HOME SHARE PROCEDURES AND GUIDELINES 1
TABLE OF CONTENTS
3.0 HEALTH AND SAFETY
3.1 Storing and Administering Medication
3.2 Reporting Critical Incidents/ In-House Incidents
3.3 Abuse and Neglect of Adults
3.4 WorkSafe BC
3.5 Infection Control – Universal Precautions
3.6 First Aid
3.7 Missing Person Policy and Procedure
3.8 Missing Person Form
3.9 Bathing Policy and Procedure
3.10 Seizure Procedure
3.11 Suicide Attempt or Threat Procedure
3.12 End of Life Policy
The following Sections are located on Page 2
The following Sections are located on Page 3
Vernon and District Association for Community Living envisions a community where people with developmental disabilities are accepted and respected.
Vernon and District Association for Community Living advocates on behalf of and provides quality programs and services to people with developmental disabilities.
1.3 Organizational Chart
1.4 Home Share Contacts
Home Share Manager: Jo Hansen
Home Share Coordinators: Courtney and Darlene
Office Hours: 8am – 3 pm
Direct Line: (250) 503-1108
After Hours Emergency Cell: (250) 309-9179
Home Share e-mail address: email@example.com
Web Contact Form: http://vdacl.ca/contact-us/
1.5 Home Share Overview and Access
The Venture Home Share Network offer alternatives to staffed residential homes by providing individuals an opportunity to live within their community with non-related families. Support options consist of one of the following:
Family Care Model: The adult lives with a family whether by occupying a bedroom and sharing communal space or by living in a self-contained suite within the family home.
Modified Family Care Model: Adults that have their own apartment or home and Venture Home Share Network move a family or roommate into the individuals place. Alternatively, the adult lives next door in an apartment or suite and the family assists in the development of the individual’s independent living skills.
The Venture Home Share Network encourages individuals in Home Share to integrate into home and community life with their host families and strives to provide services that promote independence, personal choice, health and safety, relationships with family and friends, daily living skills and community access.
When a referral for service comes from an existing funding source (CLBC), the wait list for Home Share is managed in an agreement between the funding source and the Venture Home Share Coordinator and/or Executive Director.
1.6 Conflict Resolution
Vernon and District Association for Community Living encourages its members, directors, and employees, individuals receiving support, home share network care providers, and members of the broader community to resolve their differences among themselves in a respectful and peaceful process. However, at times people find it challenging because of the proximity to the situation being too close and emotional investments can make it difficult to accept and understand a differing point of view. At times this can create anger, resentment and ill will. When these emotions surface it becomes more of a challenge to come to a consensus. The goal of this policy is to help people understand what conflict is and recognize common sources early on in the process. It is our hope that everyone will be able to work and live in a community where one feels respected, and where differences can be resolved in ways that promote solidarity to carry forward our vision. It is hoped that the following procedures will guide people and provide a means to resolving conflict.
Conflict can be best described as a state of discord caused by the actual or perceived opposition of needs, values or interests. Conflict usually arises when assumptions, misunderstandings, and lack of correct information is being shared.
Many people find conflict uncomfortable and based on past experiences may seek out alternative ways to deal with a situation as being more effective than dealing directly with the source of conflict. However, conflict left to its own usually tends to fester and become intolerable. It is easy to understand why people may want to avoid potential conflict but it is up to us to overcome our fears and discomfort and find solutions.
Suggestions to help anticipate and or avoid conflict:
- Be realistic about expectations, yours and theirs
- Pick your battles – how important is this to you or someone else?
- Be honest and open with your communication – do not beat around the bush
- Seek out clarification, do not allow yourself to be driven by assumptions
- Consider adjusting your perception as new information is retrieved
Resolving Conflicts Informally
It is recommended that all conflict be first dealt with an informal approach and people can utilize the following methods to assist them:
- Do not approach an individual while feeling anger or other negative emotions that are circulating. Take a cooling off period and use this time to reflect.
- Examine your own perceptions of the situation and attempt to see the same problem through the eyes of the other person and what their needs may be.
- Separate the issues from the person. Find ways to discuss the problem in a non blaming approach.
- Set up a time that is workable for everyone to discuss the conflict. At this time finding an agreeable compromise is highly recommended. Let the other person know that you want to work this out in a fair and respectful way to encourage positive working relations.
- Use good communication skills. Exercise your listening skills at this time and understand that all conflict is usually a two way street. Always remember that just because you do not share the same perception of a situation or agree, does not make either stand incorrect. Try to understand the needs and wants of the other person.
