Riverview Hospital Staff Manuals. Richard J. Wiseman

receive not more than two reminders of rules and receive savings dollars for that activity.

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      DOWNSTAIRS ACTIVITIES

Included are:	Pool
	T.V.
	Ping Pong

      Downstairs means in downstairs dayroom, bathroom or Jeanne’s room (if specifically requested and granted). This excludes the hallway, Carl’s office, outside double doors. For child to receive credit, he must remain within the prescribed area and meet expectations of activities taking part in.

      1. Pool: 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 4 want to play, two play, then the other 2, 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.)

      2. T.V.: 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.

      3. Ping-Pong: Game played by vollying ball such that ball goes over net and hits the other side of table. On service, ball to be hit so touches both aides 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 FOR DOWNSTAIRS ACTIVITIES:

      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 in order 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.

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      T.V. in Day Room on Ward:

      Definition – Sitting quietly in chair, not “messing” with T.V. or other children watching T.V. Child is to sit quietly in chairs or on floor, keeping hands to themselves and voices at a low level. When told that period is ended, child responds quickly and prepares for next activity. Child is to be in day room and only leaves day room with permission of staff.

      PROCEDURE:

      Staff sets up T.V. in day room with volume at a low level. In conjunction with the children who purchased that activity, a channel is picked. Channel is only to be changed with staff permission. Door to Day Room will be closed in order to prevent children who did not pay from watching T.V.

      Games: During this time any child can rent games, puzzles, cards, toys, models, etc. for use in child’s room.

      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.

      PROCEDURE FOR GAMES:

      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.

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      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 their savings credit.

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

      PROCEDURE FOR VISITOR IN ROOM:

      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 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 FOR RADIO IN ROOM:

      Staff will collect the dollars and 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 will have lost savings credit. If her persists in keeping the volume high, then he will lose the radio.

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

      PROCEDURE FOR JUICE:

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

      LUNCH ROUTINE

      *17. Get Off Ward: At about 11:30 children will have returned to the ward from activity period off ward, and on ward activity will be terminated. Staff will ask children to line up at the ward door closest to the Dining Room. The line-up call will be made only twice, with at least 30 sec. between calls. Staff member at door will collect dollars to leave the ward and the door will be opened when the children are all seated quietly in line.

      18. Quiet in Line: Definition – Any child who is in line without pushing, shoving, yelling, running or lagging from inside the ward door until reaching the D.R. tray area will be given credit. Children who take meds must take meds in line as they are provided to receive credit.

      Idea: To get the children from ward to D.R. in an orderly, well-behaved fashion.

      PROCEDURE:

      After collecting dollars in line, door is opened and staff leads to D.R.; upon getting to trays, staff pays for quiet in line if child has met expectations.

      *19. Lunch Menus

      PROCEDURE:

      At