Facility Employee Handbook - Part 2 Specific to Mountain Lake Seniors Community
HRR m01e
As an employee you are responsible for reviewing this handbook as needed to ensure understanding of and adherence to company guidelines, policies and procedures. You are also responsible for adding subsequent advisements provided to you. It is your responsibility to consult an AdvoCare representative if you do not understand or are not in agreement with any of the statements, policies or procedures provided to you through this handbook or in subsequent memos, bulletins or updates. Refer as well to your collective agreement and/or contact your representative if need clarification on any matters.
Disclaimer: All parts of this Orientation Handbook are supplementary to the relevant provincial legislation. In the event of a conflict, the legislation will prevail.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 2 of 30
TABLE OF CONTENTS
Introduction, Workplace Contact Information and Representatives...... 3 Occupational Health and Safety Committees...... 4 Union Representation...... 4 Staff Room...... 4 Coffee and Meal Breaks...... 4 Meal Tickets...... 4 Communication/Report at Shift Change/Reporting...... 5 Language of the Home...... 6 Assignments...... 6 “Residents’ Days, Family Binders, the Residents’ Chart, the 24 Hour Report and Communication book...... 6 Call Bell, Bed and Door Alarms and Phone Systems...... 12 Battery Charging and Power Outages...... 12 Slings for Lifts and Transfer/Slider Sheets...... 12 Bed Height...... 13 Dining Areas, Meal and Snack Support...... 13 Use of Ovens, Coffee and tea pots and Crock Pots in Program Areas...... 14 Non - Restraint Considerations...... 14 Ointments and Treatment Supplies...... 14 Laundry...... 14 Incontinent Products and Garbage Disposal...... 15 Garbage and Incontinent product disposal...... 15 Areas Safe and Tidy...... 15 Temperature Control Records...... 15 Missing Resident Search - Code Yellow!...... 16 Fire Drills, Exits and Procedures - Code Red!...... 16 FIRE SAFETY PROGRAM POLICIES & PROCEDURES...... 16 FIRE EXITS AND PULL STATIONS...... 17 PPSL Code of Ethics...... 23 OUR CODE OF ETHICS INCLUDES:...... 23 ETHICS...... 23 CODE OF ETHICS...... 23 PARK PLACE SENIORS LIVING CODE OF ETHICS...... 24
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 3 of 30
Introduction, Workplace Contact Information and Representatives Following is a variety of information which is specific to the home in which you will be working. Reviewing in advance of your onsite orientation will help you become familiar with the home and processes in a timely and organized manner. Be assured you will receive support from staff already familiar with the home, residents and routines. Welcome to the team and Mountain Lake Seniors Community!
Mountain Lake Seniors Community is located at 908 11th Street, Nelson B.C. V1L 7A6 The phone number is (250)352-2600. All door codes are 2011. The code for Night staff 9:00pm to 6:00am care areas is 1102 which is not to be shared with others.
Parking spots closest to the entrance are reserved for residents and their visitors or, emergency personnel. Evening and night staff are to park within Mountain Lake parking spaces under well lit areas. Staff is advised to always be aware of surroundings – in and around the workplace. Staff should conduct a visual check of the area, park in a well lit area and secure your car. Report any concerns regarding walkways, lighting, door locks or strangers in the area. It is encouraged that staff exit & enter the home with others where possible. Some homes have de-icing product available near entrances and parking lots for your use.
Please note Mountain Lake Seniors Community is owned and operated by Park Place Seniors Living. Their Mission Statement is: “Park Place Seniors Living exists to provide enriched life experiences to seniors by pursuing strategies for innovation, creativity and long term growth in a manner that is sustainable.” The Site Leader, who holds the license for the home and is employed by the operator, is Meg Milner. The Site Leader is involved in virtually all aspects of the care and support services of the home. AdvoCare, as a contract partner, reports to the Site Leader which may include participating in investigations and subsequent reports.
The AdvoCare on site office is located beside the hair salon. In addition to meeting with the management staff who work from that office, you are invited to leave documentation, memos etc. in the mailbox provided. In your main AdvoCare Employee Handbook is a listing of “Who to Contact” for a variety of employment related needs. Please defer to this list and utilize the toll free number provided to call directly or, leave documents you would like brought or faxed to home office in the mailbox provided.
Our on site management staff consists of: Program Manager- Melanie Wright-Day RN Program Assistant/HR Rep- Janice Van Caeseele; Janice Van Caeseele also conducts the New Employee Sessions In addition, the following staff is involved in weekly if not daily in care or human resource related needs staff for this care home but work out of home office: Quality Assurance Manager: Dean Avender
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 4 of 30
Human Resource Manager: Hollie Grieg AdvoCare OH&S Committee Members Occupational Health and Safety Committees Staff is encouraged to be an active participant in the joint occupational health and safety process. Employees may be assigned by their union as employee representatives however, all staff is encouraged to attend meetings as guests. Please see the calendar of meetings posted at the worksite and, the minutes of previous OH&S committee meetings.