- Attempt to problem solve together to find a mutual agreement where everyone feels satisfied and needs are being met.
- DO NOT take your problems public. Always be respectful towards those that you are having a conflict with and exercise confidentiality where ever possible.
- If either people involved in the conflict feel they are too close to the problem at hand or too emotional about it, find someone who can advocate on your behalf.
- Consider an informal mediator
Formal Conflict Resolution Process
In the event a conflict cannot be resolved informally, Vernon and District Association for Community Living has adopted a formal conflict resolution procedure as follows:
- The conflict shall be taken through the appropriate and recognized channels of authority in written form outlining the history of events, current status of their concern, factors determining the current issue, and possible solutions they feel should be implemented and why. This process should not exceed 30 days once all attempts to resolve issues informally have failed.
- Members, directors, and employees, individuals receiving support, care providers, and members of the broader community shall be given the opportunity to present their understanding of the situation and recommendations for solution within each recognized channel until such time as a solution has been found. This process should not exceed 15 days and a written response shall be issued to all involved outlining the final collective solution.
- \In the event a conflict solution is not found through the regular recognized channel of authority, the Personnel Committee within the Board of Directors will make the final decision and will respond in writing to all those involved.
At no time will there be any retaliation or barriers to service involved in this process.
1.7 Complaints – Individual and Family/Caregivers
Home Share Coordinators and Home Share Providers shall address an Individual, family member or caregiver complaint with any Association service.
Complaint resolution information shall be provided to Individual or family member / caregiver in a manner that is understandable and meaningful to them.
- To attempt to resolve disagreements, issues or concerns before formal action is taken.
- Maintain the high integrity of the Association.
- Ensure open lines of communication for stakeholders.
Communication, both written and verbal, will be in a manner that is understandable and meaningful to all.
- Complaint forms shall be readily accessible to Individuals and stakeholders.
- When requested by the Individual or family member, Home Share Providers shall provide assistance with the complaint procedure.
- Upon request from the Individual or family member the Home Share Coordinator shall assist in providing an advocate.
- Home Share Provider(s) will speak with the Individual or family member / caregiver involved and attempt to resolve the concern through discussion and mediation. If this does not resolve the concern within two (2) working days go to the next step.
- Home Share Provider(s) shall document information, using the Association’s Complaint / Suggestion form and submit to Home Share Coordinator for discussion. Home Share Coordinator shall respond to concern (within 24 hours). If the problem has not been resolved within seven (7) days, go to the next step.
- Home Share Coordinator shall speak with the Executive Director. The Executive Director shall then speak to the Individual or family member / caregiver. The decision of the Executive Director will be in writing and given to the griever within seven (7) days.
- If the written decision of the Executive Director is unsatisfactory to the griever, the griever may submit their complaint to the VDACL Board of Directors. This submission shall be in writing and directed through the Executive Director.
- The decision of the Board of Directors shall be in writing; this decision will be final.
- All communication between the Association Home Share Provider(s) and the Individuals, family member / caregiver shall be courteous and respectful. Any time this condition does not exist, communications may be discontinued by either side and resumed at a time when this can be achieved.
- Any action will not result in retaliation or a barrier to service.
2.1 Accessibility and Barriers
Venture Home Share providers shall endeavour to ensure maximum opportunity for program choices and activities are made available to the individual in consideration of barrier free sites.
- To recognize and provide the supports required by home share providers to enhance the opportunity for choices and activities within the home, community and work to all individuals.
- Meet legal and regulatory requirements.
- To work in conjunction with local authorities to maintain safe and accessible sites and to assist in supporting community groups doing the same.
- Meet the expectations of stakeholders in the area of accessibility.
Barriers include, but are not limited to:
- Architectural or Physical Barriers: may include steps that prevent access to a building for an individual who requires a wheelchair, narrow doorways that need to be widened, bathrooms that need to be made accessible.
- Environmental Barriers: include room temperature, lighting, noise, allergic reactions to various smells, etc.
- Attitudinal Barriers: include terminology and language that the Association uses in its literature or when it communicates with participants, stakeholders and the public; how persons with disabilities are viewed and treated by the Association, their families and the community; whether or not participant input is solicited and used; and whether or not the eligibility criteria of the Association screens out individuals with specific types of disabilities.
- Financial Barriers: may include insufficient funding for services.
- Communication Barriers: may include the absence of materials in a language or format that is understood by the participant.
3.1 Storing and Administering Medication
All prescription medications will be safely stored and administered as per a doctor’s current written order.
