Clients
What is the best way to help RK get out of his "funk"?
joking with him or offering him a compression hug
Who in the home is on a social skills outcome?
Everyone
Where is the fall protocol listed and what is the fall protocol?
In the MAR
Staff will use their First Aid training to assess the individual after their fall. Encourage the individual to stay still and not get up until you have checked them for injuries. Check the individual for bruising and/or swelling. Have them move their limbs and perform range of motion to determine injuries. Ask them if they are having pain anywhere on their body or observe their body language for signs of pain.
Whenever an individual has a fall and they hit their head and go unconscious, unable to move on their own or appear to have a serious medical concern, staff will immediately call 911.
If the individual has fallen and hit their head but they are not showing signs of unconsciousness and don’t appear to have a serious medical concern at the time, staff will follow the Guidelines set up on the “Mind Matters: Symptoms of a Concussion” poster and will monitor the individual for signs of a concussion. Staff will seek out medical treatment for the individual if they are showing signs of a concussion. Staff may need to feel the individual’s head to see if there is an injury or contusion as many of our individuals have very high pain tolerances and may not report pain.
If there is bruising, swelling, complaints of pain at the time of fall or noticed after the fall, staff will need to seek out medical attention for that individual, when needed. Staff will bring them to their primary physician and/or clinic if an appointment is available. If an appointment is not available they will take the individual to Express/Urgent care to be seen.
Document all information on the fall tracking sheet and in the HPN's
Who to notify:
Staff will notify their PC/PM Mon. – Fri. while on duty
Staff will notify PD Mon.-Fri. 8a-5p when PC/PM off duty
Staff will notify the OMI On-call system after 5pm, on weekends, holidays
During mealtimes, where should staff sit and why?
Staff should sit with the individuals for all meals to build relationships. Staff should also sit with individuals for all meals to ensure that no one is shoveling food, choking, or RK isn't dumping his food/drinks anywhere.
Which lifts are used at M2?
V3 and Hoyer
How much lube should be used when cathing JM?
a small amount of lube just on the tip of the tube. (Staff can tear off the top of the lube packet and simply place the tip of the tube into the packet and that is enough lube to complete the cathing.)
What are RK 5 memory stimulation activities?
Personal info cards (Reciting flashcards), Play bowling game, Reminiscing Activity (scrap book/photo book/album), Color Sorting/recognition activity, Reminiscing Activity (people pictures)
When money is spent, what 6 things should the receipt have on it?
Cash, Debit Card, or Check Receipts: Ensure that each receipt has the 6 required items
What meal "procedures" should we follow with DR?
Denise will have breakfast once she is ready for the day, including a full glass of water. Denise can have a snack at 9am, lunch at 11am, 2pm snack, and then dinner. When we are giving Denise snacks we should ensure that we are following both the menus and diet guidelines. For example, if Denise is asking for a brownie at 9am we should offer her a healthy alternative such as a protein bar or some fruit. We should also be encouraging Denise to not consume as many energy drinks, these are not good for her and she is also spending all of her money on them and she is unable to buy other things she needs such as clothes.
When should to vehicle inspection be completed? Where is it posted?
daily in the morning, no exceptions
hung near the activity calendar
When does RK get the most tired?
Robert will often be upset later in the evening when it is nearing time for bed, upon waking, and between 11am-2pm
How do you complete Jim's staff pictures objective?
Staff will lay out all the staff flashcards on the table/counter.
Staff will point to a picture and ask Jim who it is.
If Jim says the correct staff’s name clearly, staff will say, “Yes, that is “Lauren” (Steph, Robin…). This will reinforce Jim hearing the staff’s name.
If Jim does not clearly and/or correctly state the staff’s name staff will say, “This is the “Jessica” (Steph, Robin…).” Staff will have Jim repeat the staff’s name. Staff will ensure that he pronounces the name clearly and correctly. Staff will then ask Jim again, “Who is this”? Staff will repeat this step until Jim can answer the “who is this question”.
Staff will verbally praise Jim for participating with the flashcards. Ex. “Thank you for working on your flashcards with me today, Jim. You did a very good job.”
If you suspect that a staff is under the influence while on shift what should you do?
Staff on duty CANNOT leave the site; they must stay at the house to ensure appropriate supervision of the clients.
Alysun 3202550135: The PC/PM at the site is the first contact. Staff should contact the PC/PM during their scheduled hours. Refer to the site schedule for when the PC/PM is working. If PC/PM does not answer, leave a voicemail. Do NOT call the PC/PM’s personal cell phone. Staff should be calling the site house phone.
Heather 320-333-2147: The PD of the site should be contacted during business hours (defined as Monday-Friday 8am-5pm excluding Holidays) or when the PC/PM is off duty. If PD does not answer, leave a voicemail.
