Enter Title in File - Properties€¦ · Web viewReviewing in advance of your onsite orientation will help you become familiar with the home and processes in a timely and organized

HRR m01d

Facility Employee Handbook - Part 2

Specific to Sun Village Retirement Home

HRR m01d

/tt/file_convert/5f549c34a2efe3462f2fc129/document.doc Approved by: PGReleased by: NS

Release Date: 02/29/2012

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, Workplace Contact Information and Representatives............................................32. Occupational Health and Safety Committees.43. Union Representation.....................................44. Staff Room......................................................45. Coffee and Meal Breaks..................................46. Meal Tickets...................................................47. Communication/Report at Shift Change/Reporting................................................58. Language of the Home...................................69. Assignments...................................................610.Shift Routines.................................................711.Call Bell, Bed and Door Alarms and Phone Systems..............................................................1012.Battery Charging and Power Outages..........1113.Dining Areas, Meal and Snack Support........1114.Laundry.........................................................1215.Garbage Disposal..........................................1216.Areas Safe and Tidy......................................1217.Temperature Control Records......................1218.Code White Violent Incident........................1319.Fire Drills, Exits and Procedures - Code Red!

17FIRE SAFETY PROGRAM POLICIES & PROCEDURES............................................17FIRE EXITS AND PULL STATIONS........................................................................18

18.PPSL Code of Ethics.....................................23OUR CODE OF ETHICS INCLUDES:......................................................................23ETHICS................................................................................................................23CODE OF ETHICS.................................................................................................23Park Place Seniors Living Code of Ethics..........................................................24



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1. Introduction, Workplace Contact Information and Representatives

Following is a variety of information which is specific to the home in which you will be working. Reviewing in advance of your onsite orientation will help you become familiar with the home and processes in a timely and organized manner. Be assured you will receive support from staff already familiar with the home, residents and routines. Welcome to the team and Sun Village Retirement Home. Sun Village is located at:1147 Main Street, Penticton B.C. The phone number is 250 492 2020.

Staff is to park at the rear of the building. Staff is advised to maintain awareness of surroundings – in and around the workplace. Staff should conduct a visual check of the area, park in a well lit area and secure your car. Report any concerns regarding walkways, lighting, door locks or strangers in the area. It is encouraged that staff exit & enter the home with others where possible. Some homes have de-icing product available near entrances and parking lots for your use (in between routine serving)

Please note Sun Village is owned and operated by Park Place Seniors Living. Their 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.”



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The Site Leader, who holds the license for the home and is employed by the operator, is Izy Pineda. The Site Leader is involved in virtually all aspects of the care and support services of the home. AdvoCare, as a contract partner, reports to the Site Leader which may include participating in investigations and subsequent reports.

The AdvoCare on site office is located in suite #88 on the ground floor. In addition to meeting with the management staff who work from that office, you are invited to leave documentation, memos etc. in the mailbox provided in staff room on 2nd floor. In your main AdvoCare Employee Handbook is a listing of “Who to Contact” for a variety of employment related needs. Please defer to this list and utilize the toll free number provided to call directly or, leave documents you would like brought or faxed to home office in the mailbox provided.

Our management staff for Sun Village is Hollie Greig who is a program manager and confers with AdvoCare owner John Manton and Food Services and Nutrition Manager Angie D’Aoust regarding emerging issues or opportunities and of course, the Site Leader who is an employee of the operator. Hollie Greig also conducts the New Employee Sessions.

2. Occupational Health and Safety Committees

Staff is encouraged to be an active participant in the joint occupational health and safety process. Employees may be assigned by their union as employee representatives however, all staff is encouraged to attend meetings as guests. Please see the calendar of meetings posted at the worksite and, the minutes of previous OH&S committee meetings.

Staff is also encouraged to make suggestions and submit via an Observation Memo which has a check box indicating is related to health and safety concerns or recommendations. These are then reviewed by the Program Manager and relayed in part or entirety to the OH&S committee.