IT IS RECOMMENDED THE CARE PROVIDERS USE THE FOLLOWING PROCEDURES
- Medications and therapies are properly administered, by the care provider, respite provider or the individual receiving services.
- Household medications, including those of family members and pets are safely stored.
- All prescription medication administered is with a doctor’s current written order (prescription).
- Where any medication changes are being made, every effort will be made to discuss this with the individual and their family/advocates and receive their consent prior to the change being made. We recognize that in some cases it may not be possible to obtain the consent in advance and the decision to change or start a new medication will be based on the recommendation of the Doctor/Psychiatrist and in order to best meet the health needs of the individual. Where this happens, families/advocates will be informed of any medication changes within 24 hours so that they may reconfirm their consent. Any changes to medication should also be reported to any support network system (respite, day program services).
3.2 Reporting Critical Incidents/ In-House Incidents
Venture Home Share Network Contractors shall follow the guidelines as outlined by CLBC and the host agency VDACL/Venture with regards to Critical Incident Reports.
VDACL/Venture is committed to providing service to all persons in ways that are personally respectful, safe and empowering. Documentation and tracking of incidents are just one way of ensuring that each individual lives their life in a safe and secure manner.
To fulfill contractual requirements, we are committed to maintain all documentation for the purposes of base lining, referral and improvement to service provisions as well to reduce or minimize reoccurrence.
“Incidents” for the purpose of reporting are defined in two ways as outlined below. Incident reporting will be identified as either Critical/Reportable Incidents or In-house Monitoring Incidents.
Critical / Reportable Incidents
Below are examples of “incidents” that are considered reportable; documentation will be written and reported in a timely manner as per Reporting Procedures, to the Venture Home Share Network Coordinator.
Aggressive / Unusual Behavior – Any aggressive or unusual behavior on the part of the individual towards another person or persons. Each event does not need to be reported when a behaviour problem has been identified, appropriately assessed, a behavior support – safety plan developed, approved and documented in the individual’s support plan e.g. an incident that results in injury or other harm requires a critical incident report.
Bio Hazard Accident – An accident involving any material that can cause disease in humans or animals, or cause significant environmental or agricultural impact. Bio hazardous material includes viruses, fungi, parasites and bacteria and their toxic metabolites; as well as blood, other body fluids, and human tissues, cells or cell culture.
Communicable Disease – Any occurrence of an illness caused by a micro organism (bacteria, virus or fungus, parasite) and transmissible from an infected person or animal to another person or animal. Transmission can be by direct or indirect contact with infected persons or with their excretions (e.g. blood, mucus, semen) in the air, water, food, or on surfaces or equipment.
Death – Any death of an individual.
Disease / Parasite Outbreak – Any outbreak of a communicable disease or parasites such as scabies, or any occurrence of a disease beyond the normally expected incidence level.
Disruption of Services / Service Delivery Problem – Any service disruption that affects the delivery of services to individuals; e.g. incarceration, planned hospitalization, fire flood, labour action.
Emotional Abuse – Any act, or lack of action, that diminishes the individual’s sense of well-being, perpetrated by another person in a position of trust or authority (e.g.: verbal harassment, yelling, confinement).
Fall – A fall where the individual requires emergency care by a physician or transfer to hospital.
Financial Abuse – Abuse or misuse of funds and assets of an individual by a person in a position of trust or authority; e.g. obtaining property and funds without the individual’s knowledge and full consent, or in the case of an incompetent person, not in their best interests.
Medication Error – Any mistake in administering medication that adversely affects an individual or requires emergency care of an individual by a physician or transfer of the individual to hospital.
Missing / Wandering Person – Any unscheduled or unexplained absence of an individual from a residence or program, or while in the community under the care or supervision of a service provider.
Motor Vehicle Accident – Any motor vehicle accident where injuries occur to an individual while in the care or supervision of a service contractor.
Neglect – Any deprivation of an individual’s requirement for food, shelter, medical attention or supervision, which endangers the safety of the individual.
Other Injury – Any injury to an individual that requires emergency transfer to hospital or emergency care by a physician.
Physical Abuse – Any excessive or inappropriate physical force directed at an individual by a person in a position of trust or authority. It may also include use of excessive force or aggression by an individual who is not responsible for providing supports or services.
Poisoning – Any ingestion of poison by an individual.
Restriction of Rights – The removal of the individual’s access to activities. It does not include standard safety practices or reasonable house rules. Restriction of Rights must be part of an approved Behavior Support – Safety Plan. Each incident must be reported and documented on an individual’s file.
