Arms relaxed at sides, neutral facial expression, calm, confident, nonthreatening.
What is positive body language?
100
To maintain patient safety and security.
What is our #1 goal at LCH?
100
Hourly accounting of all patients' whereabouts, recorded on the "hall board" sheet at the top of the hour and on the half hour.
What is the "default" level of observation?
200
Count the beats for 30 seconds, then multiply by two or count the beats for a full minute.
What is the correct way to accurately measure a radial pulse?
200
One staff member is positioned at the front of the line, the second staff member is positioned at the end of the line. If there is a third available staff member they should be positioned at the middle of the line. Staff must also carry a radio.
What is the correct way to escort a group of patients?
200
Yelling, pointing finger, touching, negative body language, arguing, name-calling, sarcasm.
What are interventions staff should NOT do to help an agitated patient calm down?
200
Overhead announcement for missing persons, AWOL, abduction.
What is code orange?
200
Visual assessment of patient and surrounding area every 15 minutes to ensure patient safety.
What is frequent observation for patient precautions?
300
The RN should be notified immediately in this situation. The RN will make an assessment and contact the MD if necessary.
When a BHRA is taking vital signs, who should be notified (and when) if a patient's vital signs are abnormal?
300
Carry these items away from your body.
What is the correct way to carry a patient's soiled (and clean) linens and clothes?
300
Helpful, courteous, respectful
What are important principles to remember when talking with others?
300
The plan developed by the interdisciplinary treatment team after all assessments have been completed by all clinical disciplines. It is a partnership between the team, the client, parents/guardians, and community supporters including the gatekeeper. Includes measurable objectives to help the patient best meet long and short terms goals along with treatment modalities to be used. It is updated every 30 days for patients under 22 and over 65 and every 90 days for all other adults.
What is the Master Treatment Plan?
300
Staff's eyes are on the patient continuously and staff must remain within arm's length of patient or as otherwise directed by MD.
What is required of staff on a 1:1?
400
On a new admission, at least once per shift for three days and then weekly thereafter, unless otherwise specified by the MD. As ordered by the MD. At least every hour on patients with a temperature of 100 degrees or above. On any patient appearing to be ill or on a patient's complaint of illness. When returning from medical leave, ER visit, off grounds/outpatient procedure. With a Pain Assessment by RN. For three days when there is an increase in dose or addition of a new psychotropic or anticonvulsant medication.
When should vital signs be obtained on patients?
400
Encourages patients' independence.
Why is it important to allow patients to do as much for themselves as possible?
The treatment method or activity provided with a goal of maximizing independent functioning, decreased risk of rehospitalization due to mental health or legal needs, increasing community reentry potential of each individual patient.
What is active treatment?
400
Only an RN or MD can initiate this level of observation, requires MD order, is time-limited by age, and face-to-face must occur within 1 hour by MD or specially trained RN.
What is seclusion/restraint?
500
What the patient says it is, usually on a scale of 0-10.
What is pain?
500
When passing out meal trays, when conducting contraband searches, when cleaning up spills, when providing patient care, etc.
When should gloves be worn?
500
Communication.
What plays an important role in ALL therapeutic interventions?
500
The care and activity on the unit or elsewhere in the hospital that is supervised but not directed to be strictly educational or individualized, however, is related to common issues which those in the hospital need addressed, while providing safe and therapeutic environment for all patients.
What is milieu treatment?
500
When patient is no longer a danger to self or others or if patient falls asleep.
What are the criteria for a patient to be released from seclusion or restraint?