Germs Gone Wild (Infection Control)
TRUE OR FALSE: Hand hygiene must occur in between every visit to residents' rooms.
TRUE. Hand sanitizer or washing must take place.
TRUE OR FALSE: Residents can refuse any or all activities.
TRUE. Residents have the right to refuse activities (and even medication and treatments).
*Activity staff continues to offer activities and chart refusals, with respect to the resident's preference.
How do you determine a resident's interests?
Life Enrichment Initial Assessment
Do you offer activities on evenings and weekends?
Yes
TRUE OR FALSE: Calling a resident nicknames, such as honey or Grandma, is okay to build rapport.
FALSE (with exceptions). A resident is called by their preferred name (e.g.- Betty or Ms. Smith). Any preferred nicknames but specifically be care planned and documented.
TRUE OR FALSE: Hand sanitizer is a sufficient hand hygiene practice before preparing food.
FALSE. Staff must wash their hands before preparing food.
*Gloves are also worn while preparing food, although not while serving.
TRUE OR FALSE: Residents have the right to organize and participate in resident groups.
TRUE.
Fun fact: Women's Bible Study was organized and started by residents.
How do you determine a resident's interests if they have advanced dementia or are non-verbal?
Family/friend interview of past interests;
Life Enrichment Initial Interview upon admission;
Monitoring body expressions and behaviors during activities (i.e.- eye contact, tracking, smiling, tapping hands/feet during music / furrowed brows, rigid posture, closed fits, restlessness)
How do you track activity participation?
Who do you report to if a resident reports abuse? (100 points)
How soon must abuse be reported to AHCA? (100 points)
Supervisor, who then reports to the DON and Administrator
Immediately (within 2 hours)
For contact precautions, what is the correct donning (putting on) order for PPE? What is the correct doffing (removing) order?
Donning: Gown, then gloves.
Doffing: Gloves, then gown.
*Use hand hygiene before donning and after doffing
How is a resident treated with respect and dignity when a staff enters their room?
Staff knocks and announces themselves
Staff asks permission to enter room
Nursing staff announces "patient care" when receiving care to maintain privacy
When a resident repeatedly refuses to attend group activities, how do you adapt or offer alternatives?
Offer 1:1 activities
Provide independent leisure materials
Encourage family involvement
Identify resident's specific interests and invite them to relevant groups
Identify if there are barriers to group participation and offer adaptions (e.g.- resident who cannot hear in group settings is placed close to the speaker)
What kind of activities are offered to bedbound residents?
1:1 activities such as pet visits, chaplain visits, social visits from activity staff/family/friends, strolling hydration/snacks, trivia, games, reminiscing, reading aloud, etc.
What do you do if a surveyor asks you a question and you do not know the answer?
Don't guess! Tell them you don't know off the top of your head, but you will find out by locating the policy right away.
Making up a false answer or providing wrong information can result in an immediate citation.
Demonstrate how to properly remove a gown and gloves.
Gown: Untie the gown, pull it away from your neck and shoulders (touching only the clean inside), turn it inside out, and roll it into a bundle to discard.
Gloves: Peel off gloves carefully, holding the first removed glove in your gloved hand, and discard them.
How can a resident recommend a change in policies and services?
File a grievance (and be free from restraint, interference, coercion, discrimination, and reprisal)
Access the ombudsmen and other advocacy groups
How do you measure if an activity was successful?
Active participation from residents
Follow-up discussions: asking residents for feedback after the activity (informal survey)
Attendance rates if an ongoing activity
DOUBLE JEOPARDY (800 points)
How do you chart whether a resident's activity participation is active or passive?
Activity participation / progress notes in Point Click Care (PCC)
During an emergency, what do the acronyms RACE and PASS stand for?
Rescue, Alarm/Alert, Control/Contain, Extinguish/Evacuate
Pull, Aim, Squeeze, Sweep
DOUBLE JEOPARDY (1,000 points!)
For airborne precautions, what is the correct donning (putting on) order for PPE? What is the correct doffing (removing) order?
Donning:
1. Gown
2. Mask or Respirator
3. Goggles or Face Shield
4. Gloves
Doffing:
1. Gloves
2. Goggles or Face Shield
3. Gown
4. Mask or Respirator
TRUE OR FALSE: Staff can deliver mail to memory care residents that is opened in advance to check for safety issues.
FALSE. Residents or their legal representatives must give consent before opening their mail.
*When given consent, staff can assist the resident in opening their mail and then identify any safety issues.
How do you integrate a resident's specific behavioral or physical care plan goals into your activity interventions?
Examples:
-Address sundowning by offering sensory activities such as soft music, aromatherapy, weighted blankets
-Encourage participation in groups to target isolation and/or depression
-Invite and encourage residents to physical activities (e.g.- balloon toss) to improve mobility and coordination
How do you offer individualized programming or person-centered activities?
Determine the resident's specific interests through Life Enrichment Initial Interview, family interview, etc. and offer relevant activities.
For example, a resident who loves hotrod cars is offered car magazines, model cars, and reminiscing about cars.
What are the following codes?:
PURPLE
YELLOW
GREEN
GREY
RED
BLUE
ORANGE
YELLOW - Resident Emergency
Green - Missing Resident
Grey - Resident Behavior
Red - Fire
Blue - Cardiac
Orange - Hazardous Material