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Facility Employee Handbook - Part 2

Specific to Cartier House, 1419 Cartier House, Coquitlam, BC V3K 2C6

604 266 1436

HRR m01h

/tt/file_convert/5f0dfb7a7e708231d43d0a34/document.doc Approved by: SWReleased by: NS

Release Date:05/08/2012

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

Disclaimer: All parts of this Orientation Handbook are supplementary to the relevant provincial legislation.

In the event of a conflict, the legislation will prevail.

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TABLE OF CONTENTS

1. INTRODUCTION.....................................................................32. LANGUAGE OF THE HOME....................................................43. BATTERY CHARGING FOR LIFT EQUIPMENT......................44. NIGHTSHIFT TASK LIST.......................................................45. CALL BELL SYSTEM/DOOR ALARMS.....................................46. BED HEIGHT..........................................................................57. BREAKS..................................................................................58. CLEANING OF EQUIPMENT AND TEMPERATURE CONTROL

RECORDS...............................................................................59. DINING AREAS, MEAL AND SNACK SUPPORT.....................510.“RESIDENTS’ DAY” & THE 24 HOUR REPORT......................611.CODE WHITE VIOLENT INCIDENT.....................................1212.FIRE DRILLS AND EXITS **Code Red..................................16

12.1 FIRE SAFETY PROGRAM POLICIES & PROCEDURES.......................................................................1612.2 FIRE EXITS AND PULL STATIONS..................................................................................................1612.3 STAFF REQUIREMENTS & EVALUATION REGARDING FIRE SAFETY PLAN....................................16

13.INCONTINENT PRODUCTS..................................................2213.1 SCA PERSONAL CARE INCONTINENCE INFORMATION..................................................................2213.2 GARBAGE AND INCONTINENT PRODUCT DISPOSAL.......................................................................22

14.LAUNDRY.............................................................................2315.MISSING RESIDENT SEARCH PROCEDURE **Code Yellow2316.NON-RESTRAINT/RESTRAINT CONSIDERATIONS.............2317.OBSERVATION MEMOS.......................................................2318.OINTMENTS AND OTHER TREATMENT SUPPLIES............2319.SLINGS FOR LIFTS..............................................................2420.STAFF ROOM.......................................................................2421.OCCUPATIONAL HEALTH AND SAFETY..............................2422.PPSL CODE OF ETHICS.......................................................24

OUR CODE OF ETHICS INCLUDES:..............................................................................................................24ETHICS........................................................................................................................................................25CODE OF ETHICS........................................................................................................................................25Park Place Seniors Living Code of Ethics.................................................................................................25

/tt/file_convert/5f0dfb7a7e708231d43d0a34/document.doc/tt/file_convert/5f0dfb7a7e708231d43d0a34/document.doc Approved by: SWReleased by: NS

Release Date:04/26/201205/08/2012

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1. INTRODUCTION

Following is miscellaneous information which will be helpful to you to review before your first visit to the home though, be assured you will receive a thorough orientation and, receive a warm welcome and support from staff already familiar with the home, residents and routines. Welcome to the team and Cartier House!

Please note Cartier House is owned and operated by Park Place Seniors Living (PPSL) whose 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 AdvoCare office will be designated at a later date. In addition, there is a full support team working out of home office in Kelowna BC (see contact information in main employee handbook).

Staff are assigned a facility entry key card, which is the property of Cartier House and is not to be shared with others. The elevator code is 1419*.

Parking:Staff working Day Shift:

Left side of parking lot at the front of the building, There are 5 parking spots in the alley behind the building

or You may park on the street

Staff working after 1500/ Evening shift / Night Shift: Either side of the parking lot at the front of the building There are 5 parking spots in the alley behind the building

or You may park on the street

Immediate care needs or complaints expressed by residents or their family members are to be redirected to the nurse in charge at the time. Should the matter be related to performance issue on part of an AdvoCare employee, AdvoCare will investigate the matter and take the required action including, where performance or other deficits impact care and service delivery, the reputation of the home or, legitimacy of the license, AdvoCare will report concern and outcomes


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to the Site Leader (Lindsey Macaulay) who holds the license for Cartier House. At any time there is an urgent care or safety item, the Site Leader is to be reported to.

