PSS Certification Course: Module 1- Entering the Health Care Field Terms in this set (69) Is a PSS part of the Clinical Team? No, they are part of the Administrative Team. If a PSS is part of the Administrative Team, who do they report to and work

PSS Certification Course: Module 1- Entering the Health Care Field Terms in this set (69) Is a PSS part of the Clinical Team? No, they are part of the Administrative Team. If a PSS is part of the Administrative Team, who do they report to and work under? The PSS report to and work under the Administrator of their facility or agency. You are legally obligated to remain within your _. Scope of Training. Define "Scope of Training" The professional activities you are allowed to perform as defined under the state PSS Curriculum. What does it mean to stay within your Scope of Training? Only to preform the skills and procedures which are in your job description and which you have been taught. Are you liable to litigation if you perform work which is outside of your Scope of Practice? Yes. It is your responsibility to make sure that your work is within your Scope of Practice. Service Plan (Care Plan, Plan of Care) A written document evolving from a meeting of the Consumer's Treatment Team and reviewed by State Inspectors and Surveyors. They are the blueprint for the services provided to the Consumer. Define "Consumer" An individual receiving services. What are some other terms for Consumer? Clients, Patients, and Residents. These terms are used interchangeably in different settings by health care providers. Explain examples of Activities of Daily Living (ADLs). Mobility, transfers in position among sitting, standing and prone positions, dressing, eating, toileting, bathing, and personal hygiene assistance. Define "Activities of Daily Living (ADLs)" Tasks routinely performed by an individual to maintain bodily functions. Describe some of the different kinds of health care organizations available in Maine. Define "Patient Centered Care" An individual's specific health needs and desired health outcomes are the driving force behind all health care decisions. Describe the Department of Health and PSS Certification Course: Module 1- Entering the Health Care Field Define "Occupational Safety and Health Administration (OSHA)" With the Occupational Safety and Health Act of 1970, Congress created the Occupational Safety and Health Administration (OSHA) to ensure safe and healthful working conditions for workers by setting and enforcing standards and by providing training, outreach, education and assistance. Describe how healthcare is regulated in Maine. Define "Instrumental Activities of Daily Living (IADLs)" Activities that allow an individual to live independently in a community. Give some examples of what IADLs look like. Meal preparation, taking medication, using the telephone, handling finances, banking and shopping, light housekeeping, getting Consumers to appointments, reminding Consumers to take their medications. Define "Unlicensed Assistive Personnel (UAP)" Individuals employed to provide hands on assistance with ADLS and IADLs to Consumers in healthcare settings. Define "Personal Support Specialist" PSSs are Unlicensed Assistive Personnel (UAPs) who assist Consumers with ADLs and IADLs. PSSs are Direct Care Workers. Are PSS Direct Care Workers? Yes Define "Hospital" An institution providing medical and surgical treatment and nursing care for sick or injured people. Define "Sub-Acute Care Units (Skilled Nursing Units)" Comprehensive inpatient care designed for someone who has had as acute illness, injury or exacerbation of a disease process. Subacute care is generally more intensive than traditional nursing facility care and less than acute care. Define "Long Term Care Centers (Nursing Homes)" A facility that provides rehabilitative, restorative, and/or ongoing skilled nursing care to patients or residents in need of assistance with activities of daily living. Define "Assisted Living Facilites" Assisted living is a residence for older people or people with disabilities who require help with some of the routines of daily living as well as access to medical care when needed. In terms of the care provided, assisted living is a step below a nursing home or skilled nursing facility. Define "Home Health Care Agencies" .a public agency or private organization that is primarily engaged in providing skilled or paraprofessional home health care to individuals in out-of-hospital settings, such as private homes. Define "Personal Care Agency (PCA)" An individual or entity not licensed by the Division of Licensing and Certification, that hires UAPs to help Consumers in their homes. Is an individual who hires and employs UAPS a Personal Care Agency? No Define "Humanistic Health Care" Characterized by a respectful and compassionate relationship between physicians, as well as all other members of the healthcare team, and their patients. It reflects attitudes and behaviors that are sensitive to the values and the cultural and ethnic backgrounds of others. Define "Hospice Care" An interdisciplinary team of skilled professionals who deliver comprehensive medical, psychological, and spiritual care for the terminally ill and their families. Describe some things that Trained Hospice Professionals might do. Assist the family in caring for the Consumer, ensure the Consumer's wishes are honored, ensure the Consumer is kept as comfortable and free from pain as possible. What qualifies a Consumer for Hospice Care? They must be medically certified to have six or less months to live, and cannot be receiving any active treatment. Define "Respite Care" Care provided to Consumers on a short term basis due to the absence of, or need for relief of, the caregiver. PSS Certification Course: Module 1- Entering the Health Care Field Define "Chain of Command" Chain of command in healthcare refers to an authoritative structure established to resolve administrative, clinical, or other patient safety issues by allowing healthcare clinicians to present an issue of concern through the lines of authority until