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By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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I don’t think it’s illegal because as a health care provider we can’t pick or choose who we take care of.
We are taught universal precautions in infection control and to treat everyone as if they are positive for such blood borne/body fluid precautions.
What would you have done differently? If you are using your PPE ( personal protective equipment) you should be as safe as you can be under the circumstances.
A C.diff person should not have a roommate for obvious reasons.
But while its nice if you know everyone’s diagnosis but sometimes you just don’t know! Thus proceed using your PPE for everyone you care for.
I don’t think it’s illegal. Think about the cleaning staff in a long term care center or hospital. They don’t know everyone’s status as far as infectious disease but using their PPE if used correctly is meant to protect themselves against any pathogen.
Believe me, as a RN while I think it’s absolutely necessary we are told upfront about any communicable illness sometime it doesn’t happen so protect yourself with the tools you have.
I am almost certain that staff must have inservices about infection control twice a year. That was common practice under Federal law consistent with nursing home regulations who adopted those CDC guidelines. Thus infection control mandatory inservices must occur. We had to sign an acknowledgment for our personnel file.
Those requirements do not vary state to state. State Staff infection control education requirements incorporateS the most recent CDC recommendations into their center guidelines. Blood borne pathogens/Infection control are to be completed twice a year and documented in the employee file. This info can be found in the Federal register of conditions of coverage guidelines for Medicaid nursing homes. The states incorporate the federal guidelines on infection control into their laws.
Nursing homes have their own care standards dictated by the Federal register (as do dialysis centers).
Last time I worked with a chronically ill clientele was in a dialysis center. In that setting we often had patients who were known HgAG positive (hepatitis B). Those patients were supposed to dialyze in isolation. But interestingly enough, a HIV positive patient was not mandated to have to dialyze in the isolation area. That sort of shook the staff up a little back in the beginning of when we began to see more HIV positive patients.
Illegal? I think not. If you feel you need better inservices on infection control, ask your supervisor for a refresher Infection control inservices.
Are the regular infection control procedures enough to protect caregivers in real-world facility situations? Remember in TX a couple of years ago, the Ebola patient. I'm sure they used those procedures but as I recall they were not sufficient. With the rush to take care of too many patients, I'm sure corners get cut. I believe full disclosure is morally more important than protecting a patient from embarrassment (the HIV confidentiality thing). Some patients are more dangerous to caregivers than others and so there is a reasonable need for staff to know, IMO.
There should be supplies outside the room and you should be instructed to mask, gown, glove before entering the room. Not sure if informing workers of an infection would be a violation of HIPPA or not. I do not know if it is illegal if they do not inform you but in theory you should treat everyone like they have the potential to infect you. Great if you know if someone has been diagnosed with an infectious disease but what about someone who has not yet shown symptoms or is a carrier and will never show symptoms? So glove use is always safe, hand washing before and after gloves would probably be ideal.
I'm not in the USA either but I can't imagine there isn't a protocol that has to be followed both to protect staff and to prevent the spread to others within the facility. Where I live there would be a very visible sign at the entrance to the room as well as whatever level of safety equipment is required - gloves, masks, gowns, face shield if needed. The SARS outbreak was a long time ago but the lesson has not been forgotten.
A senior living facility resident. Two days ago my supervisor said its ecoli not cdiff so ill be om with just glove on and no gown . She aslo said just dont let the poop touch you
I would think that it would have been nice if they told you but against the law? Not sure. I would think the Health Department would have been informed and they would have come in and set up procedures. Some kind of procedure should have been implemented like Grandma said.
Call the health department and ask if procedures should have been implemented and staff informed.
could vary from state to state but in California the health department isn’t involved in AL or LTC, they don’t set up procedures in facilities. It’s the state that determines the proper protocol. The health department is notified but they don’t come in and do anything.
Yes it is wrong and probably illegal because when it comes to INFECTIOUS DISEASES there are certain protocols that must be followed BY LAW. The law will vary from state to state. And seeing as how you work in an assisted living facility, they may be in violation of state regulations by allowing someone with c-diff to remain on the premises.
