Overview <ul><li>Review CIR Policy </li></ul><ul><li>What is a CIR? </li></ul><ul><li>When must we fill out a CIR? </li></...
What is a Critical Incident? <ul><li>An occurrence or set of events inconsistent with routine operation. </li></ul>
Critical Incident Report Policy # 6.3 <ul><li>When a  Critical Incident  occurs at a DMHSAS facility or the Central Office...
Examples of CI’s <ul><ul><ul><li>Unwelcome Sexual advance; </li></ul></ul></ul><ul><ul><ul><li>Inappropriate joke, comment...
TIP #1 <ul><li>When in doubt, fill it out!! </li></ul><ul><li>Immediately!! </li></ul>
Why? <ul><li>Protect our consumers, </li></ul><ul><li>- duty to protect vulnerable    population </li></ul><ul><li>Protect...
Tip # 2 <ul><li>The Critical Incident Report is your  Shield , USE IT!! </li></ul>
 
CHARLIE <ul><li>Charlie is a court ordered inpatient consumer.  He has diabetes and is schizophrenic.  Charlie weights 350...
TIP # 3 <ul><li>EVERYONE  who was involved in, or is a witness to the event is required to fill out a critical incident re...
Who fills out Charlie’s  CIR? <ul><ul><li>Staff who witnessed spitting on another consumer </li></ul></ul><ul><ul><li>PCA’...
TIP # 4 <ul><li>Articulate </li></ul><ul><li>List all facts </li></ul><ul><li>Stay away from opinions </li></ul>
What should Charlie’s CIR say? <ul><li>Factual description of the event </li></ul><ul><li>What actions were taken </li></u...
 
Tip # 5 <ul><li>Do not discuss unless with proper authorities.  Do not assume you know. </li></ul>
Confidentiality, CIR’s, & Investigations <ul><li>CIR’s are confidential. </li></ul><ul><li>CIR’s have protected informatio...
Why is Confidentiality Important? <ul><li>It’s the law </li></ul><ul><li>It’s the policy </li></ul><ul><li>It’s for the pr...
What Happens to Me if I don’t fill out the CIR or I breach confidentially? <ul><li>Discipline up to and including discharg...
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Critical Incident Reporting

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Critical Incident Reporting Training

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Critical Incident Reporting

  1. 1. Overview <ul><li>Review CIR Policy </li></ul><ul><li>What is a CIR? </li></ul><ul><li>When must we fill out a CIR? </li></ul><ul><li>Why do we have such a policy? </li></ul><ul><li>What are the benefits? </li></ul>
  2. 2. What is a Critical Incident? <ul><li>An occurrence or set of events inconsistent with routine operation. </li></ul>
  3. 3. Critical Incident Report Policy # 6.3 <ul><li>When a Critical Incident occurs at a DMHSAS facility or the Central Office of DMHSAS, the incident shall be documented and reported in accordance with the procedures outlined in the policy. </li></ul>
  4. 4. Examples of CI’s <ul><ul><ul><li>Unwelcome Sexual advance; </li></ul></ul></ul><ul><ul><ul><li>Inappropriate joke, comment; </li></ul></ul></ul><ul><ul><ul><li>Inappropriate email, screensaver, picture; </li></ul></ul></ul><ul><ul><ul><li>Information you learn through the grapevine; </li></ul></ul></ul><ul><ul><ul><li>Someone confides in you. </li></ul></ul></ul>
  5. 5. TIP #1 <ul><li>When in doubt, fill it out!! </li></ul><ul><li>Immediately!! </li></ul>
  6. 6. Why? <ul><li>Protect our consumers, </li></ul><ul><li>- duty to protect vulnerable population </li></ul><ul><li>Protect the Department, </li></ul><ul><li>- civil liability </li></ul><ul><li>- performance improvement </li></ul><ul><li>Protect YOU! </li></ul><ul><li>- civil & criminal liability </li></ul>
  7. 7. Tip # 2 <ul><li>The Critical Incident Report is your Shield , USE IT!! </li></ul>
  8. 9. CHARLIE <ul><li>Charlie is a court ordered inpatient consumer. He has diabetes and is schizophrenic. Charlie weights 350 pounds. He is actively psychotic. He has bandages on his feet from attempts at self harm in the recent past. Charlie spits on another consumer. PCA’s intervene and Charlie begins to bang his head and feet on the ground. The physical intervention aspects of CAPE are utilized. Charlie continues and a decision is made to take him to PCR. After evaluation by an RN-1 and MD, full restraints are ordered. He keeps spitting, banging his head and feet while the staff attempt to restrain him. Suddenly, Charlie stops fighting and staff notice he has turned blue. PCA’s & LPN begin CPR, and RN-2 calls EMS. </li></ul>
  9. 10. TIP # 3 <ul><li>EVERYONE who was involved in, or is a witness to the event is required to fill out a critical incident report. </li></ul>
  10. 11. Who fills out Charlie’s CIR? <ul><ul><li>Staff who witnessed spitting on another consumer </li></ul></ul><ul><ul><li>PCA’s who intervene & use CAPE </li></ul></ul><ul><ul><li>RN-1 & MD who evaluated for PCR & restraints </li></ul></ul><ul><ul><li>PCA’s doing restraints </li></ul></ul><ul><ul><li>PCA’s & LPN doing CPR </li></ul></ul><ul><ul><li>RN-2 who called EMS </li></ul></ul>
  11. 12. TIP # 4 <ul><li>Articulate </li></ul><ul><li>List all facts </li></ul><ul><li>Stay away from opinions </li></ul>
  12. 13. What should Charlie’s CIR say? <ul><li>Factual description of the event </li></ul><ul><li>What actions were taken </li></ul><ul><li>Other information (staff, precautions, diagnosis, etc.) </li></ul><ul><li>Injury </li></ul><ul><li>Damage </li></ul><ul><li>List of individuals involved & witnesses </li></ul>
  13. 15. Tip # 5 <ul><li>Do not discuss unless with proper authorities. Do not assume you know. </li></ul>
  14. 16. Confidentiality, CIR’s, & Investigations <ul><li>CIR’s are confidential. </li></ul><ul><li>CIR’s have protected information on them. </li></ul><ul><li>CIR’s may initiate or overlap with an investigation. </li></ul><ul><ul><li>Patient Advocate </li></ul></ul><ul><ul><li>Department </li></ul></ul><ul><ul><li>Criminal </li></ul></ul><ul><ul><li>Civil </li></ul></ul>
  15. 17. Why is Confidentiality Important? <ul><li>It’s the law </li></ul><ul><li>It’s the policy </li></ul><ul><li>It’s for the protection of the consumer </li></ul><ul><li>It’s for your protection </li></ul>
  16. 18. What Happens to Me if I don’t fill out the CIR or I breach confidentially? <ul><li>Discipline up to and including discharge </li></ul><ul><li>Civil Liability </li></ul><ul><ul><li>Could be “outside the scope” of employment </li></ul></ul><ul><ul><li>Hire own attorney </li></ul></ul><ul><li>Criminal Liability </li></ul><ul><ul><li>Fines </li></ul></ul><ul><ul><li>Jail </li></ul></ul>

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