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Free Webinar: A Day in the Life of a Therap Manager, February 14 at 1pm EST

We are pleased to announce our free Certified Trainer led webinar on ‘A Day in the Life of a Therap Manager’ which will be held on February 14 at 1pm EST. Certified Trainer, Jason Garrad, Therap Trainer/IT/Provider Admin, Ravalli Services Corporation, Montana, will walk users through what the life of a Therap Manager is like.

Click here to register.

We look forward to seeing you at the conference!

By | 2017-02-09T07:27:30+00:00 February 9th, 2017|Categories: Certified trainer|Tags: , , |Comments Off on Free Webinar: A Day in the Life of a Therap Manager, February 14 at 1pm EST

Top Ten Tips to Building Beautiful MARs in Therap

grace_robinson_medication_administrationMy name is Grace Robinson, and I am the Clinical Services Manager at Puget Sound Regional Services, where I manage the medication system for the largest supported living provider in Washington State that tailors its services to meet the needs of Deaf, Blind, and Deaf-Blind individuals with developmental and intellectual disabilities.

One of the ways I support our 70+ clients at this agency is by building and auditing our Medication Administration Records (MARs), to ensure error-free documents for our direct support staff to work from. Having an effective and safe medication management system in place is critical to client safety, as medications have the potential to cause great harm. The Therap MAR gives us a lot of flexibility, which has allowed us at PSRS to improve the quality of care we can provide at our agency.

These are some recommendations I’ve developed based on my efforts to provide my clients and their staff with high-quality MARs:

  1. Avoid using abbreviations on your MAR. Pharmacy labels are small, and pharmacists are forced to rely on abbreviations to effectively communicate physician’s orders to administrators. Therap’s MAR is much less restrictive, so we are able to offer our care team complete instructions that do not assume a level of medical knowledge that our direct support professionals may or may not possess.
  2. Include both the brand and the generic name for each med on your MAR. You would be surprised how many people do not know that Tylenol and Acetaminophen are the same medication!
  3. Does your client take multiple strengths of the same med? Alert your care team to the potential for error by including a warning in the instructions on your Therap MAR. Simply include a commonly-used pharmacy warning, such as ***STOP! POTENTIAL ERROR! DOUBLE CHECK!*** or other cautionary language, as per your pharmacist or doctor’s recommendation.
  4. Always include your medication type on the Therap MAR. Just as we always sort oral, injectable, topical medications, etc, at our sites, we should keep these medications clearly marked for easy sorting on the Therap MAR. This is especially important for drops, such as those meant for the eyes or ears. A clear MAR entry can help your staff prevent a potentially painful or damaging mistake!
  5. Maintain an agency-wide list of your Look-Alike, Sound-Alike drugs, or LASA medications. These are medication which, due to their appearance or name, could easily be mistaken for another medication. This list should be revisited at least on an annual basis. You can alert your staff to these medications by including an advisory in the instructions section of your MAR. Many pharmacies will recommend that your wording read ***CAUTION! LOOK ALIKE SOUND ALIKE MED!*** You will want to consult with your regular pharmacist for guidance as to the specific language that is best to include on your Therap MAR.
  6. Include Tall-man lettering on your Therap MAR, as per the recommendation of the FDA and the Institute for Safe Medication Practices. Tall-man lettering helps draw attention to the dissimilarities in look-alike drug names. Entries for LamISIL and LaMICtal on the MAR, for example, are far less likely to confuse a care team member than side-by-side entries for guanfacine and guaifenesin!
  7. Insist that each order you accept from a physician include clear orders, and an indication for use. Never include the indication within the body of your instructions; instead, take advantage of Therap’s separate “Indication” section, so that this vital information is made quickly accessible on its own line in your MAR.
  8. Set the expectation that your nursing staff will review medication orders prior to the administration of new meds, to ensure that orders are clearly written and complete. It is our right and duty to question physician orders that are illegible, incomplete, or potentially unsafe.
  9.  Audit! Audit! Audit!
  10. Make sure that the manufacturer’s instructions for each medication, with a clear picture of the medication and instructions for its safe storage, are made available to your care team. Therap makes this task much easier for us, by drawing on digital databases to automatically connect us with this information for most medications. In the rare occurrence that Therap is unable to generate this information for your med automatically, you can attach a scanned copy of the manufacturer’s instructions, and attach it to the medication under “Medication Details” in Configuration Mode. You can even attach this information to your medication retroactively, so you do not have the discontinue the med on your Therap MAR to create this update!

