S.C. Code Regs. § ch. 61, 61-125, 61-125.600, 61-125.601

Current through Register Vol. 48, No. 11, November 22, 2024

Subsection 61-125.601 - Incidents

A. The facility shall document every incident, and include an incident review, investigation or evaluation, as well as corrective action taken, if any. The facility shall retain all documented incidents reported pursuant to this section for six (6) years after the patient involved is last discharged.

B. The facility shall report the following types of incidents to the Department within twenty-four (24) hours of the incident on the Department's electronic reporting system or as otherwise determined by the Department. In addition to reporting to the Department, the facility shall immediately, within twenty-four (24) hours, notify the attending physician and emergency contact of patients or staff injured or affected by one of the following incidents, and shall immediately, within twenty-four (24) hours, notify local law enforcement of a patient elopement. Incidents requiring immediate, within twenty-four (24) hours, reporting to the Department, other specified individuals, and to appropriate authorities, include, but are not limited to, the following:

1. Crimes against patients;

2. Confirmed or suspected abuse, neglect, or exploitation;

3. Medication errors with adverse reaction;

4. Hospitalization or death resulting from the incident;

5. Severe hematoma, laceration or burn requiring medical attention or hospitalization;

6. Bone or joint fracture;

7. Severe injury;

8. Attempted suicide;

9. Fire; (II)

10. Natural disaster; (II)

11. Displacement or relocation of patients; and

12. Elopement.

C. The facility shall submit a separate written investigation report within five (5) days of every incident required to be immediately reported to the Department pursuant to Section 601.B via the Department's electronic reporting system or as otherwise determined by the Department. The facility's investigation report to the Department shall at least include, but is not limited to, the following information about the incident: incident type, description, date, location, number of patients, staff, and visitors injured or affected, patients' age, gender, record numbers or last four (4) digits of Social Security number, names of any witnesses, and identified cause of incident or internal investigation results.

D. The facility shall immediately notify a patient's attending physician and emergency contact within twenty-four (24) hours of significant changes in a patient's condition and shall document the significant changes and notification in the patient's record. (I)

E. The facility shall maintain documentation that all reporting of abuse, neglect, and exploitation of adults is conducted in accordance with S.C. Code Section 43-35-25.

S.C. Code Regs. ch. 61, 61-125, 61-125.600, 61-125.601

Added by State Register Volume 43, Issue No. 05, eff. 5/24/2019.