SECTION 450:65-7-5. Critical incidents

(a)   The CGAT program shall have written policy and procedures for the reporting of 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 consumer(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, 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 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.

(c)   Compliance with 450:65-7-5 may be determined by a review of:

(1)   policy and procedures;

(2)   critical incident reports at the facility and those submitted to ODMHSAS;

(3)   performance improvement program documents and reports;

(4)   staff interviews; and

(5)   any other relevant documentation of the facility or ODMHSAS.

[Source: Added at 24 Ok Reg 2623, eff 7-12-07; Amended at 25 Ok Reg 2551, eff 7-11-08]