FINAL Global Module 10-11.pdf - AaronsWorld.com

REPORTING A PATIENT/VISITOR ACCIDENT OR ILLNESS
This protocol applies to any injury or illness occurring on the clinic’s premises or as a result of clinical
services or a product purchased from the Bastyr Dispensary or the Chinese Herbal Dispensary.
IN CASE OF ILLNESS/ACCIDENT ON THE PREMISES OF THE CLINIC
The front desk should be notified and is responsible for the following:
o Arranging for an exam room.
o Furnishing an Incident Report form to the provider of record. The provider of record
completes the top portion of the form and forwards the paperwork to the clinic
safety coordinator within 24 hours of the incident.
o The Director of Facilities and Safety is responsible for contacting the university’s
liability insurance company.
o The Director of Facilities and Safety shall copy all paperwork to the clinic director
and practice management manager within 24 hours.
o The emergency transport of the patient will be a 911 vehicle. An emergency vehicle
should be called by the provider making the initial emergency assessment or her or
his designee
IN CASE OF INJURY FROM OR ADVERSE REACTION TO ANY PRODUCT PURCHASED FROM THE CLINIC
Dispensary staff should notify the supervisor or clinic lead to discuss the event with the patient.
The supervisor is responsible for the following:
o Determining the extent of the problem; refer to the emergency manual located in the
Clinic laboratory.
o Referring patients to a provider, if necessary, to discuss the specific nature of the
problem.
o Either the dispensary staff and/or the supervisor is responsible for the following:
o Completing the top portion of the Incident Report form.
o Forwarding paperwork to the Medical Director within 24 hours of the incident.
The following administrators must be notified immediately:
o Medical Director.
Paperwork requirements:
o Practice management manager.
o Clinic facilities manager.
o Program Lead / Associate Dean.
o The supervisor or provider must complete the top portion of the Incident Report form,
including:
o The date, time, and place of the incident.
o A complete detailed description of incident, including any object(s) or machinery
involved.
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