SECTION 450:27-7-47. Incident reporting; documentation and notification

(a)   The facility shall document the occurrence of critical or similar incidents, as defined in facility policy and in accordance with OAC 450:27-3-43.

(b)   Incident reports shall minimally include:

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

(2)   the name(s) of the consumer(s), staff member(s) or property involved;

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

(4)   the time and date the incident was reported and 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 action taken, and signature of appropriate staff; 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)   Incidents shall be reported to ODMHSAS within specific timeframes, as follows:

(1)   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 other approved modalities that assure submission to ODMHSAS Provider Certification within twenty-four (24) hours of the incident being documented.

(2)   Incidents involving allegations against staff, reports of consumer abuse, or sentinel events 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)   Compliance with 450:27-7-47 shall be determined by a review of facility policy and procedures; critical incident reports at the facility and those submitted to ODMHSAS, performance improvement program documents and reports, and staff interviews.

[Source: Added at 29 Ok Reg 663, eff 7-1-12]