ARSP
Where can you find Policy 3-14?
What are the most common 4 places it is stored or posted?
In the P & P binder, in therap (staff tab, document storage), staff bulletin board and transportation binders.
What does RUIP mean?
Reportable Unusual Incidents Procedure P & P 3-15
Name 2 Examples of Abuse, Neglect, and Exploitation
Examples but not limited to:
Physical or Verbal Disclosure: An attendee states that a staff member yelled at them or grabbed their arm roughly, even if no visible mark or bruise exists.
Unexplained Injury: A participant arrives or is found with noticeable bruising, cuts, or welts, and the provided explanation does not match the physical appearance of the injury.
Staff Neglect: A staff member leaves a vulnerable participant unattended in a community setting or vehicle, resulting in potential danger.
True or False? A participant trips on a rug, scraps their knee, and needs a simple Band-Aid from the first-aid kit. This is always considered a major reportable incident.
Answer: False. Minor first-aid issues are usually logged internally as a minor injury report rather than a state-reportable critical incident, though agency policies vary.
A participant wants to go to the community park with their group, but a staff member tells them they have to stay inside the building because they forgot to clean up their trash. What category of incident might this violate?
Violation of Rights or Unauthorized Restrictive Practice. Denying a participant their community access rights as a punishment is typically a reportable rights violation.
What does ARSP mean?
Administrative Reportable Situations Procedure
Who is the designated point of contact for reporting an ARSP situation in regards to Day Program?
Program Supervisor
A participant arrives at the day program with a large, unexplained purple bruise on their upper arm. What should the receiving staff member do immediately?
Answer: Report it immediately. Any unexplained injury or suspected physical abuse must be reported according to agency and state guidelines.
Name 2 Medical and Safety Emergencies that are reportable
Examples but not limited to:
Choking or Pica: A participant choking during lunch or consuming non-food items (pica) that requires emergency intervention or the Heimlich maneuver.
Severe Medication Error: A missed dose, wrong dosage, or incorrect medication administered that leads to an adverse physical reaction or hospitalization.
Life-Threatening Emergency Without 911: A medical crisis occurs (such as a severe seizure or cardiac event) where staff fail to call 911 immediately.
Unexpected Hospitalization: Any sudden, unplanned transfer of a participant from the day program to the emergency room or hospital
A participant goes into the restroom alone and is found 10 minutes later having a seizure on the floor. After calling 911, securing medical help and contacting the guardian/family and support coordiantor, what is the next administrative step?
Answer: File/Report a critical incident report for a medical emergency / serious injury.
What is the procedure for staff absences which impact the Day program transportation schedule?
How long do you have to report an incident to an guardian?
2 hours
A participant who requires direct supervision during meals due to a severe aspiration and choking risk is left unattended at the lunch table while the staff member steps away to chat. This is an example of?
Neglect
Name 2 behavioral incidents that are reportable
Examples but not limited to:
Elopement / Walkaway: A participant leaves the designated program area or building unsupervised and enters a parking lot or public street.
Unauthorized Restraint: Staff use a physical hold or unapproved restraint that results in injury or is done outside of an authorized crisis plan.
Physical Assault: A severe physical altercation between participants or directed at staff, resulting in moderate to major injury requiring medical treatment.
During a community outing to a local museum, a participant walks away from the group undetected. They are found safe 15 minutes later by a fountain. Is this reportable even though they are uninjured?
Answer: Yes, this is an Elopement (or missing person) incident. Any time a participant who requires supervision wanders away and their location is unknown, it must be reported.
Who do you contact if an individual has a minor, moderate or major injury?
Who do you call for permission to complete an physical restraint at the Day Program?
During lunch, a staff member notices that a participant who requires a finely chopped diet is being served a whole, uncut sandwich. If the participant eats it and chokes, what type of reportable incident is this?
Answer: Neglect. Failing to provide the correct dietary texture prescribed in their care plan is a failure to provide necessary care.
A staff member grabs a participant firmly by the upper arm to redirect them away from a restricted area, leaving a visible red mark. How should this action be classified?
Physical abuse
The air conditioning breaks at the day program facility on a 95°F day, and the indoor temperature quickly reaches 85°F. If the program continues operating without fixing it, what kind of reportable issue is this?
Answer: Environmental hazard/Unsafe condition/Operational Breakdown. Day programs must maintain a safe and comfortable environment to prevent heat-related medical emergencies.
List 7 Reportable Situations noted on the ARSP P&P 3-14 Procedure.
Reportable Situations: (include but are not limited to)
What Information for a medical emergency requiring a 911 call is staff required to gather that is required to be noted on a UIR.
Times of incident, 911 call and arrival of emergency personnel
Police name and badge number
EMT Company and Name
Description of the Incident
A staff member loudly raises their voice and tells a struggling participant that they are not allowed to go on an community outing because they are being bad. What is this considered?
Bonus: What should staff do instead?
Verbal/emotional abuse
When writing an official incident report for a reportable event, what is the proper standard for documenting what happened?
Answer: Document only objective, factual observations of who, what, when, and where
If you witness or strongly suspect a reportable incident occurring at the day program, when should you report it to your supervisor or the designated state reporting line?
Answer: Immediate reporting ensures participant safety and maintains legal compliance.