Correct Care Recovery SolutionsSerious Incident Report Data Dictionary for DTW

ABUSE

Resident to Resident AbuseResident's behavior towards or treatment of another resident has proven to have been abusive in nature (e.g. use of abusive or threatening language towards the resident; intimidating the resident; extorting the resident; etc.). [Cat/2]

Resident to Resident Abuse AllegationResident lodges a verbal allegation or notifies the Abuse Hot Line that another resident has abused him/her. [Cat/2]

Staff to Resident AbuseStaff member's behavior towards or treatment of a resident is abusive in nature (e.g. use of abusive or threatening language towards the Resident; intimidating the Resident; sexual innuendo; extorting the resident; etc.). *NOTE: This does not include the use of physical force against a Resident refer to ASSAULT; BATTERY & USE of FORCE for reporting purposes. [Cat/2] EPR Referral Required

Staff to Resident Abuse AllegationResident lodges a verbal allegation or notifies the Abuse Hot Line that a staff member has abused him/her. [Cat/2] EPR Referral Required

AGGRESSION

Abusive/Obscene Language – Resident to ResidentResident directs abusive or obscene language towards another resident which causes a disruption of the orderly operation of the facility. [Cat/0]

Abusive/Obscene Language – Resident to StaffResident directs abusive or obscene language towards a staff member which causes a disruption of the orderly operation of the facility. [Cat/0]

Abusive/Obscene Language – Staff to ResidentStaff member directs abusive or obscene language towards a resident. [Cat/2] EPR Referral Required

Abusive/Obscene Language – Staff to StaffStaff member directs abusive or obscene language towards another staff member. [Cat/2] EPR Referral Required

Threatening Gesture – Resident to ResidentResident makes a gesture towards another resident which implies/appears as though s/he is going to physically harm them (e.g. fakes a punch; lunges towards the person; acts-out a stabbing motion; simulates a choking action, simulates cutting the person, simulates shooting the person; etc.). [Cat/0]

Threatening Gesture – Resident to StaffResident makes a gesture towards a staff member which implies/appears as though s/he is going to physically harm them (e.g. fakes a punch; lunges towards the person; acts-out a stabbing motion; simulates a choking action, simulates cutting the person, simulates shooting the person; etc.). [Cat/0]

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Threatening Gesture – Staff to ResidentStaff member makes a gesture towards a resident which implies/appears as though s/he is going to physically harm them (e.g. fakes a punch; lunges towards the person; acts-out a stabbing motion; simulates a choking action, simulates cutting the person, simulates shooting the person; etc.). [Cat/2] EPR Referral Required

Threatening Gesture – Staff to StaffStaff member makes a gesture towards another staff member which implies/appears as though s/he is going to physically harm them (e.g. fakes a punch; lunges towards the person; acts-out a stabbing motion; simulates a choking action, simulates cutting the person, simulates shooting the person; etc.). [Cat/2] EPR Referral Required

Verbal Threat – Resident to ResidentResident issues a verbal threat to do bodily harm or threatens to engage in any act that would seriously adversely affect another resident. [Cat/0]

Verbal Threat – Resident to StaffResident issues a verbal threat to do bodily harm or threatens to engage in any act that would seriously adversely affect a staff member. [Cat/0]

Verbal Threat – Staff to StaffStaff member issues a verbal threat to do bodily harm or threatens to engage in any act that would seriously adversely affect another staff member. [Cat/2] EPR Referral Required

ARREST

Resident Arrest at the facilityA resident is arrested at the facility. [Cat/1]

Resident Arrest at an off-site locationA resident is arrested while at an off-site location. [Cat/1]

Staff Arrest /Minor OffenseStaff member is arrested for a minor offense (e.g. domestic dispute without violence; DUI; disorderly conduct; etc.). [Cat/2] EPR Referral Required

Staff Arrest /Major OffenseStaff member is arrested for a major offense (e.g. murder/homicide; armed robbery; kidnapping; major drug possession; possession of child pornography; domestic w/violence; etc.). [Cat/1] EPR Referral Required

Visitor ArrestA visitor, (i.e. social visitor, official visitor, vendor, contractor, etc.), is arrested at the facility. [Cat/2]

ASSAULT

Rape/Alleged RapeIndividual claims that another individual/s forced him/her to engage in a sexual act against their will. [Cat/2]

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Resident to Resident AssaultResident/s physically attack another resident/s, which resulted in serious injuries that require medical intervention/treatment. This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another resident with any part of the body or any object or throwing an object. [Cat/2]

Resident to Resident Assault AllegationResident claims another resident/s physically attacked him/her, which resulted in serious injuries that require medical intervention/treatment. This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another resident with any part of the body or any object or throwing an object. [Cat/2]

Resident to Staff AssaultResident/s physical attack on a staff member/s resulting in serious injuries that require medical intervention/treatment. This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another individual with any part of the body or any object or throwing an object. [Cat/2]

Resident to Staff Assault AllegationStaff member claims a resident physically attacked him/her resulting in serious injuries that require medical intervention/treatment. This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another individual with any part of the body or any object or throwing an object. [Cat/2]

Resident to Visitor AssaultResident physically attacks a visitor, vendor, etc. that results in serious injuries that require medical intervention/treatment. This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another individual with any part of the body or any object or throwing an object. [Cat/2]

Resident to Visitor Assault AllegationVisitor, vendor, etc. claims that a resident/s physically attacked him/her resulting in serious injuries that require medical intervention/treatment. This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another individual with any part of the body or any object or throwing an object. [Cat/2]

Staff to Resident Assault AllegationResident claims a staff member/s physically attacked him/her resulting in serious injuries that require medical intervention/treatment. This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another individual with any part of the body or any object or throwing an object. [Cat/2]

