How many times do the goals have to be addressed in 24 hours?
What is one time. They can be addressed any time during the day, but at least once.
100
What day does the Intercept Psych Ed week begin on?
What is Tuesday
100
Whats wrong with this entry?
1/2/12 5:00
What is the am/pm is not addressed.
100
When medication is refused, what is the procedure? How many staff must complete documentation?
-What is to offer medication again within the hour window.
-Then write "R" in the initial box.
-On Nurse's Note, document Refusal, "did not give" and initial.
-Complete Refusal Form including two staff sign signatures and the resident's signature.
100
When/ how often should a staff check the staff log? After checking it, how does the staff document they have read the log?
What is at the start of every shift. After reading the staff must initial beside the entry indicating it was read.
200
What is the difference between listing the activities and the Response/ Participation?
The response/ participation is a description of how the resident recieved the activities. Examples: Positively, cooperatively, excited, irritated, hesitantly, displayed leadership...
200
Can two staff write on one note? If so, how would it be documented accurately? Under what conditions would this be appropriate?
What is yes if they both sign indicating they were both present during the session.
200
How many people should sign a TLOA entry
Resident, Responsible party, staff initials
200
Who is responsible for 12a med count?
What is the evening staff and overnight prior to evening staff leaving shift.
200
True or False, with every signed entry, there must be a date?
What is true. Signing after multiple entries and failing to date each one can be cause for a citation.
300
When returning from TLOA, what important information is documented?
What is the time of return and the goals being addressed for the day.
300
How soon can a second note be completed after a session has been completed? Which “activity worksheets” should be filed after group?
What is 30 minutes. There should be an activity sheet saved and dated for each group. Even with discussions, the resident should address his/ her feelings on the back.
300
When on a family home pass, who should sign for the responsible party?
The family member providing supervision. The TLOA sign out sheet should be taken if staff transport resident for family member to sign.
300
How does a staff document TLOA on MAR?
What is write "TLOA" in box where staff would initial. Be sure that the times are appropriate of when "in" and "out" from absence to be sure no meds are missed.
300
Whats wrong with this entry?
1/12 Staff took all resident hygiene shopping. G.P., LSC
What is theres no year, and the staff initialed instead of signed.
400
Write response for resident that had a mentor visit, football practice, and did not complete hygiene upon returning from practice.
What is The resident had a successful visit with the mentor per the mentor, participated in his football practice positively and did not completed hygiene after several prompts.
400
Write a note where the resident displayed negative behavior. Briefly discuss what the “activity worksheet” would look like for this resident?
What is follow instructions. Be sure the participation sentence indicates negative behavior. The sheet would also reflect lack of participation, but at least that he/ she was there for group.
400
Who is the “responsible party” when the resident is on a walk?
What is the resident. Therefore he/she would sign for both resident and responsible party spaces.
400
Whats the procedure for missing a medication 3 days in a row?
What is to contact the Psychiatrist and document this attempt on the nurses' note on the back of the MAR. Continue with the refusal forms.
400
How does a staff document a fight in the staff log? Property Damage?
What is to contact supervisor. Then once approved, document the resident name(s) and "involved in critical incident, see report" Do not give details in the staff log.
500
Write a progress note where the resident has returned from tloa, and got into a fight with another resident.
What is the resident returned at 6p and then was involved in a critical incident, see report.
Based on incident, in goal section identify which goal was not met.
Do not describe incident in length in this section
500
Briefly discuss how to document these sessions when a resident has TLOA? What’s important about the dates? Dates of the Psych Ed week? Format?
What is sessions should be completed one to one (format) prior to the TLOA, but at least within the week printed at the top of the note. Noted that the dates should coincide with resident out of the house.
500
Where are the times of TLOA documented?
What is Staff log and progress note
500
Briefly discuss the procedure for providing a PRN such as IBprofen.
What is Check the Standing PRN to make sure its been approved, document on PRN side of MAR, observe and document observations
500
List what is appropriate to document in staff log?
What is residents who went on outing and where, mentor visits, tloas, critical incidents, consequences, appointments, schedules.