| 2380.111(c)(10) | On Individual #1's physical examination, dated 8-3-2016, did not include medical information pertinent to diagnosis and treatment in case of an emergency. This section was left blank. | The physical examination shall include: Medical information pertinent to diagnosis and treatment in case of an emergency. | CHAPS staff were trained on 7/19/17 by Carol Medford, APD on the agency Policy and Procedure for Medical Emergencies. Effective immediately, depending on the nature of the emergency, staff will either call 911 for an ambulance or use an agency vehicle to transport Individual #1 to the hospital/emergency room. In addition, staff will be trained to take a copy of Individual #1¿s ¿Medical Emergency Information Form¿ as well as the physical form and "Lifetime Medical Form" with them to the hospital/emergency room. Staff will be informed where copies of these forms are kept (copies of these forms for all clients are kept in a binder in the filing cabinet in each CHAPS program room and are accessible to all staff).Effective immediately, the Health Services Coordinator (Lee Ann Hougelman) will review all physicals and sign off on them after ensuring that all items are addressed and documented for by the physician.The physical form will then be forwarded to the Assistant Program Director for CHAPS (Carol Medford) who will also review the form as a second/double check. She will also sign off on the physical after ensuring that all items are addressed and documented for by the physician. She will then return the form to the HSC for further processing.
If missing information is found, the HSC will take the lead to ensure that the appropriate physician is notified and the missing information is entered onto the form before it can be accepted and fully processed. Once all information has been completed, the form will be scanned by the HSC and filed in the appropriate locations.By 7-21-2017, the HSC will ensure that the Physician completes Individual #1's physical from 8-3-2016 to ensure that pertinent medical information is addressed.
[By 8/18/17, Individual #1 will have a physical examination completed to include Medical information pertinent to diagnosis and treatment in case of an emergency. (AS 7/20/17)] |
07/24/2017
| Implemented |