Staff to Resident AssaultStaff member/s physical attack on a resident/s that results in serious injuries that require medical intervention/treatment. This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another individual with any part of the body or any object or throwing an object. [Cat/2] EPR Referral Required

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Staff to Staff AssaultStaff member physically attacks another staff member resulting in serious injuries that require medical intervention/treatment... This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another individual with any part of the body or any object or throwing an object. [Cat/2] EPR Referral Required

Staff to Visitor AssaultStaff member/s physical attack on a visitor that results in serious injuries that require medical intervention/treatment. This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another individual with any part of the body or any object or throwing an object. [Cat/1] EPR Referral Required

Staff to Visitor Assault AllegationVisitor, vendor etc. claims that a staff member/s physically attacked him/her that results in serious injuries that require medical intervention/treatment. This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another individual with any part of the body or any object or throwing an object. [Cat/2] EPR Referral Required

Visitor/Staff AssaultVisitor physically attacks a staff member This type of physical attack would include pushing, shoving, kicking, butting, biting, striking, stabbing or slashing another individual with any part of the body or any object or throwing an object. [Cat/2]

AUTO ACCIDENT

Company Owned Vehicle /Minor AccidentA company owned vehicle that is involved in an accident that results in only property damage. This would include any property damage only accident involving an employee’s vehicle that they are driving while on duty. [Cat/2]

Staff Owned Vehicle /Major AccidentEmployee driving their privately owned vehicle (POV) on-duty while conducting company business (i.e. mail run, pick-up supplies, etc.) is involved in a major traffic accident which results in serious injury or death to any of the participants. [Cat/1]

BATTERY

Resident to Resident BatteryResident physically attacks another resident which does not result in an injury or results in minor injury (i.e. scratch, bruise, abrasion, etc.) that requires minor medical attention/treatment. This type of physical attack would include a resident pushing, shoving, kicking, hitting, butting, throwing an object and/or striking another individual – It would not include non-physical interactions. [Cat/2]

Resident to Resident Battery Allegation

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Resident claims another resident physically attacked him/her which resulted in either a minor injury or no injury at all. This type of physical attack would include a resident pushing, shoving, kicking, hitting, butting, throwing an object and/or striking another individual – It would not include non-physical interactions. [Cat/0]

Resident to Staff Battery Resident physically attacks a staff member which does not result in an injury or results in a minor injury (i.e. scratch, bruise, abrasion, etc.) that requires minor medical attention. This type of physical attack would include a resident pushing, shoving, kicking, hitting, butting, throwing an object and/or striking another individual – It would not include non-physical interactions. [Cat/2]

Resident to Staff Battery AllegationStaff member claims a resident/s physically attacked him/her which resulted in either a minor injury or no injury at all. This type of physical attack would include a resident pushing, shoving, kicking, hitting, butting, throwing an object and/or striking a staff member – It would not include non-physical interactions. [Cat/0]

Resident to Visitor BatteryResident physically attacks a visitor, which does not result in an injury or results in minor injury (i.e. scratch, bruise, abrasion, etc.) that requires minor medical attention/treatment. This type of physical attack would include a resident pushing, shoving, kicking, hitting, butting, throwing an object and/or striking another individual – It would not include non-physical interactions. [Cat/2]

Staff to Resident BatteryStaff member physically attacks a resident which does not result in an injury or results only a minor injury (i.e. superficial scratch, bruise, abrasion, etc.). This type of physical attack would include a resident pushing, shoving, kicking, hitting, butting, throwing an object and/or striking another individual – It would not include non-physical interactions. [Cat/2] EPR Referral Required

Staff to Resident Battery AllegationResident claims a staff member physically attacked him/her which resulted in either a minor injury or no injury at all. This type of physical attack would include a resident pushing, shoving, kicking, hitting, butting, throwing an object and/or striking another individual – It would not include non-physical interactions. [Cat/2] EPR Referral Required

Staff/Staff BatteryStaff member physically attacks another staff member which does not result in an injury or only a minor injury (i.e. superficial scratch, bruise, abrasion, etc.). This type of physical attack would include a resident pushing, shoving, kicking, hitting, butting, throwing an object and/or striking another individual – It would not include non-physical interactions. [Cat/2] EPR Referral Required

CHEMICAL AGENTS AND LESS LETHAL MUNITIONS

Deployment of Chemical Agent - UnintentionalChemical agent (i.e. OC spray or foam, CS gas, etc.) was deployed unintentionally/accidentally and residents or others were not contaminated. *NOTE: If a resident or others was contaminated see USE OF FORCE for reporting purposes. [Cat/2]

Deployment of Less-Lethal Munitions - Unintentional

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Less-lethal munition/s (i.e. Stinger grenade, Flash/Bang grenade, Stinger projectile round, Pepper ball, etc.) was deployed unintentionally/accidentally and a resident or others were not impacted. *NOTE: If a resident or others were impacted see USE OF FORCE for reporting purposes. [Cat/2]

Missing Chemical AgentsFacility owned chemical agents (i.e. OC spray or foam, CS gas, etc.) cannot be accounted for by the end of a shift. [Cat/2]

Missing Less-Lethal MunitionsFacility owned less-lethal munitions (i.e. Stinger grenade, Flash/Bang grenade, Stinger projectile round, etc.) cannot be accounted for by the end of a shift. [Cat/2]

CONTRABAND

Major Contraband Discovery/SeizureMajor contraband is discovered in a resident's possession (e.g. street drugs such as marijuana, opium, heroin, cocaine, crystal-meth, etc.; pharmaceutical grade controlled substances that are not prescribed to the individual; weapons of any type either homemade or commercially manufactured; cell phones; child pornography in any form; large amount of currency; etc.). [Cat/2]