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3. Union RepresentationStaff is supported by a polyparty which for Sun Village in Penticton is BCGEU. Their contact information is:Debra Critchley Staff Representative @ 1-800-667-1132, Fax # 1-800-946-0252#214 3001 Tutt StreetKelowna BC V1Y 2H4

It is recommended that staff routinely check the union bulletin board located in the staff area for updates and notices.

4. Staff RoomThe staff area is located on the second floor at the end of the hall (sun room). Please check your personal mailbox routinely for updates and miscellaneous correspondence and, routinely check staff bulletin boards for updates regarding OH&S, union, educational and miscellaneous staff information. Staff is reminded to keep the staff area tidy including cleaning up after oneself, including dishes, and, discarding or removing items/food after use.

5. Coffee and Meal BreaksPlease refer to your collective agreement regarding authorized break allotments. Staff is to collaborate with their team for timing of breaks unless, specific direction is given. Consideration is given to the meal times of tenants to ensure sufficient staffing levels and coverage at peak times ie: tenant meal times. The kitchen is not to be left unattended when stoves are operating. Staff on night shifts will plan the break that works best for them though will ensure they remain available for emergency calls. Staff is not permitted to leave early from any shift rather than take a break during the shift because the home must have full complement of staff on duty at any one time.

6. Meal TicketsStaff may purchase meals at this home. Lunch is $3.00, Dinner is $5.00. Staff are to mark the applicable meal in a log book and sign it. The money is to be put into container in cupboard by the kitchen



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phone. This money is collected by the site leader. Please note: AdvoCare makes available meal tickets of funding in lieu of in specific situations ie: staff has been asked to extend their shift. Please ask about this option in such situations.

7. Communication/Report at Shift Change/Reporting

Should you observe concerns regarding a tenant, please report to the Site Leader (building manager). Staff is to contact emergency services for urgent medical interventions. The cook carries responsibility for checking (directly or through delegation) on the status of tenants missing from expected meal times and reporting concerns to Site Leader or, triggering emergency response call as required.

Shift routines are posted in your work area. Please advise the cook or Program Manager if any questions or challenges related to your role and responsibility throughout your shift. Staff is to read the communication book at start of each shift and we prefer staff initial that they have read new directives or memos posted there.

Complaints or concerns expressed by tenants or visitors are to be directed to the Site Leader. Should the matter be related to a performance deficit on the part of an AdvoCare employee, AdvoCare will investigate the matter and take the required action. Where performance or other matters impact care and service delivery, the reputation of the home or, legitimacy of the license, AdvoCare will report the concern and outcomes to the Site Leader who holds the license for Sun Village.

Equipment or building safety concerns are documented in the maintenance binder which is located on the shelf above the ice machine. Unresolved maintenance matters and, any safety related concerns are to be reported to the OH&S representative (via an Observation Memo noted in point 2).



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Staff injuries are reported to the AdvoCare Management staff. Management staff may redirect staff to emergency or medical services and, initiating WSBC form 6a and, in house incident reports.

Employees who work alone at night are required to check in at least once per shift, with the night nurse at Mountain Lake Seniors Community (Nelson). Refer to Occupational Health and Safety Regulations 4.20.1-4.23.

Non urgent learning needs or, consultation regarding best practices, routines etc. are to be directed to Advocare’s Program Manager or, discussed at your three month or annual accomplishment reviews. Observation Memos are available for staff to utilize to record concerns, observations and suggestions. Observation memos are reviewed by the Program Manager and/or Program Coordinator and, depending on need, action may be taken or, a report to OH&S, COO or Director may be triggered. Please note all Observation Memos are reviewed and signed off on by a manager. Where indicated and not restricted by confidentiality or time constraints, staff will receive a response to their memos though, given the multiple steps that may be triggered, do expect some delay as matters are thoroughly reviewed. Please refer to your “Who to Contact List” which provides the contact numbers for various departments ie: payroll, scheduling, benefits etc.

