Unusual Incident Definition
Incident of Unknown Origin
ICF/IID Individuals Served
“It is important to note that members of the ICF/IID population are a mobile population and lead active lives. Therefore, they experience normal day-to-day bumps and minor abrasions as they go about their lives. These minor occurrences which are not of serious consequence to the individual and do not present as a suspicious or repetitive injury should be recorded by the staff once they are aware of them and follow-up should be conducted as indicated. [This is done on EHVI Unusual Incident Report.] For injuries that do not rise to the level of reportable “injuries of unknown source”, the facility should follow its policies and procedures for incident recording, investigation, and tracking.”
EHVI/ELGH staff must follow Unusual Incident Reporting Guidelines for these minor occurrences. The EHVI/ELGH staff working on the shift of discovery and two shifts back will complete the UI/MUI Information Request Form.
CMS Interpretive Guidelines March 18, 2011 – Ref: S&C: 11-15-ICF/MR
Major Unusual Incident
Incidents / Injury of Unknown Origin–
ICF/IID Individuals Served
Definition of Incidents / Injury of Unknown Origin:
Category A MUI due to possible Abuse or Neglect
The source of the injury was not witnessed by any person and the source of the injury could not be explained by the individual served; and
The injury raises suspicions of possible abuse or neglect because of the extent of the injury or the location of the injury (e.g., the injury is located in an area not generally vulnerable to trauma) or the number of injuries observed at one particular point in time or the incidence of injuries over time.
DSPs are to IMMEDIATELY report Incidents / Injury of Unknown Origin to the Nursing Staff and the Administrator
IMMEDIATELY means there should be no delay between staff awareness of the allegation and reporting to the House Nurse and the Administrator
The staff working on the shift of discovery and two shifts back will complete the UI/MUI Information Request Form.
CMS Interpretive Guidelines March 18, 2011 – Ref: S&C: 11-15-ICF/MR
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Anita
Subject: injuries of unknown origin
Anita, looking for language other providers might be using to define when injuries of unknown origin are suspicious in nature. I’m curious if every little scratch and bruise is reported. And if it is reported only to a supervisor or to an “administrator”. That would be helpful.