Trouble
What's wrong with 2 staff sitting at the table with a non-verbal person and discussing a recent medication change of a housemate? What should have happened instead?
Protected Health Information (PHI) is being discussed in front of an individual who is not authorized to know the information. Staff should discuss PHI only with those authorized and needing to know the information or it should be de-identified. Potentially not using names could de-identify the discussion but if there are other identifying variables this might not be the case.
Following resident A's proctol, Resident A had a medium BM 8am on Monday and a small BM at 6am on Tuesday morning. What day are they on and what would they receive?
Day 1- resident specific response
If a resident isn't their own guardian, does resident agenda mean that they can do whatever they want?
No
Only when setting them up for an outing or appointment and are putting them into an envelope with all 6 rights listed
When can meds be prepped ahead of time?
Annually and when changes are made for house staff and every shift for float staff
How often do CSSPA quizzes, protocol quizzes, and response to incidents quiz need to be taken?
Sheet that tells you who to contact and what to do if the power goes out
If no refer to RN flow charts, if yes, refer to protocol
Thinking about the resident first, advocating for residents and their best interests, doing things your resident likes to do, encouraging and empowering your residents to grow and learn
What is resident agenda?
remove stinger, wash with warm soapy water, apply calamine, or benadryl
What is the treatment for a bee sting
a plan that shows a residents likes and dislikes, interests, goals, and skills
What is a person centered plan?
Flashlight, radio, phone, water, snacks
What are the contents of the severe weather kit?
What do you do if a guardian does not follow a protocol or does not take an (offered) PRN med?
Immediatly notify the RS and RN, document in the Health Progress Notes.
Only to be used for resident agenda items (music, online activities) or charting while residents are awake
What is the proper way to use laptops and phones during your shift?
0-90 (and resident specific)
What are the temperature guidelines for residents including heat index and windchill?
Ask for ID, do COVID screening, welcome them into the house and make them comfortable then excuse yourself and call you RS and PD, keep them entertained until RS and/or PD arrive
What should you do when a licensor comes to the house unannounced?
good treads in winter, closed toe and closed heal, no heals taller than 2"
Watch this video (homes w/o liquid meds) https://youtu.be/mMyqt5eqWEI If the concentration of a liquid med is 250mg/5mL how many milligrams are in 1mL of medication?
50mg
How should activities and outings be determined?
15-30 mins prior to being needed and q 60 mins after that. Follow up should be documented 4-6 hours after use.
How should sunscreen be applied and documented?
ACR is not responsible for any damage that happens to this on ACR property or if it is lost. ACR has the right to search this if it is on ACR premesis
Personal property
What should you always do before using a herbicide or pesticide?
Read the label and protect yourself as instructed
3 set times per day. Two of the times should specifically be when the overnight staff arrives and when they leave. The other time will typically be at a 2pm or 3pm
How often should narc counts be completed?
What is an example of financial exploitation?
headache, dizziness, confusion, loss of appetite, pale clammy skin, cramps, fast breathing or pulse, excessive thirst
What are signs of heat stroke?
What are the month and days of each of your resident's birthdays?
House specific