{"ref":"NC-HC-INC-01","title":"Incidents, Accidents, and Unusual Occurrences","category":"Quality","summary":"Sets out how staff respond to and report accidents, injuries, falls, sudden illness, missing clients, deaths, medication assistance errors, property loss, staff injuries and other unusual events: make the client safe and call 911 when needed, tell the supervisor at once, complete an incident report before the end of the shift, and have the supervisor review it by the end of the next business day. Routes events to the right policy: injuries of unknown source and allegations against staff to the Health Care Personnel Registry within 24 hours, suspected abuse, neglect or exploitation to the county department of social services, and privacy events to the privacy official. Incidents are trended through the quality program.","inShort":["Make the client safe first. If anyone may be in danger, call 911.","Call your supervisor at once for a fall, injury, missing client, death or other serious event; report anything else before the end of your shift.","Do not move a client who may be hurt, and do not clean up after an injury nobody can explain.","Complete the incident report before the end of your shift. Write only facts and the client's own words.","Injuries nobody can explain and concerns about staff must reach the state within 24 hours, so report them right away.","Suspected abuse, neglect or exploitation also goes to the county department of social services."],"primaryCitation":"NC Medicaid Clinical Coverage Policy 3L, §6.1.2(e)","citations":["NC Medicaid Clinical Coverage Policy 3L, §6.1.2(e)","NC Medicaid Clinical Coverage Policy 3L, §7.8(k)","NC Medicaid Clinical Coverage Policy 3L, §7.9(c)","10A NCAC 13J .1107(c)(5)","10A NCAC 13J .1001(a)(5)","10A NCAC 13J .1004(b)","10A NCAC 13O .0102","G.S. 131E-256(g)","G.S. 108A-102"],"federalCitations":[],"surveyorAsks":["An aide finds a client on the floor. What does the aide do, and who is told?","Show me your incident reports for the last quarter and the supervisor's review of each."],"forms":[{"ref":"NC-HC-INC-01-A","title":"Incident Report"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (NC Medicaid Clinical Coverage Policy 3L, §6.1.2(e))","5. What Must Be Reported","6. What the Worker Does","7. What the Supervisor Does","8. Reports Outside the Agency","9. Investigation and Learning","10. Responsibilities","11. Records and Compliance Monitoring","12. Staff Training","13. References","14. Related Policies and Forms","15. Approval","16. Revision History"],"version":"1.0","sample":false,"pack":"nc-hca","state":"North Carolina","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}}