SERIOUS OCCURENCE CATEGORIES
Homicide, suicide and accidental, such as choking, poisoning or fall are examples of what Serious Occurence reporting category
DEATH
When does a safety plan need to be created?
Prior to a youth's admission to LITS, or if no safety risks identified at intake;
Immediately following any situation where the youth has engaged in behaviour which may pose a risk to the safety of themselves or others.
Intake medical timelines
Completed 30 days prior to admission or 72 hours after admission
What are the 4 trauma responses?
Fight- confront the threat aggressively
Flight- run from danger
Freeze- unable to move or act against the threat
Fawn- complying with attacker for self-preservation
All consents are valid for 1 year, minus a day EXCEPT
Water based activities consent. It is valid for 6 months.
suicidal behaviour (an attempt or a threat of attempt leading to being placed on suicide watch)
Assault on a client or staff, and inappropriate use of information technology are examples of incidents reported in this category
Serious Individual Action
When should youth have an orientation to the program?
At intake, 7 days after the youth’s admission to the residence, or As soon as reasonably possible after the youth requests that the information be reviewed with them,
Medications are stored:
Using a double lock system. In a locked toolbox behind a locked door.
What are the 4 R's in trauma
Realize- the widespread impact of trauma
Recognize- the signs and symptoms of trauma in clients
Respond- by fully integrating knowledge about trauma into policies, procedures and practices
Resist Re-traumatization-
Accidental choking, fall, or motor vehicle accident not resulting in death is incidents reported in this category
Serious injury
What is the licensing timeline for plan of care meetings? (TPRS)
Initial within 30 days, then 90 days after their admission into the setting, then 180 days after their admission into the setting, and Every 180 days thereafter.
What action is taken when a client refuses to take their medication?
staff will contact the client's home pharmacy to get information on adverse effects that may be anticipated by the client missing the dose. Staff will document this information on the Medication Refusal Plan form as well as call the on-call supervisor if there are significant effects anticipated. In no adverse effects anticipated email supervisor to keep them apprised
What are the 3 E's in trauma
Events- events and circumstances cause trauma
Experience- an individual's experience of the event determine if it was traumatic
Effect- effects of trauma include adverse physical, social, emotional, or spiritual consequences
Finish the sentence... For every Significant Incident report in the hard file....
There needs to be the signature of the worker, signature of the supervisor
and a copy of the Serious Occurrence, if applicable
Leaving a client's file in your car, leading to it being lost is an example of a breach or potential breach of confidentiality. What reporting category is this?
Error or Omission
What is the licensing definition of an Adult Ally?
At least one adult who the youth has named as being a positive influence in their life, including the adult’s name, the reasons why the adult is important to the youth and the role and responsibilities that the adult has agreed to assume in supporting the youth
When do you need to complete a new transfer of medication
1. when a medication is added, discontinued, or new dosage of medication. 2. if a new adult will be picking up or dropping off the medications or 3. if it has been longer than 3 months without an updated transfer of medication form
Components of the Balanced Stance
Feet- shoulder width apart, Knees- slightly bent, soft, Hips- inline, Hands- above waist, Quadrant concept- divide your body into 4 quadrants. Only expose two non-critical quadrants, Angle of stance- 45 degrees, margin of safety- client's leg length plus a foot, Triangular vision, Breathing- controlled breathing, Environmental awareness- be aware of obstacles, hazards, client movements
1. release of information, 2. water-based activities consent, 3. consent for electronic communication, 4. agreement for use of New Path internet, 5. Agency consents, including RPAC consents
Name the 9 categories
1. Death, 2. Serious Injury, 3. Serious Individual Action, 4. Serious Illness, 5. Restrictive Intervention, 6. Abuse or Mistreatment, 7. Error or Omission, 8. Serious Complaint, 9. Disturbance, service disruption, emergency situation or disaster
Despite the provision of any other Act, if a person, including a person who performs professional or official duties with respect to children, has reasonable grounds to suspect any form of abuse, maltreatment, neglect, risk of human trafficking, (to name a few) the person shall forthwith report the suspicion and the information on which it is based to a society
If harm/maltreatment is suspected or disclosed within a New Path residence, the staff person is required report the information immediately to a society as indicated in the protocol and inform their supervisor as soon as possible thereafter. If the child of concern identifies as First Nations, Inuit or Metis, the call should be made directly to DBCFS. All other reports should be made to SMFC.
1. a client is prescribed two or more psychotropic medications at the same time. 2. client is under the age of 7 and is prescribed psychotropic medication. 3. a psychotropic medication prescribed 'as needed' (PRN) and is taken more than twice a day or for three or more consecutive days 4. a psychotropic medication has not been reviewed by a health care practitioner in more than 6 months. 5. a psychotropic med is abruptly stopped without being supported by a doctor and 6. any other situation that causes concern in the opinion of the licensee
UMAB Continum
Initial Containment-Minimal Escort & Containment-Straight Arm Escort & Containment-Front Arm Escort & Containment-Initial Suspension-Full Angle Suspension-Suspension- Back Knee/Front Knee-Transition to the Environment- Straight Arm Level 1-Straight Arm Level 2
How long are client hard files kept by Newpath?
Mental health records for youth served in the Live In Treatment Program are kept in perpetuity.
Child and youth mental health records shall be securely stored for 10 years following the client’s 18th birthday.