Staff is also encouraged to make suggestions and submit via an Observation Memo which has a check box indicating is related to health and safety concerns or recommendations. These are then reviewed by the Program Manager and relayed in part or entirety to the OH&S committee.
Union Representation Staff is supported by Hospital Employees Union. Eleanor Schmidt’s office contact information is (See Union Board) (250)354-4466 Your union representatives are: 1. See Union Board
It is recommended that staff routinely check the union bulletin board located on the wall outside the staff area for updates and notices.
Staff Room The staff area is located beside laundry room where you will have storage space for personal belongings during your shift. Where lockers are available, staff may bring a lock to use while items kept in locker but, unless you have been assigned a specific locker, please empty and unlock at the end of your shift.
Please check your personal mailbox routinely for updates and miscellaneous correspondence and, routinely check staff bulletin boards for updates regarding OH&S, union, educational and miscellaneous staff information. Staff is reminded to keep the staff area tidy including cleaning up after oneself, including dishes, and, discarding or removing items/food after use.
Coffee and Meal Breaks Please refer to your collective agreement regarding authorized break allotments. Staff is to collaborate with their team for timing of breaks unless, specific direction is given. Consideration is given to the meal times of residents to ensure sufficient staffing levels in place to assist with transporting residents and dining needs. Staff is not permitted to leave early from any shift rather than take a break during the shift because the home must have full complement of staff on duty at any one time.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 5 of 30
Meal Tickets Meals can be purchased from kitchen staff. Please note AdvoCare makes available meals for staff doing overtime. ie: staff has been asked to extend their shift. Please ask about this option in such situations.
Communication/Report at Shift Change/Reporting Care needs are to be directed to the nurse in charge who will provide required direction or further investigation and required actions. The nurse is aware of what would trigger an incident or licensing report and would take action in accordance with the operator’s procedures and licensing officers’ expectations. Direct care staff is to document observations and variation from expected care delivery in the communication book. The Residents’ Days are updated by hand by the care aide within their level of competency and, by the OT, PT, Dietician and/or nurse as required to indicate clinically related changes in care needs. Dietary changes are also indicated by the dietician or nurse in the current dietary needs/changes to be kept on the dietary profile sheet in every alcove, updated by the dietician. Nurses adhere to the assessment and documentation processes of the operator including incident reporting.
Shift routines are posted in your work area. Please advise nurse in charge or Program Manager if any questions or challenges related to your role and responsibility throughout your shift.
Report at shift change at Mountain Lake Seniors Community consists of taped report and all care and nursing staff must ensure they have received report prior to commencing care. Staff is reminded to also check the dietary guide which is located on the dietary profile sheet in every alcove to identify any changes to the residents’ diets. Please note staff returning from extended periods of time away from the site must obtain a thorough report and review of resident’s individual needs prior to providing care. Should the staff’s absence be significant, a renewed partial orientation may be arranged.
Complaints or concerns expressed by family members or visitors are to be directed to the nurse in charge. She will field the query and report unresolved matters to the Site Leader. Should the matter be related to a performance deficit on the part of an AdvoCare employee, AdvoCare will investigate the matter and take the required action. Where performance or other matters impact care and service delivery, the reputation of the home or, legitimacy of the license, AdvoCare will report the concern and outcomes to the Site Leader who holds the license for Mountain Lake Seniors Community.
Equipment or building safety concerns are documented in the maintenance binder which is located in the Administrations receptionist office. Unresolved maintenance matters and, any safety related concerns are to be reported to the OH&S representative (via an Observation Memo noted in point 2).
Staff injuries are reported to the nurse at the time of occurrence. The nurse may initiate first aide including redirecting staff to emergency or medical services and, initiating WSBC form 6a and, in house incident reports.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 6 of 30
Non urgent learning needs or, consultation regarding best practices, routines etc. are to be directed to Advocare’s Program Manager or, discussed at your three month or annual accomplishment reviews. Observation Memos are available for staff to utilize to record concerns, observations and suggestions. Observation memos are reviewed by the Program Manager and/or Program Coordinator and, depending on need, action may be taken or, a report to OH&S, COO or Director may be triggered. Please note all Observation Memos are reviewed and signed off on by a manager. Where indicated and not restricted by confidentiality or time constraints, staff will receive a response to their memos though, given the multiple steps that may be triggered, do expect some delay as matters are thoroughly reviewed.
Please refer to your “Who to Contact List” which provides the contact numbers for various departments ie: payroll, scheduling, benefits etc.
Language of the Home
Please refer to enclosed document “How do you say it?” Effective communication is key to your success as an employee and as an employee working in a health care environment. Please be mindful of how you word things and use language which represents the culture of a Resident Focused Model of Care.
Please also refer to attached document “Picture your-self in the dentist’s chair!” Staff is to ensure they speak English while in the presence of others unless they are on a break and away from the program area on a break or, are speaking with a resident in a language the resident understands.
Assignments The scheduling representative will advise regarding your schedule and this may include regular “lines” or, casual assignments. You will be orientated to your role, the home and the shift routines. You may be assigned to one department ie: the kitchen or, you may be assigned to a Program Area (aka unit/wing etc.). In each Program Area, there is an area where the days’ assignments are posted and indicate who the nurse in charge is. At this home, that area is in the cottages alcove.
