Get Sc Dhec 0268 2017-2025

The SC DHEC 0268 form is an important tool for reporting incidents related to resident care and safety within facilities. This guide will provide clear and detailed instructions on how to successfully complete the form online to ensure accurate submissions.

Follow the steps to fill out the SC DHEC 0268 online effectively.

1. Click ‘Get Form’ button to access the document and open it in the editing interface.
2. Begin by selecting the type of incident from the options provided under 'Type of Incident.' You can choose either '2 hr initial' or '24 hour initial,' along with the relevant categories such as 'Injury of unknown source' or 'Alleged abuse.'
3. Fill in the 'Date' field with the date of the report. Follow this with entering the 'Facility' name where the incident occurred, the corresponding 'Address,' and 'Phone #' of the facility.
4. In the next section, input the 'Resident’s Name', 'DOB' (Date of Birth), and 'Room #' to ensure proper identification of the involved person.
5. Indicate whether the resident has a 'Certified Bed' by selecting either 'yes' or 'no' as applicable.
6. If applicable, specify the 'Type of Injury of Unknown Source' or 'Type of Alleged Abuse' by checking the appropriate boxes. Options for alleged abuse include 'physical,' 'mental,' 'verbal,' 'neglect,' 'sexual,' 'involuntary seclusion,' and 'misappropriation of resident property.'
7. Provide the name of the 'Alleged Perpetrator' involved in the reportable incident, and record the 'Date/Time of Reportable Incident.'
8. Conclude by writing a 'Brief Description of Reportable Incident' to give detailed context to the incident being reported.
9. Once all fields are filled out accurately, save your changes, and opt to download, print, or share the form as needed.

Complete your SC DHEC 0268 form online today to ensure timely reporting and compliance.