Milieu rules and redirections
A new client is repeatedly standing in the milieu and getting up frequently to walk around and look at things. What would be an appropriate redirection?
"Hey ____, can you please sit while you work on that assignment?"
"I've noticed you've been getting up a lot today. How can I help? Is there something I can bring to you so you don't need to keep getting up?"
A client's family has dropped off books and belongings for them and you are not sure if they are appropriate.
No. You can leave them in the counselor office to be approved later by tx team.
The client should complete a BCA form at the table (located in the kitchen forms folder)
A client trips down the stairs. What should you do?
Contact the on-call.
Complete an incident report.
Counselor or nurse should assess the client for injuries.
Who is currently the on-call treatment team member?
Arianna
A client on pre-phase asks to sit on the patio or back porch. What is your response?
No. Clients on Pre-Phase are not allowed outside the facility.
A client checks-in with you before bed endorsing feeling unsafe.
A client asks to leave the table mid-meal to wash their hands. What is the appropriate response?
Where can you find an incident report?
There is a link in the "CFD daily updates" doc.
"Counselor Links" shared with you on your google drive.
The staff iPad.
What is the upper temperature limit for walks and outside activities?
Its Saturday evening and the clients are asking you to stream a PG-13 movie off Netflix. You think the movie is appropriate. Can the clients watch the movie?
No. Clients may only watch DVDs approved by treatment team ahead of time.
Its time to prep lunch, but an outlet in the kitchen isn't working.
No. Send your manager an email.
A client has left 2 pasta noodles on their plate from dinner. What should you do?
Boost the client 1oz for not scraping their plate.
What is the difference between "SI" and "SIB"
SI is Suicidal Ideation, and SIB is a Self Injuring Behavior
How frequently are employee timecards are locked on PayCom?
Every other Monday at 10am.
A client was 100% compliant at lunch with supplement. Can they go on walk?
No. Clients must finish 100% of lunch without supplement to go on walk.
You're having trouble aligning with your co-counselor about how to redirect a client.
No. Use your teamwork and assertive communication skills.
A client is microbiting at the table. What is an appropriate redirection to say?
"Let's all try to take normal sized bites of our food"
At what point should you conduct a Suicide Reassessment in KIPU?
Which day of the week is our garbage at the facility?
Monday
Clients are whispering to one another in the milieu. What's one way you could redirect this?
"Hey, what're you all talking about?"
"Can we please be mindful about whispering in the milieu so we aren't excluding others? Thanks!"
"Hey ladies! No whispering in the milieu please and thank you!"
A client wants to move their family zoom time on Sunday.
No.
We run out of an item in the kitchen. What are your next steps?
List 5 examples of events that would require an incident report.
SIB
AWOL
Staff or client injury
Fire/Disasterous Event (not a drill)
Medication Refusal
Medical Error
Inappropriate Contraband Use
Assaultive Behavior
Infectious Outbreak (i.e. lice)
What is the name of our unpleasant neighbor across the street?