1. INCIDENT REPORTING
WHO
WHAT
WHEN
WHERE

2. TYPES of Incident Reports
FRRS Incident Report
FRRS Vehicle Accident
Seizure Report
BDDS Incident Report

3. WHO
Written for any staff or consumer that the following occur: injury, illness, behavior with out injury, and behavior with injury, auto accident

4. What is an Incident Report
An incident report is the written accurate account of the facts involved in an incident.

5. Why do we have them??? Have a written accurate account of an incident
Just state facts do not give opinions
Would be used as a legal document if litigation would occur.
Use as a tool to help solve why incidents occur.

6. Complete on a timely basis
Complete on a timely basis. If you do not have time to complete report at the time jot down key facts .
If more than one staff person witnesses an incident write your accounts separately.

7. Where do they go???? Not only FRRS staff are going to see it.
Guardians
Case Mangers
Parents
Nursing Homes
Police
State Officials

8. Confidential Information
When reporting on an incident involving more than one consumer safe guard the name of the other party by initials when reporting incident to other parties.

9. Handwriting, spelling, grammar
Does the thing I just wrote sound OK?
Needs to be legible
Don’t be afraid to ask for help if you need it.

10. Key point on BDDS Incidents
Reportable incidents are any event or occurrence characterized by risk or uncertainty resulting in or having the potential to result in significant harm or injury to an individual or death of an individual.

11. BDDS Report
Incidents of suspected abuse or neglect (must also be reported to Adult Protective Services).
Physical-including but limited to:
i. intentionally touching another person in rude, insolent or any manner;
ii. williful infliction of injury
iii. Unauthorized restraint or confinement resulting from physical or chemical intervention;
iv. Rape

12. Suspected abuse or neglect
Sexual – including but not limited to: nonconsensual sexual activity; sexual molestation; sexual coercion; sexual exploitation.
Emotional/Verbal –fear of retaliation, confinement or restraint, emotional distress or humiliation, view the individual with hatred, contempt, disgrace or ridicule, to react in a negative manner.
Domestic abuse- Physical violence, sexual abuse, emotional/verbal, intimidation, economic deprivation, threats of violence.

13. Alleged, suspected or actual neglect (report to APS)
Failure to provide: Appropriate supervision, care, or training;
Provide safe, clean and sanitary environment;
Food and medical services as needed;
Medical supplies or safety equipment as indication in ISP

14. Alleged, suspected or actual exploitation (report APS)
Unauthorized use of the:
Personal services;
Personal property or finances
Identity of an individual
Other instances of exploitation of an individual for one’s own profit or advantage or for the profit or advantage of another.

15. 4. Peer-to-peer aggression that results in significant injury by one individual receiving service, to another individual receiving service.
5. Death (which must also be reported to APS) additionally, if the death is a result of alleged criminal activity the death must also be reported to law enforcement.

16. 6. A service delivery site with a structural or environment problem that jeopardizes or compromises the health or welfare of an individual.
7. Fire at a service delivery site that jeopardizes of compromises the health or welfare of an individual.

17. 8. Elopement of an individual that results in evasion of required supervision as described in ISP
9. Missing Person an individual wanders away and no one knows where they are.

18. 10. Alleged, suspected or actual criminal activity by individual receiving services or an employee, contractor or agent of a provider when:
The individual’s services are affected or potentially affected;
The activity occurred at a service site or during services activities;
The individual was present at the time the activity, regardless of location.

19. 11. An emergency intervention for the individual resulting from: a
11. An emergency intervention for the individual resulting from: a. A physical symptom; b. Medical or psychiatric condition; c. Any other event.
12. Any injury to an individual when the cause is unknown and the injury could be indicative of abuse, neglect or exploitation.

20. 13. Injuries of unknown origin that require medical evaluation or treatment
Reporting : Injuries of unknown origin.
WHAT WE WANT TO KNOW…
Who found injury and when
Type and extent of injury
What medical intervention was needed or provided if any
Was consumer in services (as opposed to being with family or friends) prior to discovery of injury?
Tell them what you are doing to find out cause of the injury

21. 14. Significant injuries Fractures
Burns greater than first degree (including sunburn)
Choking (that requires intervention)
Bruises or contusions larger than 3 inches in any direction, or a pattern of bruises or contusions regardless of size.
Lacerations which require more than basic 1st aid.
Breakdown of skin related to decubitus ulcer.(regardless severity)
Any injury requiring more than basic first aid.
Puncture wounds (including human or animal bites)
Pica ingestion requiring more than first aid.

22. 15. A fall resulting in injury, regardless of the severity of the injury.
16. Medication or error in medical treatment error as follows:
Wrong medication given
Wrong Dosage
Missed medications-not given
Medications given wrong route
Medication error that jeopardizes an individual’s health and welfare and requires medical attention.

23. 17. Use of any aversive techniques, including but not limited to:
Seclusion (i.e. placing an individual alone in a room/area from which exit is prevented)
Painful or noxious stimuli
Denial of health related necessity
Other aversive technique indentified by DDRS policy.

24. 18. Use of any PRN medication related to an individual's behavior.
19. Use of any physical or mechanical restraint regardless of:
a. Planning;
b. Human Rights committee approval;
c. Informed consent.

25. BDDS Reports Must be completed on the web.
Anyone can do an initial report
Only case managers can do a follow-up report.

26. Vehicle Accidents
A form must be completed anytime an accident occurs in a company vehicle or your private auto if on company business.
Report to your supervisor or home facility when this happens. If in Ride Solution vehicle notify the dispatcher.
Need to file a police report

27. Information Needed OTHER Drivers name Date of birth
Address (not just P.O. Box)
Phone number

28. Other Vehicle information
Who the vehicle is registered to
Insured person name
Insurance Company name, Policy number
Agents name & Address

29. Witness???
Name
Address
Telephone number

30. Seizure Reports All seizure activity must be recorded
Observations about the seizure need to be noted:
Time Duration Of seizure
Necessary to notify physician/ambulance
Mental State: unchanged –dreamlike-vacant-unconscious
Color: flushed-pale-bluish
Eyes: turned right – stare –rolled up – pupils changed size- excessive blinking – turned left
Muscle tone: rigid: whole body RA,RL,LA,LL – limp – fell down

31. Mouth: Salivated- chewed-swallowed-smacked lips-cried-talked
Breathing: stopped for _____ - became noisy
Movement: jerked - whole body RA,RL, LA,LL – One jackknife-purposeful movement
Sphincters: urinated –defecated-continent
Behavior After: irritable-confused-drowsy-deep sleep-usual

32. Note if any in detail any apparent or possible injuries
Was there any treatment given?
Record the event in proper sequence and include any warning signs of onset.
What was consumer doing before event? Is there any reason why the seizure occurred.
Describe in detail what the recovery was like. How long did it take?