Non urgent learning needs or, consultation regarding best practices, routines etc. should be directed to our Program Manager. Maintenance needs are under the direction of Mr. Jim Smith who is the Facility Maintenance Manager. His direct line is 604-931-0675 and this number is located in each Nursing Station. Mr. Smith works the following: Monday & Wednesday 0600-1400, Friday 0600-1200 (noon). To relay observations or needs, please write requests in the maintenance binder which is kept at the nurses’ station on each floor.

Please refer to your “Whom to Contact List”, which is located in your Part 1 Handbook, which provides the contact numbers for various departments ie: payroll, scheduling, benefits etc.

2. 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 a caregiver. Please be mindful of how you word things and use language which represents the culture of a Resident Focused Care Model.

Please also refer to attached document “Picture yourself 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.

3. BATTERY CHARGING FOR LIFT EQUIPMENTBattery charging is done by the care aides on night shift. If you ever experience a low battery on any other shift, do note there is always an extra battery in the 2nd floor spa room (North Side). Staff is cautioned to always check the status of the battery prior to use.

It is our practice and expectation that evening care aides will be responsible for charging the lifts each evening.


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Extra batteries can be found in the 2nd Floor North Side Spa. There are 3x Green, 3x Blue and 3x Orange color- coded batteries. The charging schedule for the color coded batteries is as follows:

Green- MondayBlue- WednesdayOrange- Friday

It is the responsibility of the nurse to ensure that the batteries have been placed on the charger to be charged.

4. NIGHTSHIFT TASK LIST**Night shift staff is to follow the task list specific to night duties in each program area, this will be covered at on site orientation.

5. CALL BELL SYSTEM/DOOR ALARMSA call bell system is in place at Cartier House Call bells are accessed at bedsides, in all bathrooms and in the tub room. The bell rings clearly throughout the program area for staff to respond to.

6. BED HEIGHTAll 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.

7. BREAKSBreaks are to be planned in agreement with coworkers on each shift based on needs at the time and must be taken at times separately from residents’ meal times as supporting residents, hostess the dining areas during mealtimes takes priority. Do ensure adequate coverage in place and, coworkers aware of who is remaining as support while you have your break.

8. CLEANING OF EQUIPMENT AND TEMPERATURE CONTROL RECORDS

While the multiservice workers conduct most of the cleaning in the home, all staff share 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.Staff assigned on night shifts are responsible for checking the “Night Shift Duties binders” in the program area and completing tasks indicated for that night of the week. Staff are to date & initial on each shift. Please ensure you review MSDS printouts re safe use and


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storage of any cleaners you are in contact with. The schedule for cleaning care equipment ie: hearing aides is in the program area

All staff, on each shift, is to ensure they record temperatures as required for all fridges in the home including in program areas, medication rooms, kitchen (includes freezers), dishwashers in kitchen & program areas. Related forms will be posted in relevant areas.

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 binder provided.

9. DINING AREAS, MEAL AND SNACK SUPPORTStaff will be oriented to the routine for the home. Please note main meals are at 0830, 1200(noon) and 1700 hours. Coffee, tea, toast and muffins are available for residents who would like something before breakfast. Snacks are provided between meals and at bedtime.

A listing of special diets/dietary restrictions including allergies, likes and dislikes is posted on the whiteboard that is located in the kitchen. In addition, there is a special diet list in the second floor dining room. It is located on the pillar, facing into the Special Assistance area.

Staff who may be assisting with the residents of another care aide 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. The primary caregiver can then offer additional nourishment. Do report concerns to the nurse as needed. Please note that all staff assist in the dining room as one would at home. This may include clearing dishes, serving food etc. 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.

When offering snacks, do ensure appropriate type of food is offered. While we value resident choice, ensure those who may not understand the risk a type of food may pose for them, are offered a choice from the approved (by dietician) group.

Should any food items or beverages be placed in the fridge, the staff placing it there owns responsibility for dating and initialing the item


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and EVERYONE owns responsibility for discarding items which have become outdated. Please adhere to memos from the Food Services Supervisor in this regard. While other 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.

Please ensure radios are turned on during meals or other times – though, not too loud. Please turn on to an “oldie” music channel as this is more suitable for the residents. This helps muffle clatter from dishes etc and, adds to a pleasant atmosphere over meal times. A gentle reminder not to rush residents during or after their meals. As you are serving or clearing, use the same courtesies you would if you had guests in your home. Do encourage them to stay and visit with others after their meal. As you are able, 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!

