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.4NorthAED .P rog ram OurDailyRou tine

1. Meal times:Breakfast:8:00AMLunch:12:15PMAfternoonSnack:3 :30 pmDinner:6:00PMLate snack:8:.45 pm Meals are30minutesin leng th

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Maximumof.4patients+1staffwillbeseatedateachtab le

Oncethemealtimehass ta rted p leaserema in seateduntilthemeal iscompletePatientswill in itiallybeseatedatstaffmon itoredmea l/snacktablesOvertime youwill to se lf-m onitoredstatus .Thisprogressionwill bediscussedwith you rprima rytherapistandtheClinicalNurseSpecialist, and determinationswill bemadein treatmentplanningmeetings.Pleasearriveon timeformealsPatientsmustbedressed appropriatelyduringmec;1ls. Iflongsleevesareworn, theymustbepushed updu ringmeals.Jacketswith pocketscannotbeworn duringmeals/snacks

Ifneeded,patientswhoareunab le tocompletemealswillbesupplementedwithEnsure/Boostandare g iven15minutestocompletethisBeaware thatdiscussingweight, fat,calories ,andfood isnothelpfulduringmeals ,andshouldbeavo ided .Wealsourgeyou nottodiscusss ize/we ight, targetweights ,ca lor iesorderedwith yourpeersoutsideofmeal times. Therapeuticg rou ps, individual therapysessio nsandmeetingswith assignednursings ta ffmembersare opportunitiestoexploreyourconcerns in thisarea.

MenusarecompletedonThursdayeveningsduringmenu

group.Ne"VIYadmittedpatien ts willmeetwiththedietitiantodiscussmenuchoices

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Ple asebeawarethat a m axim um of2packetsofanycondim en tperm eal m u stbeorderedon y ou r m enusW rite- inm eal requests will not be honoredw it hou tconsultationbyth eprogram die tit ia nV egeta ri an selectio ns areavailableateach m eal tim e

2. Youmayh a v e acupc a ffe in a te d b e v e ra g e dailyatbreakfastandlu n c h , ifd e s ire d . C ream /m ilk /soym ilk/ suga rfor thes e should be ord ere d on th e meal m enus

3. W ewil lprovideyouwith12 ozfluidate a c h m ea la nd snacktim e, unlessmedically contra

indicated

4. Fluidsare providedon yourm e a ltrays ,ord is p e n s e d bystaffatsnackt im e s .a) All fluid s consum ed.areto com e from the kitchen areab) Drin kin g from bathroom taps or show ersis not perm ittedc) Patie nts arenotto keep cups orw a te rbott les in the ir

possessio ns

5. Observations ta tu s .The le n g th ofobservationwillv a ry giventh e clinicalne edsofea ch p a tie n t. T h e purposeofqbservation is toprovidestaffsupporttore d u c e th e likelihoodthatpurgingbehaviorswilloccur.

W hile on O bserv ati on ,. patients m ust rem ain w ithinsta ff' seyesig ht. Pati ents will need to requ est s ta ff accom panim entw hen usingth erestro om /oren

te ring otherare as of th eunit

6. Dayroomstatus.P a tie n ts p la c e d on dayroomstatuso fte n havegreatdifficultyresistingurgestoe n g a g e in exercisingbehaviors. P a tie n ts whodemonstratesignificantanxietyforvariousre a s o n s maya ls o benefit fromthe additionalp e e r&staffcontactresultingfromthedayroomstatus.P atie ntson dayroom statusare expectedto bdngwith th em tothe dayro om the m ateria lstheywill need fo rgroupsandactivities. Twotrips pershift to bedroom s are perm itte d on th is

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. . .status ,requestsared irectedth roughyourass ignednu rsing.s ta ffmemberforeachsh ift .

7. Patien ts areNOTtobecarryingpurses/bookbags/to te

bags throughouttheday.Yourva luab le /con traband itemsw i llbep laced in .yourlockedbedroom cupboa rds ,and

ca nbeaccessed.withthe ass is tance ofnu rsingstaff members .

More 4No rth AED Program Un itGu ide lines/Ru les

1. Appropriateclothing , includingfootwear, istobewo rnwheneve ryouareoutside ownr oom .a) Spaghetti straptops ,tanktops, midriffbaringtops ,anytransparentclothing arenotpermittedoutsideofyourbedroomb) Sandalsarenotpermittedtobeworn in areasofftheunit .Theymaybeworn on theunitdeck, butnottoOTRTorrideand sitactivitiesc) Shortswhich aremid-thigh lengthorlongerarepermitted.

d) Lowrisepantsare permittedonlywhen pai red;with a

topofsufficientlengthto cove rtheabdomen 'e) Thosepatientswhoarehaving difficultyma intainingastablebodytemperatureareencouragedtowearknit

capsandsocksatall times. .f) Shirtswith d rug oralcohol related imagery/writ ing arenot appropriate

2. Bed roomte l evis ionsa reope ratedwi t hremote1

Controlswhicharekeptin thenurse's s tat iona) Televis ions -maybeviewedbeforebreakfastarid afterdinner(butnotduring schedu ledgroupsormeetings )b) Remotecontrolswill be co llectedattheendoftheevening shift c) Patientsare notto bewatchingTVin theirroomsduringthe treatmentday(afte rbreakfastuntil after dinne r)

3LSmok ing is perm itted a fte r eachmealandsnacktime.- a) Patientswill keeptheirown cigarettesin theirrooms

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b) Lighters are kept in the nurs es sta tionc) Sm okin g is perm itted on . he AEl;) deck aread) Ashtr ays mustbe used

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e) Sm okin g anywhere w ith in the Ron ald Reaganor Resnic k Neuro psych iatr ic Hospita ls is str ictly forbid denf) Sm okin g m ay be re schedule d dueto conflicts with

schedule d progra m activit ies. Patients are encoura gedto utilize nic otinegumuri ng periods when sm okir ig ispostp oneq.

g) Sm okin g is notperm it ted duringR T activ ities , or onwalks to these activ iti es

h) Sm oke breaksare not a socia l activity4. Laptops/ cell phonesand deviceswhich

Containcamerasarenot permittedon theunita ) There is a pay phoneon the unit ; it is advisedtha t you

obtain aphonecard fo r to ll ca l ls. The pay phonenum ber is 3 10-208-7 635

b) There is a 10m in ute tim e lim itfo r phone cal ls, ple asebe aware tha t 8 patients wil l be makin g and receiv ingcal ls from theonepayphone on the unit c) Phoneca lls t o the payphone after 1030pm are :d is couraged . '

d ) Be aw are that sta ff mem bersdo not answer the payphone .P hone rn essa ges taken by peers should begive n d irectly to thein te nded rec ipient .

e) T im es forcom puter accesswill be provid ed dai ly, onthe evening shif t, w it h sta_faccom panim ent

5. Unit visit ing hoursare from7pmto 8pmseyendays aWeek a) On SaturdayandSunday thereare addit ionalv is it ing

ho urs, from 1 3 0pm to 3:0 0 pm b) Exte ndedv is it ing hours are arranged indiv iduall y through

yourp rim arynurse andth e ra pist :c) A ll v isit ors will access un it 4 North by ringin g the doorbell

a t the unit entrance, they will co mmu nicate w ith sta ff viaintercom , and ide ntify thepat ien t they are visit in g .

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