Get Dmr 255, 255m, 255oh/fam: Incident Report Follow-up ... - Nasuad - Nasuad

Filling out the DMR 255, 255m, 255OH/Fam: Incident Report Follow-Up form is an important step in documenting incidents and ensuring proper follow-up. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the incident report follow-up form.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by entering the client's name in the designated section at the top of the form, followed by their DMR number and the incident date.
3. Fill in the address of the client, ensuring that all details are accurate to facilitate proper identification.
4. Record the date when the follow-up was initiated and when it was completed under the respective sections.
5. Indicate the type of incident by checking all applicable boxes, including 'Critical Incident' and detail any specific injuries or errors.
6. Provide the name and date when the family or guardian was notified about the incident.
7. Add any relevant comments regarding the follow-up or incident in the comments section.
8. The supervisor should enter their name, title, and the date of their review in the designated fields.
9. Outline any corrective actions taken in the space provided, being as specific as possible.
10. List any referrals that were made, such as to a physician or nurse, and include comments as necessary.
11. Detail any follow-up actions taken to address the incident fully.
12. Indicate whether the issue was resolved and, if so, provide the resolution date. If unresolved, explain the necessary further actions.
13. Complete the section for the person filling out the form by providing their signature, title, and the date.
14. Finally, ensure that copies of the completed form are distributed to the client file, program file, case manager, and any other appropriate parties.

Complete your DMR 255, 255m, 255OH/Fam form online today for efficient incident reporting and follow-up.