OMI On-Call 320-290-3617: Hours to contact on-call are Monday-Friday before 8am and after 5pm and all day on holidays and weekends. If staff are unable to get ahold of the PC/PM/PD during working hours and there is an emergency, staff should contact on-call. If On-Call does not answer, leave a voicemail including the site you are from and a brief description of the situation. Do NOT call from your personal cellphone, use the site phone to contact on-call.
PLEASE NOTE: Failure to immediately report a staff that you suspect is under the influence can result in staff discipline.
When should work lunches be prepared?
JM drinks prepared by the overnight staff.
RK does not eat lunch at work.
Do you need permission to give cold and flu medications and who do you need permission from?
yes
On-call or supervisor depending on day/time
What is the proper way to bring LS to church?
When Lisa goes to church, we need to take her all the way in and put her in a spot where she is comfortable and safe. Staff need to check in with Lisa that she is comfortable and remind her “People in the community should not be helping you while at church, if you need to use the restroom you have to do that independently” If Lisa has any behaviors with staff regarding this follow her behavior outcome.
What target symptoms do we need to watch for/document with DR?
Depression: isolation, intentionally ignoring/not responding to others, excessive crying to get out of completing tasks
Physical aggression: attempting to and/or hitting, ramming into others with wheelchair
Self-Injurious Behavior: picking at her skin, hitting her head on objects
Verbal: bossing, demanding, and/or acting as “staff” towards others; gossiping, participating in rumors, eavesdropping, aggressive in her communication with others
Lying: inaccurately reporting events/situations
What procedure should you follow if a staff no call no shows?
If a staff does not show up for a scheduled shift the staff on duty MUST stay until that staff arrives or they find someone else to come in.
If there is two staff on duty and neither staff is willing to stay the staffs who have worked the least amount of consecutive hours must be the one to stay. If both staff have worked the same amount of hours then the two on duty staff should flip a coin to determine who has to stay.
If a staff does not show up for their scheduled shift the staff on duty should call them. If they do not answer staff should leave them a message. Staff should always try to call multiple times.
If the scheduled staff does not answer and the staff on duty is not willing to stay they are responsible for calling all other staff on the phone list to see if anyone else can come in and work.
If the staff that was scheduled for a shift shows up or calls back and the shift has already been covered it is up to the staff that is covering the shift if they want to leave or not. The originally scheduled staff does not get the option to work or not.
All staff whose hours are affected by a no-call no-show or a call no-show MUST fill out the shift variation form.
What is LS meal time procedure?
When staff are dishing up plates at mealtime, they will tell Lisa what is for that meal and ask her if she is going to eat it. If not, staff will offer Lisa any leftovers (if there are any) and ask if she will eat that. If Lisa will not eat either option, staff will offer her a sandwich. Staff will serve Lisa half a portion size at a time (if a sandwich staff will make her half a sandwich to start). If Lisa agrees to one meal, she is to eat that meal. (i.e. If Lisa wants what is made, she will get half a portion and will not be given a sandwich as well). If Lisa finishes her half portion of food and wants more, staff will serve her seconds. This procedure has been put into place as to not waste food and to provide Lisa with options and be person-centered. This same procedure should be followed when packing her lunch for work.
Who all has alone time? What is their alone time?
LS: Can be alone at project challenge events and church, home alone up to 3 hours, must use the bathroom before hand and have her phone near her.
DR: Can have alone time at home and in the community up to three hours, must use the bathroom beforehand.
RK and JM none.
Which cares need to be completed each Tuesday?
Nail Cares
How do we redirect LS during a behavior?
“Lisa you are being disrespectful, can you please be respectful or would you like to go to your room to be able to get your frustration out independently” This has worked in the past and Lisa will generally apologize for any insults/swearing once she is calm.
Letting Lisa know it is ok to be upset/mad/frustrated; however, she needs to express those emotions appropriately. Lisa has started to go to therapy and her therapist will be helping her to learn proper social skills. This also means that we need to be supporting Lisa and praising her when she is doing good with processing her emotions.
If you find a med error, make a med error, or if a client refuses medication what should you do?
If it is close to the time the medications were to be given call the pharmacy or the on-call to ask for instructions.
Let them know what meds they were to receive and if they receive them again that day.
If it is already the next day when noticed, you do not need to do this and If a client refuses their medications, you do not need to do this.
Fill out med error form (where is it)
Check medication error/treatment error/refusal form on who needs to be notified. Notify necessary people (doctors, guardians, social workers) and document on form (staff need to locate this form). We have 24 hours to contact guardians and social workers, so if it is a weekend, holiday, or the supervisor is not in the next day this is staff’s responsibility to do.
Contact staff that made the error.
Contact on-call or supervisor depending on day/time.
Put form in supervisor’s box
Document in individual’s HPNs
When can meal shirt protectors go into the washer/dryer?
NEVER
How many tokens can LS earn in one day and when do we give them to her?
Between 5-7, before work on workdays, 2pm on non-workdays and once getting in bed for the night
Lisa’s Daily To-Dos