Special Incident Report. 6 CONTRACTOR shall complete a Special Incident Report, in the event 7 there are any incidents of unusual, aggressive, or high-risk behavior by a 8 Participant and/or a Participant’s Family member(s); there are any serious 9 injuries or death suffered by any party during delivery of services; any time 10 a Participant’s and/or Participant’s Family member’s confidentiality is 11 compromised; and/or if Participant and/or a Participant’s Family member 12 exhibit inappropriate behavior. In such event(s), CONTRACTOR shall: 13 14.8.1 Use the Special Incident Report form provided by 14 ADMINISTRATOR and follow all applicable instructions; 15 14.8.2 Immediately notify ADMINISTRATOR, or designee, by 16 telephone in the event of a death or serious injury, in the event there may be 17 media coverage, and/or if the Special Incident Report will be delayed beyond 18 the required twenty-four (24)-hour notification requirement; 19 14.8.3 Submit Special Incident Report to ADMINISTATOR, or 20 designee, within twenty-four (24) hours of the special incident; 21 14.8.4 Immediately report any and all threats of violence by 22 Participant and/or Participant’s family member(s) to the ADMINISTRATOR, 23 assigned Probation Officer and/or SSA SSW and/or the referring HCA clinician; 24 14.8.5 Report all details of the incident clearly and completely, 25 including any action(s) taken.
Appears in 1 contract
Samples: Service Agreement
Special Incident Report. 6 14 CONTRACTOR shall complete a Special Incident Report, in the event 7 15 there are any incidents of unusual, aggressive, or high-risk behavior by a 8 16 Participant and/or a Participant’s Family member(s); there are any serious 9 17 injuries or death suffered by any party during delivery of services; any time
10 18 a Participant’s and/or Participant’s Family family member’s confidentiality is 11 19 compromised; and/or if Participant and/or a Participant’s Family member 12 20 exhibit inappropriate behavior. In such event(s), CONTRACTOR shall:
13 21 14.8.1 Use the Special Incident Report form provided by 14 22 ADMINISTRATOR and follow all applicable instructions;
15 23 14.8.2 Immediately notify ADMINISTRATOR, or designee, by 16 24 telephone in the event of a death or serious injury, in the event there may be 17 25 media coverage, and/or if the Special Incident Report will be delayed beyond 18 26 the required twenty-four (24)-hour notification requirement;
19 27 14.8.3 Submit Special Incident Report to ADMINISTATOR, or 20 28 designee, within twenty-four (24) hours of the special incident;
21 1 14.8.4 Immediately report any and all threats of violence by 22 2 Participant and/or Participant’s family Family member(s) to the ADMINISTRATOR, 23 3 assigned Probation Officer and/or SSA SSW and/or the referring HCA clinician;; 4 and
24 5 14.8.5 Report all details of the incident clearly and completely, 25 6 including any action(s) taken.
Appears in 1 contract
Samples: Service Agreement
Special Incident Report. 6 28 CONTRACTOR shall complete a Special Incident Report, in the event 7 1 there are any incidents of unusual, aggressive, or high-risk behavior by a 8 2 Participant and/or a Participant’s Family member(s); there are any serious 9 3 injuries or death suffered by any party during delivery of services; any time
10 4 a Participant’s and/or Participant’s Family member’s confidentiality is 11 5 compromised; and/or if Participant and/or a Participant’s Family member 12 6 exhibit inappropriate behavior. In such event(s), CONTRACTOR shall:
13 7 14.8.1 Use the Special Incident Report form provided by 14 8 ADMINISTRATOR and follow all applicable instructions;
15 9 14.8.2 Immediately notify ADMINISTRATOR, or designee, by 16 10 telephone in the event of a death or serious injury, in the event there may be 17 11 media coverage, and/or if the Special Incident Report will be delayed beyond 18 12 the required twenty-four (24)-hour notification requirement;.
19 13 14.8.3 Submit Special Incident Report to ADMINISTATORADMINISTRATOR, or 20 14 designee, within twenty-four (24) hours of the special incident;
21 15 14.8.4 Immediately report any and all threats of violence by 22 16 Participant and/or Participant’s family Family member(s) to the ADMINISTRATOR, 23 17 assigned Probation Officer and/or SSA SSW and/or the referring HCA clinician;; 18 and
24 19 14.8.5 Report all details of the incident clearly and completely, 25 20 including any action(s) taken.
Appears in 1 contract
Special Incident Report. 6 11 CONTRACTOR shall complete a Special Incident Report, in the event 7 12 there are any incidents of unusual, aggressive, or high-risk behavior by a 8 13 Participant and/or a Participant’s Family member(s); there are any serious 9 14 injuries or death suffered by any party during delivery of services; any time
10 15 a Participant’s and/or Participant’s Family member’s confidentiality is 11 16 compromised; and/or if Participant and/or a Participant’s Family member 12 17 exhibit inappropriate behavior. In such event(s), CONTRACTOR shall:
13 18 14.8.1 Use the Special Incident Report form provided by 14 19 ADMINISTRATOR and follow all applicable instructions;
15 20 14.8.2 Immediately notify ADMINISTRATOR, or designee, by 16 21 telephone in the event of a death or serious injury, in the event there may be 17 22 media coverage, and/or if the Special Incident Report will be delayed beyond 18 23 the required twenty-four (24)-hour notification requirement;:
19 24 14.8.3 Submit Special Incident Report to ADMINISTATOR, or 20 25 designee, within twenty-four (24) hours of the special incident;.
21 26 14.8.4 Immediately report any and all threats of violence by 22 27 Participant and/or Participant’s family Family member(s) to the ADMINISTRATOR, 23 28 assigned Probation Officer and/or SSA SSW and/or the referring HCA clinician;
24 14.8.5 Report all details of the incident clearly and completely, 25 including any action(s) taken.1 and
Appears in 1 contract
Samples: Service Agreement