UsingCase Scenario 2: Residential Care, formulate 8 to 10 questions that you would ask Ms. Fish, the RN alleged to have abused Mr. Smith. The questions should be well crafted to support the facts in the case scenario rather than opinions or feelings.

In preparing for the interview how would you inform Ms. Fish of the specific allegations made against her?

Case Scenario 2: Residential Care Background Sherwood Forest Care facility is a 145-bed long-term facility for seniors, offering complex care on 4 separate floors, including a secure care unit. 130 of the beds are subsidized by the health authority. Licensing staff have found the licensee and manager to be cooperative and receptive to Licensing. Reportable incidents are reported in a timely manner and staff responses to incidents are generally appropriate. The last routine inspection occurred 3 months ago and a low hazard rating was assessed. The facility was also assessed as low risk, according the assessment completed at that time. Intake: Licensing received a fax of a reportable incident from Sherwood Forest. The date of the incident was the day before the date of the fax. \"Physical abuse\" is checked off, and the description of the incident states: Care aide reported to Director of Care (DOC) Mrs. Whiting that a person in care (PIC) Mr. Smith was physically abused by registered nurse (RN) Ms. Fish on the previous evening shift, while staff were attempting to bathe Mr. Smith. Upon contacting the Mrs. Whiting, she stated that she was contacted by a care aide (CA1) Staff Ashley today and informed that yesterday a registered nurse (RN) Ms. Fish had twisted the arm, and kicked Mr. Smith while Staff Ashley, Ms. Fish, and another care aide (CA2) - Staff Jasmine were trying to get Mr. Smith to have a bath. The DOC stated that she contacted Staff Jasmine and asked if there was an incident on the previous night. Staff Jasmine stated that she witnessed physical abuse on the part of Ms. Fish. Staff Jasmine also stated that this was witnessed by another care aide (CA3 ) - Staff Kirsty. Mrs. Whiting contacted Staff Kirsty who stated that Ms. Fish had kicked and twisted the ear of Mr. Smith. The DOC stated that Mr. Smith has moderate to severe dementia and would be unlikely to remember or provide information about the incident. Health and Safety Plan: When asked what steps Mrs. Whiting the DOC will take to ensure health and safety, she stated that Ms. Fishhas been suspended pending an investigation. Mrs. Whiting stated that Ms. Fish was told that there was an allegation of abuse made against her but she was not told the details of the allegation. It is late in the day and Mrs. Whiting does not believe it would be feasible to arrange interviews with staff before the following day, at the earliest. Nevertheless, you, as the investigating licensing officer (LO) started the preparation to interview the staff. Interviews: The police inform you that they will not be investigating the allegation as it is not a criminal matter. Home and Community Care staff stated that they won't be part of interview process, but will want to know the outcome of the investigation. The licensee requested sitting in on the interviews of their staff, as they may need to make human resource decisions depending on the outcome of the investigation. Interview responses: Staff Ashley (CA1) provided the following information in her interview: *e # # # 8 *-f Mr. Smith was moved onto the unit, from another unit in the facility, on the day of the incident,due to progressing dementia and increased care needs Ms. Fish, the RN informed Staff Ashley and Staff Jasmine that according to Mr. Smith's personal serviceplan, he needed to have a bath daily and he hadn't had one on the day of the incident Ms. Fish requested that Staff Ashley and Staff Jasmine assist her with bathing Mr. Smith Ms. Fish approached Mr. Smith about having a bath and Mr. Smith insisted he did not want to have a bath Mr. Smith uses a walker to ambulate Ms. Fish asked Staff Ashley and Staff Jasmine to escort Mr. Smith to the bathing room; Mr. Smith did not resist being directed into the bathing room Both CAs assisted Mr. Smith to sit once in the bathing room; when he realized where he was he began to shout that he did not want a bath Staff Ashley was.on Mr. Smith's right side and Staff Jasmine was on the left side, both with hands on Mr. Smith's shoulders but were not holding him down; Ms. Fish was in front of Mr. Smith trying to explain why he needed to have a bath Nir. Smith started to try and get up; the CA's did not try to hold him down Ms. Fish stepped in between Staff Jasmine and Mr. Smith on the left side of Mr. Smith and took hold of his left arm Ms. Fish forced Mr. Smith's left arm behind his back, and then he fell back onto the chair Mr. Smith yelled, \"Ow! You're hurting me!\" Mr. Smith remained on the chair and Ms. Fish returned to being in front of Mr. Smith Mr. Smith began kicking Ms. Fish Ms. Fish kicked Mr. Smith twice in his left shin, with her right foot Staff Ashley described the force of Mr. Smith's kick as a 6/10, in terms of force Ms. Fish tald the CAs that they would try to assist Mr. Smith to have a bath later in the shift and instructed the CAs to assist him back to the lounge area Mir. Smith ceased to be agitated when he left the bathing room Staff Ashley was not involved in assisting Mr. Smith to bathe again during this shift; she did not know whether Mr. Smith was bathed during the shift Staff Ashley does not remember anything else noteworthy about the PIC during this shift Staff Ashley does not remember anything else noteworthy about Ms. Fish's interaction with other PICs during this shift Staff Ashley has not had any issues with Ms. Fish previously. Ms. Jasmine (CA2) provides the following information in her interview: Mr. Smith was new to the unit - she's not sure where he was previously Ms. Fish informed Staff Ashley and Staff Jasmine that according to Mr. Smith's personal service plan, he needed to have a bath daily and he hadn't had one on the day of the incident Mis. Fish requested that Staff Ashley and Staff Jasmine assist her with bathing Mr. Smith Mr. Smith uses a walker and sometimes a wheelchair