Pennsylvania Code
Title 55 - HUMAN SERVICES
Part VIII - Intellectual Disability and Autism Manual
Subpart A - Statements of Policy
Chapter 6000 - STATEMENTS OF POLICY
Subchapter Q - INCIDENT MANAGEMENT
REPORTABLE INCIDENTS
Section 6000.923 - Incidents to be reported within 72 hours
Universal Citation: 55 PA Code ยง 6000.923
Current through Register Vol. 54, No. 44, November 2, 2024
(a) The following are categories of incidents to be reported within 72 hours after the occurrence of the incident:
(1)
Medication error. Any
nonconforming practice with the "Rights of Medication Administration" as
described in the OMR Medication Administration Training Course. This includes
omission, wrong dose, wrong time, wrong person, wrong medication, wrong route,
wrong position, wrong technique/method and wrong form. Over the counter
medication is excluded. Treatment procedures (for example, skin creams,
shampoo, eye drops, and the like) that do not contain a prescription medication
are excluded. A medication error occurring during a home visit, when the family
is responsible for the administration, is not reportable. An individual's
refusal to take medication is not reportable. See Appendix H (relating to
abbreviated incident report, medication error).
(2)
Restraints. Any
physical, chemical or mechanical intervention used to control acute, episodic
behavior that restricts the movement or function of the individual or portion
of the individual's body, including those that are approved as part of an
individual support plan or those used on an emergency basis. Improper or
unauthorized use of restraint is considered abuse and is to be reported under
the abuse category. See Appendix I (relating to abbreviated incident report,
restraint).
(i)
Physical. A
physical or manual restraint is a physical hands-on technique that lasts 30
seconds or more, used to control acute, episodic behavior that restricts the
movement or function of an individual or portion of an individual's body such
as a basket hold and prone or supine containment.
(ii)
Mechanical. A
mechanical restraint is a device used to control acute, episodic behavior that
restricts the movement or function of an individual or portion of an
individual's body. Examples of mechanical restraints include anklets,
wristlets, camisoles, helmets with fasteners, muffs and mitts with fasteners,
poseys, waist straps, head straps, restraining sheets and similar devices. A
device used to provide support for functional body position or proper balance
and a device used for medical treatment, such as a wheelchair belt or helmet
for prevention of injury during seizure activity, are not considered mechanical
restraints.
(iii)
Chemical. A chemical restraint is a drug used to control
acute, episodic behavior that restricts the movement or function of an
individual. A drug ordered by a licensed practitioner as part of an on-going
treatment program or pretreatment prior to medical or dental examination or
treatment is not a chemical restraint. Medications prescribed on a Pro Re Nata
(PRN) basis for the treatment of episodically occurring and well-defined
symptoms of an underlying disorder (such as an anxiety disorder, auditory
hallucinations, and the like) and not simply for behavior control, are not
considered chemical restraints. For further clarification see Mental
Retardation Bulletin 00-02-09, issued July 11, 2002, titled Pro Re Nata
Medication Usage for Psychiatric Treatment-Clarification of
Interpretation.
Disclaimer: These regulations may not be the most recent version. Pennsylvania may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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