Riverview Hospital Staff Manuals. Richard J. Wiseman

Чтение книги онлайн.

СКАЧАТЬ up.

      8. Laundry Room: All dirty clothes will be placed in bags, the room straightened up so that the clean clothes are either in piles or in drawers. All clothes must be off the floor and the floor swept to the criterion for Day Room floor.

      PROCEDURE:

      Staff will announce that it is ward job time. Children will be provided with the necessary equipment to do the job assigned to them. Any child who has completed his or her job by the time limit will be given credit at the end of the allotted time. Staff can give up to three reminders about the jobs.

      BONUSES FOR WARD JOBS

      Quality: Any child who does an extra good job will receive the bonus. Extra good means cleaner or straighter than usual. This will be a child specific decision made by the person who checks jobs (hopefully the control person).

      Non-Prompted: Any child who does his job with one or less prompts or reminders will receive credit.

      PROCEDURE:

      The staff member who checks jobs will also check for Bonuses. This will be done at the end of the job period or as a child claims he has finished his or her job. If a child does not receive bonus dollars he should be told why so that the next day can change his behavior.

      CASH-IN PERIODS

      General Procedures

      1. Staff will decide what is offered each cash-in period. Staff must offer as many activities as is possible in order to keep the children spending and earning. Thus, the economic attainment of the children must be taken into account in making activities available.

      2. All transactions will be made between the child concerned and the control person.

      3. Staff involved will take money, note expenditure on sheet and give child materials or direct child to staff who will be leading activity.

      4. Staff leading activities or giving out materials will state expectations for receiving savings for that activity before activity starts. Staff will not change rules midstream.

      5. Upon return to the ward, staff leading activity will note all savings on sheet and tell children why and how much savings they received.

      6. For on-ward activities, child will receive savings credit for prompt return of materials in good condition.

      7. There should be no threats of nonpayment, etc. while a child is on any activity. All that should be said or repeated are the expectations previously stated. If a child needs more than two reminders of rules during the activity, he will not receive savings credit. If a child breaks the rules he will not receive payment. If a child not only breaks the rules but also is fined, he will not receive savings credit.

      *14. CASH-IN PERIOD #1

      Definition: Outside (15 min.) means outside of the Silvermine Building.

      Things offered:

      1. going to swing set

      2. playing catch or frisbee or 15 min. outdoor activity, or digging.

      3. riding a bike

      4. short walk around building

      1. Going to swing set means: child’s walking up to area with staff person within 20 feet of staff. Playing appropriately with equipment: i.e. uses swing as intended, swings in right direction, does not endanger another person, does not throw swing over top bar, does, not endanger self, does not throw self off swing, does not run up slide the wrong way, watches where walking and does not come close to people Swinging. Stops immediately when told it is time to return to ward. Walks back within 20 feet of staff. Receives notification of payment upon return to ward.

      2. Outdoor activities: Games such as frisbee, catch, etc. The rules for these games are as set up by group living staff member before leaving ward. They are to be followed. If there is a group playing, each is to get equal chance – no one child should monopolize the game. It should be played such that it would not endanger anyone, i.e. if an object is being thrown, in some way the person throwing object should make sure the person to whom the object is being thrown is knowledgable of the hurled object. No throwing an object to someone who is not facing you.

      This game will be played immediately outside ICU, on lawn beside Cottage C or outside of downstairs double doors.

      Again, child immediately ends game when it is said it is time to go inside. Receives notification of payment on return to ward.

      3. If option is playing with cars and tracks, and digging supplies: Equipment taken out by child must be returned and in the same condition. If holes or ruts are made, they are to be filled, in. When told it is time to clean up the mess, job should be done immediately. Receives notification of payment upon return to ward.

      4. Bike riding: Bike must be returned by child taking it out and in same condition as when picked up. The bike riding area is the road in front of ICU from the corner to the driveway to Kitchen, the Kitchen drop-off area, and the tarred area right in front of Cottage C. The child should always be in sight of the staff person. There is to be no running into people, purposefully funning into the curbs, no riding too closely to another person on a bike. Using the kickstand to stand bike up – if there is one; gently lying bike on ground if there is no kickstand. Gently means placed on ground such that there is no noise, it does not dig up the ground from impact, or let fall from a distance of more than 6 inches from the ground. The child must be watchful of cars and if they are in the road or near it, they must stop as soon as they notice a car is nearing them.

      Idea: To teach child responsibility and care of equipment and to learn how to safely handle equipment and follow rules.

      5. Walk: This means a walk where children are within 20 feet of the staff person at all times. This walk is right around the immediate Children’s Unit area. Return to ward should be immediate when it is said it is time. It should be moving in a forward direction to designated area, where staff member has said they are going or where majority choose to go.

      PROCEDURE FOR ALL OUTSIDE ACTIVITIES:

      All children are to be told before they buy any activities what outside activity (or activities, if possible) is possible. After the dollars have been collected for the outside activity, the child must be told what he must do to have it be considered a good activity and be paid savings dollars for participating. The kids should be told the rules.

      Upon return to the ward, the children are to be told what monies or not they are to be paid for their activity outside. If a child does not receive any money, he should be told in a straightforward, non-punitive way why he is not being paid (using criteria set up). If a child does earn his money, verbal praise for the way he did should accompany the payment. There should be no threats of non-payment, etc. while the child is on the activity. All that should be said if child asks, “You were told before we left what you had to do to earn the money.” If a child needs more than two reminders of the rules during the activity, he will not receive savings payment. If a child breaks the rules, he will not receive payment. If a child not only breaks the rules but also is fined, he will not receive payment.

      * * * * *

      Downstairs: Definition – Downstairs means downstairs in the dayroom, bathroom, or Jeanne’s room (if specifically requested and granted). This does not mean the Hallway, Carl’s office, outside the double doors, etc.

      Possible СКАЧАТЬ