General Knowledge 1
What is the difference between a level 1 vs level 2 serious occurrence?
Level 1 SOR: need to be submitted within 1 hour of becoming aware of the SO or deeming it to be a SO.
Level 2 SOR: Submit an SOR as soon as possible but no later than 24 hours after becoming aware of the SO or deeming the incident to be an SO.
1. How often is the following information reviewed with a client by staff: medication details, potential side effects, and the risks of mixing medications with other drugs or alcohol?
2.How often should a medication review be completed by a doctor or healthcare professional?
1. Once a month with staff.
2. Every 3 months for a health care professional.
How often are fire drills conducted?
What is being reviewed during the fire safety check? (6)
-Fire drills are done monthly.
What is being reviewed?
1. fire extinguishers are in working order (maintenance signs off)
2. emergency lights are functional
3. smoke detectors are functional/ not expired (maintenance)
4. All entries/exits are clear for access
5. fire/safety panel in panty room is functional (green light on, not flashing or another colour).
5. All staff and residents are aware of the evacuation procedure and meeting place.
After a physical restraint has occurred, within what time must the debriefing take place?
Who would be involved in the debrief(s)? (hint: 3 answers)
-A debrief must take place within 48 hours of a physical restraint.
Debrief #1: debrief with all staff involved in restraint (without youth present)
Debrief #2. debrief with staff involved in restraint+ child/youth who restraint was used on.
Debrief #3. debrief with the youth who witnessed the restraint.
What is the Ombudsman Office?
What is their purpose?
Where can youth find their contact information?
An independent, impartial and confidential government official who investigates and resolves complaints.
-Youth in care have access to their contact information and can use them as a resource if they have complaints or concerns about their care or placement.
-youth are provided the brochure at intake to keep in their personal belongings. The number is posted on colourful posters throughout the house, and on the main bulletin board.
What is the purpose of a resource person? Who can be a resource person?
What is the purpose of an adult ally? Who can be an adult ally?
A resource person is someone who offers specialized knowledge, guidance, or support in a particular area to assist children, families, or staff with a youth in care.
A resource person can be a therapist, community leader, experienced volunteer, legal advocate, etc. They may be invited to a plan of care.
An adult ally is a supportive and trusted adult who helps ensure the child’s voice is heard and their needs are met. They may be invited to Plan of Care meetings.
An adult ally may be a parent, caregiver, family member, social worker, teacher, coach, mentor.
What constitutes a medication error?
How should medication errors be reported? (hint: 7)
-A medication error occurs when a medication is not administered as prescribed or intended (opposite of the 10 rights to administration).
Reporting procedure:`
-report to supervisor/ on-call
- Report/call to CAST duty worker
- Report/ email/call youth service worker
-Contact prescribing pharmacist (and/or telehealth nurse) for potential side effects, next steps for admin
-write medication incident report
-Supervisor to submit SOR to MCCSS (for psychotropics)
-Parents (if applicable)
What is the CYFSA? What is it’s purpose ?
Child and Youth Family Services Act
It is to promote the best interests, protection and well-being of children and youth up to the age of 18.
-takes a child centered, strength based approach to servicing youth in care.
What does duty to report mean?
Who has the duty to report?
Everyone in Ontario is required by law to report suspected child abuse or neglect. The burden is even greater for those who work with children and youth in a caregiving capacity.
If you have reasonable grounds to suspect that a child is, or may be in need of protection, you must immediately report the suspicion to a children’s aid society.
If you think the matter is urgent and you cannot reach the children’s aid society, call your local police.
-The person who witness or suspects the abuse/neglect MUST be the one to report it. It cannot be passed on to another person to report.
What does RPAC stand for? What is their purpose?
Where can a youth find their contact information?
-Residential Placement Advisory Committee
-Role is to review the appropriateness of the child's placement without bias.
-There contact information is posted on the bulletin board in the main living room space (white and yellow paper).
What would make a situation be considered an Enhanced Serious Occurrence?
What is the timeline for reporting such an occurrence?
-A situation is considered an enhanced serious occurrence when emergency services are responding to a significant incident that will likely result in significant public or media attention. (I.e death of a child, missing child).
-The service provider has 3 hours to report to MCCSS as an enhanced SOR.
What should one do if a client is suspected of a drug overdose (for prescription medication or recreational drug use). (HINT: 6)
1. Assess the Situation -Check for signs of overdose
2. Administer Naloxone
3. Call for Help - 911
4. Apply First Aid/CPR as trained. While the other staff CALL supervisor/on-call
5. Accompany youth to hospital
6. Document everything
What do staff need to bring with them in the event of an evacuation? (10)
1. Register binder
2. Contact box
3. Medication box with medication binder
4.cellphone
5. emergency funds/petty cash
6.keys for property
7. van keys
8. client and staff emergency bags
9. logbook
10.youth files
Name the 3 situations where it may be appropriate to use physical restraint.
Bonus: when is it appropriate to STOP using a physical restraint once it is applied?
1. Clear and imminent risk that the resident will physically injure or further injure themselves or others
2. the resident is a YOUNG OFFENDER, and it is for preventing them from escaping secure facility
3. the resident is causing significant property damage.
Bonus: The physical restraint can be stopped when the above does not apply:
i.e:
-when it is considered that the youth is no longer at risk for harming themselves/others
-when a young offender is no longer attempting to escape
-when the resident has stopped causing significant property damage.
When must medical, dental, optical, and hearing intakes be completed for new clients?
Medical - 72 hours after intake (then annually)
Dental- 90 days after intake (then every 6 months)
Optical- 90 days after intake (then annually)
Hearing-90 days after intake (then every 2 years)
Name are 3 common types of care agreements for our youth in care (3)
Extended society care
Interim Society Care
Temporary Care agreement
Name 6 high-risk situations for psychotropic medications
1. Psychotropics that are prescribed as (PRN) more than twice a day or for 3 or more consecutive days
2. a child prescribed 2 or more psychotropics at the same time
3. a psychotropic medication that is stopped suddenly by a child without consult with a doctor.
