{"ref":"LA-HC-INC-01","title":"Incidents, Accidents, and Critical Incident Reporting","category":"Quality","summary":"Sets out how staff respond to, report and document incidents, accidents and medical or behavioral emergencies involving a client, who is told and when, the OAAS critical incident process for waiver participants (SIMS entry or support coordinator contact within two hours of discovery), and how the Agency reviews every incident to prevent it happening again.","inShort":["Help the client first; if the client needs emergency help, call 911 before you call the office.","Report every fall, injury, hospital visit, medication problem, behavior event or police contact to your supervisor immediately.","Complete the incident report before the end of your shift: facts only, with witnesses and what you did.","For waiver participants, the support coordinator must be told within two hours, so call the office right away.","If abuse or neglect may be involved, also report it to APS, EPS or law enforcement within 24 hours."],"primaryCitation":"LAC 48:I.5029.B.10","citations":["LAC 48:I.5029.B.10","LAC 48:I.5003","LAC 48:I.5029.D.1","LAC 48:I.5029.D.3","LAC 48:I.5039.B.6","LAC 48:I.5055.G.3","LAC 48:I.5055.G.5","LAC 48:I.5055.G.6","LAC 48:I.5055.H.1.f","LAC 48:I.5061.B.1","LAC 48:I.5063.D.1","Medicaid Services Manual, Chapter 30, §30.6","Medicaid Services Manual, Chapter 30, §30.9","OAAS-PC-21-004, Direct Service Provider Critical Incident Report Guide","OAAS-PC-21-003, Critical Incident Report (CIR) Timelines"],"federalCitations":[],"surveyorAsks":["Show me your incident reports for the last quarter and what you did after each one.","This client fell last month. Who was told, when, and what changed in the service plan?"],"forms":[{"ref":"LA-HC-INC-01-A","title":"Incident and Accident Report"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (LAC 48:I.5029.B.10)","5. What to Do at Once","6. Events Staff Must Report","7. The Incident and Accident Report","8. Who Is Told and When","9. Critical Incidents for OAAS Waiver Participants","10. Other Medicaid Programs","11. Behavioral Emergencies","12. Review and Follow-Up","13. Incident Log and Quality Review","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"la-hca","state":"Louisiana","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}