Health & Safety
What is the procedure for a tornado warning
All patients and staff will be moved to an interior room (Judy's office or Lindsey's office) until all clear is given. Safety officer grabs flashlights and first aid kit
When is physical restraint allowed
When failure to do so would result in injury or death
Disclose to your supervisor
Regulations that govern the release of substance abuse records
42 CFR Part 2
Where can the policy/procedure manual be accessed
On the shared google drive
Call BHG and inform them we need to guest dose patients per our QSOA
What can be contributing factors to unsafe behaviors
Physical (behavioral, health) and interpersonal (patient to patient, staff to patient, staff to staff)
A patient offers you discounted services at their business
It is not ethical for you to accept the offer
Personal and confidential information should not be released
Unless you have a valid release of information or it is permitted by law
What does CARF stand for
Commission on Accreditation of Rehabilitation Facilities
Who should fill out critical incident reports
EVERYONE
If a patient verbally insults you while escalated, what should you do
1. Remain calm
2. Disrespectful statements can be addressed later
A patient has started a new business and wants to advertise at the clinic
This is not appropriate. Covert Action cannot promote a patient business
A patient's mom pays for their treatment every week. She asks you if the patient has been attending treatment
Verify if there is a release of information on file and that you are authorized to release that specific information. If there is no release, "I cannot confirm or deny if they are a patient"
Who is the State Opioid Treatment Authority
Kevvy G!
In the event of a fire, what is the evacuation procedure
1. Evacuate patients in your area, check any empty offices/bathrooms near you
2. Shut door to indicate area has been checked
3. Go to evacuation spot across grass
Unsafe behaviors include
Physical aggression, threats of violence, self harm, destruction of property
A patient is selling a product you like. They are not selling it to you at a discount
It is not ethical to purchase items from patients
A patient revokes the release of information that they signed with you for their probation officer. Their probation officer gives you a valid release of information that allows communication about their treatment. Do you release information
Yes. If a patient does not revoke the ROI signed with the other party and it is a mutual disclosure, you can still release information
If state and federal guidelines are not the same, which do you follow
Whichever is more strict
Who is the safety officer? HINT: It is not Lindsey
Volunteer now :)
Name two alternative interventions to diffuse unsafe behavior
Meditation
Active Listening
De-escalation
Re-direction
1:1 conversation
You see a FINE specimen at the bar who was discharged from the clinic two years ago. Can you take them home since they are no longer a patient?
It depends on your professional ethics board. Iowa Board of Certification says 5 years
Records should be released if you receive a subpoena
No. The program must be notified that a hearing will be held to issue an order to release information. The program must be given an opportunity to appear in person and/or file a responsive statement to the order
A patient lives in Iowa but is currently in Nebraska for work. Can a counselor complete a telehealth visit
No. The patient must physically be in the state of Iowa to complete a telehealth visit with a counselor UNLESS the counselor is certified in that state