Incident Reporting What is an incident w An

Incident Reporting

What is an incident? w An incident is: any unusual occurrence that results in potential or actual injury to a resident, staff, visitor or property. w The Cottages Policy: Section 3, pgs 12 & 13 w State of Idaho Rule 16. 03. 22. 011. 09: Incident. An Event that can cause Resident Injury.

Incident Reporting w Why do I have to do an incident report? w When do I complete an incident report? w Who completes the incident report?

Why do I have to do an incident report? w An incident report should be completed to report any incident, situation, or unusual occurrence that involves potential injury or harm to a resident, visitor or staff. w Required for regulatory compliance. w Assists with resolving resident care issues. w Improves quality with resident care. w Identifies training needs for staff. w Damage to company property.

When do I complete an incident report? w Incident reports should be completed for the following reasons: n n n Resident issues: falls, elopements, unexplained bruising… Employee issues: staff member falls, any injury that occurs on the job, needle sticks/exposure to biohazardous waste or body fluids… Medication issues: medication errors: wrong resident receives the wrong drug, med not available…

Who completes the incident report? w The first person to become aware of the incident must complete the incident report.

Incident Report Instructions n Section 1: w Date of Report (This should be on the same day of the Incident) w Date & Time of Incident w Resident Name

Incident Report Instructions n Section 2: Vital Signs ü Complete Set of Vital Signs should be Records ü If Unable to get Vital Signs document why ü Blood Glucose is mandatory/Nurse may recommend if Diabetic to rule out contributing factor.

Incident Report Instructions n Section 3: Person’s Notified v Family v Physician v Nurse v Administrator needs to be added to IR Form

Incident Report Instructions n Section q q q q q 4: Incident/Behavior Details Location Witnessed & Unwitnessed Description of Incident Name of staff involved Measures Taken Offsite Medical Treatment Yes or No Reported BY Title of Reporter Staff Signature

Incident Report Instructions n Section 5: ACTIONS TAKEN ü Description of Actions Taken ü Results ü Actions Completed BY…this applies the Caregiver’s Signature

Incident Report Instructions n Section 6: Possible Contributing Factors w New Medications? Side Effects of Medications? w Medications Missed/Refused w Physical Notified (aware) of Side Effects? w Corrective Action…. This is where the bulk of the Follow-up Documentation is entered. Don’t forget to tell the “rest of the story”. Initials/Date can by typed right in the box if both the Administrator and RN are documenting in this section. w INCIDENT Signatures!

THE END Remember Accidents/Incidents happen…what matters is what WE DO about them!