SECTION 450:22-1-11.1. Critical incidents, assessors and assessment agencies

(a)   The ADSAC assessor or assessment agency shall report every critical incident. Documentation of critical incidents shall minimally include:

(1)   The facility, name and signature of the person(s) reporting the incident;

(2)   The name(s) of the participant(s), staff member(s) 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, description of the action taken, date action was taken, and signature of appropriate staff member(s); 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.

(b)   Critical incidents shall be reported to ODMHSAS 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 patient abuse shall be reported to ODMHSAS immediately via telephone or fax, but not more than twenty-four (24) hours of the incident. If reported by telephone, the report shall be followed with a written report within twenty-four (24) hours.

(c)   Critical incidents involving those involved in the ADSAC process shall be reported to Provider Certification.

[Source: Added at 25 Ok Reg 1390, eff 7-1-08]