8. 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 an employee working in a health care environment. Please be mindful of how you word things and use language which represents the culture of a Resident Focused Model of Care.

Please also refer to attached document “Picture your-self in the dentist’s chair!” Staff is to ensure they speak English while in the presence of others



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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.

9. AssignmentsThe scheduling representative will advise regarding your schedule and this may include regular “lines” or, casual assignments. You will be orientated to your role, the home and the shift routines. You may be assigned to one department ie: the kitchen or, a number of areas. AdvoCare avoids split shifts and gives preference to creating and assigning as many full time positions as possible which in the case of Sun Village, led to routines which combine a number of tasks. There may occasions which necessitate reassigning staff for a shift or portion thereof. This may be done at the discretion of the scheduling department or the Program Manager. Staff must adhere to this direction.

Postings of new lines becoming available are posted on the corresponding bulletin board in the staff area and, forms are available for those who would like to apply. Postings are awarded in keeping with requirements noted in the posting or corresponding job description and the collective agreement. The names of the successful candidates are subsequently posted. Staff assigned on night shifts is responsible for laundry and cleaning tasks as noted in the “Night Duty Cleaning Binder”. Check the binder which is located on the shelf above the ice machine. On night shifts you may work to identify what is to be cleaned that night of the week.



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10. Shift Routines

MSW 0000-0800 Shift Routine

0000 Hairnet, read communication book, pick up key and portable phone from evening MSW, check phone for messages in kitchen. Check emergency system/fire alarm system.Make first rounds to check building. (check all outside doors) ** Do not go outside, remain indoors.

0030 Monday – Friday Laundry Duties: Begin by washing kitchen laundry Collect residence laundry (check master schedule)

only collect laundry assigned to the specific days unless it is a guest suites laundry, then please do as an additional load. Guest suites currently are 205, 211, 214, 82.

Wash, dry and fold residence laundry, place in cloth bags originally with laundry (easier if you wash bags with loads as to not mix them up).

*** please keep numbered laundry bags with correct laundry as not to mix up loads.

Return laundry to residence doorsteps Dry, fold and return kitchen/dining room laundry. Wash micro clothes and micro floor mops(no fabric

softener) Return to utility closet on shelf Wash out washing machines and dryers Wash floor and wipe tables in laundry room

Saturday and Sunday laundry duties: Wash, dry and fold laundry from Kitchen/Dining

Room Swap tablecloths with new ones found in dining room

cupboards. Wash old ones and put in cupboards once folded. (This is done every two weeks, communicate to find out when this is necessary)



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Wash out washing machines and dryers, mop floor in laundry room and wipe down tables.

0200 15 minute break0215 continue above laundry duties0300 sign and call in to Nelson. Clip board in kitchen.250-352-2600, extension 200 or 216.0315-0345 half hour break0345 set tables in dining room for breakfast. (chart book for

settings is on shelf in kitchen) paper napkin, coffee mug with saucer, teaspoon, soup spoon, butter knife.

0400 security round, and sign log sheet.0430 fill milk containers for breakfast half full (used for cereal),

do jams for breakfast. 10 of each(teaspoon full), 10 honey. Place these items in fridge till later once prepped.

0500 Begin common areas. Elevator, lobby area, front and rear entrance to lobby. Clean two bathrooms on main floor(check toilet supplies: toilet paper, paper towels), mop bathroom floor and clean mirror, sort recycling flyers and newspapers in lobby, dust tables, pictures, railings, clean windows in office and glass doors. Vacuum and or wet mop lobby, entrances, corridors and recreation room, storeroom, office, lift. Empty garbage cans (four in total).

0545 15 minute break0600 Make third round to check building (check all outside doors)0630 Open front doors and side door. Finish any jobs that are

not completed (example: set tables)0700 place milks on tables, jams on counter, fill butters and

creamers on tables. Make coffee and teas for breakfast. Serve coffee and tea until end of shift.

0755 return master keys to office0800 end of shift, go home.



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MSW 1400-0000 Shift 4:00 p.m.

