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?
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What is the Oregon Administrative Rule?
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How many hours of training annually are required by the department for providers, resident managers, and substitute caregivers?
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What is required of the facility according to facility standards?
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What is required of the sanitary of the facility according to standards?
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What is required of bathrooms according to facility standards?
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What is required of meals according to facility standards?
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What is required of telephones according to facility standards?
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What are the 'Best Practice Guidelines' directed at?
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What are the 4 'Best Practice Guidelines'?
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What are the 'Six Rights' regarding to?
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What are the 'Six Rights'?
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What are the 'Five Always'?
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What are the 'Five Nevers'?
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What are the 'Five Musts'?
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What is the MAR?
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What is to be recorded on the MAR?
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After giving the medication what is the next step?
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If medication is not given, how should you record it on the MAR?
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When a medication is discontinued, how would you record that in the MAR?
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When a medication is time limited, how would you record it in the MAR?
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When the person is to receive medication not at home, how is it recorded in the MAR?
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When a patient is taking PRN medications, how is it recorded on the MAR?
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How is medication administered while patient is at work/school/community inclusion?
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How is medication recorded on the MAR while a patient is at work/school/community inclusion?
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What is an ISP?
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What does 'o.s.' stand for?
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What does 'u.s.' stand for?
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What does 'o.d.' stand for?
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What does 'os' stand for?
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What does 'p' stand for?
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What does 'pc' stand for?
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What does 'po' stand for?
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What does 'pr' stand for?
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What does 'p.r.n/PRN' stand for?
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What does 'q or Q' stand for?
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What does 'q.o.d.' stand for?
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What does 'q.I.d.' stand for?
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What does 's' stand for?
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What does 'SL' stand for?
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What does 'stat.' stand for?
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What does 'tab' stand for?
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What does 't.i.d.' stand for?
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What does 'x' stand for?
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What does 'cap.' stand for?
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What does 'cc' stand for?
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What does 'gtts.' stand for?
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What does 'gr' stand for?
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What does 'hs or HS' stand for?
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What does 'ml' stand for?
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What does 'mg' stand for?
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What does '@' stand for?
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What does 'ā' stand for?
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What does 'a.c.or ac' stand for?
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What does 'a.d.' stand for?
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What does 'a.s.' stand for?
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What does 'a.u.' stand for?
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What does 'b.I.d.' stand for?
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What does 'c' stand for?
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What are the four medical conditions known as the 'Fatal Four'?
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What is aspiration?
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What causes aspiration?
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What is the normal swallowing process?
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What 4 major medical conditions put individuals with disabilities at risk for aspiration?
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What 5 physical conditions may put individuals with disabilities at risk for aspiration?
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When the person is coughing or choking while eating what is this a risk of?
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When you notice food or fluid falling out of a person's mouth, what might they be at risk for?
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When someone else is feeding a person, what could the person be at risk for?
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If a person regularly refuses food or drinks, what could the person be at risk for?
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If a person has frequent pneumonia, rattling when breathing, persistent cough, or chronically uses cough/asthma medication, what might they be at risk for?
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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?
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If a person is diagnosed with GER/GERD what might they be at risk for?
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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?
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What diet alterations may help prevent aspiration?
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How long should a patient be kept upright after meals to help prevent aspiration?
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What should you do if you believe a person has aspirated?
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If a person has aspirated when should you call 911?
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What is Dehydration?
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What body systems and organ functions are affected by dehydration?
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What medical conditions can put individuals with disabilities at risk for dehydration?
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If a patient has sticky mucus, what might this be a symptom of?
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If a person has no recorded urination for 1 or more 8 hour periods per day, what might this person be at risk for?
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If the person has dry skin with poor elasticity, what might they be at risk for?
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If the person's heart rate is higher than normal without exertion, what might they be at risk for?
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If the person's blood pressure is lower than normal, what might they be at risk for?
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If the person shows signs of medication toxicity, what might they be at risk for?
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If the person is routinely using assistance to get something to drink or receive fluids, what might they be at risk for?
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If a person has heart or kidney disease, what should you do before giving patients extra fluids?
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When a person is dehydrated when should you call 911?
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What is constipation?
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If a person has low or absent muscle tone, what might they be at risk for?
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If a person is non-mobile/non ambulatory, what might they be at risk for?
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If the person routinely takes bowel medications, what might they be at risk for?
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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?
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What are some measures to take that can help prevent constipation?
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What are treatments for constipation?
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When a person has constipation when should you call 911?
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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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Description
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.