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BDDS
REPORTABLE = = INCIDENTS
BQIS TRAINING
Revised October 2008
1
![](3D"master114_image002.gif")
Policy
(from Incident Reporting Policy, Revised 6/11/02)
(from Incident Reporting Policy, Revised 6/11/02)
=
=
Policy: =
A
reportable incident is any event or
occurrence characterized by risk or uncertainty resulting in or having the potential to result in significant harm or injury to an individual or death of an <=
/span>individual.&nb=
sp;
•
2
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Guideline
(from Incide= nt Reporting Policy, Revised 6/11/02)
(from Incide= nt Reporting Policy, Revised 6/11/02)
=
The previous policy statement is the over-riding guide for determining if an incident is reportable.=
If the incident does not fit into one of the categories listed but fits into the policy statement, it is reportable.
=
3
Abuse, Neglect, and Exploitation
Policy State= ment
Policy State= ment
Reportable incidents…
<=
/div>
Incidents of suspected abuse or neglect of an adult or child who is residing in a <=
/span>community residential setting.
All incidents falling in this category must also be reported to Adult Protective Services or Child Protective Services.
Incidents of suspected abuse or neglect of an adult or child who is residing in a <=
/span>community residential setting.
•
All incidents falling in this category must also be reported to Adult Protective Services or Child Protective Services.
•
4
Abuse, Neglect, Exploitation
Reporting Gui= deline
Reporting Gui= deline
=
<=
span
style=3D'text-shadow:auto'>
Report up=
on
knowledge of allegation. =
3;
<=
span
style=3D'text-shadow:auto;visibility:hidden'>=
<=
span
style=3D'text-shadow:auto;visibility:hidden'>=
<=
span
style=3D'text-shadow:auto;visibility:hidden'>=
5
Abuse Definitions
(from Incide= nt Reporting Policy, Revised 6/11/02)
(from Incide= nt Reporting Policy, Revised 6/11/02)
§Physical - inc=
ludes
willful infliction of injury, unnecessary physical or chemical restraints or
isolation, and punishment resulting in physical harm or pain.
<=
span
style=3D'font-size:63%;text-shadow:auto;visibility:hidden'>v
§Sexual – includes all allegations of rape,
sexual misconduct, or sexual exploitation.
<=
span
style=3D'font-size:88%;text-shadow:auto;visibility:hidden'>v
§Verbal - includ=
es
oral, written, and/or gestured language that includes disparaging and derogato=
ry
remarks to consumers.
<=
span
style=3D'font-size:88%;text-shadow:auto;visibility:hidden'>v
<=
span
style=3D'font-size:88%;text-shadow:auto'>§Mental –
includes unreasonable confinement or intimidation.
6
Abuse
Reporting Guidelines
<=
span
style=3D'font-size:88%;text-shadow:auto'>Report on the victim when:
Report on the victim when:
1) the victim=
is
injured, emotionally or physically, or the victim reports being abused or
assaulted. This includes =
the individual feeling threatened or =
being
afraid of the aggressor.
<=
span
style=3D'font-size:88%;text-shadow:auto'>Report on the aggressor when:
=
;
Report on the aggressor when:
=
; 1) the act is both intentional and aggressive
<=
/span>
2) the act involves enough force to cause, or potentially cause, injury or pain (emotional =
or
physical).
<=
/div>
7
Abuse
Reporting Guidelines
•
Any occurrence of chemical restra=
int,
other than as prescribed by a doctor and
approved by a Human Rights Committee and as
part of a Behavioral Support Plan.
•
Staff/caregiver/other to consumer=
and
consumer to consumer if there is any suspicion that one is taking =
advantage of/exploiting the other
individual.8
Abuse
Reporting Guidelines
<=
span
style=3D'font-size:75%;text-shadow:auto'>Any occurrence of oral, written, =
or
gestured disparaging or derogatory remarks made by staff/caregiver/other/consumer to consumer.
<=
/div>
If the action would usually be vi=
ewed
as psychologically or verbally abusive by a member of the general public, this is also viewed as abusive by=
BQIS,
regardless of the individual’s perceived ability to comprehend the nature of the incident.
=
<=
/div>
<=
/div>
•
<=
/div>
9
Neglect Definition
(from Incide= nt Reporting Policy, Revised 6/11/02)
(from Incide= nt Reporting Policy, Revised 6/11/02)
=
Neglect includes failure to prov=
ide appropriate care, food, medical =
care, or supervision.
•
10
Neglect
Reporting Guidelines
Report any situation when basic n=
eeds
are NOT being met.
<=
span
style=3D'font-size:75%;text-shadow:auto;visibility:hidden'>
Report any situation in which family/staff are NOT <=
/span>following physicians’ orders
(i.e. not following up with an order for using adaptive equipment, not providing prescribed supplements, lack of c=
are
for skin breakdown, etc.).
<=
span
style=3D'font-size:75%;text-shadow:auto;visibility:hidden'>
Keep in mind Need vs. Plan of Care. Not all items in the Individual Support Plan/Plan of C=
are
are needs. Missing a community outing would generall=
y not
be considered reportable or an act of neglect, (unless used as punishment) although it should be addressed b=
y the Interdisciplinary Team (IDT). =
3;<=
span
style=3D'text-shadow:auto;visibility:hidden'>
11
Exploitation Definition
(from Incide= nt Reporting Policy, Revised 6/11/02)
(from Incide= nt Reporting Policy, Revised 6/11/02)
<=
span
style=3D'font-size:88%;text-shadow:auto'>Financial – any deliberate
misplacement, exploitation, or wrongful temporary or permanent use of an individual’s belo=
ngings
or money.
Any other type of exploitation,
including but not limited to sexual exploitation.
Report any situation in which the
consumer is used for financial gain, for labor, for humor (making fun of them),
=
•
=
=
12
Staff Suspension Pending =
Investigation of Allegation
In accordance with 460 IAC 6-9-5 and/or
ICF W 154:
13
Immediate Protective Measures
For all allegations of abuse, neglect, and <=
span
style=3D'font-size:88%;text-shadow:auto'>exploitation, the provider will e=
nsure
that i=
mmediate
protective measures are in place. <=
/span>This will include, but is not lim=
ited
to, ensuring staff suspension pending investigation.
<=
span
style=3D'font-size:88%;text-shadow:auto;visibility:hidden'>
The BDDS service Coordinator will contact the =
provider to ensure this action has
occurred, if it is not already stated as part of the initial incident =
=
report .14
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=
15