Hairnet/read communication book Refill sugar containers/creamers & butters filled Set out condiments(ketchups etc.) On counter Place teabags/honey for residents who require

4:30 p.m. Obtain keys from office and sign out in book Check and sign alarm board sheet Do initial security round, lock the doors that allow access

to building Take out recycling to bin/ tomato tins to storage

shed(lock after) white key on wall if locked by back door

5:00 p.m.-6:00 p.m. Serve coffee/dinner Clear dishes: plates, dessert, glasses, saucers, cutlery. Do

coffee cups last in bin

6:00 p.m. Collect napkins return to laundry room Collect creamers/butters, condiments. Return to fridge (leave creamer containers on tables, only remove butter

containers and return to cupboard)



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Wipe off tables and dry(use vinegar/joy/all purpose cleaner)

Wipe off counter(by hot h2o) Fill glasses for cold h20 on tray Check on any residents that are absent and not accounted

for(very important)

7:00 p.m. 15 min break

7:15 p.m. Lock back door in kitchen/lock window(use board) leave

open a bit for air Turn off fan from high to low

7:30 p.m. Do first security check(take stairs not elevators) turn off

air conditioners on south side(2nd floor staff room, 3rd floor puzzle room)

Make sure you have portable phone with you from office Check all outside doors for keys Check all exit doors to make sure secure Check north side and sign security book as record time

check

8:00 p.m. Half hour break

8:30 p.m. Begin common areas: sweep, mop floors(kitchen, dining

room. Vacuum carpet in dining room, disinfect handrails, door knobs, light switches, dust blinds, clean windows ( do what you can in time allowed) take kitchen laundry to laundry room on cart(presoak with detergent)

Wipe down menu boards in lobby

9:00 p.m. security check repeat as instructed (do not go outside as

it is dark) sign security book

9:30pm continue cleaning common areas:

Monday has a cleaning job of cleaning woodwork on dining room chairs 1-12 Tuesday has a cleaning job of cleaning woodwork on dining room chairs 13-24



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Wednesday has a cleaning job of cleaning rubber mats in kitchen.Thursday has a cleaning job of defrosting two fridges in kitchen, rubber mats and wiping table pedestals.Friday has a cleaning job of steam table in kitchen.Saturday has a cleaning job of condiment cleaning for all containers on tables.Sunday has a cleaning job of cleaning (see cleaning chart)

(substitute common area jobs to allow time for this)

sign cleaning chart: also check other jobs on sheet required for the shift. Wipe down coffee urns and rinse out. Feed fish. Sign and complete. Leave prepared ice jug in juice fridge for morning.

10:30 take coffee break

10:45 continue common areas cleaning

11:30 security check (do not go outside)sign security book

12:00 midnight hand over keys and portable phone to night shift

***** guidelines may be adjusted due to other cleaning or emergency calls*****

MSW 1600-2400 Shift RemindersCoffee urns

Cleaner used needs to be done every two to three weeks. **** Important*** please use goggles, mask and gloves. One blue teabag is good for three large urns. Use as if

making a pot of tea. Fill and leave for two hours by sink. Rinse out and wipe down well. Leave a note if used so morning crew can re-rinse before brewing.

Fish food



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Daily around 10:00 p.m. Very small amount (pinch) of loose food and one green

tablet broken up for large fish.

Clock in lobby Makes strange sound when turning over to a new day.

Don’t be alarmed. This is normal….

Lock for kitchen door Code # 147

Voicemail password – 1111 (pound key)

Vacuum found in utility closet (extra bags on bag of door)

MSW Emergency Notes

Emergency information:In case of emergency alarm regarding residents:

Go to office to see what room is in distress

Look up name on residents chart list



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Get information card out of cupboard in office(this is to be given to EMT when they arrive and collected when they leave)

Go to room and access resident, if needed call 911, read any information off card from office (ex. DOB, name etc.)

The master keys you have are able to open all rooms in building. One is for south side and one is for north side.

