Caregivers are responsible for obtaining their globes for use during assignment.
Gloves are available to all caregivers every two weeks, at subsidized rate. Caregivers can have the cost of gloves deducted from their pay at a rate of:
$6.50 for 1 box of Gloves
$12.00 for 2 boxes of Gloves
PERSONAL PROTECTIVE EQUIPMENT (PPE)
Personal Protective kits are also available to all caregivers. The cost is $8 per kit and each PPE kit contains the following:
- One Impervious Gown
- One pair of Latex High Risk Gloves
- One Protective Face Mask with Eye shield
- One Bio-Hazard Waste Bag
- One 3 Gram Waterless Hand Cleaner
- One CPR barrier mask
MEDICAL EMERGENCY PROTOCOL
In the event of an emergency or accident, the caregiver should take the following steps:
- Perform CPR on the individual or apply basic first aid if needed;
- Call 911
- Notify the Director of Nursing/Supervisor for further directive
- The emergency information on the individual’s file is accessed to know advance information/contents; and
- The hospital and individual’s physician is contacted by the caregiver when the individual is transported to the hospital
DISASTER PREPAREDNESS PROTOCOL
All staff, who may visit the individual, served home, need to have an increased awareness of the individual’s surroundings as well as the inside of the home. Any potential dangers should be identified and the staff person should ensure that these items are removed so that there is minimal risk to the individual served.
Individuals being served and staff are instructed on procedures to follow in case of an emergency. Pathway diagrams are displayed in each room, in visible locations throughout the home. It shows the evacuation routes and individuals are instructed on where to go in the event of an emergency.
In the event of a fire or natural disaster, such as floods, storms, hurricanes, tornadoes, etc., individuals being served are to meet at a designated location outside of the building and a headcount is taken to ensure that everyone in the home is safely out of the building. The meeting point will be clearly marked on the posted diagram.
Emergency procedures also address specific precautions, procedures and protective equipment to be used during occurrences. Smoke alarms are checked and tested on a bi-monthly basis to ensure that they are in good working condition. The indicators in the fire extinguisher must show that it is in active condition at all times. 911 are displayed as a reminder for emergency contact in all notices posted on the wall.
In the event there is an emergency, which results in injury, the caregiver or responsible party is advised to:
- Call 911 immediately
- Call the agency’s emergency number and speak with a supervisor immediately
- Render immediate assistance to the person involved by applying First Aid/CPR if necessary and removing them from danger
- Caregiver must remain with the individual being served until the appropriate assistance arrives at the location. The Service Coordinator must be notified immediately to approve additional hours of service if completely resolved.
In case of an exposure to hazardous materials, the following can be used to clean up spills immediately: paper towel, cleaning agent(s) and a waste container.
If this is a radioactive spill, the following procedures should be followed:
- Notify persons in the area that a spill has occurred
- Staff should move away from the spill to avoid direct contact with the radiation hazard, but should remain in the general area until help arrives,
- Do not track potential contamination down corridors or into adjacent rooms
- If appropriate, place absorbed materials over spill to prevent dispersal
In the event of inclement weather, including floods, tornadoes, hurricanes, etc., the safety of everyone is of prime importance. If inclement weather conditions exist prior to the opening of the office for the normal day, the Administrator or designee will advise the answering service of the decision to:
- Close the Agency for the day
- Delay the opening of the Agency-a specific time will be given
- Extend the delayed opening or permanently close the agency for the day-notice will be given to the answering service at least one (1) hour before the scheduled opening, if practical.
Staff must inform the individuals they serve of the changes in their scheduled visit and must reach an understanding with the individuals as to what time they shall be there to provide services to them.
All Caregiver are responsible for assessing and reporting all environmental safety concerns and violations. Always follow all environmental care and safety guidelines and standards per company policies and procedures. Examples of Hazards:
- Obstacles and clutter in an entrance or exit
- Poorly illuminated entrance, steps and walkways.
- Presence of animals, insects, rodents.
- Unsanitary conditions (e. g., accumulation of garbage, smell of urine).
- Presence of pets, rodents, birds, insects (i.e., potential sources of disease, allergic reactions, bites).