There may be occasions which necessitate reassigning staff for a shift or portion thereof. This may be done at the discretion of the scheduling department or the nurse. Staff must adhere to this direction.
Postings of new lines becoming available are posted on the corresponding bulletin board in the staff area and, forms are available for those who would like to apply. Postings are awarded in keeping with requirements noted in the posting or corresponding job description and the collective agreement. The names of the successful candidates are subsequently posted.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 7 of 30
“Residents’ Days, Family Binders, the Residents’ Chart, the 24 Hour Report and Communication book
Cottage workers are usually assigned to a “family” of residents but, in some homes may be assigned to a specific program area where more than one staff support a larger number of residents. At this home, you will be assigned to a cottage. Following report and check of the communication book and 24 hour report, you will review your “family” of residents by checking the Family Binder which contains the profiles and Resident’s Days. This serves to guide you throughout your shift though, as always, if you have a question or concern regarding whether or not planned care should happen or, noteworthy observations to report, bring the matter to the attention of the nurse. Ensure you document on the care aide communication in each binder by exception, as close to the time of occurrence or observation as possible. Updates in the 24 hour report may come from nurses, physiotherapist, dietician, dental hygienist and other health care professionals.
Please review attached samples of Resident day.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 8 of 30
RESIDENT DAY
Resident: SMITH, MARY JOE Room#238 1. Lift/Transfer: Independent 4. Tena Product: 2. Toileting Transfer: Independent 3. Mobility: Independent Important Days and Notes Treatments/Programs Bath Day: Wednesday Diet: Regular Oral Care: U/L Natural Teeth Hairdresser:
Time Resident’s Wishes Caregiver’s Responsibilities 0700 I get up on my own around Offer assistance but does most of her own care 0715. I have a very consistent routine
0800 I dress myself and will pull my Ensure Mary Joe has clean towels and face call bell if I need help cloths for care
0830 Breakfast Tray service to room. Please no pudding for I eat in my room for all meals. dessert I like porridge, eggs, black coffee, juice and toast/jam
0930 I prefer to stay in my room Ensure Mary Joe’s privacy is respected
1000- I only come out of my room Assure Mary Joey is comfortable in her room 1100 for my bath
1200 Lunch Tray service to room. Sometimes goes out with I eat in my room niece for lunch or other family
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 9 of 30
1300
1330
RESIDENT DAY
Time Resident’s Wishes Caregiver’s Responsibilities 1400 Afternoon Tea Offer her a snack of her choice I like juice and fresh fruit
1500 I may go for a short walk with Activity department will try to get her outside activities from time to time for a short walk
1600 I like to stay in my room and Mary Joe will enjoy 1:1 visits but only with her rest on my chair family
1700 Supper Tray service to room I eat in my room
1900 I like to get ready for bed at Offer assistance with HS care this time
2000 HS Snack Leave a glass of juice at bedside for the night I am usually in bed but like juice left at my bedside
2100
2300- I sleep well at night Check on rounds. Leave the bathroom light on 0700
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 10 of 30
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 11 of 30
*Assignments for care and recreation aides may include provision of some cleaning and non care support such as loading the dishwasher in the program areas. At this home, staff in the program areas provide, Setting tables, dishes, laundry and serving.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 12 of 30
Care staff assigned on night shifts is responsible for cleaning tasks as noted in the “Night Duty Cleaning Binder”. Check the binder which is located in Cottage Alcove on night shifts you may work to identify what is to be cleaned that night of the week.
Staff providing baths to residents must adhere to process for documenting that the tub has been cleaned between use and, that the temperature of the water has been checked. This record is maintained in Cottage Spa rooms.
Resident weights are obtained monthly and recorded on chart in Spa room and then transferred to Residents care plans.
Please note the symbols which are used at this home to discreetly identify those residents who may be at or pose particular risk: Located in the resident days.
Call Bell, Bed and Door Alarms and Phone Systems The following systems are in place at Mountain Lake Seniors Community to support you, ensure timely communication and minimize risk to residents: Bed Alarms: Door Alarms: Elevator access/overrides: Not Applicable Yellow door tape which serves to discourage wanderers: Not Applicable Phone Systems: Nurses call phone/call bell phones, pamphlet given at time of New Employee session on phone use.
Battery Charging and Power Outages This home is equipped with over bed ceiling lifts which have a retractable “return to charge” battery system. Staff is to check that this is operational and fully charged prior to commencing use. If you ever experience a low battery, please inform maintenance.
Battery charging for portable lift equipment is done by the cottage worker on night shifts in the electrical room in Alpine. The tub room ceiling track lift is to be checked by all shifts that it is on the charge.
Portable phones are charged by placing on chargers located in alcoves.
CAUTION in case of power outage that secured doors may be released. Adhere to protocol to guard exit doors in such situations.
