Foster Care Employment Essentials
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Questions and Answers

What are the 4 required qualifications for employees?

Must be 18, criminal history check, necessary training, and ability to do required work.

What are the 3 ways for Foster Providers to hire assistance?

Hire someone from an agency, hire an independent contractor, or hire an employee.

What is the difference between an employee and an independent contractor?

Independent contractor is in business for themselves, whereas an employee is working directly through you.

What are the 3 things to remember when hiring an employee?

<p>Keep up with paperwork and record requirements, pay minimum wage, know the laws and regulations.</p> Signup and view all the answers

What is the Oregon Administrative Rule?

<p>(OAR) A set of standards and practices that ensure that services in Oregon are in compliance with federal and local guidelines.</p> Signup and view all the answers

How many hours of training annually are required by the department for providers, resident managers, and substitute caregivers?

<p>At least 12 hours.</p> Signup and view all the answers

What is required of the facility according to facility standards?

<p>Good general condition, up to date documentation, clean furnishings and building, adequately lighted.</p> Signup and view all the answers

What is required of the sanitary of the facility according to standards?

<p>Good septic tank, adequate control of insects and rodents, caretakers must take precautions to prevent injuries from sharps.</p> Signup and view all the answers

What is required of bathrooms according to facility standards?

<p>Provide privacy, clean and free of odors, utilities must be in good repair, grab bar for toilets.</p> Signup and view all the answers

What is required of meals according to facility standards?

<p>3 nutritious meals served daily, have menus for current and next week, food storage and prep areas and equipment must be clean and free of odors, and in good repair.</p> Signup and view all the answers

What is required of telephones according to facility standards?

<p>Must be accessible, emergency numbers must be posted by the phone, limitations of phone use must be specified.</p> Signup and view all the answers

What are the 'Best Practice Guidelines' directed at?

<p>Protecting health and safety of the individuals under care.</p> Signup and view all the answers

What are the 4 'Best Practice Guidelines'?

<p>Six Rights, Five Always, Five Nevers, Five Musts.</p> Signup and view all the answers

What are the 'Six Rights' regarding to?

<p>Medication administration.</p> Signup and view all the answers

What are the 'Six Rights'?

<p>Right Medication, Dose, Person, Time, Route, and Documentation.</p> Signup and view all the answers

What are the 'Five Always'?

<p>Always have health providers orders for every medication treatment (including OTC), always wash your hands before giving medications, always pour medications directly into medical cup, always stay with the patient until medication is swallowed, always keep medication storage locked, and clean.</p> Signup and view all the answers

What are the 'Five Nevers'?

<p>Never leave medication with the person/on table, never give medication prescribed for one person to another, never give medication that was prepared by someone else, never use medication that is outdated or unlabeled, never give medication you have questions about.</p> Signup and view all the answers

What are the 'Five Musts'?

<p>Must have MAR present when giving medications, must read the label and compare it with the MAR before giving medications, must ensure the person is in a good position for medication administration, must record the administration of medication immediately on the MAR, must know the reason for medication.</p> Signup and view all the answers

What is the MAR?

<p>Medication Administration Record.</p> Signup and view all the answers

What is to be recorded on the MAR?

<p>The patient's name, current month/year, any allergy/history of adverse reactions, name of medication, dosage and number of tablets, specific time the medication is to be given, and route it is to be given, your full signature and initials.</p> Signup and view all the answers

After giving the medication what is the next step?

<p>Immediately record on the MAR, the correct date, time, and medication and your full signature and initial.</p> Signup and view all the answers

If medication is not given, how should you record it on the MAR?

<p>Initial the box for the correct medication, date, and time and circle your initials, also write an explanation as to why it was not given on the back of MAR.</p> Signup and view all the answers

When a medication is discontinued, how would you record that in the MAR?

<p>Write in large letters 'DISCONTINUE' or the abbreviation 'DISC' or 'DC', followed by the date, time, and your initials. Remove medication from cabinet.</p> Signup and view all the answers

When a medication is time limited, how would you record it in the MAR?

<p>Record the date and time medication is to start, number of days or doses to be given, date and time the medication is to stop, and your initials. Line out the days medication is not to be given.</p> Signup and view all the answers

When the person is to receive medication not at home, how is it recorded in the MAR?

<p>You may initial the box on the MAR and circle your initial and write an explanation on the back of the MAR.</p> Signup and view all the answers

When a patient is taking PRN medications, how is it recorded on the MAR?

<p>Be sure there is a current order for the PRN medication, administer the medication and document that it was given, and document the reason for the medication on the back of the MAR. Later follow up on the effectiveness of the medication on the back of the MAR.</p> Signup and view all the answers

How is medication administered while patient is at work/school/community inclusion?

