SECTION 450:18-5-8. Critical incident reporting

(a)   The facility shall have written policies and procedures requiring documentation and reporting of critical incidents and analysis of the contributors to the incident with attention given to issues that may reflect opportunities for system level or program level improvement.

(b)   The documentation of critical incidents shall include, but not be limited to the following:

(1)   The facility name and signature of the persons reporting the incident;

(2)   The names of the consumers, staff members or property involved;

(3)   The time, date, and physical location of the incident;

(4)   The time and date the incident was reported and the name of the staff person within the facility to whom it was reported;

(5)   A description of the incident;

(6)   Resolution or action taken, date resolution or action was taken, and signature of appropriate staff members; and

(7)   Severity of each injury, if applicable. Severity shall be indicated as follows:

(A)   No off-site medical care required or first aid care administered on-site;

(B)   Medical care by a physician or nurse or follow-up attention required; or

(C)   Hospitalization or immediate off-site medical attention was required.

(c)   Critical incidents shall be reported to ODMHSAS with specific timeframes, as follows:

(1)   Critical incidents requiring medical care by a physician or nurse or follow-up attention and incidents requiring hospitalization or immediate off-site medical attention shall be delivered via fax or mail to ODMHSAS Provider Certification within twenty-four (24) hours of the incident being documented;

(2)   Critical incidents involving allegations constituting a sentinel event or consumer abuse shall be reported to ODMHSAS immediately via telephone or fax, but not more than twenty-four (24) hours after the incident. If reported by telephone, the report shall be followed with a written report within twenty-four (24) hours.

(d)   Compliance with 450:18-5-8 shall be determined by a review of facility policies and procedures, critical incident reports at the facility, and those submitted to ODMHSAS, performance improvement program documents and reports, staff interviews, and any other relevant documentation of the facility or ODMHSAS.

[Source: Added at 13 Ok Reg 2769, eff 7-1-96; Amended at 16 Ok Reg 1523, eff 7-1-99; Amended at 19 Ok Reg 2375, eff 7-1-02; Amended at 22 Ok Reg 2109, eff 7-1-05; Amended at 24 Ok Reg 2580, eff 7-12-07; Amended at 27 Ok Reg 2237, eff 7-11-10]