Therapeutic Response
Who has the potential to engage in abuse?
Anybody if they are put in the right situation. Normal rational citizens. Just everyday people, especially when faced with stressful demands or circumstances.
However, the Disability and Abuse Project data substantiated what we already suspected: a person with a disability is more likely to be abused by a family member or someone in their daily routine than they are by a complete stranger.
True or False:
People supported are assigned a provider like Encompass, CLS, Easter Seals, etc
False. People supported get to choose with agency to go to for services
True or False:
You must observe an incident in order to report it to P&A
False. The criteria for reporting: Having knowledge of or reasonable cause to suspect ANE is or has occurred. This means you could have heard, read, or observed the incident.
Is the Friday after Thanksgiving considered an Encompass Holiday?
Yes- This is in our handbook and is considered a holiday. The office is closed and there is no In-home scheduled for that day. The only staff that are able/expected to work that day are staff that work in Res-Hab. When working in a res-hab site the staff member is paid time and a half.
How long do you have to complete all documentation (case notes & ISP data) after the end of a shift?
24 hours for documentation done in therap. Res Hab is required to have it done before leaving the site.
Which of these is considered restrictive?
Verbal Prompting
Open "L" Redirect
Blocking
Open "L" Redirection
True or False:
Since staff give the medications, Encompass chooses the pharmacy that each person supported uses so the consumer does not need to worry about their medications
False
True or False:
Reporters names are confidential and cannot be shared by P&A
True, they cannot share your name with agencies or anyone else
What do you do if you wake up feeling sick and you are supposed to work?
An employee who is scheduled to work must notify their supervisor at least 2 hours prior to the beginning of their shift.
Employees need to contact both their Manager AND the families to let them know of their absence. It is mandatory that you receive a response if calling in for a shift.
If working in Res Hab – ensure coverage of your shift by calling other employees that are trained in the home AND calling the Lead DSP for the home.
True or False
Active Support recommends doing things for a person with a disability to save time and frustration
False. Other than in an emergency, staff should be allowing the person supported to play an active role in their lives and staff let them do what they can for themselves.
The person you support was walking down the grocery isle when suddenly they start throwing poptart boxes on the ground. Do you need to use TR?
No.
What about if the person starts throwing glass pickle jars down the isle and there are bystanders in the isle?
Home and Community Based Services can include which (2) of the following:
A Day Program
An Institution
A Group Home
A Day program, a private home, or a group home would all be allowed by HCBS rules because they provide a community connection.
For incidents involving children with disabilities, reports should be made to which (2) of the following:
CPS, ADA, P&A, NDHS, CSI
CPS and P&A
Does Encompass pay if the person you support breaks your phone?
No, Encompass does not pay when a consumer breaks your personal belongings. It is the responsibility of the staff member to talk with the parent in in home or your QDDP to contact the guardian to receive compensation for any broken personal items. This does not mean the parent or guardian will be willing to compensate you back. Every measure (within company policy) should be obtained to protect your belongings.
Do all Therap comments need to be also written on the "notes" section of your time sheet
Yes
You are at the park and the person you support won't leave and it's almost time for meds. You need to get home before the med range time passes, can you use TR?
No. Med errors are not a reason to use TR. What could we do to be proactive next time?
Jane told her QDDP that she wants to move. The QDDP saw there was an opening in one of our res hab sites and moved Jane into it. Did the Q follow the federal rule?
No
Staff did not assist the person supported with wearing gloves when it was severely cold out. The consumer got frostbite, was this abuse, neglect, or exploitation, or none?
Neglect
How does Encompass support ongoing learning? What are 3 types of trainings do we provide?
TR, CPR, Med Class, Modules, Annual Trainings, OSP and consumer trainings
List 4 reasons someone might leave a comment in Therap
The clock in address is different than the person's home address
The parents asked staff to stay late
Staff forgot to clock out
Staff came early per parents request
Staff stayed late because next staff person came late
Staff dropped person off at work
Staff picked up consumer at family member's house
Staff need admin person to change clock in time on Therap
What is the maximum amount of minutes that a staff can do a TR hold?
30 mins, then you must release the person supported and assess for injury. If the person continues to cause imminent danger to themselves or others, then the staff can implement another physical technique.
A person supported does not have a lockable bedroom door due to self-injurious behaviors. Informed consent/due process was obtained and documentation was in his service plan. Does this comply with Federal rules?
Yes
You take a person you support with you to Walmart to do your personal shopping. Is that abuse, neglect, exploitation, or none?
Exploitation
Can you tell a person supported that taking their meds is not optional?
Because a consumer legally has the right to refuse medication, the DSP can only recommend, advise, suggest, or urge the consumer to comply. If the consumer refuses and it is past the 1 hour window you must email and admin staff and we will have a GER.
What are the potential problems with ‘friending’ people you support on social media accounts?
It can reveal that person’s identity
It can reveal his/her status as a person receiving services
This can be complicated as to whether or not the person can legally give their permission or understand how their information may be used or shared
Postings on your site may reveal personal information about yourself that is inappropriate to share with people supported or their family members