EmailMe Form - Policy Review, EUMR, SVPolicy, FirstAid Exam

Date Time *

MM / DD / YYYY

Site List *

Name *

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By checking below, I acknowledge that I have read and understand the following policies and procedures. *

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Employee Policies and Procedures
245D Policies and Procedures (including ICS at the Wings)

Does Zumbro House allow the use of manual restraints on any resident? *

Yes

No

Is an employee required to report the use of a manual restraint on a resident? *

Yes

No

According to Minnesota 245d statue, a residents bedroom or apartment is private and staff may not enter without the residents permission. *

Yes

No

Is sexual harassment or violence of any kind allowed in Zumbro House? *

Yes

No

If a resident has a minor bruise, should you call the paramedics? *

Yes

No

If a person is unresponsive, and you are alone, you should call 911. *

Yes

No

Sexual violence or any reported harassment will be investigated. *

Yes

No