Flashcards in Resident Behavior Deck (14):
What are the two types of RESTRAINTS that facilities can USE? What is the Residents Rights when it comes to RESTRAINTS?
Has the right to be free from any physical/Chemical Restraints for purpose of Discipline or Convince of the facility
If physical restraints ARE used to treat a MEDICAL CONDITION, what are the minimum requirements for monitoring and releasing?
2-MUST be Released every TWO hours for a MINIMUM of 10 Minutes & Resident Re-positioned.
**BEST Practice Monitored 30 min.
If a Physical Restraint is used to treat a MEDICAL CONDITION, what must the restraint NOT IMPARE?
CAN NOT OBSTRUCT or IMPARE:
2-BREATHING (Pressure on TORSO)
3-Ability to COMMUNICATE
4-Can not put in a PRONE or SUPINE HOLD.
What is a BEHAVIOR EMERGENCY?
Where a resident shows aggressive, destructive, violent, or self-injurious behavior AND:
1-Poses a RISK to self OR others
2-dose not respond to DEESCALTORY Techniques
3-could not have been ANTISIPATED
4-not in CARE PLAN
If there is an alleged VIOLATION involving mistreatment, neglect or abuse misappropriation missing persons, ect..of a resident who must be contacted? What are the time frames for reporting and investigation?
2-AND DADS ( consumer rights and service)
---Phone Call ASAP ( ought not to exceed 24 hours ) -F225
---Written Letter with in 5 calendar Days after the Verbal
Note: both are now done through the website.
--5 workdays days , after the verbal reporting, to STATE AUTHORITY (DADS). -19.602
While an investigation involving mistreatment/abuse/neglect is in progress, what MUST the FACILITY do about the problem?
Texas Only- 19.601-c-4
Must Prevent any FURTHER POTENTIAL ABUSE, ---- this normally takes the policy of SUSPENDING any employee that may have been evolved, Pending an investigation.
If (TDHS) send you a letter of COMPLAINT, what will be in the letter?
A summary of the complaint and alleged abuse/neglect with out Identifying the INTERNAL Person who made the Complaint.
IF a Resident Dies at the Facility when is that reported? And to whom? What must be included on the form?
1- Texas DHS
2-10 Work Days after the last day of the month
Ex: person dies in April 10th, death is reported in May no later than May 10th
3-name / ss# / date of death / name and address of facility.
Who reports a death if the Resident was Transferred to a Hospital?
1- IF OVER 24 hours the Hospital
1- IF 24 hours and UNDER the FACILITY
Regarding abuse and reporting. As part of the hiring process the employee must sign a statement that says:
Texas only 19.602
1-Employee may be criminally liable for failure to report abuse
2-Employee has cause against the employer if is suspended, terminated, disciplined , or discriminated against because they do report, or cooperate in an investigation.
When must local law enforcement be called?
When the resident:
1- health or safety is in imminent danger
2- had died because of conduct alleged
3- hospitalized or treated in an emergency room because of alleged conduct.
4-been a victim of any act in the "penal code"
5-suffered bodily injury because of alleged a bourse or conduct.. Ect..
What are some exams of Physical restraints?
-Velcro to hold a bed sheet, fabric or clothing ---- anything that restricted the movement and freedom of a resident
* depending on a case by case basis almost anything could be considered a restraint depending on how functional a resident is. Ex: putting a bed to close to a wall might be a restraint , depending on that residents ability.
What is deemed "Misappropriation of Resident Property"
Deliberate misplacement OR
Wrongful temporary OR
Of the residence belongings (or money) without the residents consent.