You may have to leave resident to let the EMT in the building if you are alone.

Wheel chair is found in utility closet, bring to room with you in case the EMT require it. (their equipment does not fit in the North Elevator).

The alarms they pull to alert you are found in the bathroom and bedroom. To reset please push up to turn off the alarm. Return to the office and reset the alarm board.

If a resident has gone to hospital, please contact emergency contact on information card from office.(important to get back from EMT)

Please write down when you went to resident and what happened in our communication book in kitchen.

Example ( 10:00 p.m. Room 109, called for assistance. Called ambulance and resident has been taken to hospital, called emergency contact for this resident).



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MSW Night Shift Reminder Notes

Codes for kitchen 147(opens for key lock)

Phone voicemail access (red light will be flashing if message is on machine) 1111# key

1147 Main St. is our address. Our phone number is 250 492-2020.

Vacuum and all cleaning supplies needed are in utility closet.

Laundry soap, shout, cleaners, towels, and keys for machines are found on hook in corner of utility room.

Yellow laundry buggy to collect resident laundry is found in laundry room.

Gloves are found in kitchen(use for laundry cleaning incase of soiled laundry)

Disposable masks are also available in kitchen cupboard if required.

Don’t forget to check off nightly cleaning sheet list(Night Common Areas to Clean at Sun Village)

Don’t forget to sign security logs

Always keep keys and portable phone on you in case of emergency.



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11. Call Bell, Bed and Door Alarms and Phone Systems

The following systems are in place at Sun Village to support you, ensure timely communication and minimize risk to tenants and yourself:Door Alarms: Not applicableElevator access/overrides: There is a key behind the door in the office marked North elevator key. This key will open the elevator room door. There you will find a switch that you pull down. Wait approximately 30 seconds then lift the switch back up. The elevator should start to work. If it does not, you need to phone the elevator repairman. His name is marked and his number is by the phone in the kitchenPhone Systems: Normal telephone ring: "Good Morning, Sun Village _____ speaking" Direct call accordingly or write down message to relay to appropriate person. Quick telephone ring: someone is needed in the North or South entrance call display will tell you which door they are at. Push the appropriate button on the phone to correspond with the door. The main entrance door is locked at 16:45 for the night. Portable Phones: Are used by night shift and afternoon shift. The phone is located in the office. 12. Battery Charging and Power Outages

Portable phones are charged by placing phone on charging dock in the office. If power outage, Sun Village does have a generator ie: elevator function.

13. Dining Areas, Meal and Snack Support

Staff will be oriented to the routine for the home. Please note main meals are at Breakfast 08:00 Lunch 12:00 and Dinner 17:00. Coffee, tea, toast, juice, cereal or muffins are available for residents who would like something before breakfast or, prefer to sleep in and have a late breakfast. Tea time and snacks are served daily from 14:00-15:00 in the dining room.



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Please see seating plan which is subject to change. Tenants who wish to change seating location are redirected to Site Leader.

Please note that staff assist in the dining and common areas as one would at home. This includes serving tea and snacks, clearing dishes, serving meals and loading program area dishwashers. Please remember that tenants should not be rushed out of the dining area after their meal. Create an environment where they can stay and visit with others or, just enjoy being in the dining area if they choose. Staff must ensure the focus of conversations is with and for the tenants. Likewise, take all action possible to create an atmosphere that is as home like as possible such as:

present food in a manner that helps residents welcome the food,

use social courtesies with the residents and engage in topics that are of interest to the resident,

utilize opportunities to foster natural friendships including advising the kitchen if a seating change may be beneficial,

avoid speaking loudly to co-workers or over the tenants and keep noise to a minimum,

please ensure radios are turned on during meals or other times – though, not too loud. Play music from a country or “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 and,

where possible, 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!

Staff must adhere to guidelines regarding dating and discarding food items and, maintaining appropriate temperature for food. It is critical that staff adhere to memos from the Food Services Supervisor in this regard.



