Incidents Misc.
Incident Types
Scenarios
100

If you see or hear about something that you think may be a reportable incident, is it better to just walk away so you don't have to complete the IR form?

NO - when in doubt, report it!

100

If a client dies, what type of incident is this?

Major
100

Cheryl, a VF client, walks out the door of the Central Park clinic, trips and falls down the steps.  A nurse assesses her and notes some slight bruising and a scrape which is cleaned and bandaged.  What type of incident has just occurred?

Minor

200

Name at least 3 entities that requires us to complete incident reports?

Federal, state and payers (insurance companies) and accrediting bodies

200

An unusual phone call is what type of incident

Other; bonus points if player knows most common type of unusual phone call documented (bomb threat)

200

You take the residents out back at Sheridan at night to smoke due to bad weather.  After lighting their cigarettes, you notice a smoky smell as residents start to come back inside.  You peer out the back door and see the siding of the building is on fire.  You are able to get the fire extinguisher and put the fire out.

Other.  Would you call on-call?  Yes
300

An incident happens after regular business hours, and it is MAJOR.  What do you do?

Assist client; get others involved as needed/911; notify on-call supervisor, notify guardian and/or case manager as appropriate, document on IR form, put notation in chart in VERA
300

If there is a prescription medication error, what type of incident is this?

Minor, unless it results in death, needing Dr. treatment or admission to hospital

300

The 3 med cups that you have prefilled fall onto the table.  You are pretty sure you know whose pills are whose, so you put them back into the "proper cups".  After passing meds, one of these clients starts having a seizure (which is not normal for them) and hits their head on a table as they fall down leaving a large gash on their forehead.  What kind of injury is this?

Major

400

Why is it important to write the facts and not conclusions?

What facts do you report?

Only want a description of what you saw/did, rest is hearsay  

Who, what, where, when - demographics found in VERA chart

400

A report of child or dependent abuse is a major incident.  How long do you have before DHS and/or DIA need to be notified?

24 hours, or call police if immediate jeopardy

400

Stacy and Shayla get into a verbal altercation during staffing, and decide to take things out into the hallway.  They start poking and shoving each other, leaving bruises and scratches on each other's arms.  They have to be separated by another staff member.  What type of incident is this?

Other - staff injury.  Needs to be reported to HR ASAP to be reported to work comp, and so Denise can write both of them up.

500

What is the origin of the word "incident"

The word incident comes from the Latin verb incidere, meaning "to fall upon, befall, or happen". It combines in- ("on") and cadere ("to fall"). It entered English in the early 1400s via Middle French, originally meaning a minor event that "falls upon" or accompanies a main course of action

500

What type of incident is a seizure?

Minor, unless there is a physical injury in which case it is major

500

It's March 2020 and the pandemic has just begun.  You are working at Pine Meadows when the fire alarm goes off.  You evacuate all residents and staff from the building and direct another staff member to call 911.  Fortunately no one is injured, but half of the building is badly damaged by fire.  What type of incident is this?

Major - anyone having PTSD?