Resident Rights & Safety
What is the first priority when responding to an accident or injury involving a resident or visitor?
Answer: Ensuring the individual’s safety and obtaining emergency medical assistance if needed.
Who initiates the top portion of the Incident/Accident Report?
Answer: The associate discovering or observing the event.
What immediate action should occur if a resident is in immediate danger?
Answer: Call 911.
What percentage of unplanned weight loss in one month is considered significant?
Answer: 5%
Why are incident investigation summaries maintained separately from the resident wellness chart?
Answer: Because they are confidential quality improvement documents.
Who should be notified immediately after an incident or accident occurs?
Answer: The Wellness Director or designee.
What should staff do if they make an error on an incident report?
Answer: Draw a single line through the error and initial/date near it.
What should happen to an associate accused of abuse pending investigation?
Answer: They should be suspended pending completion of the investigation.
How often should weights typically be monitored after significant weight loss is identified?
Answer: Weekly weights.
Who ensures state hotline reporting is completed if required?
Answer: The Wellness Director or Executive Director.
What should staff avoid including in an incident report?
Answer: Judgments, conclusions, or opinions.
How soon should an incident report be completed?
Answer: As soon after the incident as possible.
Who should conduct abuse investigation interviews together?
Answer: The Executive Director and Wellness Director.
Name two symptoms staff should monitor related to significant weight change.
Answer: Appetite changes, fatigue, swallowing difficulty, skin integrity changes, constipation, shortness of breath.
What document should be revised after a resident incident to prevent recurrence?
Answer: The Customized Service Plan (CSP).
How should statements made by a resident or witness be documented?
Answer: Using quotation marks and the exact words spoken.
What type of observations should be documented in an incident report?
Answer: Specific observations of what was seen and heard.
What type of interviews should be conducted during an abuse investigation?
Answer: Individual interviews conducted privately.
What service plan should be initiated for significant unplanned weight change?
Answer: Temporary Service Plan (TSP).
What should staff document regarding physician and responsible party notifications?
Answer: Date, time, and outcome of notifications/interventions.
What should staff write if a section on an incident report does not apply?
Answer: “N/A”
Who completes the investigation summary portion of the incident report?
Answer: The licensed nurse or supervisor on duty.
Name three individuals who may need notification during an abuse investigation.
Answer: Physician, family/responsible party, licensing agency, APS, police, corporate leadership.
Name three individualized meal plan considerations that may be included in the TSP.
Answer: Food preferences, portion sizes, meal frequency, meal location, socialization support, adaptive utensils.
What monthly responsibility does the Wellness Director or designee complete related to incidents?
Answer: The Monthly Incident Report Summary/QI.