Sentinel Event – An unexpected occurrence involving death or serious injury that signals a need for immediate investigation.
Sexual Abuse – Any sexual behavior directed towards an individual by a staff member, volunteer or any other person in a position of trust or authority. May also include inappropriate, unsolicited or forced sexual attention from persons connected to an individual but not responsible for their services or supports.
Suicide Attempt – Any attempt by an individual to take his / her own life.
Unexpected Illness – Any unexpected illness of an individual which requires transfer of the individual to the hospital or emergency care by a physician.
Use of Exclusionary Time Out – The removal of an individual from a situation and environment for a limited period of time as to prevent harm to him / her or others. It does not include positive re-direction of a person to a safe, quiet place. It also differs from seclusion in that the person is not left alone. Exclusionary Time-Out must be part of an approved Behaviour Support – Safety Plan. Each incident must be reported and documented on an individual’s file.
Use or Possession of Licit or Illicit Drugs – The misuse of a legal substance for a non-therapeutic or non-medical effect; such as the over-indulgence in and/or dependence on alcohol or a narcotic drug. Also covers any use of an illicit substance, or the use of a psychotropic drug without appropriate medical authorization.
Note: There is no specific category of incidents for individuals who have had “contact with the law” e.g. stopped by the police, arrested or incarcerated, yet this can be a significant event that has implications for support requirements. Service providers should report within the category that coincides with the “precipitating” reason for the interaction such as injury or disruption of service. If unsure about the need to report, the service provider can consult with the Home Share Coordinator.
Use or Possession of Weapons – A situation in which an individual receiving service has, uses, or threatens to use an object as a weapon. Also a situation in which a weapon is used by others to harm or threaten an individual receiving service. A weapon is any object being used to threaten, hurt or kill a person or destroy property. Weapons may be used to attach, defend, or threaten and include loaded or unloaded firearms, knives, swords, mace, pepper spray, or their derivatives; and improper use of laser beams.
Use of Restraint – Use of a physical, mechanical, chemical or other means to temporarily subdue or limit the freedom of movement of an individual. Includes containment, which is restraining a person’s freedom of movement within a certain area e.g. half door that contains a person within one room; locked exits; or locking seatbelts in a vehicle. Restraint protocols must be part of an approved
Behavior Support – Safety Plan. Each incident must be reported and documented on an individual’s file.
Note: Where administration of a PRN is built into an individual’s Health Care Plan or Protocol, this is not considered a ‘chemical restraint’ and is, therefore, not reportable as a Critical Incident.
Use of Seclusion – Separation of an individual from normal participation and inclusion in an involuntary manner. The person is restricted to a segregated area and denied the freedom to leave it. Seclusion is different from containment in that the person is left alone.
If a person receiving services becomes involved in an “Incident” as defined above, the following reporting procedures must be followed:
- Complete an incident report form as soon as the incident has occurred, after all immediate health and safety issues have been addressed. It is important that the form is filled out in its entirety. Immediately contact the Venture Home Share Network Coordinator and designated family members or support network of the individual.
- Submit either in person or by fax the completed Incident Report form to the Venture Home Share Network Coordinator upon completion (within 24 hrs of the occurrence). If the incident falls on a weekend, care providers are to contact the Venture Home Share Network Coordinators the next business day with information and have the form completed within the next 24 hours.
- The Venture Home Share Network Coordinator will follow VDACL/Venture policy and procedures once the incident form has been submitted to ensure a debriefing occurs with relevant parties involved as needed.
- A copy of the completed Incident Report form must be retained on file within the Venture Home Share Network Care Providers home.
Events or incidents can occur that do not require formal reporting to either the Venture Home Share Network Co-ordinator or family members, but which require internal monitoring or agency follow up. Such incidents should be reported on an In-house Report. Minor incident includes, but is not limited to:
- Injury not requiring medical attention
- Missing or damaged property
- Damage to or loss of personal property of Care Provider or person receiving support
- Behaviors or medical issues being tracked or recorded by formal charting.
- Disputes between two people receiving supports (i.e. roommates) not resulting in abuse or injury.
- Reported incident alleged to have happened when a person in care was outside of the care or supervision of the Care Provider (i.e. during independent community outings, visiting family or friends etc.)
Reporting procedures will be as above for Critical except in the case of minor events occurring over the weekend. Care provider can submit their report to the Venture Home Share Network Coordinator at a time convenient for both.
3.3 Abuse and Neglect of Adults
Care providers, contractors, and others who are involved in the personal support network of an individual are often in positions of trust and authority. Some of the individuals served have physical limitations that make them unable to look after all their needs. These circumstances make them vulnerable to abuse and neglect.
