Screening Scenario
Women aged 40-74 should receive this imaging test every year.
Your consumer falls and hits their head. When you check them you see they unconscious and bleeding from their scalp. What is the first thing you should do?
Immediately call 911
A person refuses to take their prescribed medications
Offer 3 times. Respect their choice, do not force, follow protocol, document and complete a GER.
This condition is often caused by a lack of fiber or mobility, and can become fatal if it is not addressed.
Constipation or Fecal Impaction
You notice your consumer starts coughing during meals.
GERD
What exam should be performed at least annually but it is preferred semi-annually.
Dental exam
After a head injury, how long are we required to monitor the individual for symptoms related to the head injury, and where should it be documented?
72 hours, in the T-Log
You observe a small cut on a person's hand that wasn't there earlier
Provide first, notify supervisor and complete a GER.
Individuals with IDD are at high risk for this when they are not supported in getting adequate fluid intake.
Dehydration
Consumer is eating and starts having trouble breathing
Anaphylaxis
How often should consumer's psych meds be reviewed by a Psychiatrist?
Quarterly
What documentation is required by a DSP after a head injury where a consumer goes to the ER?
GER and 72 hours of monitoring in Tlogs
A consumer becomes dizzy while walking in the community
Help them sit safely, seek medical care, notify supervisor and nurse, complete GER.
This condition is caused by uncontrolled electrical activity in the brain.
Seizures
Your consumer starts having difficulty walking and holding body upright.
Medication toxicity
How often should a diabetic be seen by either their PCP or Endocrinologist for diabetic management?
Quarterly
Your consumer was getting into the van and hits their head. You notice a large knot on their head, but the consumer refuses to go to the ER. Who do you contact?
Program manager and nurse.
You are unsure if a symptom requires medical attention
Call the nurse and/or supervisor, and err on the side of caution and seek medical attention.
This condition occurs when particles (other than air) enter the airway. It can cause choking and/or lung infections such as pneumonia.
Aspiration
A diabetic person is sweating, shaking and says they feel funny.
At what age do men and women (with no history of colon cancer) start getting screened for colorectal cancer?
45
Your consumer falls out of bed and hits their head on the nightstand. You see no bumps or bleeding, and the consumer tells you they are okay and do not want medical attention. What should you do after ensuring their safety?
Immediately notify program manager AND nurse of the head injury. The nurse will conduct an assessment to determine any medical follow up.
What would you do if an individual refused a medical appointment?
Notify supervisor, complete a declination of medical appointment form
This is an often fatal, extreme response to an infection that can lead to organ failure.
Sepsis
A person has sudden facial weakness on one side and is slurring their words more than usual.
Stroke