On Call
How do you call out from your shift?
Check Sling and look for coverage. Call (NOT TEXT) 1st On Call. You are responsible for finding coverage for your own shift.
If you need help finding coverage, we can provide you a list of people to call.
Is Alex being assisted properly?
No. Alex must have staff walking with him at all times he is mobile, and should use proper handling skills with an open palm.
When erroring out a mistake on legal documents like DSLs, what are the 4 things you need to add?
Your initial, the date, a line through the mistake, and the word “error”, legibly.
*Remember your initials must be consistent on all documentation.*
Chewan is ready for bed. Staff asks him if he is going to get undressed. He does not respond. Staff says, “Chewan, let’s take your shirt off,” and staff partly pulls his shirt up, hand-over-hand. Chewan finishes the job and removes it.
Which prompt was Chewan’s shirt program ran at?
Partial Physical
You are moving Robin from her chair to his bed using her Hoyer. She is upright and has her seat belt and chest strap on. What is the first thing you do before starting the transfer?
Tip her chair back! Gravity is your friend.
Monday through Friday 8a-4p, who do you call for concerns?
Your personal manager, or the staff who is causing the concern’s manager, not On Call
Jasper is cycling through many behaviors. He has found several cups and has been redirected from throwing them over the fence. He is also showing signs of frustration, by groaning and slapping his forehead. He seems stressed and unable to relax. What 3 things would you do as staff to help him?
Offer a different activity, like a walk or drive to the park to cool down.
Keep him safe and try to keep him away from any triggers.
Assist Jasper with his anxiety prn, as a last resort.
How do you sign for a PRN in the MARS?
Initial PRN, turn to the back. Add the medication name and dosage. State the reasoning for giving the PRN. Add date and time given.
Add results later in the shift (with date and time). Inform on coming staff if they need to add results if this occurs after your shift; however, results can be documented in as soon as 15 mins.
*Non-med passing staff may ONLY add the results to the MARs.*
Doris has fallen asleep at the table. She has a stain on her shirt from her strawberry milkshake. When Doris wakes up, staff says, “Doris, I see you spilled something on your nice shirt.” Doris notices as well and asks for you to help her find her favorite shirt to change into.
What prompt was Doris’ stained shirt program ran at?
Indirect Verbal
You are moving Tom in his sit to stand from his chair to the recliner. He is positioned properly in the sling and is standing solidly, with his calf strap on as well. You push him over his recliner, and he is now ready to be lowered. What is the next step?
Put on his brakes! The sit to stand could move the wrong way if not secured.
If 1st On Call doesn’t answer, what is the proper protocol?
Wait 10 minutes and try again. If you have made 2 phone calls escalate the call (2nd On Call, 3rd On Call, etc).
Dylan is upset. He is clearly wet and needing changed, but he does not want to stop watching his show. Dylan is yelling and thrashing on the floor. How would you best support Dylan?
Keep Dylan safe. Try to keep him from hurting himself on anything jagged, by utilizing pillows/safety equipment.
Explain to Dylan that you need to change him so he is clean but allow him a minute to cool down and finish whatever he is watching.
Try again in 15 mins after he is calm.
How often do you need to check incontinent participants? Where is this documented?
Every 2 hours.
It is documented in the hourly logs section of the book, as well as the intake/elimination part of Therap.
Staff is assisting Rick with his medication. After Rick pops the bubble and helps push the meds out onto the med tray, he points at his Baclofen.
What prompt was Rick’s medication program ran at?
Independent
What are the different colored loops on slings for?
Creating a seated or laying position.
Who do you call in an emergency, after calling 911?
4th On Call, after addressing the emergency
Matthew is very agitated after dinner. He is irritable at most comments given and doesn’t seem like he feels very well. You check his Dexcom and see it is still reading high, and he has already had his insulin. How do you support Matthew?
Try to find a way to get Matthew to do some exercise. Play some Just Dance on the Wii or start playing some fun music.
Encourage Matthew to drink water.
Be patient with Matthew, and understand his perspective/feelings.
When participants check out (with people other than CIL employees), what needs to be documented?
Who they went with, what time they left, the date, staff initials and participant signature.
*Don’t forget to sign them in when they come back home!*
Caleb is very upset and showing signs of anxiety while in his chair. What are the items on his comfort list?
Checking to see if he is wet, having a snack/drink, listening to country music, watching his favorite shows, laying him down for a nap, repositioning him in his chair, or offering a PRN for pain (last resort).
Chewan is about to be transferred from his bed to his shower chair. He has on only an attend. He his half sling on and his sit to stand is hooked up.
Is he ready for a safe transfer?
No, he needs his braces and shoes on for support.
*Any participant should be wearing all adaptive equipment during transfers, no matter how quick the transfer!*
You come on shift and notice that the previous staff did not take out the trash from their shift. This has happened multiple times and you’re growing frustrated. How should this be addressed?
You should report this to their manager during manager hours. If it is becoming a repeat issue an scomm should be written (send to your manager, the house manager, Becky and Ruby).
Doris has had an emotional morning. She is constantly asking when she is able to visit her mother in heaven. She also seems obsessive about painting the house jade and will not take redirection. How would you support Doris?
Validate her emotions but limit discussion as much as possible. Remain positive with answers. Remind her to be safe and to take deep breaths. Safety, rules and right and wrong help deescalate Doris.
Keep some distance between yourself, her and Kathleen for safety.
See if Doris can have her PRN if she shows enough signs of anxiety.
You are the staff working on shift when you see this in the participant’s tracking. What protocol needs to be followed?
Report to thread and help assist with constipation PRN, like milk of magnesia.
What does the abbreviation SODAs stand for?
S - Situation
O - Options
D - Disadvantages
A - Advantages
S - Solutions
How should a participant be positioned in a full body sling?
The participant’s head should be positioned at the top of the sling, as high as comfortable to allow them to be comfortably moved.
This also allows for the majority of the sling to be used to support their lower half, with the bottom edge resting under the back of their knees.