10. “RESIDENTS’ DAY” & THE 24 HOUR REPORTEach Resident’s Day is located in the Family Binders which are stored at the Nursing Stations on 1st, 2nd and 3rd Floor. This will guide the care actions and other support you will provide during your shift. Redirect concerns a resident or family member may have to the nurse in charge and/or Program Manager and, not directly engage in discussions of a negative manner regarding coworkers or others.

Document on the care aide communication in each binder by exception (as needed) each shift. Care staff are to read the 24 hour report when coming on duty. If there are changes which impact your residents, you are to record the data in their “Day”. Updates in the 24 hour report may come from nurses, physiotherapist and others. Please review attached sample of a Resident Day, Family Day, evening and night stories. These guide staff actions throughout the home. Most staff will be assigned to regular “families” so you will quickly learn their routine. It works very well for both residents and staff.

RESIDENT DAY


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Resident: SMITH, MARY JOE Room#2381. Lift/Transfer: Independent 4. TENA Product: 2. Toileting Transfer: Independent3. Mobility: IndependentImportant Days and NotesBath Day: WednesdayDiet: RegularOral Care: U/L Natural TeethHairdresser:

Treatments/Programs

Time

Resident’s Wishes Caregiver’s Responsibilities

0700

I get up on my own around 0715. I have a very consistent routine

Offer assistance but does most of her own care

0800

I dress myself and will pull my call bell if I need help

Ensure Mary Joe has clean towels and face cloths for care

0830

BreakfastI eat in my room for all meals. I like porridge, eggs, black coffee, juice and toast/jam

Tray service to room. Please no pudding for dessert

0930

I prefer to stay in my room

Ensure Mary Joe’s privacy is respected

1000-1100

I only come out of my room for my bath

Assure Mary Joey is comfortable in her room

1200

LunchI eat in my room

Tray service to room. Sometimes goes out with niece for lunch or other family

1300

1330


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RESIDENT DAY

Time

Resident’s Wishes Caregiver’s Responsibilities

1400

Afternoon TeaI like juice and fresh fruit

Offer her a snack of her choice

1500

I may go for a short walk with activities from time to time

Activity department will try to get her outside for a short walk

1600

I like to stay in my room and rest on my chair

Mary Joe will enjoy 1:1 visits but only with her family

1700

SupperI eat in my room

Tray service to room

1900

I like to get ready for bed at this time

Offer assistance with HS care

2000

HS SnackI am usually in bed but like juice left at my bedside

Leave a glass of juice at bedside for the night

2100

2300-0700

I sleep well at night Check on rounds. Leave the bathroom light on


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*Assignments for care and recreation aides may include provision of some cleaning and non-care support. At this home, staff in the program areas provide, Setting tables, dishes, laundry and serving.

Care staff assigned on night shifts is responsible for cleaning tasks as noted in the “Night Duty Cleaning Binder”. Check the


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binder which is located at the Nursing Stations on 1st, 2nd, and 3rd floor 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 Spa Tub rooms.

Resident weights are obtained monthly. Staff must record the weights by the 15th of each month. The Bath Books are located at each nursing station, with the Family Binders. Staff must record the weights in the Bath Book; which will be transcribed by the Nurses to the charts and eMAR.

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.


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11. CODE WHITE VIOLENT INCIDENT

CODE WHITE – STAFF RESPONSE

CODE WHITE - VIOLENT INCIDENTDefinition

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" on the white wall phone for P.A. system overhead announcement 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


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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.


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ALL STAFF UPON DISCOVERY OF HOSTAGE SITUATION

Notify the Administration office and provide as much detail as possible, e.g., who, what, where, when, why, how, weapons, number of perpetrators, number of hostages.

If Administration is not available, call the police at 9-1-1.

Prevent others from entering the location until police and/or Security Officer arrives.

ADMINISTRATION

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 Administration office representative to intercept and hold all calls to the Hostage taking area.

Direct Administration office representative to set up a dedicated line to the hostage taking area for use by the negotiator. (This line will be located at Administration. If another line is required, call Telus).

Consult with police to confirm if Telus should be asked to

SECURITY Ensure that Administration has called the police. Alert maintenance, if in the building Assist in securing the area. Do not allow anyone access to the area.


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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


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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. The floor plan can be found in the Fire Safety Plan Binder; which is located in the Administration office on top of the filing cabinet.

