Experiential Abuse and Neglect Prevention Training
Rosa Rosario Scenario

Scenario Overview:
Rosa is a non-verbal resident of Red River Valley Facility serving
people with Developmental Disabilities (FDD). Rosa uses sign language to
communicate her needs and wants. She understands basic language and
responds by nodding or shaking her head, pointing and sounding out her
approval or disapproval. Rosa enjoys spending time with her peers and is
motivated by affection and interaction. She will sometimes enter peers’
rooms and refuse to leave. When asked by staff to leave, she may get upset
or refuse to move.
In this scenario, Rosa entered the room of another resident named Bill.
Charles, a resident care technician, tried to redirect her away from the
room. At that point, Charles pulled Rosa up by one arm and pushed her into
the activity area. Rosa resisted. This was witnessed by 2 other
caregivers, Phyllis and Lashanda. Rosa was examined by the nursing
supervisor who noted a small red mark on her elbow and a scratch to the
top of her hand. The mark appeared to be not older than 24 hours.
Scenario Learning Points:
- Recognize signs of possible caregiver misconduct.
- Identify strategies for responding to challenging behaviors while
treating clients and coworkers with dignity and respect.
- Review the value of knowing details of each resident’s plan of
care.
Facilitator’s Guide:
Life Binders:
- Rosa Rosario, resident at FDD
(PDF, 88 KB)
- Charles Caringham, a resident care technician at FDD
(PDF, 88 KB)
- Phyllis Parker, a CNA at FDD
(PDF, 97 KB)
- Lashanda Long, a CNA at FDD
(PDF, 88 KB)
- Carmela Rosario, Rosa’s sister and guardian
(PDF, 80 KB)
- Alice Walker, RN supervisor at FDD
(PDF, 80 KB)
- Quinton Quinoñes, the Qualified Mental Retardation Professional
(QMRP)
(Optional) (PDF, 87 KB)
- Dawn Records, Documentation Specialist (Optional)
(PDF, 75 KB)
Handouts:
Posters:
Support Materials:
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Last Revised:
July 21, 2010
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