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14. LaundryLaundry is done by the MSW who works night shifts. Tenants place laundry bag outside their suite door on their laundry/housekeeping day and is returned the following day by 08:00. Limit of between 7-9 items.

15. Garbage Disposal Garbage is not to be left in open bags in the rooms or on carts as this leads to odors in the home. Kitchen garbage is taken out after each meal. Housekeeping staff will dispose if tenants garbage on their housekeeping day. The location of the garbage bin is outside at the back of the parking lot. Blue bin is for garbage and the white bin is for flattened cardboard. There are also recycling bins in the same location. These are for tin, glass, plastic, mixed paper, flat cardboard and newspaper recycling.

As a preventative measure during the fall/ winter flu season, we are organizing the refuse room on the NORTH SIDE of the building.

Garbage bins are located in the refuse room. Any bathroom; human waste items such as Depends, or Tena should be placed in this container at this location. Housekeeping does not dispose of soiled articles due to high contamination factors.

All biohazard waste that comes out of the bathroom needs to be double bagged in plastic bags. The waste should then be placed into the garbage bin in the refuse room.

16. Areas Safe and Tidy While the multiservice workers conduct most of the cleaning in the home, all staff share the 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. Wet floor signs are to be placed by any spills pending clean up. Staff is reminded to move and walk with caution while in the workplace. Remain aware of your surroundings and



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the likelihood that you will encounter spills, wet floors and other obstacles or hazards in the workplace.

Ensure you review MSDS printouts regarding safe use and storage of any cleaners you are in contact with.

17. Temperature Control RecordsStaff is to ensure they record temperatures as required for all fridges in the home including medication fridges, kitchen (includes freezers), dishwashers in kitchen & program areas. Related forms will be posted in relevant areas and you will be orientated to your role in relation to this task.

MSW staff to adhere to cleaning checklists for duties conducted on a daily, weekly or monthly basis. The MSW Supervisor may direct staff on emerging or periodic cleaning schedules or needs in the home.

18. 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 .



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Second Person Who Responds

Dial "Page" for P.A. system 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

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.



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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.

ALL STAFF UPON DISCOVERY OF HOSTAGE SITUATION

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

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

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

SWITCHBOARD

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.



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CHARGE NURSE/ DELEGATE

Direct Switchboard to intercept and hold all calls to the Hostage taking area.

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

Consult with police to confirm if Telus should be asked to shut down the automated attendant during the hostage

SECURITY

Ensure that Switchboard has called the police.

Assist in securing the area. Do not allow anyone access to the area.

POLICE

Provide direction during hostage taking incident.

Take on the role of negotiator with the hostage-taker.



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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

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, (refer to Section ELMO° (Internal Maps of the facility/site).



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19. Fire Drills, Exits and Procedures - Code Red!

Fire Safety Program Policies & Procedures The Site Leader assumes responsibility to ensure all who reside and work in the home are protected by and involved in the emergency procedures of the home and where indicated in the community’s mass emergency plan, the community. The Site Leader or designate is responsible for initiating implementing policies and procedures of the fire safety program which includes scheduled fire, emergency and evacuation drills. The designated staff member will wear an orange vest for ease of identification during drills or fire situations. (The safety vest is located under the clipboard with the list of residents requiring assistance. The clipboard is located in front of the emergency call system). Emergency and first aide equipment is retained in the reception area which the nurse in charge has access to 24/7.

Types of Fires and Extinguishers**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.



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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.

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

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.

Fire Exits and Pull StationsRemain familiar with (attached) building layout which indicates fire pulls, extinguisher locations, fire doors and exits. Staff is advised that propping open of ANY door, for ANY reason is strictly prohibited.

Staff Requirements & Evaluation regarding Fire Safety Drills A fire drill is indicated when you hear “Code red”. Code green indicates an evacuation order. When the



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emergency is over, an announcement of “all clear” will be heard. This code will be repeated 3 times.

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 kitchen and each nurse’s station

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) STAY CALM!

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.

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

doors.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.

