 6 steps)
What is..
Check on the Res
Fax HC and MP with notice of return
Fax prescriptions to MP and HC (if HC/MP clients)
Continue with current CP until a new one arrives
Chart in the progress notes upon arrival and every shift thereafter for 48hrs.
Document in 24hr report book in med room of Res return and update census