?
WHAT DOES RX MEAN?
MEDICATION LABEL NUMBER
WHAT IS THE FIRST THING YOU SHOULD DO WHEN OPENING A NEW PASSDOWN / GROUP NOTE
WHAT IS BEST NOTES?
USER FACE FOR MEDICAL AND CLINICAL DOCUMENTATION.
WHAT SHOULD YOU ALWAYS BE READY FOR?
THE UNEXPECTED
WHEN A CLIENT CHOSES TO LEAVE THE FACILITY UNAUTHORIZED, WHAT IS THE TERM WE USE?
ELOPEMENT / ELOPING
WHAT PROCEDURE MUST BE COMPLETED EACH SHIFT TO ENSURE ALL MEDICATIONS ARE ACCOUNTED FOR?
MEDICATION AUDIT
WHAT PROGRAM OF HOLDS DOES MISSION PREP USE?
CPI - CRISIS PREVENTION INTERVENTION
WHAT MEDICATION MUST BE COUNTED AT THE START AND END OF EVERY SHIFT?
CONTROLLED MEDICATION
WHAT ARE THE TYPICAL HOURS FOR MORNING MED PASS?
7AM-9AM
WHAT STEPS SHOULD TAKE PLACE IF A MEDICATION FALLS ON THE FLOOR DURING A MED PASS OR MED AUDIT?
- LABEL & DISPOSE OF MEDICATION IN DC BIN
- MEDICATION INCIDENT REPORT
WHO MUST BE ADDED TO ALL PASSDOWNS?
- THERAPIST, RESIDENTIAL SUPERVISOR, CC'S ON SHIFT
WHAT IS eMARS?
WHERE IS EMARS?
INTERNET BROWSER
- HOUSE EMAIL ACCOUNT BOOKMARK
WHAT PROGRAM DO WE USE FOR ROUNDING ON OUR CLIENTS?
VISIBLE HANDS
WHAT IS THE PROCEDURE FOR FAMILY VISITATION?
- SIGN CONFIDENTIALITY AND VISITATION GUIDELINES
- VISITOR SIGN IN / OUT
- CHECK SOCKS AND POCKETS. CHECK ANY ITEMS BROUGHT IN FROM PARENTS OR BROUGHT BACK BY CLIENT. NO OPEN FOODS OR DRINKS
WHERE DO EMPTY PILL CONTAINERS GO? AND WHAT DOCUMENT MUST BE COMPLETED?
PILL CONTAINERS ARE DISCARDED IN TRASH. LABEL MUST BE REMOVED AND SHREDDED. MEDICATION COMPLETION FORM MUST BE COMPLETED.
A CLIENT IS SELF HARMING WITH A PIECE OF PLASTIC THEY BROKE OFF THEIR FIDGET, WHAT IS YOUR APPROACH?
- RAPPORT
- PROVIDE UNDERSTANDING
- PROVIDE SUPPORT
Client asked to go on a drive with a staff member. During drive, client shares that they are having high SI and are thinking about a plan. "I think I want to die, but everything seems too painful or hard to do." When staff asks if client is thinking about harming themselves or ending their life, their reply is "i dont know". For the remainder of the drive they remain silent and refuse eye contact. What are your next steps?
- Always take SI seriously.
- Monitor client who is presenting with SI more closely with a Q5 rather than Q15, Commicate with CC partner. send a message to RS and clinical team (PT & CM). Clinical may change Q5 to line of sight if there is relevant history
- If clients SI continues to heighten with physical symtoms (anxiety, dissassociation, isolation) and if their behaviors shift that show intent, contact chain of command as necessary immediately. RS (Karina) PM (Hilda) PT (Ashley) AED (Pete)
TWO PEERS BEGIN ARGUING BACK AND FORTH, WHAT IS YOUR APPROACH?
this is the situation
FC: He always eats all the uncrustables!
JD: YOU DONT EVEN NEED ANY UNCRUSTABLES TUBBY!
FC leaves kitchen, JD follows
- PROVIDE SPACE BETWEEN BOTH PEERS
- RE-DIRECT COMMENTS ABOUT PEERS BODY
- RE-DIRECT FC APPROACH TO ADDRESSING A CONCERN
HOW DO YOU COMMUNICATE THE LEVEL OF TENSION OR EMOTION IN A WORKING HOUSE?
EMOTIONAL THERMOMETER
WHEN SHOULD YOU CONTACT A CLINICAL MENTOR?
When a client is asking about priviledges that are designated to clinical (extra tech time, extra video game time, extra phone call time)
When client is referring to their bingo card
When you notice a persistent pattern of maladaptive behaviors (also include RS in this message)
A CLIENT BARRICADES THEMSELVES IN THEIR ROOM
this is how it went
Staff attemps to check on client for 15 minute rounds, but door is unacessible. What shall you do?
- Try to get a response
- Try to get another POV
- Attempt the barricade
A CLIENT IS UPSET ABOUT BEING AT MISSION PREP, WHAT IS YOUR RESPONSE?
this is how it went down
*TR slams room to door after returning from off-site family visitation*
When staff checks on TR, they are unable to verbalize their feelings. Staff observes TR tearful, shaky, and struggling to catch their breath.
- DIVERSION (providing a distraction if appropriate joke/activity)
- PROVIDING A SAFE SPACE (reminding them to use box breathing or deep breathing techniques)
- VALIDATING EMOTIONS (its okay to miss your family, but its also okay to want to do what is best for them)
WHAT IS THE OTHER MOST IMPORTANT ASPECT IN CLIENT AND STAFF INTERACTIONS? (BESIDES RAPPORT)
BOUNDARIES
WHAT ITEMS MUST BE COMPLETED BY THE END OF YOUR SHIFT?
(MORE THAN ONE) (MUST GET ALL)
- HOUSE TOURS
- PASSDOWN
- MED AUDIT
- GROUP NOTES
- COMPLIANCE (IF ANY)
- CONTROLL MEDS SIGNED OFF