2. IF FIRE IS NOT IN YOUR AREAa) Close all resident doors.b) Remain in area to supervise and reassure residents or until direct to evacuate or assist at the fire location.



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3. 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.4. REMEMBER!

Safety of the residents is your first responsibility.

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.

Pulling the nearest fire alarm is the quickest way to get help.

Do not enter a room if the door is hot to touch or, if smoke is escaping from beneath the door.

Upon leaving a room involved in fire, close the door and DO NOT re-enter.

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.

The nurse in charge is responsible for ensuring all residents and staff are accounted for. She may delegate this to another if needed. Do not use telephone for other than emergency purposes.

Do not use the elevator.



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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. Starting with the rooms adjacent to and opposite the fire room:

1. Carefully check the room for residents or visitors.

2. Turn off any equipment.3. Close the window.4. Close the door.5. Place pillow outside of door.

2. Order of evacuation:1. Anyone in immediate danger.2. Anyone close to the fire.3. Residents who can be easily moved e.g. walking

or are already in wheelchairs.4. Residents who are difficult to move e.g. in bed

or in the tub 5. Any resident resisting evacuation is to be left

and the fire department notified upon 6. arrival.

3. Staff (one or more) can be assigned in “assembly line” fashion as follows:

1. Check rooms as outlined in # 1. 2. Remove residents from corridor to beyond

corridor fire doors.3. They must be supervised and must not block

entrance for fire department.1. Once the fire zone is considered evacuated,

ensure corridor fire barrier doors are closed.2. Turn off all equipment in all other rooms, e.g.

laundry, kitchen, activity, offices.Account for all staff, visitors, and volunteers.

First Floor 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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Ensure front entrance door is on “auto” mode, so that fire department can enter. (If door is on “hold open” mode, it will allow potentially dangerous air flow.) See Section 5 “Fire Protection and Alarm Systems”.

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/In your Area – ALL STAFF

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

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

other rooms, e.g. laundry, kitchen, activity, offices.

Close all windows and doors. Account for all residents, using resident list

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

Account for all staff, visitors, and volunteers. Do not use elevators or telephones. Assist on fire floor, ONLY as directed by person-

in-charge.

Specific Staff Responsibilities in the Event of a Fire

DietaryAll 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.



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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.

Guidelines for Prevention – LaundryResident 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.

Care Aides 1. 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/tt/file_convert/5f549c34a2efe3462f2fc129/document.doc Approved by: PG

Released by: NSRelease Date: 02/29/2012

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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.

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

Specific Staff Responsibilities in the Event of a Fire All staff must be familiar with the procedures “Discovering a Fire – ALL STAFF” and “If the Fire is Not in your Cottage – All Staff”, as these apply to everyone. The following are additional duties for this position.

Determine the location of the fire.

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.

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.

Specific to Assisted Living Homes and Assignments



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Welcome to Assisted Living! Tenants here are typically more independent and able to direct or provide their own care than those in Complex Care though, there are circumstances where one may need additional support for the short term or, while awaiting a bed in complex care.

You will be oriented to the processes in Assisted Living and, encourage you to bring forward any observations or questions you may have regarding the programs or, individual tenants.

Staff obtain report for Assisted Living in Wellness Center. Urgent Tenant related matters are to be relayed to Assisted Living Coordinator.

Shift routines are located Wellness Center.

Personal Protective Equipment (PPE’S) are located in the supply room, and distributed when required, when outbreaks occur. Those who have access are management and nurses.

18. 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.

The Site Leader or the Care Manager will assist you in accessing the Ethics Committee should you wish to consult on any ethical question.



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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.

Ethicsa. To provide leadership in ensuring that our

Vision, Mission and Values of the Home are integrated into all its activities;

b. 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



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behaviour and is not a substitute for the exercise of good judgment.

Our Code of Ethics isAn education toolDesigned 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



Documents

Enter Title in File - Properties€¦ · Web viewReviewing in advance of your onsite orientation will help you become familiar with the home and processes in a timely and organized