The following policy is intended to guide the Care Providers and contractors in dealing with suspicions of abuse, reports of abuse or neglect and the proper handling of situations where abuse or neglect has occurred or might occur.
Definitions and Categories of Abuse
Abuse is an action, inaction or behaviour that may result in physical, emotional, or mental harm to an individual. This can also include damage to or loss of assets.
2. Categories of Abuse
- Assault (for example; slapping, hitting, kicking, punching)
- Rough handling without regard for the individual’s comfort (i.e. unnecessary force used during lifts, transfers, and activities of daily living)
- Gross physical neglect (i.e. withholding food or personal or medical care)
- Verbal or emotional abuse (i.e. yelling, making demeaning or derogatory remarks, teasing, swearing, and or name-calling)
- Psychosocial neglect (i.e. lack of attention, isolation, confinement)
- Setting individuals up for ridicule or scorn by their peers or others.
- Interactions, which are disrespectful or could reasonably be interpreted as disrespectful
- Misuse of an individual’s finances for inappropriate purposes.
- Theft: money or personal property
- Fraud: deceitful manipulation of finances.
- Solicitation for compensation purposes.
- Any form of sexual conduct by force or threat
- Any form of sexual contact
- Any attempt to engage in sexual activities
- Unnecessary disregard for privacy
- Unnecessary touching of a person’s private parts
- Medicating or sedating unnecessarily
- Over sedation or non-compliance with medication refills.
- Misuse of a person’s medications and prescriptions
- Misuse of non-prescription medications
Violation of Rights
- Denial of basic civil / human rights
- Active neglect: willful withholding of basic necessities and care.
- Passive neglect: withholding of basic necessities and care, usually due to lack of experience or information.
- Failure to respond to an individual’s need for discussion, inclusion, or routine interaction on a daily basis.
VDACL’s Roles and Responsibilities
- VDACL will ensure services are provided in an environment that is safe and free from any form of abuse or neglect
- VDACL will act upon any allegations of abuse once reported, in a quick and timely manner to ensure that all persons served are supported without fear of abuse. Every effort will be made to ensure confidentiality, but it cannot be guaranteed.
- VDACL will take any necessary action to ensure the safety and well being of all persons being served to ensure a safe and secure environment. Any Care Provider who, upon investigation, has abused or neglected a person in care will face measures up to and including immediate termination of their contract.
Care Providers’ Responsibilities
Care providers and their assistants who suspect that abuse or neglect has occurred have an obligation to report their suspicions immediately to the Home Share Coordinator. If the accused is the Home Share Provider, the suspicions should be reported immediately to the Executive Director. Care providers who know or could reasonably be expected to know about an incident of abuse or neglect and who do not report it will be treated as having aided the abuse or neglect and will face measures up to and including termination of their contract.
- All concerns about possible abuse raised by individuals served by the Association, families, members, Care Providers, VDACL employees or other persons must be reported immediately to the Home Share Coordinator.
- Any Care Provider who witness abuse shall first intervene to protect the individual from further abuse and then report immediately to the Home Share Coordinator.
- All reports of abuse or suspected abuse must be immediately documented and appropriate measures taken to respect confidentiality.
- Care Providers who suspect that abuse has occurred are not responsible for assessing the situation but should immediately report their suspicions to the Home Share Coordinator.
- Care Providers who have been subjected to aggression by an individual will not retaliate or inappropriately “punish” the aggressor. Care Providers will follow proper procedures and will document and submit a Critical Incident Report.
- The Home Share Coordinator will immediately report an allegation of abuse to the Executive Director.
- Wherever the abuse is criminal (sexual abuse/neglect, physical abuse/neglect, or financial abuse) the Home Share Coordinator will also notify the local Police Department.
- Once a case of Abuse is determined the Home Share Coordinator will assume the leadership role in the investigation. They will coordinate the roles of the Care Provider and representatives of the funding body.
- The investigator(s) will: review all information relevant to the incident, resolve any inconsistent evidence or information, report their findings, and recommend appropriate action.
- In the case where a Care Provider is suspected of abuse or neglect, they may have their contract suspended until the investigation is completed.
- Any Care Provider who has abused an individual served by VDACL or whose behavior has placed an individual at risk shall be relieved of his or her contractual responsibilities immediately.
- If a suspended Care Provider is exonerated, he or she will be reinstated.
