Due Dates
When are evals due and what is needed to submit them?
-Evals are due the 10th of each month
-They should be submitted to HR, CM, Floor sup team and the Google Doc form
What is the protocol for a client who fell and hit their head significantly without bracing themselves or having something break their fall?
-Automatic call to parents for pick up
-Keep an eye out for concussion signs until parents arrive.
-Parents should pick up within 30 minutes or an emergency contact should be called if they are unavailable.
-IR completed, check in with staff to chat about ways this could have potentially been avoided/ any feedback that needs to be given.
What does follow up look like for staff who are struggling to follow flag protocols?
-A simple reminder the first time
-A email follow up and verbal warning for second time
-Potentially a meeting with the clinical supervisor and written write up for the 3rd time.
-Discuss barriers and ways to avoid entering on yellow and red.
How should you handle an RBT who is physically prompting incorrectly?
-Address client safety in the moment. If needed, tell the staff to gently lower the kiddo to the ground.
-Step in and model correct prompting and ask about the BX plan and consequence interventions listed.
-Follow through with the BX plan and assist until the client is stable.
-Ask the staff if they have questions on the process or bx plan- and send an email reminder about safety and prompting so we have documentation.
-Loop in the clinical supervisor and CM
When are safety walk forms due? Why do we conduct these? -
-Safety walk forms are due by the end of the day Friday each week.
-Safety walks are for: Injury and accident prevention, ensuring compliance, hazard awareness, opens up discussion for areas of improvement.
Are we able to provide clients with any antibacterial ointments?
No, we should clean small wounds/cuts with warm water and soap.
-Bite scrubs are also helpful to ensure we are cleaning the area well- remembering to be gentle. :)
Helpful tip- It may be beneficial to have the client "help" clean with the bite scrub before you attempt to clean it as it can be sore or intimidating to the client. Modeling would also be a great option! 1 for you, one for the client.
-IR should be completed
What can you do if parents consistently send in peanut products?
-Remind them about our peanut policy the first time.
-Send them our peanut free reminder letter.
-Have the clinical supervisor chat with them.
-Remember to have staff double check for peanuts at the beginning of session and send it home with them right away.
There is a suspicious person outside walking around the parking lot. They have been talking to staff and parents and seem to be under the influence. What do you do?
-Place the center on code silver (lockdown).
- Clients can be moving around the center but should not be going outside. Continue to monitor the situation- there may be a need to keep clients away from windows.
-Lobby doors should be locked and clients should stay out of that area.
-If the situation progresses and a weapon is seen or they attempt to enter the building we can upgrade to a code black.
When is EOC turned in?
What does it stand for?
-EOC should be sent in by the end of each month to your CM, Ross, Sherie, Michael and Allyson G.
-EOC- Environment of Care
If a client gets blood on their clothing, what steps should be taken?
- Change their clothing. We should not have exposed blood anywhere on the floor (even if it is dry).
-If the client does not have extra clothing, look through the lost and found or call parents to bring some. During this time the client should be kept away from others until they are all cleaned up. They can play with toys that are easily sterilized while they wait.
-It helps to keep them off carpet or anything that is difficult to clean.
-IR should be completed.
With the summer here, what are the temperature rules for the park?
50-60 :only 30-minute trip and needs to be wearing a jacket
60-85: Hour trip- Jacket if needed or water and sunscreen. (use your best judgement)
85-90:30-minute trip- Bring water and have sunscreen
90+: no park trip
An RBT with no reported medical issues is having a seizure. They are breathing but not responding to your questions. What do you do?
-Call 911 and code blue.
-Stay with the staff and help them to the ground if possible- protect their head and body from hitting the floor or other items.
-Code sliver should be called for staff privacy and space for medical personal to come in and assist.
-Call the staff's emergency contact
-Fill out a regular IR and loop in your CM.