I hope that these tips will prove helpful to others working to improve their MARs, or transitioning to the Therap MAR for the first time.

Feel free to reach out to me if you have any questions!

Making in house training videos quick easy and free.

If you are the in house Therap trainer, or at the very least the person everyone goes to when they want to know how to do that one little thing, you probably wish you had time to do a Power Point full of screen shots or a step by step manual. You have taken different colleagues through the steps many times, but never captured it. Well if you are using Windows 10 you could have already recorded an amazing tutorial to share with everyone.

I struggled with deciding which tool to use to record tutorials. My company has GoToMetting, but not everyone has access to it. We also just started using Skype and you can record Skype maxresdefaultmeetings. The problem with both of those options is they are designed for meetings, you know with another person. I couldn’t bring myself to ask someone to hop on a meeting with me and only ask the appropriate questions so I could get a good training video. I hoped there was an easier way. Taking to google I found several expensive options or solutions with steep learning curves before using the right search terms and stumbling upon Windows 10 Game DVR.

This seems to be something Microsoft did to try and bridge X-Box Live and Windows 10, designed for gamers to record their games and share them with the gaming community. Some of you may know much more about this than I ever will. My video game playing now days mostly involves my 5 year old daughter standing over my shoulder asking me why I am so bad at a game she mastered in an afternoon (Subway Surfers).

Getting started wit2016-12-13h this is as easy as pressing two keys. First open up the browser you use the most often then press the windows key and “g”. A small black box will appear at the bottom of the screen asking if you want to open game bar, it will also ask if this is a game. Check the box next to the “Is this a game?” question. Of course it is not, but windows wants to think it is so we will let it.

After you have enabled this option for your browser you can start a recording session anytime by pressing the windows key and “g” again. You will notice that once Game DVR is enabled in your browser every time you open up a new window you will be prompted to “Pres Win + G to open Game bar”. If this becomes distracting you can choose “Don’t show this again”.

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You are now set up to start recording some great targeted training videos. When you press Win + G the recording controls tool bar will pop up at the bottom of your screen. To start recording press the red dot. While you are recording the red dot turns to a red square that you can press to stop your recording. Also be sure to look at the settings options available by clicking on the gear to the right side of the bar. You may have to enable voice recording.

There are a few important things to note, one being the quality of the sound. You will want to choose the highest quality for the sound. If you can use a USB webcam or mic and place it 5 to 6 inches from your mouth, you will get better audio. If you use the webcam on your laptop you will need an environment with almost no background noise. Also you will want to be able to find your recordings after you finish them. By default your recording will be in This PC > Videos > Captures. They are in MP4 format, which is playable with most media players. Windows Media Player is probably your default, but you can change it to iTunes or other media players. To transfer your videos easily you probably want to stick with something that is 10 minutes or less. I recorded a 7 minute, 37 second video that is 560 Mb and a 2 minute, 50 second video and it is 299 Mb. These are both easily transferable and upload quickly. Unfortunately they are too big to email as an attachment with most email servers. I uploaded them to our companies Office 365 Video Channel and our trainer across the state was able to download them to a thumb drive and load them onto computers in the homes. One thing I can’t help you with is listening to your own voice when you review your video. Experts say that most peoples number one fear is public speaking, I think listening to a recording of your own voice is a close second.

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If you have questions, run into any snags, or just want to share your videos with me please use the comment section. Thank You Tom Peterson, D&S Community Services.

By | 2016-12-13T17:00:06+00:00 December 13th, 2016|Categories: Certified trainer, Uncategorized|1 Comment

New Jersey National Conference 2017

I am such a geek and therefore anticipating the Therap National Conference like a child on Christmas. I want to be on top of my game and I plan on devoting time to going over my modules providing relevant dialog about how my agency utilizes the system. My vocational program is also piloting the Employment/Volunteering History Module. I hope to be able to share our experience and learn more at the conference. If anyone is interested in how the use of the module is going for my agency email me @ nndiaye@gwct.org

By | 2016-11-27T23:03:15+00:00 November 15th, 2016|Categories: Certified trainer, Creative, Events, Posts, Uncategorized|Tags: |Comments Off on New Jersey National Conference 2017

Free Webinar: Using Therap in New York State: A Review of the Full Individual Support Plan and Hab Plan, Oct 18, 2016, 1 PM EDT

We are pleased to announce our free Certified Trainer led webinar on ‘Using Therap in New York State: A Review of the Full Individual Support Plan and Hab Plan’ which will be held on Oct 18th at 1pm EDT. Certified Trainer, Roslita Lilley, Therap Admin at Liberty ARC, New York, will walk users through using the ISP to meet New York State regulations. Additionally, she will review the synergy between the Individual Data Form, the Individual Support Plan, and the Habilitation plan within Therap.

