Presentation on theme: "Training and Responsibilities"— Presentation transcript:
1Training and Responsibilities Danielle’s LawTrainingandResponsibilitiesDanielle’s Law was named after Danielle J. Gruskowski, who lived in a group home. Danielle died after developing a high fever and experiencing difficulty breathing.Because 911 was not called, she did not receive medical treatment in time to save her life.Danielle’s Law emphasizes the importance of calling 911 in a life-threatening emergency.Issued July 2005
2Danielle’s Law Anyone who works with individuals with developmental disabilitiesor traumatic brain injurymust call 911in life-threatening emergencies.Danielle’s Law applies to the following direct care staff:Community Care Residence ProvidersDirect care staff and health professionals in state facilities, developmental centers or brain injury programsAgency staff in residential, respite, day program, or other contracted servicesTutors
3Danielle’s Law Penalties Staff may lose their jobs or pay a large monetary fine if they fail to call 911Individuals who violate Danielle’s Law may be fined.Staff who are licensed health care professionals who violate Danielle’s Law may lose their license.Health Care Professionals may lose their licenses
4Definition of a Life-threatening Emergency An occurrence or threat of a potentially fatal injuryImpairment to a bodily functionThe definition of “life-threatening” includes situations in which death may be imminent, and situations in which there is an injury to bodily functions or a body part.For example, a burn situation may be life-threatening due to the risk of infection.Dysfunction of a bodily organ or part
5Employee/Provider Responsibilities Call 911 for life-threatening emergenciesFile an incident report according to Department and Division proceduresAfter calling 911 for a life-threatening emergency, the call must be reported to DDD Regional Office or the Critical Incident Management Unit (TBI programs) as a Incident Report.A record of all calls should be kept on file.Maintain a record of all 911 calls
6Services Responsibilities Department of HumanServices ResponsibilitiesEnsures training is provided to service providersMaintains records of provider callsto 911This training will fulfill the requirements of Danielle’s Law. The training was designed to be utilized for Community Care Residences and will be made available for provider agencies, traumatic brain injury programs, and developmental center staff.Reviews potential violations of Danielle’s Law
7Services Responsibilities Department of HumanServices Responsibilities(continued)Maintains records of all violationsReviews violation records when licenses and contracts are issued or renewedThe Department of Human Services has a process in place for reviewing violations of Danielle’s Law and is maintaining a record of violations which can be utilized to make decisions regarding licensing of programs.
8Civil Penalties to Individual Violators of Danielle’s Law First offense: $5,000.00Second offense: $10,000.00The penalties for violation of Danielle’s Law are severe. No one can afford not to call 911 in event of a life-threatening emergency.Each individual who violates the law is subject to a possible fine.Third and each subsequent offense: $25,000.00
9Life-threatening Events How to Respond toLife-threatening EventsCheck – for a life-threatening situationCall – 911Care – follow the directions of Emergency RespondersThe procedure for response to a life-threatening emergency is consistent with the American Red Cross Standard First Aid training.Check the individual for symptoms of alife-threatening emergencyCall 911 and follow the directions of the EMS dispatcher.Provide care that you were trained to do if you have completed a standard first aid or CPR course.
10Call 911 for Life-threatening Emergencies MedicalLife-threateningConditionsExamples of medical emergencies include the following: (This list does not contain all situations that may be life-threatening.)Is unresponsive to pain or stimuliIs unconscious, unusually confused or seems to be losing consciousnessHas trouble breathing, is not breathing, is breathing in a strange wayHas persistent fever that doesn’t respond to PRN medication and results in additional symptoms, such as difficulties breathingHas weak pulse or no pulseHas persistent chest pain, discomfort or pressure for more than 3-5 minutes or that goes away and comes backHas severe or uncontrollable bleeding from any body part (leg or arm)Has weak. low, or no blood pressureHas visible or non visible signs of a break or fracture to a major limb or bone. (Non-visible, body part or limb is not functioning normal)Complains of sudden onset of severe headache or has unusually slurred speechHas a seizure that lasts more than five minutes, recurs, results in injury or occurs in someone who is pregnant or diabetic. Also call if it is the first seizure or if there are multiple seizures.Has serious injuries to head, neck, or backUnsafe Situations
11Call 911 in Unsafe Situations as Indicated in Red Cross Training Fire or explosionDowned electrical wiresPossible poisonous agentsNatural gas odor in the buildingThis list does not include all situations that may be unsafe and are potentially life-threatening. The American Red Cross Training provides these examples of when 911 should be called.Situations in which a natural gas odor in the building occurs may be very dangerous, and require that staff follow the emergency procedures recommended by the utility company. In the event of a fire in the building or a natural gas odor in the building, leave the building and call 911 from a safe area outside of the building.Included in this list are situations in which licensing regulations require a 911 response.Terrorist type threats oracts, such as bomb threat,bio-toxic agents
12Danielle’s Law Penalties No Call to 911 = VIOLATIONIt is important to note that a delay in calling 911 is also a violation.The Department of Human Services has a process in place for reviewing incidents to determine if a Danielle’s Law violation has occurred.Delayed Call to 911 = VIOLATION
13911 Call When In Doubt Danielle’s Law Remember that when Danielle’s situation occurred, she had a high fever, was perspiring profusely, and was gasping for air. Staff did not call 911.Don’t let anyone discourage you from making a call to 911 if you think it is a life-threatening emergency.
14DDD Regional Offices Northern Region Bergen, Hudson, Passaic, Sussex, Morris, and Warren Counties(973) (Flanders Office)(973) (Paterson Office)Lower Central RegionMercer, Middlesex, Ocean, Hunterdon and Monmouth Counties(609) (Trenton Office)(732) (Freehold Office)Southern RegionBurlington, Camden, Atlantic,Salem, Cape May, Gloucester,and Cumberland Counties(856) (Voorhees Office)(609) (Mays Landing Office)Upper Central RegionEssex, Somerset, and Union Counties(908)When a life-threatening emergency occurs, and 911 is called, the case manager can be contacted at your county regional office, during the working hours or you can speak to the On-Call worker after hours and on the holidays.