Elder Abuse Reporting

Agency Name

Employee Name

First Name Last Name

Date

1. _____________ for the worker as well as ____________ for the client is an important focus for a Home Care agency. (fill in the blanks)

2. As part of your responsibility for safety, you should (check all that apply)

Know your agency policies and procedures related to your personal safety and safety for theclient Act responsibly Discuss your agency’s safety policies with your supervisor Be alert, observant and aware of your immediate environment All of the above

3. Safety in the home is just related to avoiding trips and falls.

True False

4. It is okay to talk on the phone or text on the phone while driving if you are trying to get information about where your client lives.

True False

5. Safety tips related to using chemicals include (check all that apply)

Remember that everyday cleaning products are chemicals You need to be aware of the chemicals you are working with- read directions and check withyour agency about a material safety data sheet (MSDS) Never work with chemicals that are not labeled Never mix chemicals You need to use undiluted bleach on urine to clean up urine All of the above

6. Travel safety tips include (Check all that apply):

Notify your supervisor of your schedule and do not deviate from your schedule without notifyingyour supervisor Keep the doors locked when driving Carry an emergency car kit Observe your surroundings for loiters All of the above

7. It is sometimes okay for a client to smoke while they are using their oxygen.

True False

8. A back safety tip is to lift with your legs and not with your back.

True False

9. It is not your responsibility to report unsanitary conditions to your supervisor.

True False

10. Be sure to follow your agency’s infection control plan as part of your safety plan.

True False

11. Cell phones should not be used while at a patient’s home unless it is a true emergency.

True False

12. I am not following Universal Precautions if I answer my phone and then provide hands on care to my patient.

True False

13. My patients do not mind if I call my boyfriend/girlfriend while I am at their home.

True False

14. A cell phone really doesn’t get dirty. It stays in my pocket except when I am using it.

True False

15. I never use my cell phone while at work.

True False

16. It doesn’t matter if you use your cell phone as long as you did your tasks for the day.

True False

17. I am not ignoring my patient if I text message while at work.

True False

18. If my patient is eating, it is ok for me to send a text message or call my mama.

True False

19. f I am supposed to be watching my patient while she is eating, and I step away to use the cell phone, the patient chokes and dies, I can be charged with a crime of neglecting my patient and involuntary manslaughter.

True False