Abuse/Neglect
Fill in the blank
Significant
Incidents
OPWDD Numbers
Mixed Up Members
100

Conduct by a custodian intentionally or recklessly causing, by physical contact, physical injury or serious or protracted impairment of the physical, mental, or emotional condition of the individual receiving services, or causing the likelihood of such injury or impairment.

Physical Abuse

100

_____ ____ are all reportable incidents that occur under the auspices of facilities and programs certified or operated by OPWDD . 

 Part 624

100

The unexpected absence of an individual receiving services that based on the person's history and current condition exposes him or her to risk of injury;

Missing person

100

This form is used to document the investigation of reportable incidents, serious notable occurrences, and minor notable occurrences.

149

100

ICETDR SUTROPP EFOLSIAOSPNR

Direct Support Professional

200

Any action, inaction, or lack of attention that breaches a custodian's duty and that results in or is likely to result in physical injury or serious or protracted impairment of the physical, mental, or emotional condition of a service recipient.

Neglect

200

The ______ ____ is committed to supporting and protecting the health, safety, and dignity of all people with special needs and disabilities through advocacy of their civil rights, prevention of mistreatment, and investigation of all allegations of abuse and neglect so that appropriate actions are taken.

Justice Center

200

The partial or complete blockage of the upper airway by an inhaled or swallowed foreign body, including food, that leads to a partial or complete inability to breathe, involving an individual

Choking

200

Events and Situations that are not under the auspices of an agency.

Part 625

200

IENSAITVRDTMAI  ATFSF

Administrative Staf

300

Any verbal or nonverbal conduct that may cause significant emotional distress to an individual receiving services.

Psychological Abuse

300

______ ___established procedures that facilities must follow to notify parents, siblings and legal guardians of children and adults receiving services of incidents involving their loved ones

Jonathan’s Law

300

The placement of an individual receiving services in a room or area from which he or she cannot, or perceives that he or she cannot, leave at will,

Seclusion

300

OPWDD form used to report reportable incidents, serious notable occurrences and minor notable occurrences classified as theft/financial exploitation.

147

300

INCSAIILNC

Clinicians

400

Conduct by a custodian that impedes the discovery, reporting, or investigation of the treatment of a service recipient by falsifying records related to the safety, treatment, or supervision of an individual receiving services.

Obstruction

400

All Reportable Incidents must be reported by telephone to OPWDD's_______ __________ _____.

Incident Management Unit

400

The use of a procedure in which a person receiving services is removed from regular programming and isolated in a room or area for the convenience of a custodian, for disciplinary purposes, or as a substitute for programming.

Unauthorized use of time-out

400

This report includes any immediate corrective/protective actions taken in response to an incident to safeguard the health or safety of the person receiving services. This form is sent to the parent or guardian of the individual.

148

400

LIVNDUIIAD RNEEIVCIG IVCRSSEE

Individual Receiving Services

500

The application of a physical stimulus that is intended to induce pain or discomfort in order to modify or change the behavior of a person receiving services.

Aversive Conditioning

500

A role of the IRC is to identify ________ in reportable and notable occurrences and to recommend appropriate corrective, preventive, remedial and/or disciplinary action to the chief executive officer to safeguard against such recurring situations or reportable incidents and notable occurrences

Trends

500

Other conduct on the part of a custodian, inconsistent with the individual’s plan of services, generally accepted treatment practices, and/or applicable federal or state laws, regulations, or policies, and that impairs or creates a reasonably foreseeable potential to impair the health, safety, or welfare of an individual receiving services.

Mistreatment

500

This OPWDD form is intended to be used specifically for the purpose of recording that an event which must be reported in conformance with Part 625 has occurred.

150

500

EMBREM OF TEH NGRGIEVON OBDY

Member of the Governing Body