Resident Service Plans
Who are the 4 residents with FULL code status and what does that mean?
John, Jo, Maryann and Diane
If residents are not breathing and do not have a pulse staff to start CPR
Where are our Fire extinguishers located?
By the activities door and by the med room door
JO
Scenario: Jo has been at the counter for some time. She has not asked for anything but is clearly in need of a refill. She starts to walk away and whispers frustrations under her breath
Negative response: 1. Seeing she has been waiting and not addressing her need 2. Respondeing back "You need to wait" 3. Waiting for her to ask even when you know her need
Positive Reaction: 1. Hey Jo I see you are waiting I will be right with you as soon as I can
2. Hey Jo I'm with room 9 let me walkie someone to help you
DONT ignore - address her need
BABS
Scenario: You are in the middle of transferring 9B into her chair and Babs has repeated asking for coffee X5 saying "I wish Chuck was here he would do it right now"
Negative response:
"Give me a minute I'm busy"
"Just hold on Babs"
"I asked you to wait"
Positive Response:
"Babs I would love to start you a coffee in just a few minutes"
"Babs I did hear you ask so I will be right with you when I can"
"Good Morning Babs Coffee sounds great to me too I would love to help you when I finished with this Task"
Who in the building has dentures?
Dovi, Dorthy, David, Jo
Who is evacuated first? Who goes first second third etc. according to mobility..
Those who are closest to the fire. Verbal, one person, two person, and Hoyer transfers.
JOAN
Scenario: Joan has been asking about her family and when she gets to move out. She walking fast through the community unsure what to do.
Negative Response: 1. She's not causing issues to other residents so its ignored. 2.
DAVID
Scenario: David has another residents belongings in his hand and he is walking in front of the TV in the living room frustrating other residents
Negative response: 1. Staff taking item and then walking away 2. saying "No David, put that down David" 3. Staff watching and not intervening
Positive response: Staff grabs another item of David's interest Exchange items with him
2. Asking David if he will come and help you. guide him away from other residents and Provide book/dog/or sensory activity to keep his hands busy
3. Guide David from the front of him. He vision has decreased let him see your face and smile at him to encourage him to trust you and come with you
Who can we not clip fingernail/toenails for and why?
Sabrina, Dovi and John because they are diabetic
What is the responsibility of the Med tech when the fire alarm goes off?
1. Grab phone and computer and walkie talkie. Talk to your team about who is going where. Tell caregiver to grab fire extinguisher and and tag team locating fire while
Diane:
Diane is pacing, there is not an activity going on at this time and she asking about her parents. She's showing signs of anxiety
Negative response: 1. Staff ignoring this behavior as its not causing issues to anyone else
2. Staff saying "One moment Diane" then not going back to address her concern hoping she forgets
Positive reaction: Take the time to sit and talk to her about her family knowing that she is here and safe and that Vicky/Robyn will be in soon for a visit.
Provide One on One activity for her. She likes crosswords etc. Take her for a walk outback and or ask her for her help. Folding towels is a good one. She enjoys staying busy
Who in the building has floor/bed/tab alarms?
Who is service planned for a fall mats?
Alarms: Bob, Lee, Maryann, Dovi, Carol
Fall Mat: Lee, Dorthy, David
What do you need in order to start a fire?
Fuel, oxygen and heat
George
Scenario: George saw what was for lunch and he said nothing. He slammed his bedroom door and did not come back out
Negative response:
1. Staff ignore this behavior and allow him to sit in his room
2. Staff wait until lunch is done and kitchen is cleaned before offering something else
Positive response: 1. While prepping the meal staff to ask if George wants what is being fixed and if he says no offer him something else so you can prepare it at the same time as other residents
2. If he storms to his room staff to go and ask what is wrong and allow him to express his frustration so we can see if we can help fix it
Who is on hospice and what service?
Lee - Signature
Dorthy/David - Bristol
What is the Fire extinguisher acronym PASS
P - Pull Pin
A- Aim the nozzle
S- Squeeze Handle
S - Sweep at the base of fire
Dovi
Scenario: Dovi is sitting at the table and starts to ague and yell with room 11 that's sitting across from her. Shes yelling and she does not want to live here any longer
Negative response: 1. Stop yelling Dovi
2. "Come on Dovi lets go to your room"
3. Allowing her to skip meals over negative behavior
Positive Response: 1. Hey Dovi can I ask what you are frustrated about maybe I can help
2. Offer different sitting arrangement or offer to eat in living room or side table if she's feeling frustrated with who she is visiting with