Slings for Lifts and Transfer/Slider Sheets Residents are assessed by the OT or nurse for the appropriate sling which is then kept in their room. Check the Resident’s Day which indicates the type of sling required for their transfer or repositioning needs. Should a resident require a transfer from the floor following a fall, the nurse will assess the resident and indicate approval for what is generally a full body sling to move the resident from the floor to the bed.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 13 of 30
Staff is to utilize slider sheets as directed and where indicated, hold the repositioning until a buddy can assist. Two staff are required to be present during times a resident is midway between bed or chair or toilet while in a lift.
Soiled slings and slider sheets are sent to the laundry so they can be cleaned & returned by laundry in a really timely manner so should be back in time for next usage.
Bed Height All electronic beds should be elevated 1 inch before using lifts to ensure no damage to the electrical units/wiring. Follow instructions to lower beds to returning the bed to the lowest possible height following care delivery. This action helps prevent injuries to those who may fall or slide out of bed.
Dining Areas, Meal and Snack Support Staff will be oriented to the routine for the home. Please note main meals are at 08:00am, 12:00 and 1700pm. Coffee, tea, toast, juice, cereal or muffins are available for residents who would like something before breakfast or, prefer to sleep in and have a late breakfast. Snacks are provided between meals and at bedtime by Cottage Worker. Cottage Workers must ensure their residents are offered sufficient food and fluids through their shift and where the resident appears to not be eating/drinking sufficiently, document and notify the nurse. Staff who may be assisting with the residents of another Cottage Worker on shift, is to advise the primary care worker for a resident if it is noted that they didn’t eat as expected at meal time.
A listing of special diets/dietary restrictions including allergies, likes, dislikes and required food modification is posted on inside door of Alcove. The code for “cut up” is “X” and minced is “M” – otherwise , the diet type or any allergies will be written in long hand. It is imperative that staff check this list each shift as residents’ diets are subject to frequent changes.
Please note that all care staff assist in the dining and common areas one would at home. This may include serving tea and snacks, clearing dishes, serving meals and loading program area dishwashers. Please remember that residents should not be rushed out of the dining area after their meal. Create an environment where residents can stay and visit with others or, just enjoy being in the dining area if they choose. Placing magazines or picture books in front of the residents is a simple but effective action. Staff must ensure the focus of conversations is with and for the residents. Likewise, take all action possible to create an atmosphere that is as home like as possible such as: present food in a manner that helps residents welcome the food, use social courtesies with the residents and engage in topics that are of interest to the resident, utilize opportunities to foster natural friendships including advising the kitchen if a seating change may be beneficial, avoid speaking loudly to co-workers or over the residents and keep noise to a minimum, please ensure radios are turned on during meals or other times – though, not too loud. Play music from a country or “oldie” music channel as this is more suitable for the residents.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 14 of 30
This helps muffle clatter from dishes etc and, adds to a pleasant atmosphere over meal times and, where possible, initiate/encourage conversations that will help residents converse with others and, remember positive memories. For example, if serving blueberry cobble, ask who picked blueberries in their youth, talk about the pies they baked, walking through the woods etc. Make it fun & have fun yourself!
When offering snacks, do ensure appropriate type of food is offered. Care aides defer to the instructions of the nurse or dietician in regards to consistency and type of food residents may have. In many instances, one can enjoy a piece of cake but, it needs to be softened by ice cream first – the Resident’s Day should have this clearly noted.
Should any food items or beverages be placed in the fridge, the staff placing it there owns responsibility for dating and initialing the item and everyone owns responsibility for discarding items which have expired. Please adhere to memos from the Food Services Supervisor in this regard. While MSW staff clean the home, we all play a role in keeping it clean and tidy therefore, staff who utilize the fridges in the program area or medication room, are to clean the fridge as it appears required at the time.
Use of Ovens, Coffee and tea pots and Crock Pots in Program Areas
You will be orientated to the safety considerations related to this home and your role. Program areas which have dining room/kitchen areas, the power switch is located in electrical room and power is to be turned off.
Non - Restraint Considerations
Staff is to review and adhere to policy RM 20 Non Restraint Considerations. Refer to the Resident’s Day which will guide you regarding fall/risk issues and, any considerations for positioning or safety devices. Report concerns immediately to the nurse.
Ointments and Treatment Supplies Treatment supplies must remain locked at all times when not in use. Treatment supplies are kept in Med carts in Med rooms. Documentation of the treatment is done by the Nurse or Care Aide (Cottage Worker) immediately following application of the treatment. Care aides involved in treatment application are to document and report changes or concerns to the nurse. Staff is to ensure the product is kept secure while away from the Medication Room.
Laundry Laundry is done by MSW’s, personal laundry is done within Cottages by Care Aides. Laundry is placed in the laundry carts provided. Staff is to consider weight of bag and turnaround time for items which may be in limited supply like soaker pads when planning the timing of sending laundry to Main laundry room. There are separate linen carts for
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 15 of 30
personal clothes, linens and soaker pads. There are blue/green peri-cloths and then white clothes for faces and hands. No rinsing by hand of fabrics with body fluids including feces is permitted due to contamination risk however, one may, with protective gear, gently unfold an item of clothing so feces gently drops into the toilet.
