First Aid/CPR
What are the American Red Cross Emergency Action steps? (hint: C - C - C)
Check - Call - Care
What are the Crisis Prevention Institute four stages of client behavior in their Crisis Development Model?
Anxiety - Defensive - Risk - Tension Reduction
What is the model Psynergy uses to complete narrative documentation in the Daily Log?
DAR: Data - Action - Response
From July - name one way to improve client rapport. (We reviewed 7).
Introduce yourself and have their name right; practice active listening; communicate often & well; minimize jargon; know them on a personal level; mirror behavior; educate.
Which resident has been at your facility the longest?
NVMH: Marlon H. 8/2014
CV: Brian J. 4/2014
NVS: Carl S. 4/2017
VDR: Steven A. 4/2020 (Alan C. 6 days later!)
VE: Cynthia F. 9/2024
What represents one cycle of CPR?
30 chest compressions and 2 rescue breaths
Name 2 environmental considerations when faced with a crisis escalating close to or at Risk Behavior.
Crowd control - remove residents; remove/isolate from obvious potential weapons; plan exit routes; prepare to call 911
If you make a written mistake, how are you expected to correct it?
One line striking through the error and your initials. If space permits, write "error". If correction was on a different day than original documentation, write date of correction.
From September - What is the CSSRS used for?
Columbia Suicide Severity Rating Scale
Determine severity of client's suicidal ideation - plan, means, intent, timeframe
Which residential staff member has been with Psynergy the longest?
NVMH: Martha O. 9/21/05
CV: Erika Z. 1/20/15
NVS: Maria L. 8/7/17
VDR: Erica A. 2/3/20
VE: Ednita G. 5/1/23
A resident is found with self-inflicted cuts on their arms, bleeding profusely. Name 3 things you would do in response.
Scene is safe!; initial impression/call 911; identify and obtain consent for First Aid; apply PPE; apply direct pressure; data collection - SAM; prepare paperwork for EMS; crowd control
If a resident is refusing to comply with a required task and starting to get more agitated, name 2 strategies you may try to help with de-escalation.
Take a walk; active listening skills; provide choices - now/later, them/me; find the why; for venting, allow & isolate; interrupt & redirect; limit setting - if/then.
Name 3 types of incidents that would result in a Psynergy Incident Report needing to be completed.
September: A key component in determining severity of suicidal ideation is whether the client has a ________.
Plan. Related to this, assess means to carry out the plan and intent to do so.
Plus or minus 5, how many employees does Psynergy currently have?
261
Before giving a choking person back blows & abdominal thrusts, name three things you should do first.
Scene is safe; initial impression; confirm they are choking; crowd control; direct someone to call 911; identify yourself and obtain consent for First Aid.
If two clients are actively engaged in a physical altercation, what can you do?
Call 911; use verbal intervention skills to disengage; crowd control - redirect other clients away; remove/isolate from obvious weapons; do not physically separate them.
You see a male resident grab the breast & buttocks of a female resident, who then slaps his hands away and says she did not like that. What document are you legally required to complete & submit?
SOC 341 - suspected abuse report to Ombudsman. Psynergy IR may also be required by administrator, but the SOC 341 is your legal obligation to report.
Name 3 concepts, interventions, and/or strategies for behavior modification reviewed in the August in-service (There were 14)
Person-centered; recovery-focused; consistent; included reinforcement; be measurable; target med adherence, hygiene, communication, participation, high risk engagement; prompting; behavioral cues; small achievements; positive reinforcement
DABDA is an acronym to help you remember the stages of ________. What do the letters stand for?
Grief. Denial - Anger - Bargaining - Depression - Acceptance.
Name 3 signs of opioid overdose, and the treatment certified Psynergy staff can give in response
Pinpoint pupils; bluish lips/skin/fingertips; slow, shallow breathing; unresponsive; choking/gurgling sounds; pale, clammy skin; limp body; vomiting.
Narcan spray in one nostril. Begin CPR. Repeat Narcan in other nostril if no improvement in 1-2 min.
What are the Crisis Development Model staff responses to the four stages (Anxiety - Defensive - Risk - Tension Reduction)? Word count hint: 1 - 1 - 2 - 2
Supportive - Directive - Safety Interventions - Therapeutic Rapport
MANAGERS & ADMIN ASSTS CANNOT ANSWER!!
What is an ANS?
Appraisal Needs & Service Plan. Document required by CCL. Provides background information, identified needs, and plan to address needs.
August: Name 2 interventions you may use for a client showing moderate risk behavior (rule breaking, substance use, verbal aggression, outbursts, UAA, hypersexuality).
Boundaries with clear language; clear repeated answers, i.e. I need space, No thank you; First/Then stmts; Redirection/distraction; After 3 reps, active ignoring.
Within 3, how many clients is Psynergy currently serving?
299
NVMH: 69; CV: 39; NVS: 53; VDR: 75; VE: 47; TVMH: 8; TVS: 8