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Appendix Q: Determining Immediate Jeopardy
Harm and Potential Harm
Actual harm: Was there an outcome of harm?
Potential harm: Is there a likelihood of potential harm?
Immediacy: Is the harm or potential harm likely to occur in the very near future?
Cul...
Potential harm: Is there a likelihood of potential harm?
Immediacy: Is the harm or potential harm likely to occur in the very near future?
Culpability:
+ Did the entity know about the situation?
+ Should the entity have known about the situation?
+ Did the entity thoroughly investigate the circumstances?
+ Did the entity implement corrective measures?
+ Has the entity re-evaluated the measures to ensure the situation was corrected?
Failure to Protect from Abuse Triggers
Serious injuries such as head trauma or fractures
Non-consensual sexual interactions
Unexplained serious injuries that have not been investigated
Staff striking or roughly handling an individual
Staff yelling, swearing, gesturing, or calling an individual derogatory names
Bruises around the breast or genital area or suspicious injuries
Failure to Prevent Neglect Triggers
Lack of timely assessment of individuals after injury
Lack of supervision for individuals with known special needs
, Failure to carry out doctor's orders
Repeated occurrences such as falls that place individuals at risk of harm without intervention
Access to chemical and physical hazards by individuals who are at risk
Access to hot water of sufficient temperature to cause tissue injury
Non-functioning call system without compensatory measures
Unsupervised smoking by individuals with known safety risks
Lack of supervision of cognitively impaired individuals with known elopement risk
Failure to adequately monitor individuals with known severe self-injurious behavior
Failure to adequately monitor and intervene for serious medical/surgical conditions
Use of chemical/physical restraints without adequate monitoring
Improper feeding/positioning of individuals with known aspiration risk
Inadequate supervision to prevent physical altercations
Failure to Protect from Psychological Harm Triggers
Application of chemical/physical restraints without clinical indication
Presence of behaviors by staff such as threatening or demeaning resulting in displays of fear,
unwillingness to communicate, and recent or sudden changes in behavior by individuals
Lack of interventions to prevent individuals from creating an environment of fear
Failure to Protect from Undue Adverse Medication Consequences and/or Failure to Provide Medications
as Prescribed Triggers
Administration of medication to an individual with a known history of allergic reaction to that
medication
Lack of monitoring and identification of potential serious drug interactions, side effects, and adverse
reactions
Administration of contraindicated medications
Pattern of repeated medication errors without intervention
Lack of diabetic monitoring resulting in serious hypoglycemia or hyperglycemic reaction
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