Crisis Prevention
This is the one of the places I may gather information from to prepare for an encounter with a patient?
What is the electronic health record (EHR)/EPIC?
These are tools that a child or adolescent already has or may learn during the hospitalization to regulate themselves when encountering tough emotions.
What are coping skills?
This brain-based disorder is typically characterized by a person with a wide spectrum of social or communication difficulties, may show restricted or repetitive behaviors or interests, and may or may not be accompanied with a learning or communication disability.
What is Autism Spectrum Disorder (ASD)?
This is unmanaged, chronic workplace stress leading to symptoms such as:
Mental and physical exhaustion
Mental distance from the job
Cynicism about the job
Reduced efficacy in the workplace
What is burnout?
This screening is done on all patients 10+ who enter the EDTC and direct inpatient admissions.
What is Suicide Screening or ASQ?
These are types of sensory or environmental adaptations that can be made to support a patient
weighted blanket
limit noise/light
sensory distractions
visual barriers
less people in the room
Acknowledging a child's emotions and behaviors, saying things like "I see that this is making you upset", or "It's okay that your angry"
What is validation
This neurodevelopmental disorder may present as a child having trouble paying attention, controlling impulsive behavior, or be overly active
What is Attention Deficit Hyperactivity Disorder (ADHD)?
This is a combination of physical, emotional, and spiritual depletion associated with caring for patients in significant emotional pain and physical distress.
This is responsible for more deaths among youths ages 10 to 24 years than any single major medical illness
Suicide
Providing these to a child or adolescent can assist in supporting some of their control back. Usually limited to 2 or 3.
Choices
In addition to the words that you say, its important to approach a patient using this in a nonthreatening way, relaxed, and matching your words and tone.
Nonverbal communication
You may suspect this disorder in children who experience nightmares or sleep problems, lack of positive emotions, sudden outbursts, easily startled, or easily triggered.
What is Post-Traumatic Stress disorder (PTSD)?
Performing this activity after a patient behavioral event can lead to improved communication, trust with peers, and planning for the future.
What is debriefing?
This screen is offered to all hospitalized patients over the age of 4 in the admission navigator to screen for mental and behavioral support needs
What is the Behavioral Risk Screen
A preferred activity or item paired with a nonpreferred activity is called:
Example: coloring, music, movie, snacks, etc
What is distraction or pairing?
This can be donned if a behavioral crisis is starting and you recognize safety may be compromised.
What is behavioral PPE? (arm guards, kevlar sleeves, etc)
This historical event exacerbated pediatric mental health conditions and crises significantly including anxiety, depression, stress, and loneliness.
What is the Coronavirus (COVID-19) pandemic?
When a patient behavioral event leads to a CW staff member bit, scratched, or hit, the injured staff reports in what platform
What is ReadySet (for staff safety) and Origami (for patient tracking)
Name any of the mental health screens available at CW (besides the ASQ)
CSSRS (Columbia Suicide Screen Rating
CRAFFT (for substance use)
PHQ-9 (Patient Health Questionnaire)
Vanderbilt (for ADHD)
Behavioral Risk Screen (aggression, elopement, and self-harm)
This describes setting aside your own reaction to nonjudgmentally see a child's world or situation through their eyes
What is Emphathy
This is who decides if a situation is safe/unsafe
You do. The person involved in the crisis.
This type of therapy is recommended for children and adolescents dealing with Anxiety, suicidality, Depression, or struggle with managing emotions.
What is Cognitive Behavioral Therapy (CBT) or Dialectical Behavioral Therapy (DBT)?
Name one of the resources offered to staff at CW to support resiliency and your own mental health
Employee Assistance Program (EAP)
Clinical Incident Stress Management (CISM)
Employee Wellbeing Specialists
Serenity Suites
Joy Cart
This is where safety and behavioral planning documentation is located for all CW staff to see
Where is FYI, Care Coordination note, progress notes, or Nursing care plans