Minor Contraband Discovery/SeizureMinor ("nuisance level") contraband is discovered in a resident's possession (e.g. unauthorized electronic equipment; pornography in any form other than child pornography; small amount of currency; authorized items in excess of authorized amount; etc.). [Cat/0]

Outside Source Smuggling ContrabandAn individual from outside tries to smuggle contraband into the facility (via the mail or other commercial delivery source). [Cat/2]

Social/Official Visitor Smuggling ContrabandResident's social visitor or an official visitor (i.e. advocate, legal counsel, etc.) is caught trying to smuggle contraband (either minor or major contraband) into the facility. [Cat/2]

Staff Smuggling ContrabandStaff member is caught trying to smuggle contraband (either minor or major contraband) into the facility. [Cat/2] OPR Referral Required

Vendor/Contractor Smuggling ContrabandA vendor, delivery person or contractor is caught trying to smuggle contraband (either minor or major contraband) into the facility as part of normal deliveries or site visits. [Cat/2]

DEATH – RESIDENT - EXPECTED

Cancer DeathDeath of a resident who was diagnosed with terminal cancer. [Cat/1]

Cardiac DeathDeath of a resident who was diagnosed with terminal cardiac disease. [Cat/1]

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End Stage Liver DeathDeath of a terminally ill resident due to end stage liver disease. [Cat/1]

End Stage Renal DeathDeath of a terminally ill resident due to end stage renal failure. [Cat/1]

Medical Condition DeathDeath of a terminally ill resident due to other pre-existing condition or illness. [Cat/1]

Other DeathExpected death of a resident due to other reason. [Cat/1]

DEATH –UNEXPECTED - RESIDENT

Accidental DeathDeath of a resident due to an accident (e.g. slip and fall, vehicle accident, etc.). [Cat/1]

HomicideDeath of a resident due to a confirmed criminal act committed by another individual/s (i.e. a resident, visitor, staff member, etc.) which is witnessed or captured on audio/video monitors. [Cat/1]

Medical Condition DeathDeath of a resident from a medical condition or illness (e.g. liver failure, congestive heart failure, cancer, etc.), that may or may not have been diagnosed, but was not considered to be terminal. [Cat/1]

OtherUnexpected death of a resident due to reasons not otherwise identified. [Cat/1]

DEATH UNEXPECTED - STAFF

Staff DeathA staff member has been reported as having died and death was not expected. [Cat/2]

DISASTER

Earthquake - Major Disruption/DamageEarthquake has caused a major disruption of the daily operation of the facility and/or damage to the facility or its fence line (e.g. perimeter lighting system and/or alarm systems such as the micro-wave or CCTV system is non-functional; areas of the fence line have sagged or collapsed; etc.). The cost to repair the damage is above $5,000. [Cat/1]

Flooding - Major Disruption/DamageFlooding has caused a major disruption of the daily operation of the facility and/or damage to the facility or its fence line (e.g. perimeter lighting system and/or alarm systems such as the micro-wave is non-functional; areas of the fence line have sagged or collapsed; etc.). The cost to repair the damage is above $5,000. [Cat/1]

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Flooding - Minor Disruption/DamageEarthquake has caused a minor disruption of the daily operation of the facility and/or damage to the facility or its fence line (e.g. non-security windows are shattered; perimeter light poles knocked down; areas of the fence line stretched or is sagging; etc.). The cost to repair the damage is $5,000 or less. [Cat/2]

Hurricane - Major ImpactA hurricane strike has caused a major disruption of the daily operations of the facility and/or damage to the facility or its fence line (e.g. access roads are blocked; the perimeter lighting system and/or alarm systems such as the micro-wave and CCTV system is non-functional; other electronic systems are out; etc.). The cost to repair the damage is above $5,000. [Cat/1]

Hurricane - Minor ImpactA hurricane strike has resulted in minimal damage to the facility or its fence line (e.g. non security windows blown out; perimeter light poles knocked down; areas of the fence line stretched; etc.). "Minor Damage" is considered any event where the cost to repair the damage is around $5,000 but there is no major disruption of the daily operation of the facility. [Cat/2]

Hurricane - WarningAn incident involving a hurricane warning status that is severe enough to warrant a major change in the daily operations of the facility (e.g. discontinuation of programs; complete lock-down of the facility; boarding up of windows; sending non-essential staff home; etc.). [Cat/2]

Lightning Strike - Major Disruption/DamageLightning strike has caused a major disruption of the daily operation of the facility and/or damage to the facility or its fence line (e.g. perimeter lighting system and/or alarm systems such as the micro-wave and CCTV system is non-functional; other electronic systems are out; etc.). The cost to repair the damage is above $5,000. [Cat/1]

Lightning Strike - Minor Disruption/DamageLightning strike has caused a minor disruption of the daily operations of the facility and/or damage to the facility or its fence line (e.g. non-security windows are shattered; perimeter light poles knocked down; areas of the fence line are stretched or are sagging; etc.). The cost to repair the damage is $5,000 or less. [Cat/2]

Snow/Ice - Major Disruption/DamageSnow and/or Ice accumulation has caused a major disruption of the daily operations of the facility and/or damage to the facility or its fence line (e.g. access roads are blocked; the perimeter lighting system and/or alarm systems such as the micro-wave and CCTV system is non-functional; other electronic systems are out; etc.). The cost to repair the damage is above $5,000. [Cat/1]

Snow/Ice - Minor Disruption/DamageSnow and/or Ice accumulation has caused a minor disruption of the daily operations of the facility and/or damage to the facility or its fence line (e.g. driving conditions are hazardous; non-security windows are shattered; perimeter light poles knocked down; areas of the fence line is stretched or is sagging; etc.) The cost to repair the damage is $5,000 or less. [Cat/2]

