Could This Happen In Your Program? CASE SCENARIOS
CASE #1 Dani has been working at a group home for three weeks. When Dani was hired and onboarded by the agency, they received training in CPR and First Aid and shadowed a senior staff for their first three shifts. One evening, Mal, a person receiving services, came to the staff office and told Dani they had vomited. Dani told the other staff on shift and also noted that Mal’s gait seemed unsteady. The other staff encouraged Mal to return to their bedroom and rest, as that had been the nurse’s instructions the last time Mal had episodes of vomiting. Mal returned to their bedroom and during the overnight shift, was back and forth several times between their room and bathroom. When Suzee, the morning staff, arrived to the program and began completing room checks, they found Mal unresponsive in their bed. Suzee called 911, began CPR, and Mal was transported to the Emergency Department, where they were diagnosed with an intestinal obstruction. Suzee asked Dani why they did not follow the instructions outlined in Mal’s plan of care for when Mal was vomiting, to which Dani replied that they were not aware of the plan. The investigation revealed that the nurse did not train Dani on the individual plans of care because they did not know that providing that type of training was a nursing responsibility because it was not outlined in the agency’s policy on training requirements.
Case Concerns Use the space below to identify the case concerns.
Spotlight on Prevention Best Practices for Training Agency Staff 12
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