question archive fill the incident report questions based on the following case

fill the incident report questions based on the following case

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fill the incident report questions based on the following case.

Case study 3: Mr. Green Johnson

Mr. Green is a 57-year-old male with aggressive prostate cancer, who lives in the Rosedale aged care facility. Mr. Green was diagnosed with prostate cancer seven years ago but refused medical and surgical treatment at the time. He chose to seek alternative treatment and did not follow up with the urologist over that seven-year period. 

Mr. Green has now severe anemia and hypoproteinemia related to the cancer. After several diagnostic tests over a period, it was discovered that the cancer had metastasized to his bones, it had spread locally to his lymph nodes and the primary tumor was invading the bladder and partially obstructing the left kidney. 

Mr. Green had several admissions over a two-month period for various reasons to the hospital. On the last admission Mr. Green was told that he may only have 4-6 weeks (previously it was 6-12 months) to live after a cystoscopy showed further extensive growth of the tumor, it was determined that any further surgical/medical intervention would not be appropriate in this case and that a palliative care regimen was the next step. 

At this point the Mr. Green took a decision and came back to facility and reported in one of his admissions to the health care team that he had resigned himself to the fact that he was going to die. Mr. Green pulled one of the personal care worker (PCA) aside and confided to the PCA that he planned to kill himself and that is was a secret that the PCA was not to tell anyone. The information was not passed on to the nurse and immediate manager. The next day Mr. Green was found hanging in the resident care facility.  Resident's family notified about resident death.

The day after the incident, PCA reported the incident to his supervisor and mentioned, the information he kept was to maintain the privacy and confidentiality of the resident according to the policy framework. 

Rosedale aged care facility has provided the following guidelines in their "Privacy policy" regarding "Privacy exemptions"

Personal and health information can be disclosed for a purpose other than for which it was collected and without the person's consent when the disclosure is:

  • necessary to lessen or prevent a threat to life, health or safety
  • required, authorized or permitted by law or for law enforcement purposes
  • used for research or compilation of statistics in the public interest, in certain limited circumstances.  

 

P.S. Consider the above case for the incident report. If the information is not in the case, imagine and fill.

 

Fill the incident report template based upon the following "Incident reporting policy and procedure" 

Rosedale Facility Incident Reporting Policy.

Policy: Incident Reporting

PURPOSE: 

The purpose of this policy is to maintain the incident reporting documentation and comply with the applicable legislation and regulations. 

DEFINITIONS:

Incident reporting is the documentation of incidents whether clinical or non-clinical that occur within the routine operation of the organisation. Incidents are "unplanned events or situations that result in or have the potential for injury, ill health, damage or other loss".

CONTEXT:

All incidents that occur within the organisation's routine operations should be recorded and reported. Incidents include: falls; medication errors; communication issues; damage to property and vehicles; hazards/near misses; security breaches and occupational exposures. 

These incidents can involve staff, students, medical officers, patients, contractors, clients, residents, volunteers, relatives and visitors.

What incidents are covered by the incident reporting system?

1. All Clinical Issues - e.g.

1.1. Communication

1.2. Diagnostic issue

1.3. Falls

1.4. Flagged case

1.5. Medication error

1.6. Pressure ulcer

1.7. Treatment issue

1.8. Other

2. All Non-Clinical Issues - e.g.

2.1. Bullying

2.2. Hazard identified

2.3. Injury to staff member of contractor (including needle stick injury / blood and

body fluid exposure)

2.4. Injury to student or visitor

2.5. Professional misconduct

2.6. Property Issue

2.7. Security Issue

2.8. Vehicle accident

2.9. Other

RESPONSIBILITY:

Incidents can be reported by the following:

1. staff

2. visitors

3. community members

4. students

5. contractors

6. patient/client/resident

7. volunteers

Incidents can only be entered into organisation's database by staff members. Staff can enter incidents on behalf of others without access however.

OUTCOMES:

All incidents within the routine operation of the organisation are reported, appropriate actions are taken, mandatory reportable incidents are reported to the appropriate bodies and investigations are carried out to reduce and prevent their reoccurrence.

 

Instructions for filling incident Reports

  1. Use Rosedale aged care facility (hypothetical name) organization format.
  2. Pay attention to the guidelines in the incident reporting policy.
  3. Provide the basic facts.
  4. Include a line about the general nature of the incident.
  5. Describing What Happened
  • Consider first-person narrative telling what happened.
  • Be thorough.
  • Be accurate.
  • Be clear.
  • Be honest
  • Double check the basic facts.
  1. Edit and proofread your report
  2. Submit your incident report

Incident Report form

Incident Reference No:01

Personal Details (of the injured):          Surname:

Address:                                                                DOB Resident: 

Male/Female:

The incident resulted in: Injury  ?        Accident ?        Damage to environment/ property   ? 

 

Near miss   ?                            first aid    ?            Medical treatment    ?       Death ?   

Incident Details:

Date/ time:

Place of the incident:

Name of the person reporting

 

 

 

Full details of the incident

 

Description of the injuries:

 

Was first aid or further treatment required?      

             Yes          ?              No      ?

Was the injured person required hospitalization

             Yes          ?              No    ?

NOK notified of the incident

             Yes          ?              No    ?          

Were there any witness

             Yes          ?                No    ?

Witness Details:

Full Name:

Address:

Position:

Contact Details:

 

 

 

 

Follow up Plan

               Yes         ?               No    ?

Action

Responsible team 

Time framework

     Outcome

 

 

 

 

 

 

 

 

 

 

 

 

 

Reporting person:

Name:

Position

Date/time:

Signature

 

 

 

 

Project task: see the instructions below. fill policy statement considering aged care services.

 

In this task you are required to participate and develop the following policy and procedure: 

  • Privacy and management of client records policy 

A Policy template is attached for this task. 

If you are working in the aged care sector:

You can refer to their workplace policy if they are already on work placement or already working. 

If you are not working in the aged care sector: 

You can access to the internet for conducting online research to fill this policy if they are not working in the sector.

Template: Privacy and management of client records policy 

Policy Title

Policy Number

Scope

 

Policy Statement

 

Rationale

 

Definitions  

 

Procedures

 

 

Effective Date 

 

Version History

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