Tornado; High Wind; Tropical Storm or Hail – Major

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An adverse weather strike has resulted in major damage to the facility or its security systems (e.g. the perimeter lighting system is non-functional; areas of the fence line have been blown down; security alarm systems like the microwave system is non-functional; etc.). The damage is above $5,000 and there is a major disruption of the daily operation of the facility. [Cat/1]

Tornado; High Wind; Tropical Storm or Hail - MinorAn adverse weather strike has resulted in minor damage to the facility or its security systems (e.g. non security windows blown out; perimeter light poles knocked down; areas of the fence line stretched; etc.). The damage is around $5,000 and there is no major disruption of the daily operation of the facility (Le. there is no Significant structural or systems damage or failure; housing pods or units do not have to be shut-down; normal operations are not altered; etc.). [Cat/2]

Tornado; High Wind; Tropical Storm or Hail - WarningAn adverse weather warning status is severe enough to warrant a major change in the daily operations of the facility (e.g. discontinuation of programs; complete lock-down of the facility; boarding up of windows; sending non-essential staff home; etc.). [Cat/2]

DISTURBANCE

Major Disturbance/ Non-Resident RelatedIncidents that create a significant disruption to facility operations but do not involve the acts of residents (e.g. power outage; acts of nature; disruptive acts by staff; disruptive acts by visitors or other outside sources). [Cat/2]

Major Disturbance/ Resident RelatedIncidents that create a significant disruption to facility operations. A group of residents engage in activity that seriously disrupts the facility's normal operations (e.g. multiple assaults on staff; emergency response by numerous staff members; areas are locked-down; programming shut-down; significant damage to buildings and/or security systems; etc.). [Cat/1]

Minor Disturbance/ Resident RelatedOne or more residents engage in activity that slightly disrupts the daily routine for a brief period of time. Only one isolated area in the facility is affected (e.g. a classroom, a housing pod, an intake/release area, etc.) and the disruption is for a short duration. [Cat/2]

DIVERSION

Diversion of Controlled SubstancePharmaceutical grade controlled substance/s are missing or unaccounted for by the end of the shift. *NOTE:. [Cat/1]

Diversion of Non-controlled SubstanceMissing or unaccounted for medication (non-controlled substances). [Cat/2]

Diversion of Sharps, Medical Equipment, or Medical Supplies (not medication) NONRXMissing or unaccounted for sharps, medical equipment, or medical supplies . [Cat/2]

ELOPEMENT

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Attempted Elopement /Medium Security Civil Commitment FacilityCivilly committed resident/s is caught physically attempting to leave a medium security civil commitment facility. or its secure compound (e.g. forcing a security door or window open; climbing a security fence; trying to pass through security gates; tampering with fence fabric or security systems; etc.). [Cat/2]

Elopement Medium Security Civil Commitment FacilityResident/s from medium security civil commitment facility resident/s successfully evades the supervision and control of staff and leaves the secure confines of the facility. [Cat/2]

Transport / Off-Site Location Elopement /Medium Security Civil Commitment FacilityOne or more resident/s from a medium security civil commitment facility successfully evades the supervision and control of staff during transportation or from off-site locations (e.g. hospital visit or admit, clinic visit, outside consult, court appearance, field trips, therapeutic passes, etc.). [Cat/2]

EMERGENCY PLAN ACTIVIATION

Hurricane Response ImplementationDue to weather conditions a facility has begun implementing its Hurricane Response Plan. [Cat/2]

Partial Facility EvacuationSituation (i.e. a disturbance; bomb threat, weather/natural disaster conditions, structural issues, etc.) requires the partial evacuation of the residents and staff from the facility and/or its secure compound. This may include evacuations from a housing unit/s; the Admin, building; one side of a facility; etc. [Cat/1]

Stand-by Evacuation StatusThe facility has been placed on a stand-by notice by an outside authority (i.e. Fire Marshall, Emergency Disaster Agency, Haz-Mat, etc.) indicating that they may be required to conduct a total or partial evacuation of the site or creation portions of the site. [Cat/1]

Total Facility EvacuationSituation (i.e. bomb threat, weather/natural disaster conditions, structural issues, etc.) requires the total evacuation of the residents and staff from the facility and/or its secure compound. [Cat/1]

ESCAPE

Attempted Escape from FacilityResident/s at a high security facility is caught physically attempting to leave a building or other secure area within the compound (e.g. forcing a security door or window open; climbing a security fence; trying to pass through security gates; tampering with fence fabric or security alarm systems; etc.). [Cat/2]

Attempted Escape from Transport or Off-site LocationResident/s committed to a high security facility attempts to leave the custody and control of facility Custody Officer/s while off the facility grounds (e.g. in court for trial or hearing; off-site medical appointments; while admitted to a hospital; in transit to or from the facility; etc.). [Cat/2]

Conspiracy to EscapeResident/s at a high security facility or a resident and an individual/s outside the facility formulate a plan to escape that is discovered and stopped before it could be acted upon or carried out. [Cat/1]

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Escape from FacilityResident/s at a high security facility successfully evades the custody and control of facility personnel; defeats the physical security barriers of the facility and leaves the facility without authorization. [Cat/1]

Escape from Transport or Off-site LocationResident/s at a high security facility successfully evades the custody and control of facility Custody Officers while off-site (e.g. in court for trial or hearing; off-site medical appointments; while admitted to a hospital; in transit to or from the facility; etc.). [Cat/1]

Escape while on Pass/Programing/Job SearchResident does not return from an authorized pass. [Cat/1]

USE OF ALCOHOL OR DRUGS

Use of Alcohol - ResidentBreathalyzer test or laboratory results of a urinalysis test indicate a positive reading for the presence of alcohol in the resident’s system. [Cat/0]

Use of Drugs - ResidentField test or laboratory results of a bodily fluid or hair sample test indicate a positive reading for the presence of illegal drugs or unauthorized drugs (e.g. over-the-counter or prescribed drugs) in a resident’s system. [Cat/2]

