Riverview Hospital Staff Manuals. Richard J. Wiseman

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СКАЧАТЬ during this 15-min. downstairs period:

      POOL – Rules: Cue stick is to be used the right way. It is to be held with both hands. The tip of the stick is to be used to hit the balls. No balls should for any reason bounce off the table or be picked up unless they have mistakenly been knocked in a pocket or it is time to rack up. The cue stick should not be damaged in any way nor should the felt be torn. The cue stick should never be raised perpendicular to the floor nor should the point ever be pointed toward a person. Kids are to take turns playing, i.e. if four want to play, then two play, then the other two, etc. There is to be no food or drink on the pool table or rim. The cue stick should never touch another person unless it is being handed gently into the other person’s hand. (The person to whom it is being handed should know cue stick is being handed to him.)

      T.V. Watching: Staff will decide in conjunction with the children involved what station or program is to be viewed. Children will sit quietly in the furniture, keeping their hands to themselves and keeping their voices at a low level. When told to leave, the child responds quickly with little protest and returns quietly to the ward.

      Ping-Pong: Game played by vollying ball such that ball goes over net and hits the other side of table. On service, ball is to be hit so touches both sides of table. Throwing paddles, banging paddles on table, ripping net, purposely mashing balls, hitting ball at opponent and not table, will all be behaviors for which credit will be lost. Game should be played according to rules.

      PROCEDURE:

      Children will be told before they leave the ward what the rules of going downstairs are. After the dollars have been collected to gain access to downstairs, the children will be told what he must do inorder to receive savings credit upon completion of the activity. If a child does earn savings, he will be told so upon return to the ward. He will also be praised verbally for a good activity. There should be no threats of non-payment, etc. while the child is on the activity. All that should be said if a child asks, “You were told before we left what you had to do to earn the savings.” If a child needs more than two of these reminders of the rules during the activity, he will not receive the savings payment. If a child breaks a rule or rules, he will not receive payment. If a child breaks a rule, naturally a staff member will try to get the child to stop, but it is only upon return to the ward that the child will be informed of lack of payment.

      GENERAL NOTE ON ON-WARD ACTIVITIES

      Game, Card, Radio, etc. – Please note that if children are going to rent any of the above items, both children must pay and if they are going to play cards, for example, in one of the children’s rooms, then Visitor’s Fees must also be paid.

      Games: Any child can rent games, puzzles, cards, toys, etc. during this time, for use in room or day room. Games can be exchanged once during any given period.

      Rules:

      1. Games must be used for the purpose intended.

      2. The rules of the game should be followed.

      3. The game must, be returned immediately upon the end of the period in the same condition as it was when they left the office.

      4. If the game is an interpersonal game, both children involved must pay for the use of the material.

      5. If two children rent a game, they must use the game appropriately together to get savings credit.

      6. Games must be returned immediately upon being called in by the staff.

      PROCEDURES:

      As each child rents game materials, the staff member will not only collect monies but will also make a brief statement about how the equipment is to be used. If material is misused, the child will not receive savings credit. If material is used correctly, then the child will be praised and receive credit.

      Visitor in Room: Definition – Both children must pay to have the visit. The room owner pays to have the visitor in his room and the visitor pays to be allowed in the room. Both children must remain in the room interacting in a socially appropriate manner. They must keep their voices at a normal level. The room is defined as the room itself and whatever other adjoining rooms that room has access to.

      The key here is the social appropriateness of the children’s interaction. Such things as talking and playing are acceptable and to be encouraged. Such things as name-calling, yelling, and unsupervised roughhousing will, lose both parties concerned the savings credit.

      Children will terminate the visit at the end of the period.

      PROCEDURE:

      Staff will collect the monies and remind the children of the visiting rules. The door to a room where visitors are will be left closed but ajar. Children who have good visits will be praised and given credit.

      Radio In Room: Definition – The ear plug is kept in the radio such that there is no sound on the ward. The radio is kept in the child’s room. The radio is returned promptly and in the same physical condition as it left the nurses station.

      If an ear plug radio is not available, then the child must keep the volume low enough such that it cannot be heard outside the room if the door is closed.

      PROCEDURE:

      Staff will collect the dollars and remind the child of the radio rules. The staff will remind the child to return the radio at the end of the period. To receive savings credit, the radio must be returned immediately upon request. Should the volume get too high, the child will be asked to turn the radio down. If a child has to be asked to turn the radio down, then he will have lost savings credit. If he persists in keeping the volume high, then he will lose the radio.

      Juice: Definition – Juice can be bought as specified by schedule.

      PROCEDURE:

      Child must ask for juice, pay money and can drink juice at his on her pleasure. Child can make purchase at any time during activity period.

      GENERAL SCHOOL PROCEDURE

      Each session (A.M. & P.M.) the teacher will be available at the ward office at 8:45 and 12:15. Staff members will receive folders for the children with whom they will-work during that session, The folder will contain:

      1. The lesson plan sheet for that sessione.

      2. Any worksheets to be used that session.

      3. Answer sheets (if not in separate Answer folder).

      4. Information regarding other applicable material to be used.

      The staff will deliver the lesson plan and any pertinent material for Step 1 (or Step 5 in the P.M.) to the child. The staff should be aware of any implications for him at any given step (e.g. listen to a child read, etc.)

      Staff will proceed through each 30-minute period individually. The child should be working on the assigned step for that time period only.

      At the end of a session, the staff should note any appropriate comments on the lesson plan regarding length of tasks, difficulty, enthusiasm, etc. The lesson plan sheet, worksheets, answer sheets and any other material should then be returned, in the folder, to the office. See examples attached.

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