a resolution is reached. Define "Certified Residential Medication Aide (CRMA)" CRMAs are trained to administer certain medications safely and accurately. Define "Mental Health Rehabilitation Technician (MHRT)" MHRTs typically work in Residential Care Facilities serving adults with mental illness. They must complete training that includes First Aid, CPR, Behavioral Intervention, and Medication Administration. Define "Home Health Aide" HHAs work for Medicare certified Home Health Agencies. They help older, disabled, and medically ill persons to live in their own homes instead of a facility. What are some of the responsibilities of a HHA? Perform simple clinical evaluations such as pulse, temperature, and respiration; help with simple prescribed exercises, and assist with medication routines, provide housekeeping services, personal care, and emotional support. What are the guidelines for excelling at your job and helping your facility do well during a survey? What areas do Regulations cover? Abuse, Confidentiality, Mandatory Reporting, Medications, Patient Rights, Hygiene Compliance, ADA Issues, Consumer Records All employers and employees must have a copy of the on hand. All staff should be familiar with the that apply to their specific work setting. State Regulations, Regulations Define "Maine Department of Health and Human Services (DHHS)" To provide health and human services to the people of Maine so that all persons may maintain their optimal level of health for economic independence and personal development. What services does the Maine DHHS provide? Supportive, preventative, protective, public health and intervention services to children, families, and adults, including the elderly and adults with disabilities. Define "State Survey Agency" The agency designated for licensing health care institutions in the State and certifying health care institutions for Medicare and/or Medicaid. Define "Office of Aging and Disability (OADS)" Supports Maine's older and disabled adults. Describe the services OADS provides. OADS provides adult protective, brain injury, other related conditions, intellectual and developmental disability, long term care and community services to the people of Maine. Define "Private Insurance" Private health insurance refers to any health insurance coverage that is offered by a private entity instead of a state or federal government. Define "Group Insurance" Group Insurance health plans provide coverage to a group of members, usually comprised of company employees or members of an organization. Define "Medicare" Medicare is defined as a federal health program that pays for some of the medical and hospital expenses of people over 65 years of age using Social Security funds. Define "Medicaid" ("MaineCare") Medicaid is a government-sponsored insurance program for individuals and families whose income is insufficient to cover health related services. Define "Veteran's Affairs (VA)" Veterans' affairs is an area of public policy concerned with relations between a government and its communities of military veterans. These departments provide a variety of services for veterans. PSS Certification Course: Module 1- Entering the Health Care Field Define "Financial Power of Attorney (POA)" A person or persons chosen by the Consumer to make financial choices if they become incapacitated. Define "Guardianship/Conservatorship" To ensure that continued care is provided for those who are unable to are for themselves properly due to being incapacitated. Who is the decision of whether a person needs a Guardian/Conservator made by? By a Probate Court Define "Incapacity" Any person who is impaired by reason of mental illness, mental deficiency, physical illness, disability, intoxication, drug addiction. To be considered an "incapacitated person" the individual must be unable to do what? To make or communicated informed decisions about their health and safety. What are examples of behaviors a person with intellectual disability, mental illness, or elderly people exhibit, regarding an inability to understand consequences? Cross the street without looking for traffic, take their entire bottle of medication, easily tricked into giving away their money or possessions. What is another term for an Incapacitated Person? Ward A Guardian has the authority to make decisions for their Ward, such as what? Where they live, what kind of facility, what medical treatments they will receive, financial administration of money and assets under $5,000. What is a person under a Conservatorship called? A Protected Person What decisions can a Conservator make? Pay the Protected Person's bills, sell/mortgage/rent out/manage the Protected Person's real estate, invest the Protected Person's money. Can the Conservator make decisions about the Protected Person's personal life? Not unless they are also appointed as the Guardian. Is the Conservator allowed to write a will for the Protected Person? No What are the two types of Guardianship? 1) Full Guardianship 2) Limited Guardianship Define "Full Guardianship" Under Full Guardianship, the Guardian can decide: Where the person will live, give consent for medical treatment/professional care, approve their Ward's placement into a hospital/facility, have final say on contracts or marriage. Define "Limited Guardianship" A Limited Guardian has the authority to make only specific kinds of choices. The person under Guardianship still has the right to make any choices that haven't been specifically granted to the Guardian. What are the Rights and Responsibilities of the Guardian? Essentially the same rights and responsibilities as the parent of a minor child, except: they don't have to pay the expenses of the Ward using their own money, and they are not legally or financially responsible for acts of the Ward. What is the protocol for a situation where a Ward's Guardian expects you to do something outside of your Scope of Training? Explain that you need to talk to your supervisor, and talk to your supervisor if you feel that the Guardian is making decisions that are not in the Ward's best interest.