12. FIRE DRILLS AND EXITS **Code Red12.1 Fire Safety Program Policies & Procedures The Fire Marshall in the home is responsible for implementing policies and procedures of the fire safety program which includes monthly fire drills. The nurse coordinator or the nurse in charge may act as Fire Marshall. Fire Marshall is always the Nurse in Charge. The Fire Marshall will wear an orange vest for ease of identification during drills or fire situations. Emergency and first aide equipment is


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retained in the reception area which the nurse in charge has access to 24/7.

12.2 Fire Exits and Pull StationsEnsure you know where the fire exits and pull stations are. Nurses remain in communication via their portable phones. Staff to remain awareness of emergency procedures throughout their employment.. Staff is advised that propping open of ANY door, for ANY reason is strictly prohibited. Fire exits are at the end of the hall in each program area. Fire drills will be run on a routine basis. 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 2 times.

12.3 Staff Requirements & Evaluation regarding Fire Safety Plan

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 Administration Office and each nurses’ station

Staff will be evaluated on this. 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)

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. 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.

13. EVACUATE ZONE (phase two)a) Close all room and smoke barrier doors.


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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.14. 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.

15. DURING FIRE & EVACUATION DRILLSa) 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.

16. REMEMBER!a) Safety of the residents is your first responsibility.b) Pulling the nearest fire alarm is the quickest way to

get help.c) Do not enter a room if the door is hot to touch or, if

smoke is escaping from beneath the door.d) Upon leaving a room involved in fire, close the door

and DO NOT re-enter. e) 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.

f) The nurse in charge is responsible for ensuring all residents and staff is accounted for. She may delegate this to another if needed.

Discovering a Fire – ALL STAFFIf you discover a fire: STAY CALM.


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Phase 1: REACTR: Remove those in immediate danger.E: Ensure that the room door is closed. (Confines fire & smoke to one room.)A: Activate the fire alarm (if not already done).C: Call the Fire Department.E: 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.

Remember: 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.

Do not use telephone for other than emergency purposes. Do not use the elevator. DO NOT enter a room if the door is hot to touch, or if

smoke is escaping from beneath the door.

Phase 2: Evacuate the fire zone.

If the fire cannot be extinguished, retreat from the fire room and close the door. 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. In the event of a fire, retrieve the copy of the Resident list which is located on the Fire Alarm Board on each floor. Take the list, pen and chalk with you.

2. Starting with the rooms adjacent to and opposite the fire room: Carefully check the room for residents or visitors. Turn off any equipment. Close the window. Close the door. As the residents are removed from their rooms

use the chalk that is provided, mark a large forward slash / on the closed door.

Using the same forward slash / mark beside the resident’s name on the paper list.

Residents that are unable to transfer out of their rooms.


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Use chalk to write a large R on the door Mark the resident list with an R next to the

corresponding resident name

3. Order of evacuation: Anyone in immediate danger. Anyone close to the fire. Residents who can be easily moved e.g. walking or are

already in wheelchairs. Residents who are difficult to move e.g. in bed or in the tub Any resident resisting evacuation is to be left and the fire

department notified upon arrival.

4. Staff (one or more) can be assigned in “assembly line” fashion as follows: Check rooms as outlined in # 1. Remove residents from corridor to beyond corridor fire

doors. Take/direct residents to dining room assembly area. If the

fire is on the 1st floor north wing and the weather is suitable, residents can be taken directly to the parking lot, rather than into south wing. They must be supervised and must not block entrance for fire department.

If the fire is located on the 2nd Floor South Wing- exit residents going north through the

kitchen to the exit directly onto the Alley behind the building

North Wing- exit by using the stairsIf the fire is located on the 3rd Floor

Exit using the north exit which leads directly to the back alley

5. Once the fire zone is considered evacuated, ensure corridor fire barrier doors are closed.

6. Turn off all equipment in the all other rooms, e.g. laundry, kitchen, activity, offices.

7. Account for all residents, using resident list found on the emergency procedures clipboard found in the plexi glass holder, located outside medication rooms.

8. Account for all staff, visitors, and volunteers.

First Floor9. 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.


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10. Ensure that a staff member is stationed at the front door, so that fire department can enter.

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.

If the Fire is Not on Your Floor – ALL STAFF

1. Direct all residents and visitors either into the residents’ rooms or the dining room.

2. Ensure corridor fire barrier doors are closed.3. Turn off all equipment in resident rooms and all other rooms,

e.g. laundry, kitchen, activity, offices.4. Close all windows and doors.5. Account for all residents, using resident list found on the

emergency procedures found in the plexiglass holder, located outside medication rooms.

