EMERGENCY OR NOT?
WHAT STEP?
PHYSICAL HEALTH CONCERNS
PSYCHIATRIC CONCERNS
MEDICATION & FOLLOW-UP
100

Give two examples of emergencies.

Examples include chest pain, shortness of breath, active SI/HI with plan or intent, aggression, falls, suspected abuse, elopement, vomiting, blood, substance use, etc.

100

A client reports a toothache.

What is Step 3: Physical Health Concern?

100

Give one example of a physical health concern.

Pain complaint, toothache, possible UTI, nausea, cough, illness symptoms, or suspected pregnancy.

100

What form should be completed for psychiatric concerns that can wait?

What is a Symptom Checklist?

100

What type of request belongs in Step 5?

Medication refill requests.

200

A client reports chest pain during group.

This is an emergency. Contact Medical via phone and send a TEAMS Medical Chat message.

200

A client reports increased depression compared to baseline.

What is Step 4: Psychiatric Concern?

200

How should a physical health concern be communicated?

What is a TEAMS Medical Chat message with clear and concise details and request for assessment? Ex. Client Name reports ___, can they be assessed?

200

Name one example of a psychiatric concern that can wait.

Increased anxiety, increased depression, medication side effects, behavioral changes, increased delusions, or decompensation.

200

A client needs an injection appointment.

What is a medication request?

300

A client falls in the parking lot.

This is an emergency. Contact Medical via phone and send a TEAMS Medical Chat message.

300

A client asks for a medication refill.

What is Step 5: Medication Request?

300

True or False: A stomach upset should be reported through Medical Chat.

True.

300

Who receives the Symptom Checklist?

Medical/Tiara, Andrika, Brandy, Bre, and Amber.

300

How should medication requests be communicated?

What is an email to Medical/Tiara, Andrika, Brandy, and Bre/Amber?

400

A client endorses active suicidal ideation with a plan and intent.

This is an emergency requiring immediate notification of Medical, follow up message in TEAMS and completion of a Safety Plan.

400

A client answers "yes" on the C-SSRS but denies plan or intent.

What is Step 2: SI/HI without plan or intent?

400

A client reports possible pregnancy.

What is a physical health concern?

400

A client reports medication side effects but is otherwise stable.

What is a psychiatric concern requiring a Symptom Checklist?

400

When might a Symptom Checklist accompany a medication request?

When clinically appropriate.

500

What documentation may be required the same day following an emergency?

Incident Report and/or Safety Plan. 
500

You are unsure how to classify a concern.

What is Step 6—use clinical judgment and contact Bre or Amber?

500

Complete the statement: "Client is experiencing/reporting ________, can they be assessed?"

Any physical health symptom or concern.

500

What should staff do if the concern is identified during group?

Allow the client to briefly step out if needed, notify Techs, and submit the Symptom Checklist before leaving for the day.

500

A client wants an update on a prior medical request.

What is a Step 5 Medication Request/Follow-Up?