6/9/2020 Core A Indiana Direct Support Professional Training Lauren Koen BSN, RN, MPA Kathy Auberry, DNP, RN, CDDN Table of Contents Your Role as a Direct Support Professional (DSP) Providing Medical Care _________________________ 4 Objectives ________________________________________________________________________ 4 What is a Support Team? __________________________________________________________ 4 What medical care is required from a direct support professional? _________________________ 4 DSP Role in Reporting Changes ______________________________________________________ 5 DSP Role in Appointments _________________________________________________________ 5 Standard Precautions _________________________________________________________________ 7 Objectives ________________________________________________________________________ 7 General Overview __________________________________________________________________ 7 Performing Hand Hygiene ____________________________________________________________ 7 Table A: When to Wash Hands with Soap and Water Versus Hand Sanitizer __________________ 7 Proper Hand Washing Technique for Soap and Water ____________________________________ 8 Glove Use ________________________________________________________________________ 8 Perform Cough Etiquette ____________________________________________________________ 8 Communicable Diseases _______________________________________________________________ 9 Objectives ________________________________________________________________________ 9 General Overview __________________________________________________________________ 9 Blood Borne Pathogens______________________________________________________________ 9 Hepatitis and Tuberculosis ___________________________________________________________ 9 Inflammation and Infection ___________________________________________________________ 11 Objectives _______________________________________________________________________ 11 General Overview _________________________________________________________________ 11 How do microorganisms enter the body? ______________________________________________ 11 Some things to keep in mind: ______________________________________________________ 11 Signs and Symptoms of Inflammation versus Infection ____________________________________ 11 Treatment for Infections or Symptoms from Infections ____________________________________ 12 When should you treat a fever? ____________________________________________________ 12 When should you treat diarrhea? ___________________________________________________ 13 When to Notify Your Nurse or Individual’s Physician ______________________________________ 13 Strep Throat _____________________________________________________________________ 14 Influenza (Flu) ____________________________________________________________________ 14 1 Pneumonia ______________________________________________________________________ 15 Athlete’s Foot (Tinea Pedis) _________________________________________________________ 15 Conjunctivitis (Pink Eye) ____________________________________________________________ 16 Urinary Tract Infection _____________________________________________________________ 16 Antibiotics _______________________________________________________________________ 16 Vital Signs _________________________________________________________________________ 17 Objectives _______________________________________________________________________ 17 General Overview _________________________________________________________________ 17 Table B: Vital Signs ______________________________________________________________ 17 Temperature _____________________________________________________________________ 18 Heart Rate or Pulse ________________________________________________________________ 18 Respirations _____________________________________________________________________ 18 Blood Pressure ___________________________________________________________________ 18 Pulse Oximetry Readings ___________________________________________________________ 19 When to Call 911 ____________________________________________________________________ 20 Objectives _______________________________________________________________________ 20 When to call 911 in the case of injury _________________________________________________ 21 Anaphylaxis or Severe Allergic Reaction ________________________________________________ 21 Common allergens that can cause severe allergic reaction _______________________________ 21 Fatal Five __________________________________________________________________________ 23 Objectives _______________________________________________________________________ 23 Aspiration and Dysphagia ___________________________________________________________ 23 Interventions to prevent aspiration for individuals diagnosed with dysphagia ________________ 24 Dehydration _____________________________________________________________________ 24 Notify your individual’s nurse if your individual: _______________________________________ 25 Constipation _____________________________________________________________________ 25 Can constipation really be fatal?? ___________________________________________________ 26 Seizures _________________________________________________________________________ 27 Preventing Seizures ______________________________________________________________ 27 Basic steps to follow in addition to individual’s individualized plan: ________________________ 28 For any individual with a known seizure disorder call 911 ________________________________ 28 After a seizure __________________________________________________________________ 28 Steps to Avoid Injuries During Seizures ______________________________________________ 28 2 Sepsis __________________________________________________________________________ 29 Ways to prevent sepsis ___________________________________________________________ 29 Developmental Disabilities and Dementia ________________________________________________ 30 Objectives _______________________________________________________________________ 30 General Overview _________________________________________________________________ 30 Intellectual Disability _______________________________________________________________ 30 Cerebral Palsy ____________________________________________________________________ 31 Do all people with cerebral palsy have an intellectual disability? __________________________ 31 Autism Spectrum Disorder (ASD) _____________________________________________________ 32 Do all people with an ASD diagnosis also have an intellectual disability? ____________________ 32 Comorbidities __________________________________________________________________ 32 Attention Deficit/ Hyperactivity Disorder (ADHD) ________________________________________ 33 Dementia ________________________________________________________________________ 33 3 Your Role as a Direct Support Professional (DSP) Providing Medical Care Objectives • Demonstrate comprehension of DSP role in providing medical care • Describe the importance of the support team and DSP role within a support team • Express DSP role in reporting changes • Explain DSP role and responsibilities for individual appointments Direct Support Professionals (DSPs) are tasked with supporting individuals in multiple aspects of daily living by implementing each individual’s person-centered care plan, which is an individualized plan that is created with the individual and their support team. Although direct support professionals are required to go through multiple trainings and support individuals in all aspects of daily living, this section will only focus on the aspect of a DSP role in the context of providing medical care. Ensure that you review your agencies policies for all required trainings and all DSP responsibilities. Direct Support Professionals are a vital part of the support team when providing medical care for their individuals. DSPs typically have the most direct, hands-on care with their individuals out of any other members of the team. Individuals’ nurses may only see their individual weekly or monthly, so the nurse relies on DSP reports for any concerns or changes as soon as they are noticed to provide prompt medical care as needed. DSPs will most likely be the first to notice any changes in behavior or possible noticeable symptoms. This makes your role as a DSP vital to the health and wellness of the individuals you serve, and it is important to maintain accurate and consistent communication with all members of the support team. What is a Support Team? The support team is composed of the individual, guardian, direct support professionals, and other needed professionals to provide care and create plans. In Supported Group Living sites (group homes), the medical support team includes the individual, parent/guardian, direct support professionals, the nurse, the primary care provider, all specialist practitioners (such as cardiologist, endocrinologist, etc.), possibly a behaviorist (if applicable), and any other members you and your agency determine needs to be a part of the medical team. Refer to your agency policy for who to contact and when to contact the support team. In Home and Community Based Services Waiver, the individual and/or guardian determines who is a part of his/her team. What medical care is required from a direct support professional? According to the National Alliance for Direct Support Professionals, DSPs support their individuals with health and wellness through