Critical Incident Reporting For Supervisors Test

User ID: Date:06/19/2019

  1. Which of the following are family/participant responsibilities for reporting a critical incident?
    Report incident to provider and/or Support Coordinator
    Report incident to protective services, if applicable
    Cooperate with investigations
    All of the above.
  2. Which of the following are DSP responsibilities for reporting a critical incident?
    Entering Critical Incidents in OTIS
    Takes immediate action to protect the participant from harm and responds to emergency needs
    Reports abuse, neglect, exploitation, or extortion to protective services
    completes HCBS Critical Incident Report Form
  3. What is the deadline for submitting a written CIR to the Support Coordination agency?
    Immediately upon discovery
    Within two hours of discovery
    Within 24 hours of discovery
    Within 24 hours after initial reporting
    Next business day
  4. What is the deadline for entering an incident into OTIS?
    Immediately
    Within two hours
    Next business day
    Close of third business day
    Close of sixth business day
  5. What is the deadline for initially reporting a critical incident to the SC?
    Immediately
    Within two hours
    Next business day
    Close of third business day
    Close of sixth business day
  6. What is the deadline for initially following up a critical incident to the SC?
    Immediately
    Within two hours
    Next business day
    Close of third business day
    Close of sixth business day
  7. After the initial written follow up is submitted, how often should you submit written follow-ups to the SC?
    Every 24 hours
    At the end of each week
    Every 3 business days
    Whenever you receive updated information
    Until closure
  8. After the initial written follow up is submitted, how long are you required to submit written follow-ups to the SC?
    Every 24 hours
    At the end of each week
    Every 3 business days
    Whenever you receive updated information
    Until closure
  9. Which of the following falls are reportable as a CIR?
    When the person is found down on the floor
    Comes to rest on the floor unintentionally
    Falls that happen when the DSW is on duty
    All of the above
  10. Staff's failure to fill a new prescription within _____ hours constitute a medication incident:
    48
    24
    12
    72
  11. ANSWER THE FOLLOWING TRUE OR FALSE

  12. The major injury category on a critical incident should be used when abuse or neglect has resulted in an injury.
    True False
  13. All falls are critical incidents
    True False
  14. Falls that happen when the client is receiving natural support from family are not critical incidents
    True False
  15. When an SC discovers and reports an incident to the DSP, SC is responsible for sending a Follow-Up Report to the DSP
    True False
  16. Per the CIR Decision Tree, a major Illness is defined as the following: Any substantial change in health status, illness, or sickness which requires treatment, or other medical intervention by a physician, nurse, dentist, or other licensed health care providers. (Such as visit to MD, ER, Hospital or Mental Health Practitioner)



    Decide below whether or not you would report the following situations as a CIR:
  17. A DSW working for a NOW client reported to you that the client was complaining about difficulty breathing all night last night. She took the client to urgent care this morning and the client got a steroid shot. The client is feeling much better now and no new meds were precribed.
    YES NO
  18. A DSW working for a CCW client reported that the client's daughter said her mother fell down last night when she got up to use the bathroom. No injuries or bruising, mom just lost her footing.
    YES NO
  19. A family member called you Monday to report that her father was in the hospital again over the weekend. His blood pressure spiked because he smoked too many cigarettes and had an argument with her mother. They gave him something to bring it down, but they kept him overnight for observation.
    YES NO
  20. While reviewing documentation, you notice that the DSW documented that last week the consumer's sister forgot to give the client her medication on Saturday. The sister called the pharmacy and they told her to skip that dose and get back on track with the next scheduled dose.
    YES NO
  21. Because of rising flood waters, the client has to go live with her sister for the next 7-14 days. Her home was not damaged, but the road is closed to all traffic. The DSW will not be providing services at her sister's home because the sister doesn't work and will care for the client.
    YES NO
  22. Today on your regular visit to your NOW client's home, the DSW mentioned that last week when they were in the community, they were pulled over for a broken tail light. The officer was really nice and didn't give her a citation, but he did give her a warning to get it fixed.
    YES NO