Click here to register.

By | 2016-10-17T07:20:38+00:00 October 17th, 2016|Categories: Certified trainer|Tags: , , , |Comments Off on Free Webinar: Using Therap in New York State: A Review of the Full Individual Support Plan and Hab Plan, Oct 18, 2016, 1 PM EDT

Meriden CT Therap Training

The recent Therap Training in Meriden CT was pretty good. The first day of the conference 9/27/16, I enjoyed the question and answer set up of most of the classes. By day two, I admittedly was not as invested as day one. The format of classes went back to show and tell. That said, I do look forward to more Trainings and Nerd exchanges, where I can talk Therap Speak and ask more questions. Happy Fall all… I thought I would use my blog more often, so I’m going to try.

By | 2016-11-30T21:32:28+00:00 September 30th, 2016|Categories: Certified trainer, Events, Posts, Uncategorized|Tags: |Comments Off on Meriden CT Therap Training

Free Webinar: Podcast: Training New Hires, Sept 30, 2016, 1 PM EDT

We are pleased to announce our free Certified Trainer led webinar on Podcast: Training New Hires which will be held on Sept 30 at 1pm EDT. During this podcast, we will have an open discussion regarding best practice for training new hires and existing staff.

Click here to register.

By | 2016-09-25T11:30:42+00:00 September 25th, 2016|Categories: Certified trainer|Tags: , , |Comments Off on Free Webinar: Podcast: Training New Hires, Sept 30, 2016, 1 PM EDT

Free Webinar: Tips and Tricks for Transitioning to an EHR system, September 20, 2016, 1 PM EST

We are pleased to announce our free Certified Trainer led webinar  on Tips and Tricks for Transitioning to an Electronic Health Record system which will be held on September 20, 2016 at 1pm EST. Certified Trainer, Darren Kenyon, Program Support Specialist at Sunrise Community, will highlight the implementation plan utilized for his agency, highlight reports that have helped oversee usage, training of new staff, and speak to the successful choices and lessons learned.

Click here to register.

By | 2016-11-03T10:15:07+00:00 September 18th, 2016|Categories: Certified trainer|Tags: , |Comments Off on Free Webinar: Tips and Tricks for Transitioning to an EHR system, September 20, 2016, 1 PM EST

Free Webinar: Therap PodCast: An Open Conversation about Quality Assurance, Sept 7, 2016, 2 PM EDT

We are pleased to announce our free Certified Trainer led webinar on the Therap PodCast: An Open Conversation about Quality Assurance which will be held on September 7th, 2016 at 2pm EDT. Certified Trainers Kristen, Alyssa, and Hollie will walk users through key questions that includes:  Do you check Therap routinely or is that a “false” expectation? What are realistic ways to stay on top of an efficient QA process? .

Click here to register.

By | 2016-09-04T09:40:11+00:00 September 4th, 2016|Categories: Certified trainer, Quality Assurance|Tags: , , |Comments Off on Free Webinar: Therap PodCast: An Open Conversation about Quality Assurance, Sept 7, 2016, 2 PM EDT

Creative uses of “Individual Contacts”: Surveys, Maps, and Stakeholder Relations

We are pleased to announce our free Certified Trainer led webinar which will be held on September 2, 2016 at 1pm EDT. Certified Trainer, Tom Peterson, Quality Assurance Specialist at D&S Community Services, will walk users through how to take contacts and create Google Maps, conduct Satisfaction Surveys, improve Stakeholder relationships, and verify addresses.

Click here to register.

By | 2016-08-28T09:15:36+00:00 August 28th, 2016|Categories: Certified trainer|Tags: , , , |Comments Off on Creative uses of “Individual Contacts”: Surveys, Maps, and Stakeholder Relations