Who Do You Call?
A client reports mild nausea after starting a new medication. Who do you contact first?
Email gets sent to medical and RS team so that everyone is aware.
A client is asking to add you on social media during a shift. What is the appropriate response?
"Unfortunately we cannot stay in contact via any social media. However, I can give you my work email."
You are taking a client's blood pressure and it is too low. What do you do next?
Text or call JH for guidance
Difference between objective and subjective documentation in the shift log?
Objective - facts, situations we see and hear.
Subjective - opinions, things we hear not from the source, making it about us
A client has run out of cigarettes and is very concerned because they missed the sundries cutoff. What avenues can we take to support?
Contact your supervisor
You hear that a coworker has been in contact with a previous client. What do you do?
Contact Stephanie or Jen. Do not gossip about the situation.
A client is having a medical emergency that may require transport to a hospital. What are the steps that need to be taken?
Locate the emergency triage binder in the closet and follow the appropriate steps.
It is shift change time and one of the intake's from first shift did not get completed. What is the correct process?
Have open communication in shift change regarding where we are at with the intake and who will be completing the rest of the tasks. (Bringing the clipboards to shift change is also helpful)
A family member of a client calls and is demanding confidential information about said client. What do you do?
Let them know we can neither confirm or deny the clients whereabouts. Contact admin and their clinicians for next steps.
You witness a coworker sharing client details in a public space with other clients within earshot. What should you do?
Pull the coworker aside into a private room such as RS office and respectfully bring it to their attention.
Upon a client return from an off-site, you find suspicious pills in their jacket. What is the next step?
During an intake, an RS allowed a new client to keep a restricted item which was found out later. What do you do?
First go to the client and explain the situation to them and remove the item. Next, follow up with your coworker to seek to understand what happened. Finally, let your supervisor know.
You have concerns about a fellow RS's wellbeing due to how they have been acting while at work / with clients. What do you do?
Contact Jen or Stephanie and your immediate supervisor. Ensure not to gossip about the situation.
You go in the med room with a client and they start talking poorly about another RS and how they don't like them for some reason. How would you handle it?
Validate their feelings while maintaining CMC policies and advise them to bring it up to their clinician.
A client reports struggling to hold a boundary with another client that could lead to a breach of our policies. What are the next steps to take?
Put any pertinent info into the shift log, send a separate email to their clinicians, and bring up the concern in the next clinical meeting.
An RS has a suspicion that a policy breach happened client to client but is unsure. How would they document that?
In an email to their clinical team and note in the log and let supervisors know for further investigation.
A client is stating they want to leave AMA and asks for a suitcase to start packing. Who do you call?
Contact your supervisor on call, email clinical, medical, and admin. Do not get their suitcase.
A client tells you that another RS is always sneaking them candy from the basement when they have had a bad day. Who do you tell?
Contact your supervisor and do not share the information with others.
A client reports experiencing suicidal thoughts and has a history of self harm. What are the steps to be taken?
Ensure safety of client (does not have sharps out), check their room for any cans or other items they could use to self harm, contact the clinical and medical teams.
You made a documentation error in the med room or you noticed that another RS made a mistake with administering meds. What is the correct course of action?
If its an easy fix such as a documentation miss, follow up with your coworker directly. If it is an error that may cause harm to the client, contact JH directly and then send an email to medical and the RS team.