6. Account for all staff, visitors, and volunteers.7. Do not use elevators or telephones.8. 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.

Types of Fires and Extinguishers


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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.

The pressure in the extinguishers is visually checked on a monthly basis and they are annually inspected by a fire safety protection company.

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


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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.

Guidelines for Prevention – Laundry

Resident Care Staff and Maintenance play a role in preventing fire in the laundry room.

Maintenance1. 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.

Resident Care Staff1. 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.

6. Keep the area around the dryer clean and free from clutter.

Specific Staff Responsibilities in the Event of a Fire


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Second (2nd) Floor Nurse

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 position.

1. Determine the location of the fire.

2. 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.

3. 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.

13. INCONTINENT PRODUCTS13.1 SCA Personal Care Incontinence InformationPlease ensure you are thoroughly familiar with the SCA Personal Care Incontinence Information included in this information package for new employees. You will be asked to review the Tena video as well. To ensure resident comfort, staff is responsible for utilizing these products as described and will be evaluated accordingly. Please ask for any support or further explanation you may need from our Program Manager.

13.2Garbage and Incontinent product disposalGarbage is never to be left in open bags in the rooms or bathrooms as this leads to odors in the home. Soiled items are placed in plastic bags


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which are tied then, placed in the large black bag/bin in the laundry room. This is turn, when full, is tied and placed in the trolley. When the trolley is full of black bags, it is placed outside the kitchen area and emptied into the commercial bin.

14. LAUNDRYLaundry is done by care aides on all shifts for their residents and others. There are separate linen carts for personal clothes, linens and soaker pads. There are blue/green peri-cloths and then white clothes for faces and hands.

Yellow laundry bags will be provided in keeping with PPSL’s policy for infection control. For example, if the neighborhood you work on is experiencing flu symptoms, please put ill residents’ laundry (including soiled bedding, towels etc.) into the yellow laundry bags, secure, and label with resident’s room number. This will help to prevent the spread of infection.

15. MISSING RESIDENT SEARCH PROCEDURE **Code Yellow

Report any missing residents to nurse stat! She will then initiate a search according to emergency procedures. This includes:

Assigning staff to start search. Contacting hospital emergency and notifying administration and

recreation departments. Announce code yellow X 3 (identifying resident & request to

return to program area) 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.

Systematic search of the grounds. If still not found, the nurse/admin staff will determine next steps

(refer back to policy)

16. NON-RESTRAINT/RESTRAINT CONSIDERATIONSPlease become familiar with policy RM 20. Adhere to the residents’ day which will guide you regarding fall/risk issues and, any considerations for positioning or safety devices. Report concerns immediately to a nurse on duty.


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17. OBSERVATION MEMOSObservation memos are for you to record non urgent observations about the care or work environment which you feel should be brought to the attention of the Program Manager. Urgent matters are to be reported to the nurse in charge. Please leave the completed form in the AdvoCare on site office or fax to head office at 250-861-3112.

18. OINTMENTS AND OTHER TREATMENT SUPPLIES

Treatment supplies must remain locked at all times when not in use. Treatment and RX creams are stored in a white bin, in the bottom drawer at the Nurse’s Station on each floor. Staff are expected to administer the treatment and return the package/ tube to the bin labeled “Treatment Creams Applied”. This will indicate to the Nurse that the treatment has been administered. The nurse will then document in eMAR that the treatment cream was signed out to and applied by the Care Aide.

19. SLINGS FOR LIFTSIt is an expectation that residents requiring a sling, will use the same sling through the course of the day. Slings will be laundered if soiled; or on a weekly basis.

20. STAFF ROOMPlease clean up after yourselves in staff area. This is for your use and, just like at home, responsibility is yours to keep tidy. To avoid all the green or blue things that can grow in a fridge, please discard your own things as needed . Smoking is not permitted in keeping with WSBC guidelines.

21. OCCUPATIONAL HEALTH AND SAFETYOH&S meeting minutes are posted after each meeting. These are posted on the bulletin board in the staff room.

22. PPSL CODE OF ETHICSThe 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.


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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 anotherEthics 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.

EthicsTo provide leadership in ensuring that our Vision, Mission and Values of the Home are integrated into all its activities;

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 isAn education tool


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Designed to inspire individuals to promote resident-centered care and sound community relationshipsEstablishing 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


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Documents

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