Rights
Neglect
Serious Injury
Behavioral
Procedure
100

It is very important to Mary that she votes on Election day. Staff refused to take her unless she votes for a particular party. 

Rights Violation: Civil/Legal

100

Layla's ISP states she needs 24hr supervision. Staff stops at the store and leave her in the car, with the vehicle running. 

Neglect: Failure to provide needed supervision

100

Ryan falls and hits his head while at day program. He is taken to taken to the ED and is diagnosed with a concussion. 

Serious Injury: Accidental

100

Marcus becomes angry and  throw his TV through the window. Police arrive and transport him to a psychiatric facility, but he is sent home the same day. 

Behavioral Health Crisis: Facility-Based Crisis Response

100

Linda feels her coworker has been bullying her and wants to file a grievance. Who does she report this to? 

Supervisor

200

A staff takes John to mass on Christmas Day, he is Jewish. 

Rights Violation: Civil legal

200

Kyle was left in his soiled clothing for hours because staff refused to help him get cleaned. 

Neglect: Failure to provide needed care 

200

Joey chokes while eating his lunch. Staff perform the Heimlich on him and is taken to the hospital for evaluation. 

Serious Injury: Choking

200

Barry tells staff he has been thinking of suicide ever since his mother passed. First responders arrive and after speaking with him, he is NOT transported because he agrees to grief counseling therapy. 

Behavioral Health Crisis Event: Community Based Crisis Response

200

Staff is covering at another house and notices Carl hasn't received his blood pressure medication all week. 

Notify On-Call, complete incident report, document on med check list AND service notes. 

300

Juan is non-verbal and uses a tablet to communicate with others. The staff sent Juan to day program for 2 weeks without his device.

Rights Violation: Failure to provide needed communication 

300

Staff did not give Julie her prescribed insulin for 2 days.

Neglect: Failure to provide medication management

300

Mark develops a pressure injury and needs to be treated by wound care.

Serious Injury: Pressure Injury

300

Jenny is caught on surveillance stealing clothes from her job for the past 3 months, and is arrested.

Behavioral Health Crisis: Immediate Arrest and Incarceration 

300

Wendy states she has a rash on her upper thigh and it itches.

Ask Wendy for permission to look at the rash in a private location AND have another staff present. Document: body chart and service notes  

400

 Staff are doing an activity with the group and Leo declines to work on his word puzzles. The staff takes away his book and tells Leo he has to do the activity or he can't have his book back. 

Rights Violation: Services

400

Staff left out cleaning chemicals within reach of Rosie, who may put items in her mouth. 

Neglect: Failure to Provide Protection from Hazards

400

Staff is assisting Gen in the bathroom and notices a black and blue bruise on her left hip. She is non-verbal and no one claims to have witnessed an incident. 

Serious Injury: Injury Unexplained

400

Tim spends a week in an inpatient facility after a manic episode. 

Behavioral Health Crisis: Psychiatric Hospitalization (voluntary)

400

Staff is doing an overnight at a house and gets a call that there is a family emegency.

Call On-Call and ask for relief. Do NOT leave until someone arrives. 

500

Lucy left her cell phone at home and staff goes through her phone to read her messages. 

Rights Violation: Privacy 

500

Staff drove past a school bus that was stopped and flashing red. 

Neglect: Moving Violation 

500

Penny burns her hand on the stove while helping prepare dinner. She is treated at urgent care.

Serious Injury/ Injury Accidental 

500

Dwayne is 302'd after he became violent with his housemates and to himself.

Behavioral Health Crisis: Psychiatric Hospitalization (involuntary) 
500

Dan arrives to day program with Advil as a PRN without a written script from his doctor. 

Contact his house and request a script. Do not administer until written consent from doctor.

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