Medical
What does M.A.R. stand for?
Medication Administration Record
What consists of a critical incident?
physical harm or serious injury to the consumer, any scenario involving ambulance or hospitalization, harm to staff, property damage, if consumer commits a criminal act, consumer elopes, any police involvement
What form needs to be completed prior to a House/Case Manager leaving for vacation?
ETO/Vacation Checklist, approved by your Senior
What is an ISP?
- Individual Support Plan
- Document that describes resident care in physical health, vision and hearing, and mental health.
- May also contain ADL and personal interests, vocational goals and desired community involvement/activities
What month/year did Integrity begin providing services and who are the owners?
- June 2000
- Jim Jorgensen & Tom Miller
What is the purpose of the M.A.R. Sign Off Sheet?
To prevent medication errors and have accountability among the team
What is the behavior tracking form used for?
Documenting when a consumer has behaviors outside of baseline
What is the difference between the 3 spending logs and who do they get turned in to?
1. Personal Spending to Diane
2. Room & Board (groceries, household supplies, etc.) to Diane
3. Monthly Credit Card Spending to Greg
What is a BSP?
- Behavioral Support Plan
- Written plan that provides structure for how caregivers can best respond to promote and encourage positive behavior and replace or reduce challenging behavior in a way that is unique to the individual.
What is the final due date for spending logs?
The 9th at the latest
When should staff be signing off on a Controlled Substance Log?
During every shift change in any home that has narcotics
What are Right's Limitations?
RL's refer to a specific instance when access to a particular item, media, etc. must be limited or denied for security purposes, adverse effect on treatment, or cause interference in the rights of others. EX: consumer having RL's of holding their own lighter and cigarettes
Which documents are included in "end of month paperwork"?
- M.A.R + Sign Off
- Mallat's Administration Record + Controlled Drug Sign Off
- Daily Logs, Sleep/Wake Logs, Fluid Intake, Behavior Tracking, any other daily charting pertaining to the consumer
Who should you notify when your consumer has been hospitalized or if they're gone with family for longer than a day?
- Rena for billing purposes
- Behavioral Health Dept. (Lanetta/Gloreen)
- Your Senior Case Manager
- Souda
Why is it important to update calendars weekly?
- To assure accuracy in budgeting
- To avoid any errors with payroll and staff missing hours
What is the process when there is a medication error?
- Notify Behavioral Health Dept. (Gloreen)
- Notification must be made to guardian/care team/PCP
- Complete Medical Error Report and submit to Lanetta to review
What is the definition of Restrictive Measures?
RM's are a use of restraint, isolation or protective equipment in the care of our consumers. They are to be used as a last resort, when no other option is safely available. EX. maglocks, restricting access to a different room
When should a change of status form be completed?
- rate changes
- position changes
- department changes
- status change (FT/PT, active/terminated)
What do you do when an employee calls you and tells you they've tested positive for COVID-19?
- Notify Stina
- Notify all staff in the home and advise for them to be tested, especially the ones who've come in direct contact with the positive employee
- Notify consumer care team/guardian/PCP
- Full PPE is required for all staff in the home
- Per PCP/guardian, may need to get the consumer tested OR monitor daily for symptoms
- DISINFECT
Who is responsible for reporting suspicious activity or employees who are not following policies/protocols?
EVERYONE!
How do you accept medications in to the home?
- Verify it's the right consumer
- If i'ts a controlled medication, verify the correct amount of medication is there and the the receipt matches
- Sign with a legible signature
- Put the receipt where CM designated
What is the process when a critical incident occurs
1. Notification to the care team/guardian within 24 hours that an incident has occurred (provide brief description), cc Rachel, Lanetta, Souda and your Senior
2. First Person Reports completed by employee on duty at the time of the incident
3. First Person Reports retrieved by House/Case Manager then begin the actual CIR
4. Upon completion of the CIR, send to Lanetta to review
5. Lanetta will email a revised copy back. Revised copy will need to be sent to the guardian/care team. cc your Senior and Souda
How many training forms are currently used and what is the difference between them?
1. New Hire/Orientation: completed for every New Hire
2. Individual Training Checklist: completed for every employee for the consumer they are working with
3. Training Verification Forms: completed during monthly team meetings as a review of training tools
What is the difference between the Emergeny Folder and the Blue Consumer Folder?
Emergency Folder: Document containing info that will help meet needs in the case of a natural disaster type of emergency.
Blue Folder: Contains Facesheet, copy of most updated M.A.R., elopement plan and possibly a picture. In the event of hospitalization or elopement, the document can be used for police , emergency or medical assistance.
What is Souda big on?
DEADLINES! :)