Incidents
True or False
Is this Reportable?
Incident Reporting
PIF
100

What are three types of abuse? 

- Physical Abuse

-Emotion/Psychological Abuse

-Sexual Abuse 

-Neglect 

100

True or False: It is okay to report your suspicion of abuse until you return to work the next day. 

FALSE!

100

A student comes to school with a black eye and says they don't know where it came from. Is this reportable? 

Yes, this is an injury of an unknown origin. 

100

How long do you have to complete an agency incident report? 

By the end of your shift!

100

List three things asked for on the Physical Intervention Form. 

- Client/Student Name 

- Time of Intervention 

- Location 

- Program/Site 

- Narrative 

- Behavior 

- Setting Event 

- Antecedent Event 


200

What are two types of significant incidents? 

-Unauthorized time out

-Unauthorized seclusion 

-Mistreatment/Wrongful Conduct

-Theft/Financial Exploitation

-Serious Injury: Self Abuse, Unknown Origin  



200

True or False: One behavioral indicator of sexual abuse is excessive knowledge of sexual matters beyond the normal developmental age of the child.

True

200

A student sustains an injury during a physical intervention. Is this reportable? 

Yes, this is reportable. 

200

Are you allowed to write "TW" or this writer in the narrative of the incident report? 

Yes 

200

Name 2 examples of low level interventions listed on the PI Form

- Active Listening

- Crisis Co-Regulation 

-Emotional First Aid

-Managed Environment 

- Time & Space 

-Changed/Dropped Expectations 


300

Name one immediate protection you can take after an incident occurs. 

- Separate the individual from the person causing harm

-Provide support to the individual

- Provide support or "tap out" coworker

- Notify nursing, management, supervisor, etc. 


300

True or False: Allegations of against a parent/guardian or other person responsible for care of youth and children are reported to the Justice Center. 

False: Such allegations should be reported to CPS. 

300

Julie returns from a weekend hometime with bruises on arms that appear to be a handprint. Is this reportable and if so, what type of incident could this indicate? 

Yes, this is evidence of physical abuse. 

300

What two dates need to be written on the Incident Report?

The date the incident occurred and the date it was reported. 

300

What is the main focus of resolvement? 

Outcome

400

Allegations against OLV employees, contracted staff or vendors should be reported to _______. 

The Justice Center. 

400

True or False: Even if you believe indicators of abuse are definitely present, you are not necessarily required to make a report of suspected abuse.

False

400

Chantell, age 12, refuses to move from the hallway after a physical intervention.  She is sitting on the floor, near the top of the stairs, and classes are about to change.  Staff places her in an escort and takes her to class.  Is this reportable?

Yes, it's an inappropriate use of a restraint. 

400

What four words that begin with W are needed in the description of the incident? 

Who, What, Where, & When 

400

What are the main components of a TCI Life Space Interview (LSI) ? 

Feelings, Behaviors, and Alternatives Identified. 

500

When should law enforcement be contacted? 

Any allegation of physical or sexual abuse. 

500

True or False: Verbally assaulting the child with constant, excessive name-calling, harsh threats, and sarcastic put-downs that continually “beat down” the child’s self-esteem with humiliation is an example of emotional/psychological abuse.

True 

500

Student returns from Baker Hall School and staff recognize a bruise on his cheek. He said it happened in school but he didn’t want to talk about it. Another student says a teacher aide slapped him. The youth who got hurt did not report it and the staff did not witness the incident. Is this reportable? 

Yes, it is reportable because the alleged abuse occurred in an agency program.

500

Does the staff involved section of the incident report include the staff completing the form? 

NO

500

Who needs to be notified a physical intervention has occurred?  


- Parent/Guardian 

- Social Worker/ Therapist 

-Nurse 

-Supervisor