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Community Outing Program Protocols

Therapeutic Recreation Services

Adolescent Unit

PURPOSE: to develop a standard of service for community outings for the Adolescent Unit.

REFERRAL CRITERIA: patients meeting the following criteria become eligible for outings- 1) attainment of level two

2) written order by a physician for therapeutic recreation outings

3) prior successful participation in therapeutic recreation activities

4) verbal approval by members of the treatment team and nursing staff

CONTRAINDICATED CRITERIA: patients not meeting the referral criteria and patients on suicide or elopement precautions will not be eligible for outings.

PROCEDURE: Outings are planned each Wednesday evening and Saturday afternoons.

1) Safety: safety procedures are implemented prior to and during outings

  • staff is familiar with patients attending the outing
  • staff is familiar with the outing site
  • staff is responsible for monitoring client behavior; sets limits as necessary
  • first aid kit is available at all times
  • an emergency plan is developed prior to each outing; conduct training sessions for staff and patients as necessary (e.g., pre-outing training for caving trips)
  • behavioral expectations are announced to patients prior to outings
  • clients are dressed appropriately for the activity and weather conditions
  • the vehicle is checked for safe conditions prior to each trip
  • seat belts are mandatory
  • a patient to staff ratio is set at a minimum of 4 to 1
  • check-in with each participant to see how he is doing
  • promote safe and cooperative behaviors

2) Planning Prior to the Outing

  • discuss upcoming out trips with unit program director
  • schedule staff to meet patient to staff ratio
  • schedule use of a vehicle
  • order food from the kitchen as needed
  • obtain spending money from the business office as needed
  • secure permission from custodians or parents for those patients needing permission prior to each out trip
  • announce outing to patients and discuss their eligibility and about the outing

3) Preparation on the Day of the Outing

  • meet with staff to discuss patient's current status
  • gather all supplies, foods, equipment, money, etc. as needed
  • meet with patients to discuss their responsiblities and their goals
  • upon return and during the outing, process the outing, their interactions, feelings, goals met, etc.

Recreation Outing Itinerary (This form is completed several days prior to an outing and posted at the nurses station)

Date:
Time Leaving:
Time Expected Back:
Staff Attending:
Patients Attending:



Itinerary:

  LOCATION: TIME: PHONE #
1      
2      
3      
4      
5      


------------------------------------------------------------------------
Miscellaneous Notes: (examples- "Please have meds ready." "Joe needs his bee sting kit.")

 

 

OUTINGS REPORT (This form is used prior to the outing to jot down important info clients and after the outing as a report to unit staff)

Date of Outing:
Time Out:
Time In:
Destination:
Staff Attending:

--------------------------------------------------------------------------

SUMMARY OF ACTIVITIES ENGAGED BY PATIENTS:

-------------------------------------------------------------------------

PROBLEMS (if any) ENCOUNTERED ON THE OUTING:

------------------------------------------------------------------------

1) First Name:

Description: (clothing, features, etc. in event of elopement)

Info: (meds, allergies, needs, etc)

Outing/tx goal:

-------------------------------------------------------------------------

2) First Name:

Description: (clothing, features, etc. in event of elopement)

Info: (meds, allergies, needs, etc)

Outing/tx goal:

-------------------------------------------------------------------------

3) First Name:

Description: (clothing, features, etc. in event of elopement)

Info: (meds, allergies, needs, etc)

Outing/tx goal:

-------------------------------------------------------------------------

4) First Name:

Description: (clothing, features, etc. in event of elopement)

Info: (meds, allergies, needs, etc)

Outing/tx goal:

-------------------------------------------------------------------------

5) First Name:

Description: (clothing, features, etc. in event of elopement)

Info: (meds, allergies, needs, etc)

Outing/tx goal:

-------------------------------------------------------------------------

6) First Name:

Description: (clothing, features, etc. in event of elopement)

Info: (meds, allergies, needs, etc)

Outing/tx goal:

-------------------------------------------------------------------------

7) First Name:

Description: (clothing, features, etc. in event of elopement)

Info: (meds, allergies, needs, etc)

Outing/tx goal:

-------------------------------------------------------------------------

8) First Name:

Description: (clothing, features, etc. in event of elopement)

Info: (meds, allergies, needs, etc)

Outing/tx goal:

-------------------------------------------------------------------------

9) First Name:

Description: (clothing, features, etc. in event of elopement)

Info: (meds, allergies, needs, etc)

Outing/tx goal:

-------------------------------------------------------------------------

10) First Name:

Description: (clothing, features, etc. in event of elopement)

Info: (meds, allergies, needs, etc)

Outing/tx goal:

 

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