alc cla pch incident reporting form

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Tulip health care center incident reporting policy and procedure purpose one to establish a detailed reporting procedure and incidents involving the persons served personnel and stakeholders two to identify root cause of the reported incidents and prevent a recurrence of the hazardous condition causing the event three to identify trends and incidents and take corrective measures to minimize the probability of a recurrence and to develop and implement appropriate interventions for to ensure all incidents reported and are acted upon investigated and analyzed for quality improvement policy tulip Healthcare Center establishes an incident reporting policy that defines the type of incidents that must be reported and the process the personnel of THC must follow for reporting investigating reviewing and tracking of incident report scope / responsibilities management responsibilities one assure that the th C's personnel comply with the incident reporting policies and procedures to review all incidents to guarantee that incidents are appropriately reported investigated and documented 3 ascertained that necessary and appropriate corrective preventive and/or disciplinary action has been taken in accordance with the management's recommendations if other actions are taken the management must document the original recommendations and explain why these recommendations were revised for develop recommendations if warranted for changes in tulip healthcare policy and procedure to prevent or minimize the occurrence of similar situations 5 identify trends and incident occurrence by type site employee involvement time date circumstance etc and recommend appropriate corrective and preventive policies and procedures to the administration 6 report annually incidents and all corrective preventive and/or disciplinary actions taken pertaining to identify trends staff responsibilities one adhere to tulip HCC incident reporting policy and procedure to immediately call to report the incident to the immediate supervisor or designating the occurrence of an incident report factual and OnPoint description of what happened disclosing all pertinent information regarding the incident 3 complete the incident report form and submit in the required time frame for cooperate and submit self in the investigation and follow recommendations and disciplinary actions definition one critical incident any happening or unusual occurrence which is not consistent with the routine operation of homecare or the routine care of the person served resulting in an injury or potential injury to the person served personnel and other stakeholders or physical damage to homecare property and/or vehicles one point one person served incidents any incidents involving the patient and incidents that occur between the patient and any members of THC personnel 1.2 personnel incidents and the incidents involving between were among members of th C employees 1.3 stakeholder incidents any incidents involving the patient's family visitors or anyone who is directly or indirectly involved in a patient's care plan to allegations of abuse and neglect are defined as the maltreatment or mishandling of a participant which would endanger his/her physical or emotional well-being through the action or inaction of any one person served personnel and stakeholders whether or not the participant is or appears to be injured or harmed 2.1 physical abuse is