CON Incident Report: Difference between revisions
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<td width="60%"><big>'''Incident Report'''</big></td> | <td width="60%"><big>'''Incident Report'''</big></td> | ||
<td valign="top" width="40%"><big> | <td valign="top" width="40%"><big>'''Policy:''' '''1303 (4.2.5)'''</big></td> | ||
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<td width="60%"> | <td width="60%">Faculty Policies</td> | ||
<td width="40%">Originating Date: July 1991</td> | <td width="40%">Originating Date: July 1991</td> | ||
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<td>Revised: August 1998<br />Revised: [[Special:PermanentLink/10547|December 2006]]<br />Revised: [[Special:PermanentLink/13970|January 2015]] ([[Special:Diff/10547/13970|changes]])<br />Revised: November 2023 ([[Special:Diff/13970/{{REVISIONID}}|changes]])</td> | <td>Revised: August 1998<br />Revised: [[Special:PermanentLink/10547|December 2006]]<br />Revised: [[Special:PermanentLink/13970|January 2015]] ([[Special:Diff/10547/13970|changes]])<br />Revised: [[Special:PermanentLink/18068|November 2023]] ([[Special:Diff/13970/18068|changes]])<br />Revised: January 2026 (administrative) ([[Special:Diff/18068/{{REVISIONID}}|changes]])</td> | ||
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<p style="margin-bottom:15px;max-width:70em !important;">The appropriate form should be completed by the person who experienced the incident or by the supervisor or supervising faculty member if individual is unable to complete. Forms should be completed within 24 hours of the incident occurrence and the individual’s supervisor and/or division assistant dean should be notified. If the incident occurs at a clinical agency, the division assistant dean should be informed.</p> | <p style="margin-bottom:15px;max-width:70em !important;">The appropriate form should be completed by the person who experienced the incident or by the supervisor or supervising faculty member if individual is unable to complete. Forms should be completed within 24 hours of the incident occurrence and the individual’s supervisor and/or division assistant dean should be notified. If the incident occurs at a clinical agency, the division assistant dean should be informed.</p> | ||
<p style="margin-bottom:15px;max-width:70em !important;">Incident Report or Near-Miss/ Potential Hazard form are not to be copied. </p> | <p style="margin-bottom:15px;max-width:70em !important;">Incident Report or Near-Miss/ Potential Hazard form are not to be copied. </p> | ||
<p style="margin-bottom:15px;max-width:70em !important;">Completed Incident Report form will be submitted to UNMC Human Resources when an employee is involved and to UNMC Environmental Health and Safety when a student or volunteer is involved | <p style="margin-bottom:15px;max-width:70em !important;">Completed Incident Report form will be submitted to UNMC Human Resources when an employee is involved and to UNMC Environmental Health and Safety when a student or volunteer is involved. Near-Miss/Potential Hazard form is completed and submitted online.</p> | ||
<p style="margin-bottom:15px;max-width:70em !important;">Faculty should consult the UNMC Student Handbook and the UNMC Safety Policy for follow-up procedures.</p> | <p style="margin-bottom:15px;max-width:70em !important;">Faculty should consult the UNMC Student Handbook and the UNMC Safety Policy for follow-up procedures.</p> | ||
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===Procedure:=== | ===Procedure:=== | ||
<ol style="max-width:67em !important;"> | <ol style="max-width:67em !important;"> | ||
<li style="margin-bottom:15px;">The supervising faculty member will complete the agency Incident Report Form and the UNMC Confidential Report of Occurrence forms <span style="text-decoration:underline;">within 24 hours of the incident occurrence</span> and verbally notify the appropriate | <li style="margin-bottom:15px;">The supervising faculty member will complete the agency Incident Report Form and the UNMC Confidential Report of Occurrence forms <span style="text-decoration:underline;">within 24 hours of the incident occurrence</span> and verbally notify the appropriate division assistant dean. The UNMC Confidential Report of Occurrence and <span style="text-decoration:underline;">a copy of the completed agency incident report form</span> (if available) will be forwarded as soon as possible to the Assistant Dean in Kearney, Lincoln, Norfolk, Omaha or Scottsbluff. References to incident reports are not to be included in medical records. Copies of the UNMC Confidential Report of Occurrence are not to be made or retained.</li> | ||
<li style="margin-bottom:15px;">After review and signature by the appropriate Division Assistant Dean, completed original forms will be sent to the UNMC Risk Management Office.</li> | <li style="margin-bottom:15px;">After review and signature by the appropriate Division Assistant Dean, completed original forms will be sent to the UNMC Risk Management Office.</li> | ||
<li style="margin-bottom:15px;">The UNMC Confidential Report of Occurrence Form is available online at | <li style="margin-bottom:15px;">The UNMC Confidential Report of Occurrence Form is available online at | ||