Incident Reporting
When incident reports should be completed
Whenever something unusual happens. (Ex. Injury, AWOL, Medication Error, Contraband)
The time interval for standard supervision
15 minutes
TIPP stands for _____
Temperature (cold), Intense Exercise, Paced Breathing, Progressive Muscle Relaxation
Staff should utilize a hands-off search of clients at these times
Intake and whenever returning from off-site
Where information can be found about policies or updates for Wright County staff
"WC Communication Hub" Teams Channel
Where incident reports are submitted
Newport Portal
Frequently at which room searches should be conducted
A room search should be randomly conducted every shift; the overnight shift should only search common areas or empty bedrooms since clients will be in bed.
Describe box breathing
The distance a staff member should be from a client during 1:1 supervision
Name two locations information can be found about client updates such as logs, support, and safety risk.
House Channels in Teams, MN Client Status Board
Where guidelines and examples of incident reports can be found
Wright County SharePoint: Documents>Operations>Operational Guidelines
The length of time a four-bed room should take to search
1 hour
Name and describe the three options for collaborative problem solving
Plan A - Enforce
Plan B - Collaborate
Plan C - Drop the expectation for now
The seven rights of medication administration
Client, Medication, Dose, Time, Route, Indication, Documentation
The difference between using chats and channels in Teams
Chats are for communication needed in real time - More conversation based.
Channels are for updates/posts for announcements, operational reminders, and client information.
A client is expressing high SI and clinical has determined the client should go to the hospital. At the hospital, they determine the client will not be admitted to inpatient. Name the level of the SI incident
Level 3 - Elevated
The FISH acronym stands for ____
Flat - a razor hidden between pieces of paper
Inaccessible - a vape on top of the bookshelf
Submerged - a tack hidden inside their puddy
Hollow - a phone placed behind an electrical outlet
Rational Detachment is defined by CPI as _______
The ability to control your own thoughts, feelings, and behaviors even when others are upset or aggressive. It involves not taking other people’s actions personally and creating a mental buffer that allows you to respond thoughtfully rather than react emotionally.
Frequency at which lint trays are checked and logs signed
Every shift
The email group used to send out communication to the BHS team
WrightCountyBHS@newporthealthcare.com
Name three items that may be in a contraband IR at the "mild" level and three at "elevated" and what should be added to the IR
Mild: Laces, Drawstrings, Food (throw out if perishable), Inappropriate or excess clothing, Spiral binding notebook, Crafts, Paperclips, Erasers, Scarves, Belts, Retractable pens (metal spring), Hygiene products (w. unapproved alcohol type), Glass products (e.g., mirror), Aerosol products, Corded electronics
Elevated: Alcohol, Weapons, Drugs
Photo of contraband item should be in the IR.
The process for requesting supplies that are running low
Add the item(s) needed to the WC Household & Activity Shopping List under the "Household Items" tab
Name three DBT skill acronyms for distress tolerance.
TIPP (temperature, intense exercise, paced breathing, progressive muscle relaxation)
STOP (stop, take a step back, observe, proceed mindfully)
ACCEPTS (activities, contributing, comparisons, emotions, pushing away, thoughts, sensations)
With coverage: Send an email to the MNRTCScheduling email with the person covering copied to confirm
Without coverage: Call on call
Explain the process of communication when a client has engaged in self-harm that resulted in bleeding/open wounds.
Contact on site clinician and nurses. If there isn't a clinician or nursing on site, call on call. Determine if a visit to the ED or calling 911 is necessary based on the injury.