3.4 WorkSafe BC
As an independent contractor, you are not entitled to Work Safe BC coverage through Vernon and District Association for Community Living. It would be necessary for you to register with Work Safe BC as an independent contractor.
The Home share provider or Respite sub-contractor will comply with all applicable health and safety regulations including the Workers’ Compensation Act. On request the Family or Respite Contractor will provide evidence of registration and good standing under Work Safe BC if applicable.
Home share contractor’s classification with Work Safe BC falls in the Foster Home / Foster Care classification CU # 764029. Home share providers are not required by law to be registered with Work Safe at this time. VDACL/Venture has determined that it would be in the best interest of all home share providers and their sub contractors to be enrolled in the Personal Optional Protection Insurance Plan.
The current rate for this classification is $1.40 per $100 of a contractor’s assessable payroll or in your case contractual income. This amount will then be divided by 100 and will give you your estimated amount to pay each month to Work Safe.
Example: $1.40 x (the amount of your contract)/100
Crystal earns 1700 each month providing live in support services for an adult with a disability. She wants to ensure she is covered in the event she is unable to provide supports due to an injury related to the care she provides for an extended period of time.
The following figuration will give Crystal an estimated amount she would be required to pay each month to be registered with Work Safe.
$1.40 x 1700 / 100 = $23.80
The following documents have been provided for you to help with your application process.
- Classification Unit description
- We’ve got you covered, Personal Optional Protection insurance /application
All home share providers will need to fill out the application form and send it in to Work Safe BC. It is then up to Work Safe BC to approve your application and provide you with security in knowing you are covered in the event of an accident or illness related to your work as a home share provider.
For further registration information, contact the Work Safe BC at www.worksafebc.com. All care providers, as well as respite care providers must be registered in the event they earn a sufficient amount deemed eligible by Work Safe. A copy of registration must be provided to the Home Share Coordinator
3.5 Infection Control – Universal Precautions
UNIVERSAL PRECAUTIONS: refers to the practice, in medicine, of avoiding contact with patients’ bodily fluids by means of wearing nonporous articles such as gloves. This practice is to protect residents, participants, staff and care providers from infection and contamination.
The VDACL/Venture Association supports the use of Universal Precautions as a method to provide simple and basic precautions against the transmission of disease. To assure a universal standard of practice, the Association directs all persons to follow the Universal Precautions Procedure.
The VDACL/Venture Association will:
- Maintain current Universal Precautions Procedures
- Provide an orientation by a Health Services for Community Living nurse with regard to Universal Precautions procedures to all contractors who are required to handle or may be exposed to blood and body fluids. Orientation will be provided based on the individual’s needs by the Venture Home Share Network Co-ordinator.
- The contractor can request a referral for Product Distribution from the individual’s family doctor for any supplies necessary.
The Contractors are expected to:
- Attend and participate in orientation provided on universal precautions as deemed necessary by the Venture Home Share Network Co-ordinator.
- Follow the practises outlined in the Universal Precautions Procedures.
WCB Regulation Section 6.39 states that vaccination against Hepatitis B virus must be made available at no cost, upon request, for all individuals that support someone who has or may have occupational exposure to hepatitis B virus
Blood and body fluids – ALWAYS treat as potentially infectious
- Wear rubber / vinyl gloves when cleaning up blood, vomit, or feces and when you have cuts or abrasions on your hand that make it easy for an infection to enter the body. Read the directions on the cleaning product(s) label, including the precautions. Wash your hands thoroughly, even after wearing gloves.
- Wear latex, vinyl or rubber disposable gloves when handling blood, body fluids, or when cleaning cuts, scrapes or wounds. Wash hands immediately after removing gloves, and dispose of the gloves in a plastic bag.
- Place needles and syringes in a safe container. Never re-cap, bend or break off used needles! Place them in a sealed puncture-proof metal or plastic container with a lid, such as an empty coffee tin and then place in the garbage.
- Never share toothbrushes or razors. They can transmit small amounts of blood from one user to the next. Dispose of razors carefully. Wrap sanitary napkins before disposing. Handle bloody bedding or clothing cautiously, and wash in hot soapy water.
- First, clean the surface with cleaner and water.
- Second, use a disinfectant on the surface, and leave it on and rinse off according to manufacturer’s recommendations.
- Third, wipe the surface dry with a paper towel, and throw the paper towel away, or use a cloth towel that is washed afterward.
- Lastly, wash your hands thoroughly, even after wearing gloves.
Hand Washing – Is the best single way to prevent the spread of germs from one person to another.
