Current through Register Vol. 50, No. 9, September 20, 2024
A. A
facility shall have written procedures for the reporting and documentation of
unusual incidents and other situations or circumstances affecting the health,
safety or well-being of a client(s) (i.e. death by unnatural causes, injuries,
fights or physical confrontations, situations requiring the use of passive
physical restraints, suspected incidents of abuse or neglect). Critical
incidents shall be defined by facility policy, approved by the facilitys
governing body and reviewed at least annually.
1. Such procedures shall ensure timely verbal
reporting to the director or designee and a preliminary written report within
24 hours of the incident.
2. Copies
of all critical incident reports shall be kept as part of the client's record
and a separate copy shall be kept in the administrative file of the
facility.
B.
Incident/Accident Report. When an incident occurs, a detailed report of the
incident shall be documented. At a minimum, the incident report shall provide
documentation of the following:
1. the
circumstances under which the incident occurred;
2. the date and time the incident
occurred;
3. the location where the
incident occurred (bathroom, bedroom, street, lawn, etc.);
4. immediate treatment and follow-up
care;
5. the names and addresses of
witnesses;
6. the date and time the
family or representative was notified;
7. any symptoms of pain and injury discussed
with the physician; and
8. the
signatures of the staff completing the report, client, and
administrator/director.
C. When an incident results in the death of a
client, involves abuse or neglect of a client, or entails any serious threat to
the client's health, safety or well-being, a facility shall:
1. immediately take appropriate corrective
action to protect the client and to prevent further incidents;
2. report the incident verbally to the
administrator within two hours of the time of the incident;
3. notify the appropriate law enforcement
authority in accordance with state law, but no later than 24 hours after the
time of the incident;
4. verbally
notify the family or the clients representative as soon as possible but no
later than two hours after the time of the incident, with written notification
to follow within 24 hours;
5.
notify the Department of Health, Health Standards Section, and other
appropriate authorities in accordance with state law, with written notification
to the above agencies to follow within 24 hours of the time of the
incident;
6. provide follow-up
written reports to all of the persons and agencies identified in this
§7261 C; and
7. document its compliance with all of the
above procedures for each incident and shall keep such documentation (including
any written reports or notifications) in the client's file. A separate copy of
all such documentation shall be kept in the facility's administrative
file.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
28:31-28:37.