White laundry bags will be provided in keeping with the operator’s process to contain infectious agents. For example, if the neighborhood you work on is experiencing flu symptoms, please put ill residents’ laundry (including soiled bedding, towels etc.) into the special laundry bags provided, secure, and label with resident’s room number. Care aides will receive specific instructions as needed by the nurse in this regard.
Incontinent Products and Garbage Disposal Staff is to ensure they are thoroughly familiar with SCA’s Tena, Personal Care Incontinence Product Information included in this information package for new employees. You will be asked to review the Tena video as well. To ensure resident comfort and to control costs, staff is responsible for utilizing these products as described.
Supplies are ordered based on residents’ assessed needs. Recommendations to change product use for residents you support are to be documented on a Tena change request form and submitted to Park Place receptionist/clerk. Each cottage has a Tena rep that has specific training for any questions. Subsequent changes are then noted on the Resident’s Day and, in resident’s washroom. Staff is to ask the nurse for additional supplies if they are required during a shift for specific reasons ie: resident has bout of diarrhea. Borrowing supplies from other carts of program areas is restricted as this leaves others under stocked. The nurse has access to back up supplies and, through the nurse’s involvement, other strategies may be identified to resolve issues for the short and long term.
Garbage and Incontinent product disposal Garbage is not to be left in open bags in the rooms or on carts as this leads to odors in the home. Soiled items are placed in plastic bags which are tied then, placed in the large black bag/bin in the utility room. This in turn, when full, is tied and placed on the trolley. When the trolley is full, it is brought to bin outside of kitchen.
Areas Safe and Tidy While the multiservice workers conduct most of the cleaning in the home, all staff share the responsibility for keeping program areas neat & tidy. This may include cleaning spills as they occur, wiping tables and chairs after use etc. Please note the hazards associated with spills and wet floors and safeguard yourself and others accordingly. Wet floor signs are to be placed by any spills pending clean up. Staff is reminded to move and walk with caution while in the workplace. Remain aware of your surroundings and the likelihood that you will encounter spills, wet floors and other obstacles or hazards in the workplace.
Ensure you review MSDS printouts regarding safe use and storage of any cleaners you are in contact with.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 16 of 30
Temperature Control Records Staff is to ensure they record temperatures as required for all fridges in the home including medication fridges, kitchen (includes freezers), dishwashers in kitchen & program areas. Related forms will be posted in relevant areas and you will be orientated to your role in relation to this task.
Care aides are to complete the safety checklist in the binder located in the spa room for EVERY bath. This includes recording water temperatures before resident is placed in tub and during the bath. It also includes indication that staff has cleaned the tub between resident’s use. Resident weights are also captured during the bath once per month and recorded in resident’s care plan.
MSW staff to adhere to cleaning checklists for duties conducted on a daily, weekly or monthly basis. The MSW Supervisor may direct staff on emerging or periodic cleaning schedules or needs in the home.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 17 of 30
Code White Violent Incident
CODE WHITE – STAFF RESPONSE
CODE WHITE - VIOLENT INCIDENT Definition
The attempted or actual exercise by a person of any physical forces so as to cause injury, and includes any threatening statement or behaviour which gives a person reasonable cause to believe that he or she is at risk of injury.
All Staff
Call for HELP. Do not intervene alone.
Maintain safe distance from the aggressor (at least one leg length), leave scene if safe to do so.
Report all injuries arising out of Code White incident . Second Person Who Responds
Dial "Page" for P.A. system and state: • "CODE WHITE AND LOCATION AND ROOM NUMBER"
Where a weapon is involved (gun/knife) also call 9-1-1 and request police to attend scene. Give description of incident and follow police operator's instructions.
Page maintenance for assistance, if during regular hours
Return to scene to assist and direct Code White Team to location
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 18 of 30
Charge Nurse (If Aggressor is a Resident)
Notify attending physician
Bring resident Advanced Care Directive to the scene.
HOSTAGE TAKING
Definition
Resident, staff member or visitor being held against their will by another individual.
STAFF MEMBER TAKEN HOSTAGE
Avoid aggressive or threatening body language.
Empathize with and be supportive of the hostage taker.
Consider escape opportunities carefully. A failed attempt may antagonize the hostage taker, leading to violence.
Do not eat or drink anything offered by the hostage or negotiator.
Stay away from doors or windows to avoid injury in the event that an attempt is made to take the hostage taker by force.
Note: The Stockholm Syndrome, where a bond develops between the hostage and hostage taker, is rare and usually only occurs after several days of captivity. The hostage should be aware of this possibility, however, and remind himself/herself that the hostage taker is solely responsible for the predicament and that the negotiator and others are working to gain his/her release.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 19 of 30
ALL STAFF UPON DISCOVERY OF HOSTAGE SITUATION
Notify Switchboard and provide as much detail as possible, e.g., who, what, where, when, why, how, weapons, number of perpetrators, number of hostages.
If switchboard is not available, call the police at 9-1-1.
Prevent others from entering the location until police and/or Security Officer arrives.
SWITCHBOARD
Alert Security (Maintenance).
Notify the police by dialing 9-1-1 and describe the incident and request police to attend the scene.
