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Clinical Supervision Handbook - CAMH Knowledge Exchange ..

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<strong>Clinical</strong> <strong>Supervision</strong> <strong>Handbook</strong> Core <strong>Clinical</strong> Practice Competencies<br />

DOMAIN OF PRACITCE LEVELS OF PRACTICE<br />

Anticipating and Responding to<br />

Rapidly Changing Situations<br />

Competent Proficient Expert<br />

• Continuously assesses and<br />

anticipates psychiatric emergencies<br />

(e.g., self harm, harm<br />

to others) within specified<br />

client population using<br />

evidence-based tools<br />

• Recognizes symptoms and<br />

risk of withdrawal from<br />

alcohol and / or drugs and<br />

responds in a timely manner<br />

using evidence-based<br />

protocols<br />

• Analyzes and interprets<br />

unusual client responses and<br />

responds in a timely manner<br />

• Creates and documents<br />

safety plans<br />

• Recognizes role in a code<br />

white and for nursing staff,<br />

or a code blue<br />

• Familiar with policies and procedures<br />

related to emergency<br />

responses (e.g., codes blue,<br />

white, red) and participates in<br />

educational opportunities on<br />

• Provides leadership, intervention<br />

and support in all camh<br />

emergency codes<br />

• Supports and educates staff<br />

and students according<br />

emergency codes<br />

• Modifies environment to<br />

minimize occurrence of codes<br />

(e.g., triggers to a code white)<br />

• Takes leadership in developing,<br />

modifying and evaluating<br />

policy and practice guidelines<br />

regarding to emergency codes<br />

• Explicitly identifies, anticipates<br />

and foresees an emergency<br />

code (e.g., client appearing<br />

aggravated and becoming<br />

increasingly defiant) and<br />

prevents it from occurring<br />

with de-escalation strategies<br />

• Provides debriefing and<br />

supervision to staff after critical<br />

incidents (i.e., code white,<br />

code Blue) involving staff<br />

and clients<br />

• Regularly analyses code<br />

functioning with team<br />

• Invites external perspectives<br />

on risk assessment and<br />

mitigating strategies<br />

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