1. MUI/UI Training
Annual

2. What is our ILO?
What is an MUI?

3. Intended Learning Objective =
Understanding what constitutes an MUI
The difference between an MUI and UI
How to report
MUI categories

4. MUI ~
MUI or Major Unusual Incident is an alleged, suspected, or actual occurrence of an incident when there is reason to believe the health and safety of an individual may be adversely affected and the individual may be placed at a reasonable risk of harm.

5. Is this an MUI?

6. MUI Scenarios~ Is this an MUI?
1. Staff left individual in the van for approximately 3-5 minutes while they went into the bank to get individuals funds for a shopping trip. Individual has 24/7 supervision and is to be within eye sight when in the community. Provider reports that staff could see the individual from inside the bank
Y or N
2. An individual went into the break room in his wheelchair and stopped at the door blocking it so others were unable to get by. Staff yells across the room “stop blocking the door or I will come over there and move you.”
Yes – Risk/Neglect
2. No- Verbal Abuse

7. MUI Scenarios~ Is this an MUI?
4. Staff person working 3rd shift hears a noise in one of the bedrooms. Staff person finds individual lying on the floor beside the bed and is bleeding. Individual receives 8 stitches at the local hospital.
Y or N
3. The waiver provider and individual are watching a porn movie. The individual turns to see staff masturbating.
Yes- Sexual Abuse
Yes- Unknown Injury

8. MUI Scenarios~ Is this an MUI?
5. When staff went in to check on an individual who was watching TV, they were gone. Staff started searching and found him 10 minutes later on the swing in the backyard...
Y or N
No- Missing Person
15. No- Documented Entry
15. A concerned citizen calls the county board and reports that they witnessed a man hitting an individual in front of a house in their neighborhood. The victim appeared to be disabled and may be eligible for MR/DD services. The citizen gave the board the address and a description of the two men.
Y or N

9. MUI Scenarios~ Is this an MUI?
10. It was discovered that $80 was missing from three individuals lock boxes. Individuals live in an IO Waiver home.
Y or N
13. Nurse gave an individual the medication that belonged to a different individual. After receiving the wrong medication the individual was taken to the ER and his stomach was pumped.
10. Yes- Misappropriation
13. Yes- Neglect

10. The difference between MUI and UI
Are not consistent w/ daily operations
Or care/habilitation of that person
Unusual Incidents may be events involving a person w/ developmental disability which…..
Medication errors where there is not a reasonable risk of harm; falls;
Minor peer-to-peer incidents; natural disasters, fire, mechanical failure
Unusual Incidents are anything that is not an MUI……
The difference between MUI and UI

11. Implement preventative measures which may be identified.
An MUI contact person is identified w/ each County Board
Take immediate action to protect individual from harm
Report incidents to board and all vested parties [including guardians] identified in ISP
MUI
Reporting
ABUSE, NEGLECT, MISAPPROPRIATION, EXPLOITATION, AND SUSPICIOUS DEATH must be reported w/in 4 hours of the incident! All others 24hrs w/in the incident. (w/ends on Monday- unless one of the above)
Implement preventative measures which may be identified.

12. Responsibility We all need to be Responsible and Accountable for :
Proper Reporting
Good Judgment
Protecting the Individuals
Utilize Training
Common Sense
When in doubt Report

13. JEOPARDY Break into two teams.
One point awarded for each correct response.
Remember to respond “What is”…
Team w/ most points wins! 
Use of physical force that can result in harm
Unlawful sexual conduct/contact
Purposefully using words/gestures to threaten, coerce, intimidate, harass, or humiliate
What is Physical Abuse
What is Sexual Abuse
What is Verbal Abuse

14. JEOPARDY
Physical attempt by individual results in ER tx., observation, or hospital admission
Death of an individual
Unlawful or improper act of using an individual or their resources for monetary/personal benefit or gain
What is attempted suicide.
What is death.
What is exploitation.

15. JEOPARDY
Person who is required to report has reason to believe an individual has suffered a wound, injury, abuse, or neglect and such person does not immediately report information to proper authority.
An injury from a known cause that is not considered abuse or neglect, which requires cast, 5 or more sutures, dental injuries.
Any incident that results in the individual being charged, incarcerated, or arrested.
What is Failure to Report
What is Known Injury
What is Law Enforcement

16. JEOPARDY
Incident where emergency medical intervention is required to save life
Depriving, defrauding, or otherwise obtaining real or personal property of individual
Incident that is not considered neglect, and individual cannot be located for a period of time longer than specified in ISP
There is a duty to do so, failing to provide individual w/ any tx., care, goods, supervision, or services necessary to maintain health/safety
Employee engaging in consensual sexual conduct/contact w/ individual who is not the employee’s spouse, and for who employee was employed for
Incident where emergency medical intervention is required to save life
Depriving, defrauding, or otherwise obtaining real or personal property of individual
Incident that is not considered neglect, and individual cannot be located for a period of time longer than specified in ISP
What is Medical Emergency
What is Misappropriation
What is a Missing Individual

17. JEOPARDY What is Neglect. What is Prohibited Sexual Relations.
There is a duty to do so, failing to provide individual w/ any tx., care, goods, supervision, or services necessary to maintain health/safety
Employee engaging in consensual sexual conduct/contact w/ individual who is not the employee’s spouse, and for who employee was employed for
What is Neglect.
What is Prohibited Sexual Relations.

18. Violation of Individuals Rights
JEOPARDY
Violation of Individuals Rights
Use of any aversive strategy or intervention w/out approval or consent of ISP team
Injury of an unknown cause that is not considered abuse/neglect, which requires tx. only a physician can provide
Hospital admission that is not scheduled unless the admission is due to a condition that is specified in the ISP
What is Rights Code Violation.
What is Unapproved Behavior Support.
What is Unknown Injury.
What is Unscheduled Hospital Admission.

19. MUI~ Demonstration/Example
Video Demo from MI

20. WHENEVER IN
DOUBT…..
REPORT!!

21. Questions, Concerns, Thoughts, Feedback