Safety
Team name that responds to client crisis
Code White
What is an example of a privacy breach?
sharing client information, giving medicare to a random library on the phone, etc
What training do all clinicians have?
Trauma Informed Care, NVCI
If we do not know an answer, we say:
I would ask my lead
When do we NOT do a medication reconciliation?
When client is staying at the OAAT Level
3 ways we have improved clinician safety
security guard, codes on doors, PA system, NVCI training for all staff, panic alarms, etc.
What is NOT confidential when meeting with a client?
Abuse of child or vulnerable adult, risk of harm to self/others, if we are called to testify in court, etc.
How is education encouraged?
Offered during work hours, through discussion, mandatory trainings......
How do staff and physicians engage patients and families in their care?
• Ask and clarify with patients whom their personal health information can be shared with (i.e. Substitute Decision Maker ‘SDM’ or another partner in care).
• Advise patients and families about their plan of care or treatment plan
• Allow time for patients and families to ask questions about their plan of care or treatment plan.
• Advise families they can be involved in their loved ones care by:
o Encouraging their loved one to be independent in order to maintain optimal level of functioning.
o Advocating on behalf of their loved ones by asking questions about plan of care and treatments.
• Use technology to engage and communicate with patients and families, as appropriate.
How do we verify medication?
3 ways we ensure client safety
medication reconciliation, 2 patient identifiers, risk assessments...........
Two ways to report a privacy breach
iReport and Parklane
(Access through Skyline)
How do we monitor client feedback?
ask them, surveys
At what points of contact with the client do you practice hand hygiene?
1. Before touching the patient or patient’s environment
2. After touching the patient or patient’s environment
3. Before performing an aseptic procedure
4. After an exposure risk to body fluid or after removing gloves
How often will we be posting hand hygiene results?
monthly
How do we support a client with thoughts of suicide?
Risk assessment- charted in CSDS at time of screening, OAAT appt, completion of screening assessment tool, by ITT and CCMT clinicians
Safety plan charted in CSDS, placed on paper chart, provided to client
Involvement of family members and support persons in safety planning
Collaborative process with EDMH warm hand off to ED for assessment, nurse Liaison for 4DN
Warn hand off follow up upon discharge from ED and inpatient to community
When can we share information with family?
Consent from client/safety planning
What is the collaborative process with EDMH?
warm hand off to ED for assessment, nurse Liaison for 4DN, warm hand off back to clinic from ED
What are we doing to make the client experience better?
Where are the wall files that include Emergency Forms?
Next to fridge in kitchen
Next to reception doorway and office 386
Hallway across from playroom- next to office 307
What percentage is workplace violence down?
We have evidence of improvement- our rate of workplace violence in down 36% (based on reduction in incident reports)
In which situation do you complete a "File Release" form vs. a "Consent for Release and Sharing Information" form?
"File Release" is when the client wants a copy of their health care record
"Consent for Release and Sharing Information" is when client wants to give consent to add someone to their file to actively share information about their care.
Is education mandatory for clinicians?
Required training and education for staff in A & MH varies by practice areas and roles.
• Position profiles, Operational guidelines, Program standards and team orientations have defined expectations for current and ongoing education and training for staff.
• Horizon Health has a mandatory education policy and professional practice structure in place.
• Professional regulating bodies also guide expectations for entry and continuing education.
• Area specific education and training bodies oversee ongoing continuing education needs.
What is accreditation?
It is a process we use to ensure the care and services we provide are safe and as high quality as possible based on the latest health research. It helps show us what we are doing well and what we need to improve on.
What stats do we collect on the Access Team and why?
Our stats reflect "time to treatment" i.e. how long a client has to wait to access services.
We collect: sessions completed, DNAs, cancellations, reschedules, rebook, waitlist, case assignment, referrals to CGC/SRC, referral source, outcome of pre-screening, appointment availability, etc.)
(if you don't remember, look at your stat forms!)