<p>Have a separate medication container to be administered elsewhere during these times, communicate with the employer or school regarding the medications, deliver or make arrangements so they have the medication and a copy of the physician's order.</p> Signup and view all the answers

How is medication recorded on the MAR while a patient is at work/school/community inclusion?

<p>An abbreviation or code may be used with a definition of the abbreviation in the signature block.</p> Signup and view all the answers

What is an ISP?

<p>Individual Support Plan - A Health &amp; Safety Transition Plan must be developed at the time of admission for the first 60 days of service and complete ISP must be developed by the end of 60 days. It must be updated annually or whenever the individual's support needs change.</p> Signup and view all the answers

What does 'o.s.' stand for?

<p>Left Eye.</p> Signup and view all the answers

What does 'u.s.' stand for?

<p>Both Eyes.</p> Signup and view all the answers

What does 'o.d.' stand for?

<p>Right Eye.</p> Signup and view all the answers

What does 'os' stand for?

<p>Mouth.</p> Signup and view all the answers

What does 'p' stand for?

<p>after.</p> Signup and view all the answers

What does 'pc' stand for?

<p>after meals.</p> Signup and view all the answers

What does 'po' stand for?

<p>by mouth.</p> Signup and view all the answers

What does 'pr' stand for?

<p>per rectum.</p> Signup and view all the answers

What does 'p.r.n/PRN' stand for?

<p>as needed.</p> Signup and view all the answers

What does 'q or Q' stand for?

<p>every.</p> Signup and view all the answers

What does 'q.o.d.' stand for?

<p>every other day.</p> Signup and view all the answers

What does 'q.I.d.' stand for?

<p>4 times daily.</p> Signup and view all the answers

What does 's' stand for?

<p>without.</p> Signup and view all the answers

What does 'SL' stand for?

<p>sublingual.</p> Signup and view all the answers

What does 'stat.' stand for?

<p>Immediately.</p> Signup and view all the answers

What does 'tab' stand for?

<p>tablet.</p> Signup and view all the answers

What does 't.i.d.' stand for?

<p>3 times daily.</p> Signup and view all the answers

What does 'x' stand for?

<p>times.</p> Signup and view all the answers

What does 'cap.' stand for?

<p>capsule.</p> Signup and view all the answers

What does 'cc' stand for?

<p>cubic centimeters.</p> Signup and view all the answers

What does 'gtts.' stand for?

<p>drops.</p> Signup and view all the answers

What does 'gr' stand for?

<p>grains.</p> Signup and view all the answers

What does 'hs or HS' stand for?

<p>bedtime.</p> Signup and view all the answers

What does 'ml' stand for?

<p>milliliter.</p> Signup and view all the answers

What does 'mg' stand for?

<p>milligram.</p> Signup and view all the answers

What does '@' stand for?

<p>at.</p> Signup and view all the answers

What does 'ā' stand for?

<p>before.</p> Signup and view all the answers

What does 'a.c.or ac' stand for?

<p>before meals.</p> Signup and view all the answers

What does 'a.d.' stand for?

<p>right ear.</p> Signup and view all the answers

What does 'a.s.' stand for?

<p>left ear.</p> Signup and view all the answers

What does 'a.u.' stand for?

<p>both ears.</p> Signup and view all the answers

What does 'b.I.d.' stand for?

<p>Twice daily.</p> Signup and view all the answers

What does 'c' stand for?

<p>with.</p> Signup and view all the answers

What are the four medical conditions known as the 'Fatal Four'?

<p>Aspiration, Dehydration, Constipation, and Seizures.</p> Signup and view all the answers

What is aspiration?

<p>Process by which either oral or stomach contents enter the airway.</p> Signup and view all the answers

What causes aspiration?

<p>Items such as food and fluids meant for the gastrointestinal system are taken into the respiratory system.</p> Signup and view all the answers

What is the normal swallowing process?

<p>Food is chewed and mixed with saliva, becomes a bolus, pushed back to the pharynx by tongue, pharynx stimulates swallow reflex, epiglottis closes off the trachea preventing the swallowed item from going into the lungs, peristalsis moves the bolus through the rest of the GI tract.</p> Signup and view all the answers

What 4 major medical conditions put individuals with disabilities at risk for aspiration?

<p>Neuromuscular conditions, deformities of neck, spine, or trunk, neurological conditions, increased incidence of GER.</p> Signup and view all the answers

What 5 physical conditions may put individuals with disabilities at risk for aspiration?

