(ST) Knowledge Test – Incident Reports and Serious Occurrences (old)

1. When should an Incident Report be written?

2. Your client trips over their feet when walking to get a toy, the client gets up and continues walking. What do you do?

3. Your client trips over their feet when walking to get a toy, the client begins to cry. What do you do?

4. Your client has had a behaviour protocol in for 6 months to address physical aggression and disrobing. During today’s session the client engages in physical aggression that warrants the use of CPI (as indicated in the protocol). Do you complete an IR?

5. Your client has a behaviour protocol in for 6 months to address physical aggression and disrobing. During today’s session the client engages in SIB (hitting his head onto the desk with force). Do you complete an IR?

6. Your client is diabetic and begins to experience symptoms of very low blood-sugar levels. What do you do? (Select all that apply)

7. Your learner becomes sick during your session. What do you do?

8. Mom reports that her son is extremely active, and often is “buzzing” all around. The dad works extremely long hours, and is often away from the home as a result. Mom does not speak English well, and also has a heart condition and is very frail and exhausted as a result. Mom tells you about the following situation: ‘One night, mom is late in preparing dinner, and the boy is “buzzing” all around her. Mom then turns around, and hits him with a wooden spoon.’ Would you call CAS?

9. You are working with a client and while playing together your client accidentally bumps into an end table and a picture frame breaks. Do you write an Incident Report?

10. You are working with a client and while transitioning from his bedroom to the living room he picks up the picture frames from the walls and begins to break them. Do you write an Incident Report?

For the following incident reports select if they should be accepted or rejected for further edits and clarification. Remember the parameters of what should be included in an incident report and how to write them properly

11. Noticed a bruise on SS’s left thigh (outer side) while changing her clothes. Reason is unknown. Informed the ST about it.

12. At 3:30pm, client was doing chores (washing dishes). Client was washing a fork and poked bottom side of his thumb with it. IT saw a visible cut on the skin. IT applied polysporin and a bandaid to affected area. Bleeding stopped. Client’s mother was informed of incident upon pick up.

13. At approximately 2:45pm clients at AlphaBee 100 were setting up chairs for musical chairs. Instructor therapist AB gave client CD instruction to stand up to fix his chair. Client CD got up from red chair and ran in the direction on the exercise bike. Client CD tripped over the foot of exercise bike, and scraped his right arm on the pedal/front foot of the bike. Instructor therapist EF helped client CD up off the floor and checked client CDs arm. Client CD did not cry. Client CD scraped his right wrist on the foot/pedal of the exercise bike. Scrape was approximately 2-3 inches and there was visible redness. No bruising, bleeding, or swelling present. Instructor therapist EF applied saline water to the scrape, as well as, iced it on and off throughout remainder of session. Following this, instructor therapist EF did two body checks to see if there were any other scrapes, redness, or bruising visible. One immediately following event, and one prior to leaving session. No other marks on body visible. Client CDs father was informed upon arrival.

14. After a transition back into the room the child was given an option between 2 preferred items. When the IT denied his request for a different item the child attempted to slap the IT in the face. When the IT blocked, the child behaviours escalated to include hitting, kicking, headbunting, and throwing items. The child was then put into a higher-level CPI hold for approximately 30 seconds.

15. Sam and I were drawing on a piece of paper at his table. He was sitting in his chair and I was sitting across from him on the floor. I placed all of the markers on the table because one of his programs is “gives items with eye contact.” I asked S to give me the marker and he did not comply (verbal protesting and crying) so I physically prompted him to give me the green marker. I put the green marker down and started drawing with the blue marker. Sam started crying and whining, and tried to grab the marker from my hand. I ignored Sam and continued to draw (once 3-5 seconds of no crying, I was planning on prompting him to request appropriately for the marker). Sam was crying, whining, and sta!ed to stomp feet, bounce up and down on chair, throw markers at me (and around the room), and kick the table. I ignored all of these behaviours, yet I looked up every few seconds to make sure that he was safe. After less than one minute of crying, mom walked by and said “what is on his nose?” there was a red mark under his nose (as well as a green mark) and I said “I think its marker”. Mom came in and wiped his nose and said she thought his nose was bleeding. (It did look like blood on the tissue, a very small amount and there was some blood/redness in his nose as well). I did not see his nose sta! to bleed because I was ignoring him (as he was still crying) and I was looking up every few seconds. I asked mom if his nose has ever bled before and she said that when he gets upset he sticks markers up his nose and/or in his ears. This was the first time that I heard of this before and am unaware if he did this today. Note: There is no information in Sam’s file on oasis noting that he sticks things up his nose/ears, and this information was not provided on his clinical intake form.

16. SS was picking at a scrape on his leg until it sta!ed to bleed. No indication of how the scrap happened or occured. Mom was advised

17. SS went to threw away the garbage in the kitchen and was returning to his seat when he accidentally bumped his nose on the bed rod. He has a bruise mark on his nose. The Writer was recording on his data sheet and I noticed the mark when he sat in-front of her. He didn’t cry or made any noise. His grandma and the Writer applied ice and he was fine for the rest of the session. I will write an IR. The ST was informed.