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Children’s Home Society of Washington Critical Incident Report Form

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Children’s Home Society of Washington Critical Incident Report Form

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Questions and Answers

What is the primary purpose of the Critical Incident Report (CIR)?

To serve as part of a consumer's medical record

To document serious events or incidents involving consumers, staff, or property (correct)

To document staff injuries during an incident

To report security breaches and privacy violations

Which form should be used to report staff injuries?

Critical Incident Report (CIR)

Staff/Volunteer Accident/Injury Report Form (correct)

Breach Risk Assessment form

None of the above

Which form should be used to report security breaches?

Critical Incident Report (CIR)

Staff/Volunteer Accident/Injury Report Form

Breach Risk Assessment form (correct)

None of the above

What is the first step to be taken when an event occurs that may necessitate a Critical Incident Report?

Manage the incident in consultation with your supervisor Signup and view all the answers

Who should review the Critical Incident Report within 5 days of the incident?

The program/corporate manager or supervisor Signup and view all the answers

What is the final step in the process of completing a Critical Incident Report?

Send the completed report to the Seattle Compliance Specialist Signup and view all the answers

What is the purpose of the Critical Incident Report form?

To document any serious event or incident involving CHSW consumers, staff, students, volunteers or property Signup and view all the answers

What should be done if a Supervisor or Manager is not immediately notified about the incident?

The incident should be documented on the Critical Incident Report form Signup and view all the answers

Which form should be used to report staff injuries?

The Staff Accident/Injury Form Signup and view all the answers

What should be done if there is a security breach involving unauthorized persons and confidential information?

Report it on the Breach Risk Assessment form, in collaboration with the HIPAA Privacy Officer Signup and view all the answers

What is required when filling out the Critical Incident Report form?

Word processing of the form is required Signup and view all the answers

What should be done if the incident involves a consumer grievance?

Document it on the Critical Incident Report form Signup and view all the answers

Children’s Home Society of Washington Critical Incident Report Form

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Podcast

Questions and Answers

What is the primary purpose of the Critical Incident Report (CIR)?

Which form should be used to report staff injuries?

Which form should be used to report security breaches?

What is the first step to be taken when an event occurs that may necessitate a Critical Incident Report?

Who should review the Critical Incident Report within 5 days of the incident?

What is the final step in the process of completing a Critical Incident Report?

What is the purpose of the Critical Incident Report form?

What should be done if a Supervisor or Manager is not immediately notified about the incident?

Which form should be used to report staff injuries?

What should be done if there is a security breach involving unauthorized persons and confidential information?

What is required when filling out the Critical Incident Report form?

What should be done if the incident involves a consumer grievance?

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