<p>Decreased alertness, periodontal disease, swallowing impairments, fed by others, gastric tubes.</p> Signup and view all the answers

When the person is coughing or choking while eating what is this a risk of?

<p>Aspiration.</p> Signup and view all the answers

When you notice food or fluid falling out of a person's mouth, what might they be at risk for?

<p>Aspiration and Dehydration.</p> Signup and view all the answers

When someone else is feeding a person, what could the person be at risk for?

<p>Aspiration and Dehydration.</p> Signup and view all the answers

If a person regularly refuses food or drinks, what could the person be at risk for?

<p>Aspiration and Dehydration.</p> Signup and view all the answers

If a person has frequent pneumonia, rattling when breathing, persistent cough, or chronically uses cough/asthma medication, what might they be at risk for?

<p>Aspiration.</p> Signup and view all the answers

If a person eats or drinks too rapidly or stuffs food in their mouth that may cause choking, what might they be at risk for?

<p>Aspiration.</p> Signup and view all the answers

If a person is diagnosed with GER/GERD what might they be at risk for?

<p>Aspiration.</p> Signup and view all the answers

If a person is complaining of chest pain/heart burn or has small frequent vomiting, or unusual burping, what might they be at risk for?

<p>Aspiration.</p> Signup and view all the answers

What diet alterations may help prevent aspiration?

<p>Texture, thickening, temperature (Must have physician order).</p> Signup and view all the answers

How long should a patient be kept upright after meals to help prevent aspiration?

<p>45 minutes.</p> Signup and view all the answers

What should you do if you believe a person has aspirated?

<p>Stop eating/drinking/feeding, keep individual upright and encourage coughing, notify physician, do not continue eating/drinking until they look like they have recovered and sound/look normal for them.</p> Signup and view all the answers

If a person has aspirated when should you call 911?

<p>When the person is blue/not breathing, working really hard to breathe and may be wheezing, appears gravely ill or you are concerned about their immediate health and safety.</p> Signup and view all the answers

What is Dehydration?

<p>Excess loss of body fluid; or when output of fluid exceeds fluid intake.</p> Signup and view all the answers

What body systems and organ functions are affected by dehydration?

<p>Circulatory, kidney, skin, neurological, gastrointestinal.</p> Signup and view all the answers

What medical conditions can put individuals with disabilities at risk for dehydration?

<p>Nonverbal, mobility issues, upper body strength/coordination, oral motor dysfunction, response to thirst impulse, any type of stoma.</p> Signup and view all the answers

If a patient has sticky mucus, what might this be a symptom of?

<p>Dehydration.</p> Signup and view all the answers

If a person has no recorded urination for 1 or more 8 hour periods per day, what might this person be at risk for?

<p>Dehydration.</p> Signup and view all the answers

If the person has dry skin with poor elasticity, what might they be at risk for?

<p>Dehydration.</p> Signup and view all the answers

If the person's heart rate is higher than normal without exertion, what might they be at risk for?

<p>Dehydration.</p> Signup and view all the answers

If the person's blood pressure is lower than normal, what might they be at risk for?

<p>Dehydration.</p> Signup and view all the answers

If the person shows signs of medication toxicity, what might they be at risk for?

<p>Dehydration.</p> Signup and view all the answers

If the person is routinely using assistance to get something to drink or receive fluids, what might they be at risk for?

<p>Dehydration.</p> Signup and view all the answers

If a person has heart or kidney disease, what should you do before giving patients extra fluids?

<p>Check with physician.</p> Signup and view all the answers

When a person is dehydrated when should you call 911?

<p>When the person appears gray or gravely ill and you are concerned about their immediate health and safety.</p> Signup and view all the answers

What is constipation?

<p>Hardness of bowel movement, difficulty in the passage of stool, infrequency of passing stool.</p> Signup and view all the answers

If a person has low or absent muscle tone, what might they be at risk for?

<p>Constipation.</p> Signup and view all the answers

If a person is non-mobile/non ambulatory, what might they be at risk for?

<p>Constipation and Dehydration.</p> Signup and view all the answers

If the person routinely takes bowel medications, what might they be at risk for?

<p>Constipation.</p> Signup and view all the answers

If the person has had trouble moving their bowels, complained of pain with bowel movements, or had bowel movements that are hard and small, what might they be at risk for?

<p>Constipation.</p> Signup and view all the answers

What are some measures to take that can help prevent constipation?

<p>Add dietary fiber to diet, add more fluids to diet, adjust positioning/physical activity, provide more opportunities for routine toileting/privacy.</p> Signup and view all the answers

What are treatments for constipation?

