Face Sheet
Photo of client, photo of client's ID, photo of front/back of client's insurance card.
What is the minimum necessary "consent for information" needed to be checked off for each ROI?
Presence in treatment
What important step do you need to remember to take before the client signs "Admissions Orientation"?
Check all the boxes.
Who needs to sign for DHCS and in what order?
Client, staff member who completed assessment, and then Shawn.
If a client does not bring medication in with them, do they still sign "Medication Brought in by Patient Release"?
Yes.
Where/when do we need to edit times on the face sheet and to what time?
Times need to be edited under "Program date","Admission date", and "Location date". Times need to all line up with time listed on arrival email (AKA time of client's arrival to facility).
What minimum information is necessary for every ROI?
First AND last name, city, state, zip code, phone number, relationship to client.
What is the most important thing that needs to be signed under this tab and why?
Hint: This needs to be signed before we do literally anything else
Consent to Treat; this is required for us to continue with anything treatment related, even an intake
What needs to be included in "Primary Factor for Seeking Treatment"? How detailed does this need to be?
An in depth client statement as to why they are deciding to get sober. This needs to be multiple sentences and as detailed as possible in order to paint a clear picture of what events led up to them seeking treatment.
Under the "Nutritional Screen & Assessment", if a client states they do not have a 'Target Body Weight', what should you input?
Their current weight.
What contact information for clients need to be included on face sheet?
Phone number, mailing address, email, and emergency contact.
Who does each client need an ROI for besides the pre-listed ones?
Anyone that they may want to contact or have contacted on their behalf while they are here (including legal services, outpatients, and jobs). ESPECIALLY an emergency contact.
Which two forms under this tab are the CST's responsibility to get signed? When do these need to be signed?
"Safe Call" and "Client Personal Items and Valuables". This needs to be signed upon intake, or at least within 24 hours if client is unable to sign at that time.
If a client sates "yes" to any questions on DHCS regarding SI or HI, what steps need to be immediately taken?
Contact Karen, Shane, and Matt.
When a client answers YES or NO to any questions in "Healthcare Disparities" tab, do we just answer with yes or no?
You will need an elaborate explanation explaining their answer. Any information is good information.
What step do you have to take after you fill out the face sheet before you move onto the next step?
Validate form
Why are ROI's vital?
It is legally necessary for us to have and ROI filled out if we need to contact any outside sources regarding a client.
What are client's agreeing to by signing "Admissions Agreement"?
They are attesting that they are voluntarily admitting themselves to the facility, and that they agree to all policies and activities expected by participants (such as groups, UA's, etc). This form also informs them of their rights as a client.
What will always be listed under "referral source" on DHCS?
LVD website
If a client answers "yes" to any question on Columbia Suicide Screen Assessment, who do you reach out to and how?
Immediately email Karen, Shane, and Matt.
What information is necessary before you can populate any other forms under any other tab?
Address, SSN, and MR number.
Which ROI's needs to be signed first and why?
Emergency contact, Mission Hospital Laguna Beach, and pharmacy.
If a client experiences a medical emergency during intake that requires hospitalization, these are necessary before we can pass on information to the hospital and contact EC. Pharmacy is needed immediately so we can order medication after provider meeting.
When do client's receive their "Client Handbook" and from who? Where are these kept?
Upon intake, the CCC conducting intake will deliver it to the client.
How do we determine which diagnosis codes we input on the DHCS?
What substances client's test positive for on their UA, as well as their DOC.
If a client rates high on their pain screen, who do you notify, and when? What do we need done ASAP?
You will immediately notify your direct supervisor and MD. The MD will need to complete a pain assessment.