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
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
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
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)
If an individual throws up after taking medications, what do you do
Call on-call or supervisor (depending on day/time) to report and follow directions
Chart in HPNs
Do not re-administer
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.
Which lifts are used at M2?
V3 and Hoyer
Which cares need to be completed each Tuesday?
Nail Cares
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.”
Tell me about the medication storage procedures
How should we document leisure activities?
Be descriptive of where you went or what you did.
“Picked up snack from Burger King ate at home” “Lunch from Burger King at home”. “Project Challenge BINGO”. “Project Challenge Bowling”. “Project Challenge Singers”. “Project Challenge Uno with Friends”.
Do not assume their reaction to an activity, if you use a direct quote, use quotation marks, or say "appeared to enjoy, seemed to enjoy"
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.
If an individual requests a PRN medication, what should you do?
Check PRN chart/HPNs to see if they recently received, Check OTC list to see if they can have, Document on PRN chart, Follow up 30 minutes to 1 hour later
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