Fact check!
How many oz of coffee does David Marshall get every day?
None: He is on a strictly water only liquid restriction of 8oz an hour
You’re assigned to Tristan, DK, and Ryan and you are on a community outing. Ryan wants to go to the mall but DK wants to go to the library. What is wrong with this scenario?
DK is always a 1:1
You are in the community and Ryan grabs a community member. The community member works at another day program and is understanding and not upset at all. Do you write an occurrence report?
Yes! Anytime a community member is aggressed on, an occurrence report is required
There was a miscommunication regarding afternoon transportation. Who do you go to?
Destinee
This client says “Ernie” and nods their head repeatedly as a precursor to disruptive behavior. What client is it?
Jonathan - lets review
How many van rides do we offer Connor during the day?
None: he should independently request them and they shouldn’t be offered
Jonathan needs to go to the bathroom and you are helping Tristan with an art project. What do you do?
Follow Jonathan to the bathroom or ask another staff member to follow him to the bathroom
You are working with a client who begins to engage in a tantrum. This is a client who engages in tantrum behavior on a regular basis. They begin to hit you on the arm repeatedly and it leaves a red mark. Do you write an occurrence report?
No! You only need to write an occurrence report if you need medical attention or if the client aggresses on another client.
You are taking data and you are confused about an operational definition for one of the behaviors your client engaged in. Who do you go to?
The clinical team! Find out who has that client on their caseload
This client bites his lip and engages in hand stereotypy as a precursor to disruptive behavior. What client is it?
Mark - lets review
What is the difference between a BIS and a BCBA?
A behavior intervention specialist does not have their board certification. A BCBA completes 2000 hours of supervision and has to pass an exam.
There is a lot of noise in the common area and a client begins showing signs of agitation. You aren’t sure if the agitation is due to the noise or something else. What should you do?
Redirect the client to a quieter location, but continue to monitor their affect closely. If affect doesn’t change, staff may need to intervene another way (help, prompt, wait).
You are working with a client who does not have any tracked behaviors. While in the mall, they elope to a different store on the other side of the mall. Do you write an occurrence report?
Yes! Any occurrence of a non-tracked or unusual behavior should be reported
The clinical team is in a meeting and your client is engaging in tantrum behavior. Who do you go to?
Madesyn or Destinee
This client engages in hand posturing and says “New Jersey” as a precursor to disruptive behavior. What client is it?
Tristan - lets review
What staff member has worked at REED Next the longest?
Madesyn!
You are on the schedule with Alex and you are writing your session notes. Alex gets up to use the bathroom and you take the opportunity to finish your session notes and check in with Rachel about one of his behavior definitions. What is wrong with this scenario?
You always need to follow Alex to the bathroom
You are working with a client who bites you on the arm. They break skin, but it doesn't hurt that bad. Do you write an occurrence report?
Yes, if a bite breaks skin, you have to write a progress report.
You are in rotation with Julia and Chase. Chase asks to go to the bathroom while Julia is engaging in tantrum behavior. Who do you go to?
A DSP! Ask a coworker to take Chase to the bathroom while you assist with Julia.
This client is triggered by terms such as “keep going” and “turn around”. What client is it?
Julia
Match the caseload!
a. CS, JLG, AR, DK
b. RM, DM, MJ
c. JGi, JMG, SC
d. DS, MN, EW
e. RK, CM, CK, NL, DR
a. Rachel
b. Kassy
c. Jamie
d. Becca
e. Andrew
You are working with Moshe and you decide to eat your lunch with him. You are super excited to have your nutter butters as a snack with your tuna sandwich. What is wrong with this scenario?
You cannot eat peanut butter around Moshe, he has a severe allergy. – Tuna sandwiches are encouraged
A client who independently uses the bathroom has three accidents during the day. Do you write an occurrence report?
Yes, this is unusual activity and an occurrence report should be written
You are with multiple clients and you get a call that there is a family emergency and you need to leave ASAP. Who do you go to?
Destinee
This client is triggered by harsh tones and verbal reprimands. What client is it?
Trick question - A lot of our clients are triggered by harsh tones or don’t respond well to verbal reprimands. We should always be mindful of how we are speaking to our clients.