Notify Administration or, if after hours, the Administrator-On-Call.
CHARGE NURSE/ DELEGATE
Direct Switchboard to intercept and hold all calls to the Hostage taking area.
Direct Switchboard to set up a dedicated line to the hostage taking area for use by the negotiator. (This line will be located at Switchboard. If another line is required, call Telus).
Consult with police to confirm if Telus should be asked to shut down the automated attendant during the hostage taking.
SECURITY
Ensure that Switchboard has called the police.
Assist in securing the area. Do not allow anyone access to the area.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 20 of 30
POLICE
Provide direction during hostage taking incident.
Take on the role of negotiator with the hostage-taker.
CHARGE NURSE/DESIGNATE
Establish Command Centre (if necessary).
Ensure manager responsibilities are carried out (see below).
Work directly with police until situation is resolved.
Assess need for and initiate Critical Incident Stress Debriefing procedure for staff directly involved in incident
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 21 of 30
CHARGE NURSE/DELEGATE PRIOR TO THE POLICE'S ARRIVAL
Remove uninvolved individuals from the area to reduce risk.
If the hostage taker is a known resident, obtain the health record.
Identify a staff member who is most familiar with or trusted by the resident to communicate with him/her. Ensure that the employee is not put in a position to become another hostage.
Terminate all telephone communication to the hostage area except for a protected line for the negotiator. This will prevent unauthorized access to the hostage taker.
Stall hostage taker for time. Do not accede to demands immediately, but do not antagonize the hostage taker by saying "no" to demands. Instead, reply, "I'll try", or "I'll see what I can do." Do not offer a trade. If the hostage taker makes a demand, suggest a trade for the hostage or weapon. If possible leave the negotiations to a trained person i.e. police.
Do not administer medications to the hostage taker as this may result in unpredictable behaviours. Do not conceal medications in food or drink for the hostage taker.
Do not provide transportation for the hostage taker unless all hostages are released.
AFTER THE POLICE ARRIVE
Provide the police with a floor plan of each floor of the facility, (refer to Section ELMO° (Internal Maps of the facility/site).
Provide a list of every employee working in the hostage area, (obtain from staffing book.
Designate an employee to assist with interpreting the floor plans and locating the power supply.
Missing Resident Search - Code Yellow! Report any missing resident(s) to the nurse stat! The nurse will then initiate a search according to the emergency procedures of the operator which includes: 1. Assigning staff to start search. 2. Contacting hospital emergency and notifying administrations, switch board and recreation departments. 3. Announce code yellow X 3 (identifying resident & request to return to program area)
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 22 of 30
4. The search includes systematic room by room search including bathrooms, spa rooms, alcoves, store rooms, service rooms & stair wells. The nurse or designate will request assistance from all available staff within the home. 5. Systematic search of the grounds. 6. If still not found, the nurse/admin staff will determine next steps (refer back to operator’s policy).
Fire Drills, Exits and Procedures - Code Red!
Fire Safety Program Policies & Procedures The Site Leader assumes responsibility to ensure all who reside and work in the home are protected by and involved in the emergency procedures of the home and where indicated in the community’s mass emergency plan, the community. The Site Leader or designate is responsible for initiating implementing policies and procedures of the fire safety program which includes scheduled fire, emergency and evacuation drills. The nurse coordinator or the nurse in charge may act as Fire Marshall. The Fire Marshall will wear an orange vest for ease of identification during drills or fire situations. Emergency and first aide equipment is retained in the reception area which the nurse in charge has access to 24/7.
Types of Fires and Extinguishers **Staff need to be aware of the location and types of extinguishers in the facility.
Class A. These fires involve ordinary combustible materials, such as cloth, paper, wood, and that can be extinguished by water. Use Class A (water) or ABC (dry chemical) extinguisher.
Class B. These fires involve flammable liquids and gases, such as grease, solvents, gasoline, and that can best be extinguished by smothering. Use Class BC (dry chemical) or ABC (dry chemical) extinguisher.
Class C. These fires involve electrical equipment and wiring. Use Class BC (dry chemical) or ABC (dry chemical) extinguisher. Never use a water or wet chemical extinguisher on an electrical fire.
Class K. These fires involve cooking appliances and combustible animal or vegetable fats or oils. Use wet chemical or dry chemical (BC) extinguishers.
Class ABC extinguishers are found throughout facility corridors and in the basement. They can be used on all fires.
Class BC (sodium bicarbonate based) extinguishers are located in both kitchens. In the main kitchen on the first floor, there is also a large wet chemical extinguisher.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 23 of 30
How to Use a Fire Extinguisher
When using a fire extinguisher, use the PASS method:
P - Pull the pin.
A - Aim at the base of the fire.
S - Squeeze the handle
S - Sweep the nozzle from side to side.
Only fight a fire if:
The fire is small and is contained. You are safe from toxic smoke. You have a means of escape.
Fire Exits and Pull Stations Remain familiar with (attached) building layout which indicates fire pulls, extinguisher locations, fire doors and exits. Staff is advised that propping open of ANY door, for ANY reason is strictly prohibited.