- Use warm water
- Wet hands before applying soap
- Rub soapy hands together for at least 10 seconds
- Rinse hands thoroughly to remove all soap
- Turn off water with paper towel and
- Dry hands with an air-dryer or a clean paper towel.
Always Wash Hands
- Before preparing food
- Before mealtimes
- After toileting or diapering
- Before and after providing first aid
- After handling blood or body fluids
What should you do if you find a used sharp or condom?
A needle that someone else has used contains a small amount of their blood, which may carry the AIDS or hepatitis B virus. Used condoms can also contain infectious body fluids.
Teach individuals we serve NEVER to touch sharps or used condoms that they find.
If you find a used sharp or condom – especially in a park, school or play ground, it is important to dispose of them promptly and carefully.
- Always bring the container to the sharp, do not carry the sharp to the container
- Use a pair of tongs or pliers, or a pair of sturdy gloves to pick up these items
- Discard condoms in a plastic bag
- Discard sharps in a puncture – proof container, preferably one intended for such purposes. Any plastic or metal container with a lid, such as a coffee can, will also do
- When you have finished, wash your hands carefully with soap and water.
While the risk of infection from used condoms and syringes is very low, it is best to limit this risk as much as possible. It is important to help the individuals we serve to understand how important these precautions are.
What should you do if you accidentally prick yourself with a sharp?
- Do not Panic
- Calmly grab the sides of the sharp and pull it out
- Do not touch the plunder part of the needle
- Put the sharp in a safe container
- Allow the wound to bleed freely
- Wash the area with soap and water. (Antiseptic towelettes/disinfectant can be used until you can wash the area with soap and water
- Go immediately to Vernon Jubilee Hospital Emergency Room for follow up.
NEVER REMOVE A SHARP FROM A SHARPS CONTAINER, TAKE THE CONTAINER TO A DESIGNATED DROP OFF LOCATION IN YOUR AREA.
3.6 First Aid
Care Providers in the Venture Home Share Network and any Respite sub-contractors are required to obtain and maintain basic first aid certification. Where there is more than one Care Provider within a home, at least one of the Care Providers will be first-aid certified.
3.7 Missing Person Policy and Procedure
All Venture Home Share Network Contractors must take proactive measures to ensure that individuals do not go missing.
The Venture Home Share Network Contractor must ensure they have a missing or wandering person protocol that can be referenced by all who support the individual. The protocol should include the following:
- A recent photograph
- Date of birth
- Gender and Race
- List of favourite places to visit
- Name and Alias if applicable
- Date of Birth, Weight, Hair Color, Eye Color
- Identifying Characteristics: Examples include glasses, braces, birthmarks, piercings, scars, and tattoos
- Clothing at the time of disappearance and Jewelry
- Date and time the individual was last seen
- Contact Names and phone numbers in the event the individual is found
The Venture Home Share Network Contractor and or Respite sub-contractor are expected to initiate the following procedures as soon as the individual is discovered missing:
- Co-ordinate a comprehensive and systematic search of the area in which the individual was last see
- Prepare the Missing Person description form of the individual that can be provided to others assisting with the search.
- Contact the local police department and advise as to the degree of urgency
- Contact the Venture Home Share Network Coordinator at 250-503-1108 or on their cell at 250-309-9179 after work hours. Alternatively the office of the Executive Director shall be contacted.
As the search progresses, the home share provider must assume a leadership role and provide all involved with regular updates.
A detailed Critical Incident Report must be submitted to the Venture Home Share Network Coordinator within 24 hours of the individual being deemed missing.
3.9 Bathing Policy and Procedure
Home Share providers are expected to be proactive and address any potential risks associated with bathing or the provision of personal care. Proactive measures include, but are not limited to:
- The development of appropriate bathing and personal care plan within the home.
- Exclusive use of products that have been approved by the manufacturer as safe for use in a jet tub
- Regular maintenance of jetted tubs and other bathing or personal care equipment
(e.g., lifts, bath stretchers, change tables, shower chairs, call bells, etc.)
- The individuals Health Care Plan and or specific needs to the individual shall be used to determine whether an individual may shower/bath independently.
- Individuals that have seizure disorders or who require full care shall be provided with supervision at all times.
- Home share providers will ensure the bathroom is appropriately stocked with the supplies required by the individual and that the bathroom is kept clean and clear of any hazards that could cause an injury to an individual that bathes/showers independently.
- If home share providers are required to provide assistance or full care they should ensure that the individual’s rights to privacy and dignity are respected at all times.
- To minimize risk to the home share provider when supporting individuals to bath/shower, provide same gender care where possible.
