Observations
Based on a review of three unusual incidents on March 10, 2022, the facility failed to ensure the client's confidentiality. The unusual incidents had the clients name and SS# documented on the forms.
Unusual Incident dates: Two unusual dates 3/6/22 and one unusual incident dated 12/28/21.
The facility director was informed during a phone conversation on 3/10/22.
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Plan of Correction
PHMC has a system in place in which all unusual incidents are reported to PHMC data base, and the facility (IHW) must send the report to DDAP. IHW Clinical Director and Program Director will hold a staff training on 3/15/2022 regarding unusual incidents reporting to ensure that all staff know unusual incidents reports should be sent to DDAP using the electronic reporting system. When an Unusual incident is reported, the staff person who is completing the report will complete the report in PHMC data base, print the report and provide the unusual incident report to the Clinical Director who will input the report into DDAP electronic reporting system with in 72 hours as instructed by DDAP. |