Staff Requirements & Evaluation regarding Fire Safety Drills A fire drill is indicated when you hear “Code red”. Code green indicates an evacuation order. When the emergency is over, an announcement of “all clear” will be heard. This code will be repeated 3 times.
Staff is required to read the Fire Safety Plan for their department a minimum of twice yearly and as soon as possible upon introduction to a program area. Staff also responsible for reviewing the Fire Safety binders which are kept in the kitchen and each nurse’s station Know your responsibility if a fire alarm occurs! If you discover smoke, activate the fire alarm and investigate to determine the origin. If fire is discovered: REACT (phase one) STAY CALM! R – Remove those in immediate danger. E – Ensure that the room door is closed. (Confines fire and smoke to the one room) A – Activate the fire alarm (if not already done) C– Call the Fire Department.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 24 of 30
T – Try to extinguish or control the fire but, if there is any doubt in the mind of the person(s) attempting to extinguish or control the fire, regarding their ability to do so, then confine the fire by closing the door as in point E above. 1. EVACUATE ZONE (phase two) a) Close all room and smoke barrier doors. b) Evacuate room(s) adjacent to and opposite to the fire area. c) Evacuate all other rooms in the zone and transfer the red fire tag from the outside of the doorframe to the handle of the door. This indicates that the room has been checked (& no residents are in it) d) Move occupants to exits in a safe zone on the floor. 2. IF FIRE IS NOT IN YOUR AREA a) Close all resident doors. b) Remain in area to supervise and reassure residents or until direct to evacuate or assist at the fire location. 3. DURING FIRE & EVACUATION DRILLS a) Do not run; do not shout “fire”. b) Reassure residents and move those who may be anxious to another (but nearby) area. c) Do not use the phone for other than emergency purposes. d) Monitor exit doors and, where applicable, account for all residents under your care. e) Follow the instructions of your supervisor or person in charge. f) Remain calm. 4. REMEMBER! Safety of the residents is your first responsibility. Resident safety is the priority. Reassure all residents, especially any who tend to panic. If unsuccessful in calming a resident, remove resident to care station area where he/she can be more easily supervised. Pulling the nearest fire alarm is the quickest way to get help. Do not enter a room if the door is hot to touch or, if smoke is escaping from beneath the door. Upon leaving a room involved in fire, close the door and DO NOT re-enter. Though an alarm may be sounding in another program area, all staff should be mindful to observe what is happening in your area too….do a walk through of the unit and report any concerns immediately. The nurse in charge is responsible for ensuring all residents and staff are accounted for. She may delegate this to another if needed. Do not use telephone for other than emergency purposes. Do not use the elevator. Phase 2: Evacuate the fire zone. If the fire cannot be extinguished, retreat from the fire room and close the door.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 25 of 30
Evacuate the fire zone. This means all residents and visitors are to be moved to the safe zone on the other side of the corridor fire barrier doors. This will be directed by the nurse or the manager. 1. Starting with the rooms adjacent to and opposite the fire room: 1. Carefully check the room for residents or visitors. 2. Turn off any equipment. 3. Close the window. 4. Close the door. 5. Place pillow outside of door.
2. Order of evacuation: 1. Anyone in immediate danger. 2. Anyone close to the fire. 3. Residents who can be easily moved e.g. walking or are already in wheelchairs. 4. Residents who are difficult to move e.g. in bed or in the tub 5. Any resident resisting evacuation is to be left and the fire department notified upon 6. arrival.
3. Staff (one or more) can be assigned in “assembly line” fashion as follows: 1. Check rooms as outlined in # 1. 2. Remove residents from corridor to beyond corridor fire doors. 3. They must be supervised and must not block entrance for fire department. 1. Once the fire zone is considered evacuated, ensure corridor fire barrier doors are closed. 2. Turn off all equipment in all other rooms, e.g. laundry, kitchen, activity, offices. Account for all staff, visitors, and volunteers. First Floor Do not allow any residents to leave the building (See last point under “# above.) Account for any visitors leaving. Do not allow any visitors to enter. Ensure front entrance door is on “auto” mode, so that fire department can enter. (If door is on “hold open” mode, it will allow potentially dangerous air flow.) See Section 5 “Fire Protection and Alarm Systems”. Phase 3: Evacuate the building. The order to evacuate the building is usually given by the fire department, but may be given by the nurse-in-charge/manager, depending on the circumstances. See Section 6.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 26 of 30
If the Fire is Not on Your Floor/In your Area – ALL STAFF
Direct all residents and visitors either into the residents’ rooms or the dining room. Ensure corridor fire barrier doors are closed. Turn off all equipment in resident rooms and all other rooms, e.g. laundry, kitchen, activity, offices. Close all windows and doors. Account for all residents, using resident list found on the emergency procedures found in the plexiglass holder, located outside medication rooms. Account for all staff, visitors, and volunteers. Do not use elevators or telephones. Assist on fire floor, ONLY as directed by person-in-charge.
Specific Staff Responsibilities in the Event of a Fire
Dietary All staff must be familiar with the procedures “Discovering a Fire – ALL STAFF” and “If the Fire is Not on Your Floor – ALL STAFF”, as these apply to everyone. The following are additional duties for this department.