Blood borne pathogens/Infections guidelines are not set by state to state. These guidelines are set by Federal law and the CDC as Shane stated.
If one chooses to work in the Healthcare field then one chooses what it all comes with it. There is no way to know everybody's dx. You must assume that everyone is infected this is why you wear PPE.
I was with a friend in ER last fall. One of the other ER patients was suspected of having an infectious disease. There was a sign hung at the entrance to her cubicle telling all staff to fully mask and gown before entering. I could see the procedure all staff went through each time they entered and it was far more than the usual washing of hands and gloving up.
When my grandmother was in isolation 30 years ago there was a sign on her door that everyone had to fully mask and gown.
I’m in the US and they do the same thing at the hospitals here in California. They don’t treat all patients the same, if you are contagious or have an infectious disease, they take extra precautions—gown type thing, shoe covers, face mask, gloves.
No that would be a huge violation of patient privacy laws. They are called “Universal precautions” for a reason. A healthcare worker approaches the person they are assigned to gowned, gloves & masked. Additional focus can be for respiratory precautions or wound precautions. Any healthcare worker should hit the floor running after training in Universal precautions. The employee is required to sign and acknowledge this training and is kept in their employee file.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
We are taught universal precautions in infection control and to treat everyone as if they are positive for such blood borne/body fluid precautions.
What would you have done differently? If you are using your PPE ( personal protective equipment) you should be as safe as you can be under the circumstances.
A C.diff person should not have a roommate for obvious reasons.
But while its nice if you know everyone’s diagnosis but sometimes you just don’t know! Thus proceed using your PPE for everyone you care for.
I don’t think it’s illegal. Think about the cleaning staff in a long term care center or hospital. They don’t know everyone’s status as far as infectious disease but using their PPE if used correctly is meant to protect themselves against any pathogen.
Believe me, as a RN while I think it’s absolutely necessary we are told upfront about any communicable illness sometime it doesn’t happen so protect yourself with the tools you have.
I am almost certain that staff must have inservices about infection control twice a year. That was common practice under Federal law consistent with nursing home regulations who adopted those CDC guidelines. Thus infection control mandatory inservices must occur. We had to sign an acknowledgment for our personnel file.
Those requirements do not vary state to state. State Staff infection control education requirements incorporateS the most recent CDC recommendations into their center guidelines. Blood borne pathogens/Infection control are to be completed twice a year and documented in the employee file. This info can be found in the Federal register of conditions of coverage guidelines for Medicaid nursing homes. The states incorporate the federal guidelines on infection control into their laws.
Nursing homes have their own care standards dictated by the Federal register (as do dialysis centers).
Last time I worked with a chronically ill clientele was in a dialysis center. In that setting we often had patients who were known HgAG positive (hepatitis B). Those patients were supposed to dialyze in isolation. But interestingly enough, a HIV positive patient was not mandated to have to dialyze in the isolation area. That sort of shook the staff up a little back in the beginning of when we began to see more HIV positive patients.
Illegal? I think not. If you feel you need better inservices on infection control, ask your supervisor for a refresher Infection control inservices.
Good luck to you!
Not sure if informing workers of an infection would be a violation of HIPPA or not.
I do not know if it is illegal if they do not inform you but in theory you should treat everyone like they have the potential to infect you.
Great if you know if someone has been diagnosed with an infectious disease but what about someone who has not yet shown symptoms or is a carrier and will never show symptoms?
So glove use is always safe, hand washing before and after gloves would probably be ideal.
Call the health department and ask if procedures should have been implemented and staff informed.
If one chooses to work in the Healthcare field then one chooses what it all comes with it. There is no way to know everybody's dx. You must assume that everyone is infected this is why you wear PPE.
I was with a friend in ER last fall. One of the other ER patients was suspected of having an infectious disease. There was a sign hung at the entrance to her cubicle telling all staff to fully mask and gown before entering. I could see the procedure all staff went through each time they entered and it was far more than the usual washing of hands and gloving up.
When my grandmother was in isolation 30 years ago there was a sign on her door that everyone had to fully mask and gown.
Are you worried about being responsible for spreading something from one resident to another because proper procedures were disregarded?