Staff Training
Staff are required to train/retrain on these documents annually and anytime they are updated.
What is the annual plan and any applicable protocols?
(Dungarvin documents this on the P5-243 CSSP Training Record)
These cannot be stored with food products.
What are chemical substances?
(Locking chemicals is not considered a rights restriction).
When assigned responsibilities for ________ _________, the license holder must ensure that the information maintained in the eMAR is current and regularly reviewed. Based on the review, the license holder must develop and implement a plan to correct patters of errors when identified.
What is Medication Administration?
(Dungarvin requires a review of the eMAR at a minimum of every other month on the Supervisory Review in the Therap Case Notes Module)
____ ______ ______ helps with understanding the persons positive attributes, needs, preferences, strengths, and goals/outcomes.
What is Person Centered Planning?
This designation requires:
(1) a baccalaureate degree in a field related to human services, and one year of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older.
(2) an associate degree in a field related to human services, and two years of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older.
(3) a diploma in a field related to human services from an accredited postsecondary institution and three years of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older.
OR
(4) a minimum of 50 hours of education and training related to human services and disabilities
AND
(5) four years of full-time work experience providing direct care services to persons with disabilities or persons age 65 and older under the supervision of a staff person who meets the qualifications identified in clauses (1) to (3).
What is a Designated Coordinator?
(At Dungarvin, the positions that have this responsibility include Program Managers, Muli-site Manager, and Program Director. All OPDs/Mental Health PDs also function in this capacity for their caseload)
This key training area helps staff prevent the use of restraint or seclusion.
What are Positive Support Techniques?
Sites are required to maintain records of this on a quarterly basis.
What are emergency/disaster drills?
(Dungarvin requires these to be run on a monthly basis)
If health service needs are assigned to the license holder, they must maintain documentation on how the Person Served's needs will be met including medication setup-up, assistance, or administration. This is Dungarvin's form for identifying those needs.
What is the MD3-31 Medication and Emergency Medical Authorization?
This value means helping people grow and take safe risks to reach goals.
What is Dignity of Risk?
This designation has the following requirements:
(1) maintaining a current understanding of the licensing requirements sufficient to ensure compliance throughout the program as identified in section 245A.04, subdivision 1, paragraph (e), and when applicable, as identified in section 256B.04, subdivision 21, paragraph (g).
(2) ensuring the duties of the designated coordinator are fulfilled according to the requirements in subdivision 2.
(3) ensuring the program implements corrective action identified as necessary by the program following review of incident and emergency reports according to the requirements in section 245D.11, subdivision 2, clause (7). An internal review of incident reports of alleged or suspected maltreatment must be conducted according to the requirements in section 245A.65, subdivision 1, paragraph (b).
(4) evaluation of satisfaction of persons served by the program, the person's legal representative, if any, and the case manager, with the service delivery and progress toward accomplishing outcomes identified in sections 245D.07 and 245D.071 and ensuring and protecting each person's rights as identified in section 245D.04.
(5) ensuring staff competency requirements are met according to the requirements in section 245D.09, subdivision 3, and ensuring staff orientation and training is provided according to the requirements in section 245D.09, subdivisions 4, 4a, and 5.
(6) ensuring corrective action is taken when ordered by the commissioner and that the terms and conditions of the license and any variances are met.
AND
(7) evaluating the information identified in clauses (1) to (6) to develop, document, and implement ongoing program improvements.
(b) The designated manager must be competent to perform the duties as required and must minimally meet the education and training requirements identified in subdivision 2, paragraph (b), and have a minimum of three years of supervisory level experience in a program providing direct support services to persons with disabilities or persons age 65 and older.
What is a Designated Manager?
(At Dungarvin the positions that fulfill this responsibility includes MHPD, OPD, Operational Managers and Acute Behavioral Services Managers).
True or False: Verbal confirmation that staff were trained is enough during a licensing review.
False: There must be formal written documentation of training.
This must be available on site and accessible to persons served and must include a thermometer, hand soap, and scissors.
What is a First Aid Kit?
These two medical appointments are required at a minimum of once per year.
What is the Annual Physical and Annual Dental appointment?
(For the Annual Physical, Dungarvin requires the Consultation form or the AVS, the Annual Physical Form, and the OTC list to be reviewed/signed)
Person Served are required to approve of this prior to implementation and can withdraw approval at any time. It must also be the least invasive method needed to address a risk area and must be returned to the Person Served as quickly as possible.
What is a Rights Restriction?
(RR are allowed only if determined necessary to ensure health, safety and well-being of the person. They must be documented in the Annual Plan and include justification for the restriction, objective measures for ending the restriction, and signed and dated approval for the restriction from the person or the legal representative, if any. Additionally, Dungarvin documents this on our PR6-45 Home and Community Based Service Recipient Rights and it must be minimally reviewed every six months, or more frequently if requested. Lastly, we need a corresponding ISP for each rights restriction in place.)
This designation is responsible ensuring notifications are documented appropriately and identifying corrective actions/future corrective actions.
What is a Designated Coordinator?
This is required to be submitted to HR with the first time a staff is on site and documents the dates of first supervised training and first unsupervised training.
What is the A1-77 Direct Contact Supervision Training Record?
(Dungarvin supervisors need to ensure that staff are clocked into Kronos with the appropriate location code and clocked in under training)
These must be kept on site in case of an emergency such as a power failure.
What are flashlights and a portable radio?
These forms are required by Dungarvin to address medications affecting Person Served's effect or interactions with the world around them. They maintain a description of the target symptoms that the medication is prescribed to alleviate and any methods to monitor and measure changes that have been requested.
What is the PMM-16 Psychiatrist Letter and PMM-17 Psychotropic Medication Use and Monitoring Record?
(IF any methods for monitoring/measuring changes are requested, they must be reviewed every three months, or as otherwise requested by the person's support team/prescriber)
These are required to be put in place within 10 days of the support team meeting and reviewed a minimum of annually.
What are outcomes/goals/ISP?
(Dungarvin teaches these five areas are required to be listed in each ISP teaching method section: social and physical environments, techniques consistent with the persons communication mode and learning style and frequency of review. Additionally, goals are required to be measurable and obtainable.)
This designation is responsible for adding State Forms and approving GERs.
What is a Designated Manager?
These three types of restraints are not allowed under any circumstances for reducing or eliminating symptoms or undesired behavior.
What is time out, seclusion, and chemical restraints?
This must take place in under three minutes, if refused or takes longer than that, must be discussed with the team, and must be run during different times of the day including once on overnights during deep sleep hours of 11:00PM - 6:00AM once quarterly.
What is a fire drill?
(Dungarvin requires monthly fire drills)
If a Person Served is working on their independence with taking their own prescriptions, they need to have this in place.
What is a Medication Assistance ISP?
At least once per year, the license holder, in coordination with the persons support team or expanded support team, must meet with the Person Served, their legal representative, case manager, and any additional people identified by the person within ____ days of the progress review meeting.
What is 10 days?
(If Dungarvin does not receive return signatures from the support team within 10 additional days, the plan is considered approved and becomes effective until there is a written request to revise the support plan)
The license holder must summarize the persons status and progress toward achieving the identified outcomes and make ___________ and __________ to identify the rational for changing, continuing, or discontinuing the implementation of supports and methods identified in a report available at the time of the progress review meeting or upon request of a team member.
What are comments and recommendations?
(Dungarvin requires these to be made by the 20th of the month prior to the meeting/progress review due date)