- If supporting someone with personal care, home share providers should follow universal practice and use gloves.
According to CLBC and the Ministry of Health, guidelines must be developed for each individual. These must clearly acknowledge personal preferences, identify associated risks, outline minimizing strategies, and promote safe practices. In general Home Share providers are expected to consider the individual’s rights and demonstrate that planning reflects the need to minimize existing or potential risks.
3.10 Seizure Procedure
Venture Home Share Providers will ensure that each individual (s) they support that is seizure prone shall have a seizure protocol that has been approved by his or her physician and/or HSCL. This protocol will include limits on the length of seizure, duration of seizure, trigger factors and oxygen administration if appropriate.
When an individual does not have a seizure procedure in place Home Share Providers will follow VDACL/ Venture Seizure Procedure.
CALL 911 when:
- an individual has not met their approved seizure protocol;
- if a second seizure occurs within minutes;
- if the individual is unconscious for more than three minutes;
- if it is the individuals first seizure or the cause is unknown;
- the individual is turning blue or
- if serious injuries have resulted.
Notify the Venture Home Share Network Coordinator or designate after calling 911 and/or if you have any concerns regarding the seizure.
Care during a seizure:
- never leave except to call 911, stay calm, do not restrain, assist to the floor;
- clear the area of hard or sharp objects that could cause injury;
- clear the area of on lookers to ensure privacy for the casualty;
- guide but do not restrict movement;
- carefully loosen clothing around neck, remove eyeglasses, loosen belt;
- turn the individual gently to the side with his/her face turned slightly downward. This will allow for drainage, do not force mouth open or put anything into mouth, put small towel or blanket under the head and
- use a reassuring voice and provide a calm atmosphere once seizure is completed.
Complete required reporting and notify Venture Home Share Network Coordinator as directed.
Notify other pertinent professionals and family as required.
Reference: St. John Ambulance Activity Book 2000
3.11 Suicide Attempt or Threat Procedure
Information / How to Help
The following are some of the more common clues that may be present when a person is intending to attempt suicide.
- depressed and sad
- mood change (depressed to elated or vice versa)
- quiet, withdrawn
- inability to concentrate, agitated
- feelings of hopelessness, worthlessness, self-hate
- sudden change in behaviour
- giving away favorite possessions
- drug and/or alcohol abuse
- thanking people for their kindness, settling affairs, tying up loose ends, writing good-bye letters
- previous suicide attempt by themselves or family members or friends
- loss of interest in appearance
- loss of interest in friends, activities, and/or intimate (or sexual) relationships
- loss of energy
- poor sleep habits (either sleeping all the time or hardly ever sleeping)
- weight gain or loss
- no longer communicating effectively with others, isolating themselves
- speaks of not being here in the future: e.g. “They’d be better off without me” or “You won’t have to worry about me much longer”
- a noticeable absence of any future in conversation
- asks questions about dying
- talks openly about suicide
If someone you know is displaying the above “warning signs or clues” they may be seriously considering suicide.
Here are some ways to be helpful to someone who is threatening suicide
- Be direct. Talk openly and matter-of-factly about suicide.
- Be willing to listen. Allow expressions of feelings. Accept the feelings.
- Be non-judgmental. Don’t debate whether suicide is right or wrong, or feelings are good or bad. Don’t lecture on the value of life.
- Get involved. Become available. Show interest and support.
- Don’t dare him or her to do it.
- Don’t act shocked. This will put distance between you.
- Don’t be sworn to secrecy. Seek support.
- Offer hope that alternatives are available but do not offer glib reassurance.
- Take action. Remove means, such as guns or stockpiled pills.
Be Aware of Feelings
These are some of the feelings and things they experience:
- Can’t stop the pain
- Can’t think clearly
- Can’t make decisions
- Can’t see any way out
- Can’t sleep, eat or work
- Can’t get out of depression
- Can’t make the sadness go away
- Can’t see a future without pain
- Can’t see themselves as worthwhile
- Can’t get someone’s attention
- Can’t seem to get control
If you experience these feelings, get help!
If someone you know exhibits these symptoms, offer help!
- Stay with them or arrange for someone to be there.
- Remove lethal weapons or other methods on hand.
- Get help – don’t try to carry this responsibility alone.
- Above all, have the courage to act. It is worth the risk of “overreacting” if it averts a tragedy.
Contact your Home Share Coordinator or Executive Director, who will contact:
- A community mental health agency
- A family physician
- A crisis centre
Stay with them or arrange for someone to be there.
Remove lethal weapons or other methods on hand.