1. Turn off all equipment.
2. Close serving window and all doors.
3. Report to unit care station.
4. Carry out any duties as assigned by nurse or manager.
Guidelines for Prevention – Laundry Resident Care Staff and Maintenance play a role in preventing fire in the laundry room.
Maintenance 1. Monitor dryer temperatures regularly to ensure they do not exceed limits specified in the Park Place Laundry Services Manual.
2. Clean the dryer vent and exhaust duct periodically.
3. Have a certified service technician clean and inspect the dryer and venting system annually.
4. Replace plastic or vinyl exhaust hoses with rigid or flexible metal venting, which allow for maximum airflow.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 27 of 30
Care Aides 1. Clean lint screens/filter before or after drying EACH load.
2. Clean dryers regularly as specified in the department cleaning schedule.
3. Ensure “cool down” cycle is used for institutional linens and incontinent products.
4. Run dryer loads at 50 to 60% of rated capacity allowing clothes to tumble freely. i.e. 25 to 35 lbs of wet laundry for a 50 lb. dryer.
5. Don’t dry any of the following in the dryer: Any item containing foam, rubber or plastic, such as non-skid rugs and running shoes Any item containing glass fiber materials, such as glass buttons or decorations. Any item stained with a flammable substance, such as alcohol, cooking oils, spot removers, gasoline, or motor oil. Flammable substances give off vapors that can ignite or explode. Keep the area around the dryer clean and free from clutter.
Specific Staff Responsibilities in the Event of a Fire All staff must be familiar with the procedures “Discovering a Fire – ALL STAFF” and “If the Fire is Not in your Cottage – All Staff”, as these apply to everyone. The following are additional duties for this position.
Determine the location of the fire.
If the fire is on the 2nd floor: Follow procedures under “Discovering a Fire”. Give RCA staff direction re: oxygen concentrators to be turned off. If resident charts are in the fire zone, and if there are sufficient staff to quickly achieve evacuation, assign one staff to collect resident charts, MARS records and Resident Days binders in pillow cases and remove from fire zone.
If the fire is on the 1st floor: Initiate procedures under “If the Fire is Not on your Floor”. Give RCA staff direction re: oxygen concentrators to be turned off. Go to the 1st floor to determine fire status and if assistance is needed.
Specific to Assisted Living Homes and Assignments Welcome to Assisted Living! Tenants here are typically more independent and able to direct or provide their own care than those in Complex Care though, there are
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 28 of 30
circumstances where one may need additional support for the short term or, while awaiting a bed in complex care.
You will be oriented to the processes in Assisted Living and, encourage you to bring forward any observations or questions you may have regarding the programs or, individual tenants. Staff obtain report for Assisted Living in Wellness Center. Urgent Tenant related matters are to be relayed to Assisted Living Coordinator.
Shift routines are located Wellness Center.
Personal Protective Equipment (PPE’S) are located in the supply room, and distributed when required, when outbreaks occur. Those who have access are management and nurses.
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 29 of 30
PPSL Code of Ethics The Ethics Committee for Park Place Seniors Living is here to reflect on these and other questions. We have available to us expertise among our staff and the community who can help you discuss, in any confidential manner, any ethical concerns you as a resident or family member may have. We rely on our Mission, Vision and Values to inform our thinking on ethical issues and to provide a guide on ethical decision making.
The Site Leader or the Care Manager will assist you in accessing the Ethics Committee should you wish to consult on any ethical question.
Our Code of Ethics Includes: Ethics is about how we live and how we treat one another Ethics is about our relationships and the respect we show one another in our daily activities Ethics is also about the questions we may have about decisions we must make for ourselves and for others
Some of the questions that arise may involve what to do when there is a difference of opinion between members of the family or between the resident and other members of the family.
What happens when you don’t agree with the decisions of the health care team?
How do you choose between two undesirable alternatives or between two or more really good alternatives with different results?
The Mission, Vision and Values of Park Place Seniors Living inform our decisions.
Ethics a. To provide leadership in ensuring that our Vision, Mission and Values of the Home are integrated into all its activities;
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012 Page 30 of 30
b. To provide an informed perspective and to act in an advisory capacity on issues related to the mission integration and ethics if clinical, organizational and research activities of the Home.
Code of Ethics
Park Place Seniors Living, its Service Partners, and employees are committed to carrying out their duties with integrity and honesty. The purpose of our Code of Ethics is to provide guidelines for acceptable behaviour and is not a substitute for the exercise of good judgment.
Our Code of Ethics is An education tool Designed to inspire individuals to promote resident-centered care and sound community relationships Establishing and reinforcing public confidence in the health and social services Park Place Seniors Living provides.
Park Place Seniors Living Code of Ethics
To serve our clients and the public interest
To serve as a private provider
To demonstrate personal professional integrity
To promote an ethical environment
To strive for professional excellence
D:\Docs\2017-12-17\0ed09aa1258b4ca235c3eb4e05c596ae.doc Approved by: PG Released by: NS Release Date: 02/29/2012