STRTP Safety and Crisis Management 1 — Questions and Answers
Question 1: In an STRTP, a 'Crisis Support Plan' (CSP) is primarily designed to:
- Identify individualized early warning signs and de-escalation strategies for a specific resident (Correct answer)
- Outline the facility's general emergency evacuation procedures
- Describe the staffing rotation plan during a public health emergency
- Document incidents of physical restraint for regulatory review
Correct answer: Identify individualized early warning signs and de-escalation strategies for a specific resident
A Crisis Support Plan is an individualized tool that identifies a resident's unique triggers, warning signs, and preferred de-escalation strategies to prevent crisis escalation.
Question 2: Which intervention must be considered before using a physical restraint on an STRTP resident?
- All less restrictive de-escalation techniques (Correct answer)
- A vote by all on-duty staff
- Authorization from the county placing agency
- A court order specific to the incident
Correct answer: All less restrictive de-escalation techniques
Physical restraints are a last resort; staff must attempt all less restrictive verbal and environmental de-escalation strategies before physical intervention.
Question 3: How soon after a physical restraint must an STRTP document and debrief the incident?
- Within 24 hours (Correct answer)
- Within 72 hours
- Within 7 days
- At the next monthly clinical meeting
Correct answer: Within 24 hours
California STRTP regulations require timely documentation and a debriefing session with the resident and staff within 24 hours of any physical restraint.
Question 4: Which of the following restraint techniques is prohibited in California STRTPs?
- Any restraint that restricts breathing or places pressure on the neck (Correct answer)
- A seated restraint with staff on either side of the resident
- A standing hold using both arms
- A gentle firm hold on the resident's wrists
Correct answer: Any restraint that restricts breathing or places pressure on the neck
California law strictly prohibits any restraint technique that restricts breathing, including prone or supine holds with pressure on the neck or chest.
Question 5: When an STRTP resident goes AWOL (absent without leave), the facility's first required action is to:
- Notify law enforcement and the placing agency immediately (Correct answer)
- Wait two hours before reporting in case the resident returns
- File an incident report with DSS only
- Contact the resident's school to check attendance
Correct answer: Notify law enforcement and the placing agency immediately
An AWOL incident requires immediate notification to law enforcement and the placing agency to ensure the resident's safety.
Question 6: A safety inspection of an STRTP should include checking which of the following to prevent self-harm incidents?
- Ligature risks in bathrooms, bedrooms, and common areas (Correct answer)
- The condition of outdoor garden furniture only
- The expiration dates on food items in the kitchen
- The accuracy of staff attendance records
Correct answer: Ligature risks in bathrooms, bedrooms, and common areas
Ligature risk assessments are a critical part of STRTP safety inspections because residents may be at risk for self-harm by hanging.
STRTP Safety and Crisis Management 1
In an STRTP, a 'Crisis Support Plan' (CSP) is primarily designed to: