55 Pa. Code § 2390.19 - Incident procedures to protect the client
(a) In investigating an incident, the
facility shall review and consider the following needs of the affected client:
(1) Potential risks.
(2) Health care information.
(3) Medication history and current
medication.
(4) Behavioral health
history.
(5) Incident
history.
(6) Social
needs.
(7) Environmental
needs.
(8) Personal
safety.
(b) The facility
shall monitor a client's risk for recurring incidents and implement corrective
action, as appropriate.
(c) The
facility shall work cooperatively with the individual plan team to revise the
individual plan if indicated by the incident.
(d) The facility shall complete the following
for each confirmed incident:
(1) Analysis to
determine the cause of the incident.
(2) Corrective action if indicated.
(3) A strategy to address the potential risks
to the client.
(e) The
facility shall review and analyze incidents and conduct and document a trend
analysis at least every 3 months.
(f) The facility shall identify and implement
preventive measures to reduce:
(1) The number
of incidents.
(2) The severity of
the risks associated with the incident.
(3) The likelihood of an incident
recurring.
(g) The
facility shall educate staff persons and the client based on the circumstances
of the incident.
(h) The facility
shall monitor incident data and take actions to mitigate and manage
risks.
Notes
The provisions of this § 2390.19 amended under sections 201(2), 403(b), 403.1(a) and (b), Articles IX and X of the Human Services Code (62 P.S. §§ 201(2), 403(b), 403.1(a) and (b), 901-922 and 1001-1088); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).
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