FALL

Patient FallResident slips and falls down (e.g. fall down stairs, trips over an object, stumbles, loses their balance, slips on wet or slick surface, slips off a chair/bench, etc.). [Cat/2]

Near Miss FallResident slips or stumbles but does not fall down to the floor or ground and does not sustain an injury (e.g. fall down stairs, trips over an object, stumbles, loses their balance, slips on wet or slick surface, slips off a chair/bench, etc.). [Cat/0]

FIRE

Fire Inside Facility - Major DamageFire inside or outside the facility and/or smoke has resulted in the major disruption of the daily operations of the facility (e.g. housing pods or units have to be shut-down; normal operations are discontinued; a partial evacuation is anticipated or being implemented; etc.) or major damage to the facility or its fence line. The cost to repair the damage is above $5,000. [Cat/1]

Fire Inside Facility - Minor DamageFire inside or outside the facility and/or smoke from the fire has resulted in the minor disruption of the daily operations of the facility (e.g. housing pods or units do not have to be shut-down; normal operations are not discontinued; etc.). "Minor Disruption/Damage" is considered any event where the cost to repair the damage

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is $5,000 or less (i.e. re-painting is necessary; resident bedding and/or clothing must be replaced; minor furniture items have to be replaced; etc.). [Cat/2]

Wild Fire - Smoke Disruption/DamageWild fire and/or smoke has resulted in the disruption of the daily operations of the facility (e.g. housing pods or units have to be shut-down; normal operations are discontinued; a partial evacuation is anticipated or being implemented; etc.) or damage to the facility or its fence line. "Minor Damage" is considered any event where the cost to repair the damage is less than $5,000. [Cat/1]

Wild Fire - Smoke WarningWild fire and/or smoke warning status is severe enough to warrant a major change in the daily operations of the facility (e.g. discontinuation of programs; complete lock-down of the facility; etc.). [Cat/1]

FIREARMS

Intentional Discharged FirearmFacility issued firearm or specialty firearm, (i.e. revolver, shotgun, or specialty 37mm/40mm firearm), is intentionally discharged (e.g. as a warning shot; to deliver chem. agents and/or less-lethal munitions, etc.). NOTE: The intentional discharge of firearms during training exercises is exempt from this reporting requirement. [Cat/1]

Missing AmmunitionFacility owned/issued firearm ammunition cannot be accounted for by the end of a shift. [Cat/2]

Missing FirearmFacility owned firearm or specialty firearm cannot be accounted for by the end of a shift. [Cat/1]

Unintentionally Discharged FirearmFacility issued firearm or specialty firearm, (i.e. revolver, shotgun, or specialty 37 or 40mm firearm), is discharged without intending to do so. [Cat/2]

HUNGER STRIKE

Hunger StrikeResident engages in a hunger strike and refuses to eat for three or more days. [Cat/2]

KEYS

Deployment of Emergency KeysAny time emergency keys are deployed at a high or medium security facility. [Cat/2]

Missing Keys - SecuritySensitive keys that is missing or unaccounted for by the end of a shift (to include vehicle keys; storage room keys; etc.). [Cat/2]

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Missing Keys - PharmacyPharmacy keys cannot be accounted for by the end of the shift. [Cat/1]

Missing Keys - OtherAny security keys at a high/medium security facility that is missing or unaccounted for (i.e. security door keys; security padlock keys; handcuff keys; etc.). [Cat/1]

LAW ENFORCEMENT PRESENCE

Major Law Enforcement Presence/NotifiedLaw enforcement presence at the facility (e.g. when law enforcement officer/s come to the facility to conduct inquiries ; investigations; collect evidence; take statements; serve subpoenas; arrest a resident, employee, visitor; etc.) regarding major criminal allegations or charges such as robbery, murder, drug trafficking, child pornography, etc. [Cat/1]

Minor Law Enforcement Presence/NotifiedA law enforcement presence at the facility (e.g. when law enforcement officer/s come to the facility to conduct inquiries investigations; collect evidence; take statements; serve subpoenas; arrest a resident, employee, visitor; etc.) regarding minor criminal allegations or charges such as physical abuse, petty theft, etc. [Cat/2]

LEGAL

Service of Court OrdersAn Officer of the Court serves a court order on a facility representative acting on behalf of the company. This would include court orders such as a writ, subpoena, restraining order, lawsuit notification, etc. [Cat/1]

Sensitive/Confidential Document Request by an AttorneyAttorney contacts a facility representative requesting sensitive or confidential documents (i.e. employee HR records, financial records, medical records, residents’ records, etc.). [Cat/1]

Communication suggesting Liability by an AttorneyAttorney contacts a facility representative indicating that s/he is pursuing a matter that may result in liability for the company. [Cat/1]

Lawsuit NotificationAttorney or law firm contacts a facility representative indicating that a lawsuit has been filed against the company. [Cat/1]

LOCKDOWN

Partial Lock-Down Non Resident-RelatedA portion of a high or medium security facility has been locked-down due to a non-resident related reason (e.g. complete power outage; compromised security detection equipment; major weather conditions; etc.). [Cat/2]

Total Lock-Down Non Resident Related

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A high or medium security facility has been locked-down due to a non-resident related reason/s (e.g. complete power outage in certain area; compromised security detection equipment in a certain area, etc.). [Cat/2]

Partial Lock-Down Resident-RelatedA portion of a high or medium security facility is locked-down because of some type of serious resident related incident, (e.g. intelligence gathered that would cause the belief that a major incident is imminent, multiple assaults on residents or staff in an isolated area of the facility; etc.). [Cat/1]

