Environment
Residents require _____ square feet per bedroom.
A - 25
B- 40
C- 60
D- 90
C -60
How often are Disaster Drills conducted?
Once every 3 months PER SHIFT
Location of Policies and Procedures P&P...
Emergency Safety Response is ...
Emergency response=CPI (Crisis Prevention Intervention)
1- Manage a resident with violent or self-destructive behavior
2- When less restrictive interventions have been determined to be ineffective, no longer than 5 minutes
3- Is only used by a personnel member trained to use an emergency safety response.
Response to suicidal attempt:
1- Call for TEAM
2- If client has attempted suicide or is posing a danger to self, call 911
3- Apply Emergency Safety Response CPI protocol if necessary.
4- Apply CPR if necessary
5- Stay with client at all times
6- Clinician (BHT) on duty or YCW/SL (BHPP) accompanies client to hospital
7- Call on-call Clinician, Lead Clinician, PD/APD
8- Document Significant Incident Report (SIR) Critical Event, approve by Administrator
The water temperature for residents' use has to be between what temperature?
95-120 F Degrees
How often are evacuation drills required to take place?
At least once every 6 months on each shift.
Responding to Abuse, Neglect and Exploitation...
1- All employees are mandated reporters and must report any suspicious or allegations of abuse, neglect or exploitation with the objective to take immediate action and protect the resident.
2- Employee can send an email, email Anonymously, write a letter in the anonymous box, report to the immediate supervisor, PD/APD or HR.
3- Program will initiate an investigation within 24 hours.
4- Program will submit a Significant Incident Report within 4 hours.
5- Any actions taken by the administrator will be documented in a Significant Incident Report or in iMeet database.
6- Suspicious or allegations of abuse, must be reported to the Department of Child Safety AZ.
What are three items that need to be posted on the premises and are available upon request?
Behavioral Health Residential facility's current license. (Admin wall)
Days and times when a resident may accept visitors or make telephone calls. (Admin wall/dining room)
Location where inspection reports are available for review or can be made available for review. (Admin wall/dining room) Inspection reports are in Executive Administrative office.
Unauthorized absence is...
Procedure is...
Is Run away client
1- Call Non-Emergency Police Department
2- Call ICE
3- Notify the Management Team, including the administrator
4- Submit the report to ORR (4 hours)
5- Report to Licensing (24 hours)
Where are Emergency Evacuation Maps required to be posted?
Must be posted/present in EVERY hallway within the facility.
How often does the disaster plan need to be reviewed?
Every 12 months
Steps for taking residents to off-sites activity/transport or outings are...
Step 1- Notify Clinical and Case Management anytime a minor will be taken off campus CL and CM need to be aware prior it.
All off campus locations must be pre-approved by the PD or designee prior taking minors to the location.
Step 2- Confirm all central briefs are taken on the outing. Assign staff who is familiar with the building the minors are transported to. Know the emergency exits of the building, walking distance from the vehicle to the main entrance. Ensure the doors (child lock) and windows are secured.
Escort the minors from the facility to the company vehicle with additional staff is required.
Ensure the gate is closed prior to the minors being escorted outdoors.
Staff are to be seated near the exit of the vehicle.
Minors must have the seat belt.
Shift Leader confirm staff are seated are correctly.
Once they arrived at the location, SL must be notified.
Youth Care Worker Manual (pages 46-48)
Emergency Safety Response procedure is...
The last resort. Personnel will take preventative measures when recognizing anxious behaviors, triggers (use de-escalation techniques). If this is ineffective:
1- call Team for assistance
2- severity and likelihood of harm or risk will be assessed to determine the need for a physical intervention
3- remove any trigger, identify a personnel with developed rapport
4- Personnel applying physical intervention must monitor the resident's breathing and other signs of physical distress to ensure overall wellbeing
5- Permit the resident suggest actions the personnel can take to help diffuse the crisis
6- Must release the resident as soon as the resident's behavior is no longer a danger to self or others (no longer than 5 minutes)
7- After release resident will be seen/monitored by the medical and clinical department
****When the intervention is ineffective, call 911
Time out is...
Procedure is...
1- Is provided to the resident who voluntarily decides to go in a time out to regain self-control.
2- Takes place in an area such as resident's room, recreational area that is unlocked, it quiet and private. (We designated the library)
3- The resident will communicate his readiness to join the general population and when he regained control of the behavior.
4- Does not include in a resident missing a meal if the resident is in time out at mealtime.
5- Monitor the resident at least once every 15 minutes to ensure the resident's health, safety and welfare and to determine if the resident is ready to leave time out.
6- Is documented by the YCW (BHPP) as an IR in ETO (date/time, reason of time out, duration).
7- The action plan taken to prevent the use of time out in the future. Clinician (BHT) is in charge of this.
At what temperatures must the A/C be maintained at?
70-84 Degrees
What is the time limit that SWK is authorized to apply an Emergency Safety Response?
No more than 5 minutes
1- Name and Number of our Facility ...
2- Does the facility have pets ?
Behavioral Health Residential Facility BH 4474
We do not have PETS. We don't have fish nor animals.
If a client is threatening to harm self or others, currently aggressive towards others, or having active hallucinations (seeing or hearing things). Program should follow the …
Mental Health Emergency Protocol
Quality Management Program is …
Provide three examples ...
1- A system method to identify trends/issues from the program and collect data with the objective to do analysis, make changes and take action. Report is in the ETO.
2- Three examples:
* Program saw a pattern that residents were breaking windows with the soccer balls (Plan=Program is trying another ball)
* Accident in the restrooms during breaks (Plan=new internal procedure of restroom passes)
* Situations happening in second shift (Plan=more coverage of Clinicians (BHT)
What items do the residents' bed require?
Mattress pad, sheets large enough to tuck under the mattress, pillows, pillowcases, bedspread, waterproof mattress covers as needed, and blankets to ensure warmth and comfort for each resident
What is the designated evacuation site for 924 Las Palmas?
922 Casa Phoenix
Residents need to take ____ hours of education per day and they need to complete the initial academic assessment within _____ hours.
Residents need to take 6 hours of education per day and they need to complete the initial academic assessment within 72 hours.
Mention the Mental Health protocol ...
1- Isolate the client from others, YCW watch the client until is stabilized, (no danger to self or others)
2- Process client's emotions (High Five Approach)
3- If needed call team for de-escalation techniques and use Emergency Safety Response as the last resort.
4- Locate Clinician (BHT) on-site. If no available, call the following for guidance:
*Clinician oncall 480-717-8542
*Lead Clinician (Clinical Director) María Soto 480-547-9068
*Administrator/Program Director Wilmary Pérez 480-828-1691
5- If no staff is available, call the Crisis Team:
602-222-9444
6- If client cannot held safely due to active aggression or suicide attempt, proceed to calling 911. Notify administrator Wilmary Pérez that 911 will be called. If client need to be transported by Paramedic to the Emergency Room please assign 1:1 staff.
1- On-call policy is...
2- Location of the on-call schedule...
1- Each facility will have a Behavioral Health Professional (BHP) and a Registered Nurse (RN) at the facility on-call at all times.
BHP- María Soto (Clinical Director/Lead Clinician)
RN- Mónica Windbush (Registered Nurse, RN)
Southwest Key Programs shall ensure that there is a designated personnel member from each department on-site or on-call at all times.
2- Location of the on-call personnel is at Kronos by Admin.