Incidents, Adverse Events and Reports to the Division
Sets out what staff do when something goes wrong: make the patient safe, report to a supervisor at once and on Form NC-HSP-QA-02-A by the end of the shift, and make every outside report on time (a death from injury, accident or other possible unnatural causes to the Department; allegations against unlicensed staff to the Health Care Personnel Registry within 24 hours; abuse and neglect to the county department of social services; suspected crimes against residents of long-term care facilities within 2 or 24 hours). It then sets out investigation, analysis and learning through the QAPI program.
- Policy number
- NC-HSP-QA-02
- Version
- 1.0
- Main rule
- 10A NCAC 13K .1108(7)
- Library
- North Carolina hospice · 60 policies
- Category
- Quality
- Sections
- 18
In short
- Make the patient safe first and call 911 in an emergency.
- Tell the nurse on call and your supervisor at once. For anything serious, call the Administrator right away.
- Chart only the facts in the record, and complete Form NC-HSP-QA-02-A before the end of your shift.
- Allegations against unlicensed staff go to Health Care Personnel Investigations within 24 hours. A suspected crime against a nursing facility resident is reported within 2 hours if there is serious injury, otherwise within 24 hours.
- Any death from an injury, accident or other possible unnatural cause is reported to the Department.
- No one is disciplined for reporting an incident in good faith.
What's inside
18 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (10A NCAC 13K .1108(7))
- 5. First Response
- 6. Reports Outside the Agency
- 6.1 Posting for staff serving long-term care residents
- 7. Review and Investigation
- 8. Learning Through the QAPI Program
- 9. No Blame for Reporting
- 10. Responsibilities
- 11. Records and Compliance Monitoring
- 12. Staff Training
- 13. References
- 14. Related Policies and Forms
- 15. Approval
- 16. Revision History
An inspector may ask
- Show me your incident log for the last quarter and how incidents feed into QAPI.
- Has any patient died from an injury, accident or other possible unnatural cause? How and when did you notify the Department?
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