Total Lock-Down Resident RelatedA complete lockdown is necessary at a high or medium security facility because of some type of serious resident related incident, (e.g. intelligence is gathered that would cause the belief that a major incident is imminent; multiple assaults on residents and/or staff; etc.). [Cat/1]

MEDICATION ERROR

Administration Error

An error occurred in the administration of medication to a resident. This includes medication administered to wrong resident, resident given the wrong medication, wrong dose of medication administered, wrong route of administration selected, medication not given within an hour of the time it was ordered to be given, medication not given (missed dose), medication given without an order (previous order expired, or new medication given without a documented order. [Cat/2]

Labeling Error

A medication error that reached the patient occurred due to a labeling error, including wrong medication name on the label, wrong patient name on the label, wrong administration times on the label, wrong route on the label, or wrong quantity in blister pack. [Cat/2]

Monitor

Resident experienced an adverse effect due to therapeutic failure of an ordered medication, failure to monitor the levels of a drug in the resident’s system, failure to renew a medication order, or failure to monitor for side effects of a medication. [Cat/2]

Other Error

Medication error that occurred due to reasons not described in the existing definitions and codes. [Cat/2]

Prescription Error

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A medication error that reached the patient occurred due to prescribing error, including illegible order, incomplete order, incorrect transcription on the MAR, order for a medication to which a resident has a history of allergy, medication ordered by an unauthorized person, drug selection error, failure to renew a prescription. [Cat/2]Pharmacy Error

A medication error that reached the patient occurred due to an error by pharmacy staff, including an order that went missing after it was sent to the pharmacy, delay in delivery of ordered medication, medication dispensed to the wrong resident, wrong medication dispensed, wrong quantity dispensed, wrong dosage dispensed, medication deteriorated, expired, or damaged, medication dispensed without a current order, order filled for unapproved or non-formulary item without approved Medication Exception Request. [Cat/2]

Side Effect

Resident experienced an adverse effect in response to taking a prescribed medication. [Cat/2]

MEDIA CONTACT

Media Contact /MajorRepresentative from a news media agency (i.e. newspaper, radio, TV, etc.) contacts the facility asking questions, requesting an interview, requesting the ability to film on-site, etc. reference a major issue that could impact the company and/or the client negatively. [Cat–1]

Media Contact /MinorRepresentative from a news media agency (i.e. newspaper, radio, TV, etc.) contacts the facility asking questions, requesting an interview, requesting the ability to film on-site, etc. reference a minor issue that is questionable or could impact the company and/or the client negatively. [Cat/1]

Negative Media Articles/FeaturesA news media article or feature is published or broadcast which portrays an employee, the facility or the company generally in a negative manner. [Cat/2]

MEDICAL EMERGENCY - RESIDENT

Medical Emergency Resident /Acute Illness NotificationResident is taken to the Emergency Room (ER) for treatment of an acute illness (be sure to detail the type of conveyance such as ambulance, "life flight”, etc. in the body of the report). Report any resident's acute illness as defined by medical protocols. *NOTE: Do not include medical or clinical confidential information concerning a resident. [Cat/1]

Medical Emergency Resident/InjuryResident is taken to an Emergency Room (ER) for treatment of an injury (be sure to detail the type of conveyance such as ambulance, "life flight”, etc. in the body of the report). [Cat/2]

Medical ConditionResident is taken to the Emergency Room (ER) for treatment of a medical condition (be sure to detail the type of conveyance such as ambulance, "life flight”, etc. in the body of the report). [Cat/2]

MEDICAL EMERGENCY – STAFF OR VISITOR

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Staff Injury / IllnessStaff member sustains a serious injury (i.e. broken bone; hit by falling object; appendage crushed by door; trauma from vehicle accident; etc.) that requires significant immediate treatment (i.e. sutures; broken bone/s set; significant blood flow/loss; need for outside medical treatment/intervention; EMT response/transport; etc.). [Cat/2]

Visitor Injury / IllnessVisitor sustains a serious injury (i.e. broken bone; hit by falling object; appendage crushed by door; trauma from vehicle accident; etc.) that requires significant immediate treatment (i.e. sutures; broken bone/s set; significant blood flow/loss; need for outside medical treatment/intervention; EMT response/transport; etc.). [Cat/2]

STAFF MISCONDUCT

Theft / Misuse of Company PropertyStaff member steals or misuses company/client owned property (i.e. converts property for personal use; defaces property; purposely damages property; etc.). [Cat–2] EPR Referral Required

Unauthorized Staff/Resident RelationshipStaff member engages in unauthorized relationship with a resident or former resident’s family member/s (e.g. financial dealings, business venture, etc.). [Cat–2] EPR Referral Required

Unprofessional Staff/Res. RelationshipStaff member becomes involved with a resident in a romantic relationship or financial transaction. [Cat–2] EPR Referral Required

Staff Misconduct – OtherStaff member engages in misconduct not otherwise listed (e.g. fails to pass-on required intelligence; submit required reports; cooperate with an investigation/inquiry; falsifies documents, engages in behavior that results in law enforcement intervention and or news media coverage that brings unwanted attention to the individual and/or the company etc.) [Cat/2] EPR Referral Required

MISSING ITEMS

Missing Tools / Equip. Security Breech /Med. Security FacilityMissing tools, utensils or equipment from any source that could be used to form a weapon or to facilitate an escape (i.e. screwdrivers, pliers, side cutters, bolt cutters, scissors, knives, long handled kitchen utensils, electric saws or drills, etc.). [Cat/1]

Missing Equipment /Non-Security IssuesCompany or client owned equipment of significant value such as computers; large flat screen TV; riding lawn mower; medical equipment; etc. is discovered missing. [Cat/2]

Missing FundsAny missing currency or other negotiable instrument. [Cat/2]

