ORR (Mental Health Focus)
True or False: You should always include opinions in your observations.
False! Observations should always be objective and based on facts.
What is the strict Homebridge safety rule regarding handling, touching, or throwing away a client's drugs or paraphernalia?
Never handle, touch, or dispose of drugs or paraphernalia.
True or False: Grief only occurs following the death of a person.
False.
Grief is a natural response to losses such as housing, stability, relationships, health, or independence.
What is the first call an HCP must make when finding an unresponsive client suspected of an overdose?
911!
Darius visits Mr. Lee, who has a half-finished beer and smells like alcohol, but is calm, polite, and conversing normally. Should Darius stay, de-escalate, or leave?
Stay (complete the visit because there are no threats, mild intoxication, and he feels safe).
Name two specific details that must always be included when recording an entry in MedSys.
Any two of the following: Date and time, specific objective observations/quotes, actions taken, or signature.
f you suspect fentanyl or drug residue got onto your hands or skin, what should you do?
Wash your hands and / or skin with soap and water only (do NOT use hand sanitizer).
What type of grief occurs before an impending loss actually takes place, which is common when caring for declining clients?
Anticipatory grief.
Why can't you test a Narcan nasal spray device before administering it?
There is only one single dose per device.
A client becomes intoxicated, starts yelling "Get out now!"
What is the provider's protocol?
Leave immediately, go to a secure location, and call Service Support.
How should you report your observations?
By calling Service Support or messaging your CS in the MedSys app.
If you must leave a client's home early due to unsafe substance use, who must you notify immediately?
Service Support (and then report to your Care Supervisor).
When communicating with a grieving client, what should providers avoid saying?
Minimizing phrases (such as comparisons or dismissing it) or trying to fix it.
After delivering the first dose of Narcan, how long should you wait before administering a second dose in the opposite nostril if the person is still unresponsive?
2 to 3 minutes.
Tasha finds a glass pipe and white crystals on the table.
Mr. Jones is pacing, talks fast, and snaps, "Mind your own business!" when asked to put them away. What should Tasha do next?
Calmly excuse herself using a neutral exit, leave the home, and call Service Support.
What is the rule for reporting non-urgent changes versus urgent safety issues?
Urgent safety issues require an immediate phone call to Service Support or your CS; non-urgent changes can be reported the same day via phone or MEDsys messaging.
If a client refuses to put away drugs or paraphernalia after being politely asked, what must the HCP do?
Calmly excuse yourself, step outside/leave, and call Service Support.
True or False: The five stages of grief are a neat, linear pathway and everyone experiences it in the same order.
False!
It is not a neat, step-by-step path (people skip, linger, loop back, or experience multiple stages at once).
If the client is unresponsive following a Narcan dose but is breathing normally, what position should they be placed in while awaiting emergency responders?
The recovery position.
Luisa finds Mrs. Hernandez slumped on the couch, unresponsive with slow breathing and foil residue nearby. List Luisa's immediate action steps.
1. Call 911 immediately
2. Administer Narcan nasal spray without touching paraphernalia
3. Set a timer for 2–3 minutes
4. Provide CPR/recovery support
5. Call Service Support and report to CS
List 3 possible behavioral changes that should be reported.
-Sudden mood changes
-Increased isolation or refusal to engage
-Verbal aggression or threats
-Talking to oneself or responding to unseen stimuli
-Changes in sleep, appetite, hygiene, or appearance
What are some examples of situations where you should stay when substance use is present?
Mild intoxication, no threats, provider feels safe.
Roughly how many clients pass away or are transferred out of Homebridge care each month?
Approximately 10 clients.
What are the three classic physical signs of an opioid/fentanyl overdose?
Unresponsiveness, slow/shallow breathing (or no breathing), and pinpoint pupils (or blue/gray/pale lips and nails).
Ms. Lina is pacing the hall, slams her door, and yells that people are spying on her. How should the provider record this objectively?
Record the exact actions and words: "Client paced the hallway, slammed the door, and stated 'people are spying on me'".