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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