OFFICIAL CONTACTClient Action NotificationThe Client's representative provides verbal or written notification of a serious negative finding and/or sanction against the Facility’s operations. [Cat/1]

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Client Announced /Major Site VisitClient advises that they plan to visit the facility on a specific date and time regarding a major issue (i.e. senior management level client representative visit/tour; client's representative visit to conduct a fact-finding inquiry into a major issue; client’s representative/s to conduct an audit; etc.). [Cat/1]

Client Announced /Minor Site VisitClient advises that they plan to visit the facility on a specific date and time regarding a minor issue (e.g. for site visit; to conduct a spot check or minor fact-finding inquiry; etc.). [Cat/2]

Client Unannounced /Major Site VisitClient's representative/s visit the facility without prior notification of the visit regarding a major issue (i.e. senior management level client representative visit/tour; client's representative visit to conduct a fact-finding inquiry into a major issue; client’s representative/s to conduct an audit; etc.). [Cat/1]

Client Unannounced /Minor Site VisitLow ranking client's representative/s visits the facility without prior notification of the visit regarding a minor issue (i.e. low ranking client’s representative drops by the facility for a casual visit, spot check or to obtain minor information). [Cat/2]

Regulatory Agency /Announced Major Site VisitRegulatory agency's representative (i.e. Attorney General, Fire Marshal, Dept. of Labor, OSHA, Public Health Dept. Accreditation Body, Licensing Agency, etc.) or other official entity other than the client visits the facility with prior notice reference a major issue (i.e. to conduct a fact-finding inquiry into a major issue; to conduct an audit; etc.). [Cat/1]

Regulatory Agency Announced /Min. VisitRegulatory agency's representative (i.e. Fire Marshal, Dept. OSHA, Public Health Dept., etc.) or other official entity other than the client visits the facility with prior notice reference a minor issue (i.e. to conduct a spot check, inquiry into a minor issue; to conduct an audit; etc.). [Cat/2]

Regulatory Agency /Unannounced VisitA regulatory agency's representative (i.e. Attorney General, Fire Marshal, Dept. of Labor, OSHA, Public Health Dept. Accreditation Body, Licensing Agency, etc.) or entity other than the client visits the facility without prior notice reference a major issue (e.g. conduct a fact-finding inquiry, an official investigation, an audit, etc.). [Cat/1]

Regulatory Agency Action NotificationRegulatory agency's representative (i.e. Attorney General, Fire Marshal, Dept. of Labor, OSHA, Public Health Dept. Accreditation Body, Licensing Agency, etc.) or entity other than the client notifies the facility of their intent to take some type of serious formal binding action against the facility or the company as a whole. [Cat/1]

OTHER

Other Major Use this term when a very serious event that is not identified by any existing reportable SIR title occurs at your facility. You must write-in a description or identify the event. [Cat/1]

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Other MinorUse this term when a minor event that is not identified by any existing reportable SIR title occurs at your facility. You must write-in a description or identify the event. [Cat/2]

PROPERTY DESTRUCTION

Destruction of Property Valued at Over $500Any destruction of client or CCRS owned property of more than $500 dollars in value. [Cat/2]

Destruction of Property Valued at Under $500Any destruction of client or CCRS owned property of less than $500 dollars in value. [Cat/0]

RESTRAINT

Chemical Restraint / (ETO)Physician issues an Emergency Treatment Order (ETO) to give a resident an involuntary injection of psychotherapeutic medication to control their behavior and that order is carried out. [Cat/2]

Mechanical Restraint - 4/5 Point RestraintResident is secured to a restraint bed by the use of soft (or "humane") mechanical restraints in either a four or five point configuration in an attempt to prevent them from harming themselves or others. [Cat/2]

Mechanical Restraint - Flex CuffResident is placed in flex-cuffs restraint device during an emergency situation. *NOTE: The routine use of mechanical restraints during transportation and off-site security detail assignments is not a reportable event. [Cat/2]

Mechanical Restraint - Metal HandcuffResident is placed in metal handcuffs during an emergency situation. *NOTE: The routine use of mechanical restraints during transportation and off-site security detail assignments is not a reportable event. [Cat/2]

Mechanical Restraint - Restraint ChairResident is placed in a restraint chair during an emergency situation. *NOTE: The routine use of mechanical restraints during transportation and off-site security detail assignments is not a reportable event. [Cat/2]

Mechanical Restraint - LegResident is placed in leg restraints during an emergency situation. *NOTE: The routine use of mechanical restraints during transportation and off-site security detail assignments is not a reportable event. [Cat/2]

Mechanical Restraint - Wrist-to-waist (Texas Belt)Resident is placed in wrist -to-waist (Texas belt) restraints during an emergency situation. *NOTE: The routine use of mechanical restraints during transportation and off-site security detail assignments is not a reportable event. [Cat/2]

Physical Restraint MajorStaff member/s uses significant physical force such as handholds, standing physical restraint, physical takedown, etc. on a resident or group of resident's to control their behavior. *NOTE: All uses of force are subject to the mandatory post Use of Force Physical Exam requirement. [Cat/2]

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Physical Restraint MinorStaff member/s uses minimal physical contact to direct or re-direct a resident (e.g. placing one’s hand on a resident’s arm or shoulder, etc.). *NOTE: All uses of force are subject to the mandatory post Use of Force Physical Exam requirement. [Cat/2]

SECLUSION

Resident is involuntarily placed in his/her room or specially designated room for any period of time to give him/her time to re-gain control of him/herself. [Cat/2]

SELF HARM

Self-Harm /Major InjuryResident causes serious injury to himself/herself intentionally (i.e. self-mutilation or "cutting"; aggravating or re-opening an existing wound; etc.). [Cat/2]

Self-Harm /Minor InjuryResident causes minor injury to himself/herself intentionally or continues self-injurious behavior consistently over a protracted period of time (e.g. self-mutilation or "cutting"; aggravating; re-opening an existing wound; etc.). [Cat/2]

