Unusual Incidents, Serious Adverse Events, and EPD Waiver Incident Reporting
Requires every unusual incident to be made safe, reported inside the Agency at once and in writing before the end of the shift, reviewed by the supervising nurse, investigated, and tracked; and sets out the outside reports that apply: adverse events to DC Health’s reporting system no later than 60 days after they occur (D.C. Code §7-161), EPD Waiver incidents to DHCF within 24 hours or the next business day, abuse to Adult Protective Services or the Child and Family Services Agency, and the DC Health incident form when the Agency or DC Health decides a report is needed. Chapter 39 sets no incident reporting deadline; the Agency’s internal time frames are its own standards.
- Policy number
- DC-HH-QA-02
- Version
- 1.0
- Main rule
- 22-B DCMR §3905.2(i)
- Library
- Washington, DC home health · 58 policies
- Category
- Quality
- Sections
- 29
In short
- If something goes wrong, make the patient safe first. Call 911 in an emergency.
- Call the supervising nurse or on-call nurse before you leave the home.
- Write the incident report before the end of your shift, with facts only.
- Report falls, injuries, medication errors, unexplained bruises, missing property, and near misses.
- Suspected abuse or neglect also goes straight to Adult Protective Services or the child abuse hotline.
What's inside
29 sections. The full text comes with the One-time Policy Pack.
- Terms of Reference
- 1. Purpose
- 2. Scope
- 3. Definitions
- 4. Policy Statement (22-B DCMR §3905.2(i); D.C. Code §7-161)
- 5. What Must Be Reported
- 6. Immediate Action and Internal Reporting
- 6.1 Make the patient safe
- 6.2 Tell a nurse or supervisor at once
- 6.3 Write the incident report
- 6.4 Notify the physician and family
- 7. Review and Investigation
- 8. Reports Outside the Agency
- 8.1 Emergencies and crimes
- 8.2 Adverse events to DC Health (D.C. Code §7-161)
- 8.3 DC Health incident report
- 8.4 Protective services
- 8.5 EPD Waiver incidents (if enrolled)
- 8.6 DC Medicaid personal care aide services (if enrolled)
- 8.7 Licensing boards and DC Health after a staff finding
- 9. Telling the Patient the Outcome
- 10. Tracking and Learning
- 11. Responsibilities
- 12. Records and Compliance Monitoring
- 13. Staff Training
- 14. References
- 15. Related Policies and Forms
- 16. Approval
- 17. Revision History
An inspector may ask
- Show me your incident log for the last quarter and the investigation for this fall with injury.
- How quickly must staff report an incident, and to whom?
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