Policy Manual sample

MDT Home Health Care Agency, Inc. The Administrator or authorized/qualified designee is responsible for collecting incident data and monitoring for patterns or trends, investigating all incidents, taking necessary follow-up actions and completing appropriate documentation. Incidents to be reported include, but are not limited to: • Personnel injury or endangerment • Motor vehicle accidents when conducting agency business • Environmental safety hazards, malfunctions or failures, including equipment • Unusual occurrences PURPOSES 1. To provide necessary and timely intervention for Home Health Care staff members involved in an accident I incident. 2. To facilitate timely, accurate, and complete documentation of all accident / incident. 3. To implement a quality assurance monitoring system for home accident! incident involving Home Health Care staff members. 4. To submit timely workers compensation information as appropriate. PROCEDURES 1. All accident/incidents involving Home Health Care staff members are reported as soon as possible (within 4 hours after incident) to the Director of Nursing, Clinical Manager of Home Health Care Agency. a. If the incident occur after Agency’s regular business hours the Agency’s Answering Services will contact the Director of Nursing, Clinical Manager to report the incident, and the DON, Clinical Manager will take all necessary actions to document/address the solution and follow up steps after accident/incident. 2. Home Health Care staff members who have sustained and injury that requires immediate medical care are taken to the nearest acute care facility. 3. Home Health Care staff members who have sustained an injury that does not require immediate medical care must see their personal physician as soon as possible after the injury has occurred. 4. Accident/incidents involving Home Health Care staff members are documented on an Employee Accident/Incident Report form (See Employee Accident/Incident Report Form). a. Copy of the Accident/Incident report will be faxed to Patient’s Physician, and Employee’s Physician within 4 hours after was received by the Director of Nursing, Clinical Manager. A follow phone call must be established with the Physician Office to coordinate any necessary care/response/order to the accident/incident. 5. Completed Employee Accident/Incident Report forms are submitted to the Director of Nursing, Clinical Manager of Home Health Care Agency for review and signature. 6. The Administrator and/or the Director of Nursing, Clinical Manager of Home Health Care Agency: a. Investigate accident/incident involving Home Health Care staff members. b. Implements corrective action as appropriate. c. Documents investigation and corrective action regarding the accident/incident on the Employee Accident Incident Report form. d. Requests the relevant Home Health Care staff member’s signature on an Authorization to Release Information form. e. Sends the signed Authorization to Release Information form to the physician who treated the staff members for the injury, requesting information regarding the staff member’s medical care. Home Health Agency. - - Personnel/Operations Policies B-67

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