NDAC 75-03-14.1-11
Incident and sentinel event reporting
Cite as N.D. Admin. Code ยง 75-03-14.1-11
1.
The shelter care program must have written policy outlining the documentation of incidents
and sentinel events that occur while the resident is in placement. The policy must include:
a.
Reporting procedures of an incident as an unplanned occurrence that resulted or could
have resulted in injury to people or damage to property, specifically involving the general
public, residents, or employees, or nonemployees; and
b.
Reporting procedures of a sentinel event as an unexpected occurrence involving death
or serious physical or psychological injury not related to the natural course of a resident's
illness or underlying condition, including any process variation for which a reoccurrence
would carry a significant chance of a serious adverse outcome.
2.
The shelter care program shall document the incident or sentinel event in the resident's file
within twenty-four hours and notify the resident's custodian, parent, or guardian immediately or
within twelve hours.
3.
The shelter care program shall maintain a log of written reports of incidents and sentinel
events involving residents.
4.
The shelter care program shall provide employees or nonemployees time at the beginning of
each shift to be informed of or review reports of incidents and sentinel events occurring since
the employee's or nonemployee's last shift.
5.
The shelter care program shall provide employees or nonemployees and residents time to
debrief the incident and sentinel event with supervisors.