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UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF NURSING
Incident Report	Subsection: 4.2.5
Section 4.0 - Information	Originating Date: July, 1991
Responsible Reviewing Agency: Executive Council	Revised: August, 1998 Revised: December, 2006
J:/RESOURCE MANUAL/Table of Contents College of Nursing Resource Manual

Policy:

In keeping with the policy of the University of Nebraska Medical Center, it is the policy of the College of Nursing that there be written confidential reports of all unusual incidents occurring at any of the College's Divisions, in agencies where students are assigned for learning experiences, or en route to or from learning experiences. This is to be completed for faculty and students even if there is a separate incident report required by the agency in which an incident occurs.

Procedure:

1. The supervising faculty member will complete the agency Incident Report Form and the UNMC Confidential Report of Occurrence forms within 24 hours of the incident occurrence and verbally notify the appropriate Department Chair or Division Assistant Dean. The UNMC Confidential Report of Occurrence and a copy of the completed agency incident report form (if available) will be forwarded as soon as possible to the appropriate Department Chair in Omaha, or to the Assistant Dean in Kearney, Lincoln 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.
2. After review and signature by the appropriate Department Chair or Division Assistant Dean, completed original forms will be sent to the UNMC Risk Management Office.
3. The UNMC Confidential Report of Occurrence Form is available online at http://www.unmc.edu/hr/Forms/FstRprtIncident.pdf.
4. Faculty should consult the UNMC Student Handbook and the UNMC Safety Policy (referenced above in #1) for follow-up procedures (e.g. blood and body fluid exposure).