4. a psychotropic that has not been reviewed by a doctor in more than 6 months
5.any other situation that would cause concern (i.e mixture with recreational drug use, etc).
6.any youth who travels with their medication and sign the high risk med document.
Name 4 Prohibited Methods of Discipline. (Hint there are 10)
1. Corporal Punishment (I.e spanking)
2.Deliberate harsh or degrading practices, undermining a child's respect (i.e derogatory/racist language)
3. Deprivation of basic needs: food, shelter, clothing or bedding, toilet
4. Secure isolation
5. threaten or removal of personal property
6.remove or threaten to remove services relating to cultural neeeds
7.inflict or threaten to inflict harm
8.withhold or threaten to withhold family visits
9. threaten to discharge from care
10. interfere resident from attending school or employment
When a client wants to submit a formal complaint, what should staff do? (hint:7)
1. Complete Kennedy House complaint form. Resident can either write it themselves or can dictate while staff write it (staff must ensure that the youth sign off for accuracy of complaint. This must be done before shift end.
2. Offer immediate support to the youth and attempt to rectify the complaint if possible and within scope of ability.
3. explain in language the youth will understand of who will receive complaint and steps for resolution.
4. report to supervisor/on-call supervisor
5. communicate to all relevant parties (CAST duty worker, police, parents, etc)
6.ensure proper follow up within 24 hours of complaint.
7. Be accessible to the youth and supportive at all times.
What areas in the program MUST remain locked to ensure the health and safety and confidentiality of the youth? (10)
1. the staff office (when not in use)
2. filing cabinets in the staff office
3. cupboards/closets that contain cleaning products
4. medical supplies and medication (including non-prescription medications)
5. Laundry room/ laundry detergent (in this case, the door to basement when not in use).
6. pantry room/ storage room
7. Staff washroom
8. program supervisor office
9. fire safety plan box
10. sharps cabinet
Name the types of serious occurrences (hint: 9)
1. Death
2. Serious injury
3. Serious illness
4. Serious individual action (i.e. missing person, assault, arrest)
5. Restrictive intervention (physical restraint/ use of CPI)
6. Abuse or mistreatment
7. Error or omission (i.e medication error)
8. Serious complaint
9. Disturbance, service disruption, emergency situation or disaster (i.e evacuation, fire, etc)
what are the 10 rights for medication administration?
Right Patient: Verify the identity of the patient receiving the medication.
Right Drug: Ensure the medication administered matches the prescribed drug.
Right Dose: Confirm the correct dosage is given.
Right Route: Administer the medication via the correct route (oral, intravenous, etc.).
Right Time: Give the medication at the correct time as prescribed.
Right Documentation: Document the administration accurately in the patient's records.
Right Reason: Understand the reason for administering the medication.
Right Response: Monitor the patient's response to the medication.
Right to Refuse: Respect the patient's right to refuse medication.
Right Education: Provide the patient with information about the medication they are taking and potential side effects
Name 5 fundamental rights for children/youth in care? (hint: there are 11)
1. Right to be Heard
The child has the right to express their views, wishes, and feelings about their care and have those taken seriously, appropriate to their age and maturity.
2. Right to Safety and Protection
The child has the right to be protected from abuse, neglect, and any form of harm while in care.
3. Right to Reasonable Privacy and Confidentiality
Their personal information must be kept confidential and only shared when necessary for their care and protection.
4. Right to Cultural Identity
The child has the right to maintain and develop their cultural identity, language, religion, and heritage, including connection with family and community, especially for Indigenous children.
5. Right to Quality Care and Services
The child is entitled to care, support, education, health services, and opportunities that promote their development and well-being.
6. Right to Access Information
The child has the right to receive information about their care, their legal status, and available supports in a manner they can understand.
7. Right to Privacy in Personal Matters
Including respect for personal space and possessions.
8. Right to Participate in Decisions
The child should be involved in planning and decisions that affect their life, including their Plan of Care.
9. Right to Contact Family and Support People
Unless restricted for safety reasons, the child has the right to maintain contact with family members and other important people.
10. Right to Education and Recreational Activities
The child has the right to attend school and participate in social, cultural, and recreational activities.
11. Right to Complain or Raise Concerns
The child has the right to raise concerns or complaints without fear of reprisal, including about their care or treatment.
What is the Plan of Care?
Who is typically involved in a Plan or Care?
What is the POC timeline (how often are they done?)
- A Plan of Care is a documented, individualized plan that sets out how the needs of a child or youth will be met while in care. It outlines supports, services, goals, and responsibilities, and is subject to periodic review and adjustment.
who is involved:
-Child/youth
-residential care provider/staff
-placing agency (i.e CAS worker)
-Parents/guardians (when appropriate)
-clinical/support staff: like social worker, therapist
-indigenous representative (when the youth has indigenous background)
-Optional: adult ally, other support persons, educational staff
Plan of Care Time Line
30 days *after intake date
90 days *after intake date
6 month (180 days) *after intake date
1 year *after intake date
Therein every 180 days (6 months) after the last POC date
On-call MUST be notified immediately after the following instances (hint: 13)
1. Missing client
2. Client return from being missing
3. serious injury to client or staff
4. Fire
5. death
6. major property damage
7. physical intervention
8. Serious individual action (I..e client committing crime in the community, assault)
9. police contact of any kind to a youth
10. anything deemed a serious occurrence
11. room search being conducted
12. any important information regarding a client's care (i.e attending medical appointment)
13. any major program restrictions given to client