RBT Exam Documentation and Reporting

This flashcard set explains reporting variables, emphasizing the importance of informing your supervisor immediately when caregivers report changes such as illness, relocation, or medication adjustments. These factors can significantly impact a client’s behavior and treatment plan.

Reporting Variables

When caregivers inform you of other variables (illness, relocation, change of medication), contact your supervisor immediately

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Key Terms

Term
Definition

Reporting Variables

When caregivers inform you of other variables (illness, relocation, change of medication), contact your supervisor immediately

Session Notes

provide you with the opportunity to record all necessary information from a given session

What should session notes consist of?

  1. How did the session go

  2. Did anything out of the ordinary happen?

  3. Did you discuss anything with the caregivers?...

Mandatory Reporting

  1. Any suspicion of client abuse or neglect (intentional or unintentional)

  2. If a client is in danger of hurting himself or other...

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TermDefinition

Reporting Variables

When caregivers inform you of other variables (illness, relocation, change of medication), contact your supervisor immediately

Session Notes

provide you with the opportunity to record all necessary information from a given session

What should session notes consist of?

  1. How did the session go

  2. Did anything out of the ordinary happen?

  3. Did you discuss anything with the caregivers?

  4. Did the client meet mastery criteria for any goals?

  5. Any information or questions for supervisor?

Mandatory Reporting

  1. Any suspicion of client abuse or neglect (intentional or unintentional)

  2. If a client is in danger of hurting himself or others

  3. Any suspicion of domestic violence in the home