- Inadequate plumbing (e. g., cannot access bathroom facilities, drinking water concerns).
- Inadequate heat or ventilation.
- Absence of or improperly placed/working smoke detectors and/or carbon monoxide detectors.
- No portable fire extinguisher.
- Lack of specialized evacuation procedures to accommodate clients in wheelchairs.
- Lamp, extension and telephone cords placed in the flow of traffic.
- Slippery area rugs and runners.
- Steps do not allow secure footing
- Clutter on stairways/hallways.
- Small stoves and heaters in places where they could be knocked over and close to furnishings and flammable materials.
- Ashtrays, smoking materials and other fire sources (heaters, hot plates, teapots) located close to bed or bedding.
- Main living area is cluttered.
- Client refuses to obtain equipment that would assist the worker and prevent injury to the client and worker.
- Bathtub is available but client is wheelchair bound and requires use of shower stall.
- Lack of lifting/transferring equipment.
- Hazards Impeding Emergency Response
- Lack of access to telephone in event of fall, emergency, etc.
INFECTION CONTROL PROCEDURES
The agency has established the following procedure to be adhered to by our staff/caregivers:
- Wash hands with soap and water, rinse and dry before and after any contact with the individual for care or treatments. Wash hands even if gloves are worn and wash bare hands immediately following exposure to blood or body secretions or excretions (as a guide, count to 10 while the wash is being done).
- Wear gloves if the possibility of touching blood, body fluids, secretions or excretions on any item or article or specimen exposed to these fluids exist
- Change gloves if soiled or torn prior to contact with the individual being served.
- Wear gloves if rash, cuts or open areas are present on hands, or avoid any contact with body fluids or contaminants.
- Wear disposable plastic aprons or gowns during direct or close contact if soiling of clothing is likely to occur or if spattering of body fluids is possible.
- Gloves should not be washed, disinfected and reused. Discard used gloves, dressings, cleansing articles and other disposable supplies in a waterproof, leak-proof bag for proper disposal.
- Wash soiled linens, clothing, bathing article, dishes and eating utensils in hot water and detergent, rinse and dry well for reuse.
- The bag and its contents will be treated as clean equipment. The principals of medical asepsis shall be followed; therefore, the bag will not be entered until hand washing is completed. When not in use, the bag must be zipped close.
- The bag must always be placed on a barrier to create a clean work environment and to prevent contamination of the outer surface of the bag.
- The bag shall not be place on the floor.
- In the event of known communicable diseases on unsanitary home conditions, staff will only expose the minimum amount of equipment into the home setting.
- Disposable equipment will be utilized as appropriate.
- The bag must not be left unattended in the individual’s home. Between visits, the bag must be kept locked in the trunk of the staff person’s car, in an area designated as a clean space. The bag shall be placed on a barrier while in the vehicle.
- Personal items are not to be kept in the bag.
- The interior and exterior of the bag shall undergo a routine cleaning with soap and water when visibly soiled.
- If the bag becomes grossly contaminate, it must be returned to the agency for a replacement.
INCIDENT REPORTING PROTOCOL
The following protocol should be used and followed for any incidents that occur. All incident reports must reach the CSS Healthcare office within 24 hours of the incident.
The ACTUAL REPORT should include the following uniformed format:
- State the name of the individual being served
- State your name and other persons present (witnesses)
- Date and time of the incident
- State the action that was taken and the protocol that was followed
- Reports must reach the CSS Healthcare office within 24 hours of the incident
If you have faxed in a copy of the report, call the office to ensure that it has been received (Record name of the person you spoke with).
All staff must read and understand the protocol that should be followed for incident reporting. In addition, all staff should be aware that CSS Healthcare Services has incident reporting forms available for their use in the office, in the event they do not have one readily available.
REPORTING ABUSE & NEGLECT
When a CNA becomes aware of an abusive condition or ethical concern/issue, they must report the information to their supervisor and director. The supervisor and director will consult with the staff members and receive information from the individual being served to clearly outline the concern involved. If a resolution cannot be met at this level, the issue will be presented to the Administrator. The Administrator will contact other appropriate persons to discuss and assist in resolution if possible. When possible, the family and physician will be part of this discussion. All of these discussions must be kept confidential.