Random
Pt asks for his/her hair dryer. However, pt is on a chords restriction. What is the next step?
Pt will NOT be able to receive the hair dryer. No one can approve this, as pt is on chords restriction.
Pt may use the hair dryer with staff present when the window is open.
All of the following need to be included in data for group notes:
What is:
Quotes from patient
Sleep quality
Medication
What was discussed in group
For no show notes:
Pt was a no show to group.
Patient says: "everyone hates me".
Then changes it to "everyone doesn't hate me, they don't know me".
What is thought re-framing
What is Thanksgiving?
Pt reports they are not getting medication
Assist patient in clarifying what they mean.
Check pt's MAR to see if they are getting medications.
Assist patient in going for medications at scheduled times.
Dealing with a patient that monopolizes your time would look like:
What is setting firm boundaries by setting up strict meeting times.
Use firm language when setting boundaries.
Use the word "no" as a full sentence.
Validate patient, however set firm time restraints on patient
What is:
Affect
Orientation to time, place, situation
Stage of change and reason
Writer intervention (evidence based)
Pt's response to intervention
SI/HI
Patient says "I suck at my job".
Then says "I am still learning my job"
What is counter thought?
Where was chocolate invented?
What is Mesoamerica?
Pt reports that they are hearing voices
Defer to psych and primary therapist
Put in a shift note
Finish the sentence:
If you don't document it..
What is it "it didn't happen"
The following needs to be included in DAP notes, but not group notes
What is reason for 24 hour level of care?
Pt is struggling with decision making. Clinician asks patient to identifying positives and negative of the situation.
What is CBT pros/cons list?
Which holiday consumes the most candy?
What is Easter?
Pt reports that he/she feels like that they want to die. What do you do?
Send email for patient to be placed on LOSO immediately.
Pt will need to be assessed by psych and for BA.
A patient asks you to make a call to a sober living. What is the proper response?
Therapist should never make phones regarding aftercare with patients.
Treatment plans must include:
What is:
Problem- 3 objectives- 2 interventions for each objective
One problem per week
Patient states "I can't change anything right now. I just need to move forward"
What is radical acceptance?
What holiday do patients struggle the most with?
What is all of them?
Pt reports that there are drugs on campus.
Report this to on site supervisor immediately. Utilize MI to encourage patient to disclose further information. Remind pt of the importance of not engaging in negative contracts
The following steps need to be completed when pt presents as an AFA risk:
What is:
Alert placed in chart
Email sent to: Fl_therapist; FL_carecoordination; FL_shiftadmin; FL_nurses; FL_CA
Treatment engagement assessment completed in assessments
note in chart
Family contact information includes:
What is:
Family member spoken to
Type of call (zoom, phone call, etc)
Summary of interaction
Assessment of dynamics
Patient states "It's hard for me to fall asleep"
Patient decides to meditate.
What is mindfulness?
Which holiday benefits both children and adults?
What is Christmas?
Pt tells you "If I don't get my phone, I am going to jump the wall".
Send an email to CA's to keep an eye on patient. Provide support to patient for AFA block.