DOCUMENTATION
SAFETY
POLICY & PROCEDURES
THE HIGH RISK PATIENT
CAREGIVERS 101
100

What is the minimum number of minutes for a group session to be billable?

What is 45 minutes

100

How often does the hospital conduct ACTIVE SHOOTER DRILLS?

What is - NEVER

If you hear Active Shooter, it is a live code

100

What is the SJO application, in which, we locate the DEPARTMENT POLICY & PROCEDURES?

What is Policy Stat

100

What are 2 examples things we never leave in patient care areas?

What are push pins and scissors

100

Who's favorite Olympic sport is snowboarding, enjoys working out and movies, and treated themselves to a Macbook and would love the gift of Starbucks!  If you want to ease their way... help them with tasks and buy them food!

GABRIEL

200

Name 5 of the 10 requirements for a group or individual session note?

What is...

1. Patient name/DOB

2. Service date

3. Start/stop time

4. # of patients in group

5. # of participation minutes

6. Pt goals

7. Pt participation details

8. Facilitator name/credentials

9. Facilitator signature/date/time

10. Group summary

200

Where is the meeting spot in case of an evacuation?

What is the small parking lot at the northeast end of the driveway (turn left after exiting building)

200

What is the department's P&P on maintaining a patient waitlist?

What is - we offer the patient the next available appointment, and we do not maintain a waitlist.

200

Who is responsible for assessing a patient who reports SI - verbally or in writing?

ALL LICENSED CLINICIANS

Whoever takes the initial report needs to do an initial assessment

Then hand off to LPS designated staff if needed

200

Who's favorite Olympic sport is FIGURE SKATING, loves movies/bowling, did a face mask for themselves and would love peanut M&Ms and candles? If you want to ease their way...BE KIND!

CAROLINA

300

When is the absolute deadline to enter clinical documentation, and what is best practice?

What is Date of Service (DOS) + 2

Best practice - DOS

300

What is the extension to call a code? 

What is 66

But we call 911, and then, security @ 771-8050

300

What are 4 things we would do/assign during an emergency evacuation? 

What is - grab the emergency radio, grab the daily roster/emergency binder, assign a caregiver to lead patient evacuation, assign a sweeper - the staff that checks all rooms before evacuating?

300

When an IOP/PHP patient transfers to inpt, who escorts the patient to inpt? 

What is Security and our nurse (or available staff)

POSSIBLY - police if necessary

NEVER - an intern or student

300

Who's favorite Olympic sport is SWIMMING, loves baking, treats themselves to manicures and likes the gift of candles?  If you want to ease their way... feel free to clean their house for them

NATASHA

400

What is, and is not, an appropriate primary diagnosis for our patients?

What is - PRIMARY PSYCHIATRIC MOOD DX (ideally parity) 

Substance abuse, spectrum disorders, ADHD do not qualify

400

What does SWIT stand for and how can you initiate one?

Safe Workplace Intervention Team

Anyone can let their core leader know, and the core leader will call all depts involved - Security, HR, Risk, Quality, EAP, Facilities

400

What is the department's P&P on patients who appear under the influence at IOP/PHP?

What is - have the nurse confirm order for tox screen with the MD/NP and attempt specimen collection... then... remove patient...

Consider transferring pt to ECC, calling friend/family for ride home, or 

If pt refuses, MD/NP to eval for admin discharge.

BHS OP Standard Work, addendum 100.01-B1

400

What is the difference in function between the PHQ9 and the CSSR?

What is - PHQ9 is a screening, the CSSR is an assessment. 

When a patient has a positive screening, it must be followed by an assessment

400

Who's favorite Olympic sport is GYMNASTICS, enjoys meditation, took themselves clothes shopping as a treat, and loves the gift of hairclips and accessories? If you want to ease their way... join them for lunch

KATIE

500

What is the required frequency of treatment review for the IOP level of care? And the PHP level of care?

What is monthly for IOP and weekly for PHP
500

What are 3 things we do in this dept to increase caregiver, and patient, safety?

1. Position the caregiver closest to the door in patient care areas

2. Wear stat buttons

3. Daily huddle

4. AVADE training

5. Secure Chat SBARs

6. High risk patient clipboard

500

What is the department's Performance Improvement and/or Outcome Measures, and roughly what is the "success rate"?

What is - we have several Nurse Sensitive Indicators we measure involving Patient Falls, Pain Assessment, Medication Compliance, SIB, Resources. 

Outcome Measures - we compare PHQ9 at admission and discharge. Ideally we use these outcomes to drive change in our programming/patient care.

Success: 75% of patients complete the program.  Of the 75%, 98% report improved mood, with 50+% reporting 50+% improvement as measured by PHQ9

BHS OP Performance Improvement, 200.01 and 200.01A (see graph)

500

What is the #1 rule when we identify a high risk patient?

What is - never leave the patient alone.  Or, what is - we keep the patient in direct line of sight at all times

500

Who's favorite Olympic sport is ICE SKATING, enjoys games like bridge, and treated themselves to an e-bike and would love the gift of Target giftcards!  If you want to ease their way...feel free to clean their house for them!

DIANE