Pennsylvania Code › Title 55 - HUMAN SERVICES › Part VIII - Intellectual Disability and Autism Manual › Subpart A - Statements of Policy › Chapter 6000 - STATEMENTS OF POLICY › Subchapter Q - INCIDENT MANAGEMENT › REPORTABLE INCIDENTS › Section 6000.923 - Incidents to be reported within 72 hours

Current through Register Vol. 54, No. 28, July 13, 2024
(a) The following are categories of incidents
						to be reported within 72 hours after the occurrence of the incident:
(1)
Medication error
. Any
						nonconforming practice with the "Rights of Medication Administration" as
						described in the OMR Medication Administration Training Course. This includes
						omission, wrong dose, wrong time, wrong person, wrong medication, wrong route,
						wrong position, wrong technique/method and wrong form. Over the counter
						medication is excluded. Treatment procedures (for example, skin creams,
						shampoo, eye drops, and the like) that do not contain a prescription medication
						are excluded. A medication error occurring during a home visit, when the family
						is responsible for the administration, is not reportable. An individual's
						refusal to take medication is not reportable. See Appendix H (relating to
						abbreviated incident report, medication error).
(2)
Restraints
. Any
						physical, chemical or mechanical intervention used to control acute, episodic
						behavior that restricts the movement or function of the individual or portion
						of the individual's body, including those that are approved as part of an
						individual support plan or those used on an emergency basis. Improper or
						unauthorized use of restraint is considered abuse and is to be reported under
						the abuse category. See Appendix I (relating to abbreviated incident report,
						restraint).
(i)
Physical
. A
						physical or manual restraint is a physical hands-on technique that lasts 30
						seconds or more, used to control acute, episodic behavior that restricts the
						movement or function of an individual or portion of an individual's body such
						as a basket hold and prone or supine containment.
(ii)
Mechanical
. A
						mechanical restraint is a device used to control acute, episodic behavior that
						restricts the movement or function of an individual or portion of an
						individual's body. Examples of mechanical restraints include anklets,
						wristlets, camisoles, helmets with fasteners, muffs and mitts with fasteners,
						poseys, waist straps, head straps, restraining sheets and similar devices. A
						device used to provide support for functional body position or proper balance
						and a device used for medical treatment, such as a wheelchair belt or helmet
						for prevention of injury during seizure activity, are not considered mechanical
						restraints.
(iii)
Chemical
. A chemical restraint is a drug used to control
						acute, episodic behavior that restricts the movement or function of an
						individual. A drug ordered by a licensed practitioner as part of an on-going
						treatment program or pretreatment prior to medical or dental examination or
						treatment is not a chemical restraint. Medications prescribed on a Pro Re Nata
						(PRN) basis for the treatment of episodically occurring and well-defined
						symptoms of an underlying disorder (such as an anxiety disorder, auditory
						hallucinations, and the like) and not simply for behavior control, are not
						considered chemical restraints. For further clarification see Mental
						Retardation Bulletin 00-02-09, issued July 11, 2002, titled
Pro Re Nata
						Medication Usage for Psychiatric Treatment-Clarification of
						Interpretation
.