Name of Staff Completing Survey
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First Name
Last Name
Email
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According to Texas Department of Family & Protective Services, how long do you have to report suspicion of Abuse, Neglect, and Exploitation?
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Within (1) Week to confirm whether or not its Abuse, Neglect, and or Exploitation
Within (1) Hour
I have up to 24 Hours to report suspicions of Abuse, Neglect, and Exploitation
Use the drop down menu below to select your Job Title
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Direct Care (Associate)
Direct Care (Team Lead)
Direct Care (Management)
Non - Direct Care (Admin)
How long have you been employed with Ngozi Place?
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If you have been rehired, add the entire length of your time with Ngozi Place to answer.
0 - 6 Months
6 Months - 1 Year
1 - 2 Years
2 - 3 Years
3+ Years
Using the dropdown menu, SELECT WHICH SHIFT you work the most.
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ISS or Office (Monday - Friday, Morning to Afternoon)
Group Home (Evening 3 - 11)
Group Home (Overnight 11P - 7A)
Weekend (Dayside)
Weekend (Overnight)
Use the answers below to answer the following questions by saying if you Agree or Disagree:
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I feel confident in my ability to perform my job based on the training and previous experience I bring to Ngozi Place.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I believe my work makes a positive impact in the lives of the clients I work with.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
In your opinion, who is the most important person in the Ngozi Place company?
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Sonya Golden, Program Owner
Staff / Me , (the Person doing this survey)
The Client
How often should clients brush their teeth? (Select any answer that makes sense.)
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At ISS after Lunch
In the Shower
Daily
How often do clients need to be bathed, including having their faces washed?
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Every couple of days
Whenever they feel like it
Daily
What are SDL's?
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Sandwich Delivery Locations
Service Delivery Logs
Seven Dwarfs Living
What are the purpose of SDL's?
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They are documents in the company, but they are not used consistently enough to fill out every day.
Creates billable activity documenting services provided for our clients which allow us to be paid as a company.
Gives Ngozi Place employees Sandwich Delivery Locations for any place like Subway, Jersey Mikes, or Jimmy Johns to deliver a meal while at work.
When should you complete your Service Delivery Logs?
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All staff comes around 12PM noon on Pay Day to complete their SDL's for the pay period.
Staff should complete a Service Delivery, per client, per shift in the last 15 minutes of their shift every time they work.
I was not aware Sandwich Delivery Locations was offered at Ngozi Place.
Who is responsible for giving the clients their routine medications?
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The clients know what medicines they take, and are able to take it without help.
The nurse is responsible for administering medications.
As a medically delegated staff, I am responsible for giving clients their time approriate medication during my shift.
What is a MAR(s)?
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Meatloaf, Asparagus, and Rhubarb Pie
Medical Administration Record
Mansfield, Arlington, Richland Hills
When should a staff person match medications to the MAR?
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Why would I match medications to Meatloaf, Asparagus and Rhubarb Pie?
Only once a month
Anytime medication is to be given to client, I should match medications to the MAR
Transporting:
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I have a valid DRIVER LICENSE and assist with transport.
I do not have a license at this time, and am unable to assist with transport
My Driver License number is (Also add the expiration date)
What time does Evening transport begin?
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What time should transport staff be leaving the group homes with transport vehicles to pick up from ISS Monday - Friday?
Hour
Minute
Second
AM
PM
What time is evening transport expected to be finished?
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What time should clients be home by in the afternoon Monday - Friday
Hour
Minute
Second
AM
PM
By what time should transport be FINISHED in the morning?
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Transport should be the 2nd to last task you complete outside of completing Service Delivery Logs.
Hour
Minute
Second
AM
PM
What is one area of Ngozi Place HCS or Healthcare field in general would you like to learn more about?
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Is there anything you feel you would like more training on?
We have begun using the app Group Me for company wide communication. This is so that admin can send out alerts to current Ngozi staff. Indicate below whether or not you have been added to the group messenger.
I am currently NOT in the Group Me and need help accessing it
I’m in the group me already and know how to check it for important updates 👍
Thank you for completing this survey. the answers that have definite answers are below!
1. At Ngozi Place HCS, The Client is the most important person(s) in the company. Although they are more than a dollar sign, it is through providing services for THEM that we are paid as company and able to pay our staff.
2. At minimum staff should check clients who wear diapers and pull ups within (15 minutes of entering and exiting their shift.) Within (30) minutes of a client having a meal, And at MINIMUM every 2 hours. The best rule of thumb is check (1) time every hour using a glove to feel the inside of the diaper where urination usually occurs. It should be easy to identify if they have passed a bowl movement as well.
3. Clients should have their teeth brushed daily and be done during their shower time (easiest) at ISS after lunch, and before they leave their homes in the AM. They should also be bathed daily.
4. SDL's stands for Service Delivery Logs (Creates documentation that we provided BILLABLE ACTIVITY (a service deemed PAYABLE for in the MEDICAID system. SDL's should be completed per client, per shift, in which a staff works with them within the last 15 minutes of their shift.
5. Medically delegated staff is responsible for administering client medication during their shift. MAR's stands for Medical Administration Record which documents that you administered medication for a client.
6. Staff should match medications to MARs ANYTIME meds are given.
7. Evening transport begins at 2:30PM
8. Evening transport ends at 3:30PM
9. Morning transport ends at 8:30AM.