26 Tex. Admin. Code § 554.1923 - Incident or Accident Reporting
(a) The
facility must detail in the medical record every accident or incident,
including allegations of mistreatment of residents by facility staff,
medication errors, and drug reactions.
(b) Accidents, whether or not resulting in
injury, and any unusual incidents or abnormal events including allegations of
mistreatment of residents by staff or personnel or visitors, must be described
in a separate administrative record and reported by the facility in accordance
with the licensure Act and this section.
(1)
If the incident appears to be of a serious nature, it must be investigated by
or under the direction of the director of nurses, the facility administrator,
or a committee charged with this responsibility.
(2) If the incident involves a resident and
is serious or requires special reporting to HHSC, the resident's responsible
party and attending physician must be immediately notified.
(c) Accident or incident reports
must be retained for at least two years following the occurrence and must
contain the following information.
(1) For
incidents involving residents, the name of the resident; witnesses, if any;
date, time, and description of the incident; circumstances under which it
occurred; action taken including documentation of notification of the
responsible party and attending physician, if appropriate; and the resident's
current (post-incident) health condition, including vital signs and date and
time of entry.
(2) Incident reports
describing incidents not involving residents must contain such information as
names of individuals involved, date, time, witnesses (if witnesses were
present), description of the event or occurrence, including the circumstances
under which it occurred, action taken, and final disposition that indicates
resolution of the event or occurrence.
(d) The facility must investigate
incidents/accidents and complaints for trends which may indicate resident
abuse. Trends that might be identified include but are not limited to: type of
accident, type of injury, time of day, staff involved, staffing level, and
relationship to past complaints.
(e) The facility must make incident reports
available for review, upon request and without prior notice, by representatives
of HHSC, the U.S. Department of Health and Human Services, if applicable; and
the Texas Department of Family and Protective Services. The facility must make
reports related to specific incidents available to the State Ombudsman and a
certified ombudsman.
Notes
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