SECTION 450:60-15-2. Incident reporting

(a)   The facility shall have written policies and procedures requiring documentation and reporting of critical incidents.

(b)   The documentation for critical incidents shall contain, minimally:

(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

(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 Provider Certification Division within 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 business (24) hours of the incident.

(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 business (24) hours of the incident. If reported by telephone, the report shall be followed with a written report within twenty-four business (24) hours of the incident.

[Source: Added at 23 Ok Reg 1617, eff 4-25-06 (emergency); Added at 24 Ok Reg 1428, eff 7-1-07]