<p>Fiber products, stool softeners, lubricants, stimulants, suppositories, enemas, and digital stimulation (all of these must have orders).</p> Signup and view all the answers

When a person has constipation when should you call 911?

<p>The person appears gravely ill and you are concerned for their immediate health and safety, is vomiting material that smells like BM, has a very hard protruding abdomen, or has severe abdominal pain.</p> Signup and view all the answers

Study Notes

Employee Qualifications

  • Employees must be at least 18 years old and pass a criminal history check.
  • Required training and ability to perform necessary work tasks are essential qualifications.

Hiring Assistance for Foster Providers

  • Assistance can be acquired through hiring an agency, an independent contractor, or an employee.

Employee vs. Independent Contractor

  • An independent contractor operates their own business, while an employee works directly under an employer.

Employee Hiring Considerations

  • Maintain accurate paperwork and records.
  • Ensure compliance with minimum wage laws.
  • Familiarity with relevant laws and regulations is essential.

Oregon Administrative Rule (OAR)

  • OAR outlines standards and practices to ensure that services meet federal and local compliance requirements.

Annual Training Requirements

  • A minimum of 12 hours of training is mandated for providers, resident managers, and substitute caregivers each year.

Facility Standards

  • Facilities must be in good general condition, have up-to-date documentation, maintain clean furnishings, and ensure adequate lighting.

Sanitary Requirements for Facilities

  • Proper septic tank maintenance and effective pest control are required.
  • Caretakers must take precautions to avoid injuries from sharp objects.

Bathroom Standards

  • Bathrooms must be private, clean, odor-free, and equipped with utilities in good repair, including grab bars.

Meal Standards

  • Facilities must provide three nutritious meals daily.
  • Menus should be available for current and upcoming weeks.
  • Food storage and preparation areas must be clean and well-maintained.

Telephone Accessibility

  • Telephones must be readily accessible with emergency numbers posted nearby.
  • Any limitations on phone use should be clearly specified.

Best Practice Guidelines

  • Focus on protecting the health and safety of individuals in care.
  • Includes "Six Rights," "Five Always," "Five Nevers," "Five Musts."

Six Rights in Medication Administration

  • Ensures the correct medication, dosage, recipient, time, route, and documentation are adhered to.

Five Always

  • Always have health provider orders for medications, wash hands before administration, pour directly into a medical cup, stay with the patient during swallowing, and keep storage locked.

Five Nevers

  • Never leave medication unattended, transfer medications between individuals, use outdated or unlabeled medications, or administer medications without clarity.

Five Musts

  • Always have a Medication Administration Record (MAR) present, compare labels with MAR, ensure proper positioning for administration, record medication immediately, and understand the reasons for medications.

Medication Administration Record (MAR)

  • Essential for documenting patient details, medications, dosages, administration times, and signatures.

Recording Medication on MAR

  • Details required include patient’s name, date, medication information, dosage, timing, and caregiver's initials.
  • If medication is missed or discontinued, appropriate notations must be made on the MAR.

Individual Support Plan (ISP)

  • Developed within 60 days of service and updated annually to reflect changing support needs.

Fatal Four Medical Conditions

  • Aspiration, Dehydration, Constipation, and Seizures are significant risks for individuals with disabilities.

Aspiration Overview

  • Refers to the inhalation of food or fluids into the airway, often due to swallowing difficulties.

Risk Factors for Aspiration

  • Includes neuromuscular conditions, neck or spine deformities, neurological issues, and feeding difficulties.

Prevention of Aspiration

  • Dietary modifications such as texture and thickness adjustments and keeping patients upright post-meal can help prevent aspiration risks.

Dehydration Definition

  • Characterized by excessive loss of body fluids or insufficient fluid intake, affecting various bodily functions.

Risks of Dehydration

  • Can be exacerbated by nonverbal communication, mobility issues, and response to thirst.

Signs and Symptoms of Dehydration

  • Sticky mucus, dry skin, changes in urination frequency, and elevated heart rate are common indicators.

Constipation Definition

  • Defined by difficulties in stool passage, infrequency of bowel movements, or hard stools.

Preventive Measures for Constipation

  • Dietary fiber, hydration, activity adjustments, and routine toileting can improve bowel health.

Emergency Situations

  • 911 should be called for severe dehydration, aspiration signs, or critical symptoms of constipation.

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Test your knowledge on the essential qualifications and hiring methods for foster care providers. This quiz covers the requirements for employees, the ways to hire assistance, and the distinctions between employees and independent contractors. Perfect for those involved in the foster care system or looking to understand employment criteria.

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