Environment of care
Plain tops (no writing other than mental health awareness or large logos), button ups, slacks, khakis, sweaters, shoes that cover the front and back of your feet, no athletic wear, having your badge worn near your face.
What is dress code?
This is the only approved physical intervention used to ensure patient and staff safety when an imminent risk is identified
What is handle with care?
The absence of linens/trash in the hallway, no clutter or staff personal items in the nurse's station, removing items that could be safety risks from patient care areas, dusting, sweeping, mopping up spills, not having food in patient rooms or staff food on the units.
What is unit cleanliness?
This process starts on day one and includes the following: identifying an estimated discharge date, completing collateral calls, creating a crisis plan, reviewing the admission records, discussing with the patient plans and needs for their next steps of treatment, assessing needs of the patients and recommendations from the treatment team and family.
What is discharge planning?
The process of writing one line through a word, initialing, and writing correct word near the mistake.
What is correcting an error on documentation?
A daily process of entering a patient room when the patient is not present, searching the room/bathroom for unsafe items that may have been intentionally hidden or overlooked.
What is a contraband search?
An approach that emphasizes meeting the patient where they are, being aware of the likelihood that they have experienced trauma, supporting emotional and physical safety. Asking the question "what happened to you instead of what is wrong with you"
What is trauma informed care?
Daily meeting with the interdisciplinary team to staff new admissions, high risk patients, patient progress/changes, estimated discharges
What is treatment team?
Reviewing admission records, knowing the reason for admission, knowing a patient's precautions, knowing about safety incidents, being aware of preparatory actions, observing a patient in crisis or change in status.
What is identifying a high-risk patient?
After you notify the MHT or nurse of your plan to meet with a patient, you take this piece of paper with you and document as necessary.
What is a patient 'yellow' or observation sheet?
The acronym R.A.C.E
What is rescue, alarm, confine, evacuate/extinguish?
A Non physical intervention for patient in emotional distress
What is Verbal De-escalation?
All patients are provided a copy of this document at admission, in addition to having access in all patient care areas.
What is patient rights?
A collaborative intervention developed by the therapist and patient, used to increase the desired and safe behaviors of the patient, often accompanied by a reward or praise system to increase patient motivation to reach behavior goal
What is a behavior plan?
Acronyms that should not be written in documentation (mtp, tx, ptsd, odd, unk)
Abbreviations
Doors are closed and locked when patients are not inside of the room and when patients are inside of their room doors are open
What is door management?
Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy, Solution Focused Therapy
What is evidenced based practices that we use with our patients?
The approved timeline to notify both your immediate and supervisor on duty about an observation or concern of patient abuse, neglect, or exploitation.
Anxiety, Defensive, Loss of Control, Tension Reduction
What are the stages of crisis?
Day 2, Day 3, Day 10
What are due dates for the PSA, collateral call, crisis plan, MTP, treatment team, and MTP update?
These are population and unit specific, accessible in the patient care areas and are used by patients and unit staff to reference the programming for each day.
What are program schedules?
A principle that guides staff on the appropriate communications, interventions, and interactions to have with patients. This discourages duel relationships, sharing personal information or exploitation and abuse of patients.
What is therapuetic boundaries?
To exist to be a positive life changing resource for our patients, their families and communities.
What is the Valle Vista mission statement?
ordering precautions, limiting access to linens, increasing level of monitoring, eliminating access to writing utensils and sporks, ordering unit restriction, creating modified programming are examples of what?
What is additional safety measures for a patient at high risk for suicide?
This small sticker includes the patient number that is assigned on admission, patient first/last name, age, date of admission, and must be placed on every chart form
What is patient label?