Riverview Hospital Staff Manuals. Richard J. Wiseman
Чтение книги онлайн.
Читать онлайн книгу Riverview Hospital Staff Manuals - Richard J. Wiseman страница 4
Название: Riverview Hospital Staff Manuals
Автор: Richard J. Wiseman
Издательство: Ingram
Жанр: Медицина
isbn: 9780819575982
isbn:
OUT OF CONTROL – BEYOND FINES
IDEA:
To help the child regain control and reenter the system as soon as is possible; to minimize damage to the child and people the child is in contact with; to minimize interaction, which may be reinforcing, with the child until child is back under control.
PROCEDURE:
If a child has been fined twice and is still continuing his or her negative behavior, the child will be told “You are out of control. You are going to the Quiet Room.” WITHOUT SPEAKING to the child, the staff member or staff members escort the child to the Quiet Room (QR) with whatever firmness is necessary. The child is to remain in the QR for a 15 minute base period and then three consecutive minutes of quiet.
When the child is quiet for the three minutes, he will be removed from the QR. If there is an earning activity, the child will be asked to join the activity. If there is a spending activity in progress, the child can if he has enough dollars to buy into or back into an activity, he may do so, but loses all possible savings available for successful completion of that activity. If the child does not have enough liquid assets to buy into the activity, he goes to his room. If a child is placed at ground zero due to the fine, he can do make-up activities.
Upon leaving the QR, the child will be informed of the fines he has accrued.
RULES:
1. A child will only be placed in the QR for being out of control.
a. A child is considered out of control only after he or she has been fined twice over the same issue and has not stopped the bad behavior.
Children can only be placed in the QR for hitting and property destruction.
b. Swearing will only be fined.
c. Non-compliance will not, in theory, be a problem. All non compliant children will either lose savings or liquid assets due to their non-compliance. In all cases, the child has the choice and the staff should not push a child if he choses not to comply. There are built-in consequences to the non-compliance and no need for us to make an issue in most cases.
MAKE-UP ACTIVITIES FOR WEEKEND
Any child who has no spendable dollars will be allowed access to make-up earnings during non-earning times. If there is an earning activity taking place, the child who has no dollars will be able to join that activity if there is no earning activity, then make-up will be available.
Make-Up Activities:
1. Homework – Per assignment correct with a score of 80% or better $2
2. Ward Jobs
a. Wash out showers, bath, toilets 1
b. Mop Long Hall 1
c. Sweep Long Hall 1
d. Mop and Sweep Office 1
e. Wash door and walls (2) in Room 1
f. Wash doors in long hall 1
g. Wash one long hall wall 1
3. Calisthenics
| a. 40 jumping jacks | ) | ||
| b. 20 sit-ups | ) | ||
| c. 8 push-ups | Within 15 min. | ) | 1 |
| d. 60 toe touches | ) | ||
| e. 40 deep knee bends | ) |
During weekends, fine ratas remain the same as do Entry Into System, Ground Zero, and Quiet Room – Beyond Fines procedures.
STAFF ROLES AND DUTIES
1. All staff who work mornings will be expected to teach during school time. This teaching will be done in conjunction with and under the supervision and guidance of our assigned teacher. During the weekends staff will act as teachers either by programming for Earning activities or by following teacher’s instructions.
2. During each earning or spending routine one staff member will be designated by the Ward Charge as being in charge of giving out dollars and noting how much was earned or spent. For example, during school periods the teacher will be in charge of giving and noting all earnings and fines. During the 11:00 – 11:30 time slot, a staff member will be responsible for collecting and noting all fines and expenditures. This procedure is an attempt to ensure that children only get paid once for a job well done and are only able to spend dollars once. This person will be known as the control person.
3. Fines can be given by any staff member any time a bad behavior occurs. If the staff member who gives the fine also settles with the child, then the staff member must get to the control person to note the fine. This is especially true if the fine comes out of savings dollars. If the fine is not settled then the staff member must get this information to the control person, so that it can be noted and appropriate action taken. Fines will be coded on the daily chart so we will know exactly what a child was fined for during that day.
Fines
| 1. Hitting staff or other children | $20 |
| 2. Property destruction | 20 |
| 3. Smoking and/or Possession of Matches | 10 |
| 4. AWOL, Per Hour | 10 |
| 5. Self-inflicted wound of any kind – M.D. Fee | 20 |
| 6. Interacting with grounded kids | 20 |
| 7. Stealing | 20 |
| 8. Swearing, Per Word | 1 |
| 9. Entering another’s room without paying | 5 |
| PLEASE NOTE: | |
| The numbers are the code for noting fines. Numbers in front of fines are to be used on sheet for coding fines. |
4. The finance and control person will be in charge of all ongoing bookkeeping. Each shift will be responsible for tabulation of its shift turnover in dollars. The night staff will be responsible for all entries into savings accounts and final daily tabulations. (See chart) Night staff will also keep record of how much each child earned for that day in graph form. Thus each child will have an ongoing graph of how he or she is doing.
5. Every child will be assigned to an economic advisor. This advisor will be either a clinical person or in some cases a staff member. It will be the job of the economic advisor to meet with the child on an hourly basis СКАЧАТЬ