Self-Harm - w/o InjuryResident intentionally commits an act/s of self-injurious behavior (i.e. scratching, jabbing, biting, striking, poking, etc.) without causing actual injury to him/herself. [Cat/0]

SLIP AND FALL

Staff Slip & FallStaff member slips and falls down at the facility sustaining an injury (e.g. fall down stairs, trips over an object, stumbles, loses their balance, slips on wet or slick surface, slips off a chair/bench, etc.) [Cat/2]

Visitor Slip & FallVisitor (i.e. social visitor, official visitor, vendor, contractor, etc.) slips and falls down at the facility (e.g. fall down stairs, trips over an object, stumbles, loses their balance, slips on wet or slick surface, slips off a chair/bench, etc.) [Cat/2]

SUICIDE ATTEMPT

Suicide Attempt/BleedingResident attempts to commit suicide by cutting a major vein or artery, but is unsuccessful. The resident's actions require major intervention and/or medical treatment. [Cat/2]

Suicide Attempt/HangingResident attempts to commit suicide by tying a sheet, towel, cord, etc. around a fixed object and their neck in an attempt to strangle or break their neck, but is unsuccessful. The resident's actions requires major

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intervention and/or medical treatment (e.g. cut a suspended person down; initiation of CPR or other resuscitation techniques, etc.). [Cat/2]

Suicide Attempt/JumpingResident attempts to commit suicide by jumping from a high location, but is unsuccessful. The resident's actions requires major intervention and/or medical treatment. [Cat/2]

Suicide Attempt/OtherResident attempts to commit suicide by a method other than bleeding, hanging, jumping, or overdose, but is unsuccessful. The resident's actions require major intervention and/or medical treatment. [Cat/2]

Suicide Attempt/OverdoseResident attempts to commit suicide by taking an excessive amount of medication, but is unsuccessful. The resident's action require major intervention and/or medical treatment (e.g. initiation of CPR or other resuscitation techniques, etc.). [Cat/2]

SUICIDE

Suicide/BleedingResident commits suicide by cutting a major vein or artery. [Cat/1]

Suicide/HangingResident commit suicide by tying a sheet, towel, cord, etc. around a fixed object and their neck and strangles or breaks their neck. [Cat/1]

Suicide/JumpingResident commits suicide by jumping from a high location. [Cat/1]

Suicide/OtherResident commits suicide by a method other than bleeding, hanging, jumping, or overdose. [Cat/2]

Suicide/OverdoseResident commits suicide by taking an excessive amount of medication. [Cat/1]

SYSTEM OR EQUIPMENT FAILURE

Air Handling System FailureAir handling system becomes partially or completely inoperable. [Cat/1

CCTV System FailureThe CCTV security monitoring system becomes partially or completely inoperable. [Cat/2]

Lighting System FailureThe interior or perimeter lighting system becomes partially or completely inoperable to the extent that the normal operation of the facility is at risk. [Cat/2]

Locking System Failure

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The security locking system becomes partially or completely inoperable to the extent that the normal operation of the facility is at risk. [Cat/2]

Microwave /Shaker Syst. FailureThe microwave and/or shaker security perimeter alarm system becomes partially or completely inoperable to the extent that the normal operation of the facility is at risk. [Cat/2]

Phone System FailureThe telephone system becomes partially or completely inoperable to the extent that the normal operation of the facility is critically compromised. [Cat/2]

Radio System FailureThe two-way radio system becomes partially or completely inoperable to the extent that the normal operation of the facility is critically compromised. [Cat/2]

TREATMENT

Emergency IM (Guardian/Guardian Advocate Consent)Any time a resident is given a medication by intramuscular injection under consent from a guardian advocate. [Cat/0].

Treatment/IM Injection /Court OrderedAny time a resident refuses a court ordered medication and the medication given to the resident by intramuscular injection. [Cat/0]

Refused Major Med. TreatmentResident requires or claims to need medical treatment for a serious medical condition but refuses to accept or participate in the treatment process. [Cat/2]

USE OF FORCE

Use of Force/Chemical Agent Use of ForceDeployment of chemical agents on a resident or group of residents (i.e. OC spray, CN, CS etc.). *NOTE: Any use of chemical agents is subject to the decontamination and mandatory post Use of Force Physical Exam requirement. [Cat/1]

Use of Force/Less-Lethal Impact Munition Use of ForceDeployment of less lethal impact mediums against a resident or group of residents (e.g. PepperBall® system, rubber ball munitions, rubber ball projectiles, etc.). *NOTE: All uses of force are subject to the mandatory post Use of Force Physical Exam requirement. [Cat/1]

Use of Force/Lethal ForceUse of force that results in the death of an individual. [Cat/1]

Phys. Use of Force /Maj. w/o InjuriesStaff member/s uses significant physical force such as handholds, standing physical restraint, physical takedown, etc. on a resident or group of resident's to control their behavior and none of the participants sustains any injuries. *NOTE: All uses of force are subject to the mandatory post Use of Force Physical Exam requirement. [Cat/1]

Phys. Use of Force /Min.

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Staff member/s uses minimal physical contact to direct or re-direct a resident and the physical contact does not result in injury to any of the participants (e.g. placing one’s hand on a resident’s arm or shoulder, etc.). *NOTE: All uses of force are subject to the mandatory post Use of Force Physical Exam requirement. [Cat/2]

Specialty Munitions Use of ForceUse of specialty munitions against a resident or group of residents (i.e. chemical agent grenades, flash/bang grenades, obscurant smoke, 37mm or 40mm projectiles, etc.). *NOTE: All uses of force are subject to the mandatory post Use of Force Physical Exam requirement. [Cat/1]

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