Case Management Safety PROTOCOLS SAFETY FIRST “THE SAFE WAY IS THE BEST WAY”

THANK YOU TO THE SAFETY COMMITTEE FOR ALL OF YOUR INPUT AND WORK ON THIS PROJECT!

TRAINING AGENDA FOR TODAY YOUR SAFETY ALWAYS COMES FIRST DOCUMENTING CLIENT SAFETY ISSUES IN CARE HOME VISIT SAFETY SCREENING QUESTIONS CHECK-IN PROCESS AFTER YOUR LAST HOME VISIT NEW CARS, SAFETY CARDS, AND 4TH FLOOR ENTRANCE DOORS

YOUR SAFETY ALWAYS COMES FIRST If you ever feel unsafe at a Home visit, leave immediately. Your safety is the number one concern. Unannounced Home Visits are no longer allowed unless prior approval from a Supervisor is obtained. Please remember to SER in CARE when the home visit is scheduled prior to the actual visit. The Safety Committee has developed a standardized letter to send to clients if you are having difficulty contacting them for a visit. A copy of the letter is attached and a supply of them will be available. The letters will be translated for the languages most commonly used.

DOCUMENTING HOME VISIT SAFETY ISSUES IN CARE Starting today, safety issues need to be addressed on the client details screen in CARE. Please screen at all face to face home visits and document the following for all of your clients: Insert Date - No home visit safety issues noted” OR “Home visit safety issues noted– see SER dated_____.” Use the Pertinent History section of CARE to document any potential client/provider risks not otherwise documented in CARE. ( e.g. client sex offender status, pertinent past client behaviors that have occurred more than 5 years ago, etc.) This section will print in the AD for the provider’s awareness. Document in the SER the specific safety issues and that you had a conversation with the Provider (either Agency or IP). The information can be populated as you work each case. You don’t need to enter this information on every client immediately.

DOCUMENTING HOME VISIT SAFETY ISSUES IN CARE(cont’d.) When documenting home visit safety issues, use the subject line of the SER to state “home visit safety issues.” This enables you to narrow your search. RN/CM Database - complete a pink slip and add to the “other” field – “Caution.” I will work with Lisa Powell on developing a report you can run from the database for your caseload.

HOME VISIT SAFETY SCREENING QUESTIONS The following questions should be asked for every home visit. The questions are to be asked when scheduling the Home Visit and then documented in the SER. This list will be e-mailed to you, so you will have it to incorporate into a SER. The questions to be asked are: Any person currently sick or contagious in the home? Who lives in the home and who will be present at the HV? Smoking and/or drugs in the home? Any pets and will they be secured? Weapons in the home and will they be secured? Any person in the home who has a history of criminal/violent behavior? Does your home have any infestations, such as bed bugs or fleas? Is there cell phone service in your area? Where should I park? Any other issues I should be aware of?

CHECK-IN PROCESS AFTER YOUR LAST HOME VISIT Your safety is our number one concern. Effective 02/12/2018, we will initiate a process of checking in when you have completed your Home Visit and will not be returning to the office. We will use the first month as practice to get everyone used to the new system. The sign out logs will have a box next to each of your names. The Supervisors will review the logs after 4:30PM each day. If you are going to be in the office all day, you can check the box yourself. If you have returned from a HV to the office and will be in the rest of the day, you can check the box on the log.

CHECK-IN PROCESS AFTER YOUR LAST HOME VISIT (cont’d) Please call (425) 388-7296 after you have completed your Home Visit, and before 4:30PM. Support Staff will manage checking the box on the log. This is also a good time to remind everyone to make sure you are signing out on the log with your client’s full name. If it is past 4:30 and you have not completed the HV, please let your client know you need to call the office to check in. In order to have access to Supervisor support, Home Visits should be scheduled during 8:00-5:00. Please obtain Supervisor approval if a visit needs to be scheduled outside business hours.**

CHECK-IN PROCESS AFTER YOUR LAST HOME VISIT (cont’d) If you have not called in, we will follow these steps to ensure you are safe. If there is no success in the first step we will then move to the second step, and so on down the list. We will contact the phone number(s) provided. We will contact the client’s home. We will contact your emergency contact on file. Please make sure this information is current. You can check with Wanda to see who you have listed. We will contact your phone number(s) again We will contact 911 only if we have no success with the above steps. -

CHECK-IN PROCESS AFTER YOUR LAST HOME VISIT (cont’d) I reviewed with Yulia Wold at the Everett PD regarding the necessity of having the license plate number for your car. Her email states the following……….. We will leave it up to you whether you want us to have that information. If you already gave us your license plate number, and would prefer us not to have it, just let your Supervisor know. We will delete the information. Please have your phone turned on during the HV, in case we need to contact you. It will also enable you to call for assistance if needed. If you will be completing a HV in a known area that does not have cell phone service, please talk with your Supervisor about making alternative plans. Please also document this in the client details in CARE under your safety comment.

CHECK-IN PROCESS AFTER YOUR LAST HOME VISIT (cont’d) Think about this as a part of your job responsibilities, just like checking your voicemail. We want to ensure your safety during your workday!

NEW CARS, SAFETY CARDS, AND 4TH FLOOR ENTRANCE DOORS We have purchased 2 new vehicles, a Ford C-Max (NT88) and a Ford Explorer AWD (NT87). The 1998 Ford Escorts (NT47 and NT48) are no longer available. Emergency Safety Cards are in each county vehicle. The main entrance for the 4th floor will not be locked. When our Case Management space is reconfigured, the doorway to Case Management will be moved to be in front of the extra office space and will continue to be locked.

We will continue to monitor these processes. If you have any feedback feel free to talk with a Safety Committee member, myself or your Supervisor. The Safety Committee will continue to meet quarterly. On a final note…… Please remember SAFETY FIRST “THE SAFE WAY IS THE BEST WAY”

QUESTIONS?