Incident Management training session

In this session we will cover:

  • What is an incident?
  • Responding to incidents
  • Recording and reporting incidents

The session will take around 30 minutes to complete. At the end, you will be required to complete a short, comprehensive quiz.

Incident management is an important part of improving service delivery.

As a worker you are the person most likely to witness an incident or have something disclosed to you. When this happens, your response matters. You should feel confident in responding to and reporting incidents.

Below is a link to Anglicare’s Incident Management Policy. Please read and familiarise yourself with this.

Anglicare’s Incident Management Policy

 

Why is reporting incidents important?

We want to provide a service that understands individuals and achieves the best outcomes for people with disability.

Incidents do occur. When they do, we need to understand our responsibilities.

Anglicare and you, as a staff member, have responsibilities in responding to and reporting incidents. We are required to take all reasonable steps to prevent harm to, and exploitation of people with disability. This includes knowing what to look for, how to respond and how to report incidents when they occur.

It is important to have a work culture where we all feel confident in responding to and reporting incidents.

We want to continually improve service delivery.  The process of reporting incidents encourages us to be reflective about our practices. It gives the opportunity to review supports for clients, and make changes to supports and the environment where they are needed. It can also help us to see where further where training and development are needed.

What is an incident?

Anglicare recognises incidents as events that provide unexpected, unplanned and unintended outcomes for the clients, employees and the organisation.

Unexpected, unplanned and unintended things can mean:

  • An event that caused harm or could have caused harm
  • Something you forgot to do, or someone else forgot to do
  • Something someone else did that caused harm or could have caused harm
  • Something that the client did that caused harm or could have caused harm
  • Serious harm from an event that happen
  • A complaint
  • A disclosure of abuse.
You are often the first person to identify that an incident has occurred and so you play a key role for the client in both responding and then reporting it.

  • Take a moment now to think of things that you would consider to be an incident.

    This list is not exhaustive but incidents include things like:

    • abuse
    • neglect
    • violence or assault
    • death of a person
    • serious injury (deep cuts, broken bones, head injury, burns etc.)
    • sexual misconduct
    • financial discrepancies
    • falls, trips or sprains
    • scratches, scrapes or minor cuts
    • pressure sores
    • marks, bruising, bumps or lumps
    • bites
    • rashes
    • infection or illness
    • behaviours that are unwanted, undesirable or inappropriate (behaviours of concern)
    • complaint or allegation
    • cough
    • discomfort or pain
    • refusal of services and supports
    • missing client/client not home
    • hazards
    • medication errors
    • use of unauthorised restrictive practice
    • near miss events
    • sleep disturbances
    • aggression
    • weight loss or gain
    • faulty or missing equipment
    • self- harm
    • loss of skills
    • sudden changes or concerns about client health and wellbeing.

Incident reporting

All incidents need to be reported and recorded.
We report incidents on Anglicare’s Incident Reporting (AIR) system.
AIR can be accessed on your work phone. It can also be accessed via any computer or mobile device with access to the internet.
You will need your Anglicare username and password for access.
A good and well written incident report is really important. It helps to manage the incident and helps us to improve the service to our clients.

  • When would you make a report?

    • You feel something someone did was wrong
    • Someone was hurt
    • You notice a change or decline in your client’s health or wellbeing
    • Supports were stopped, refused or altered
    • You are really worrying about it
    • You think you should tell someone
    • That behaviour was out of the ordinary and needs reporting
    • A client discloses an incident to you.

     

    If you are unsure if a report should be written, check with your service manager.

  • What do I include in a written report?

    Include all information that is relevant to the cause and management of the incident.

    Remember to write information that is:

    • Clear
    • Concise (you can use dot points)
    • Accurate, don’t get flowery or emotional, state the facts
    • What happened/what was the incident (describe)/client name?
    • When (place, date and time)?
    • What was happening before?
    • What supports did you give (before, during & after)?
    • Who was involved (record names and contact details)? Who witnessed?

     

    Where incidents involve multiple employees the AIR notification is to be submitted by the most senior employee or by a single employee as agreed by those involved. Other employees who were present will have their names and contact details included on the form.

    All reports are investigated. Service Managers or a more Senior Manager will conduct investigations.

    Responding, reporting and investigations all contribute to a safer, more enjoyable work place.

  • Example report. Find where it features examples of good reporting.

    Incident description- Jack Smith fell, injuring head, during outing to fetch water

    On Friday 13 Jul 2020 at 10am Jack and Jill went up the hill to fetch a pail of water. Jill was Jack’s support worker for the activity. Jill stated that she would support Jack to complete the task.

    Prior to going up we had a discussion about how much water was required, how to collect it and what was the best path to take. Jack appeared happy and stated that he was eager to get the job done, “I would like to get the water today, it’s my turn, can we go now?”

    On the way up the hill, Jack fell down and bumped his head. Jill observed the fall. Jack tripped on the uneven surface of the track, falling against a tree and tumbling to the ground.

    Jill asked Jack where he was hurt and how he felt. Jack said he had “bumped his head on that tree but everything else feels ok”. Jill observed a small bruise that appeared to be swelling up on Jack’s forehead. Jill checked for other injuries and found none.

    Jill asked if Jack could stand. Jack said “yes, my legs are fine” and Jill assisted Jack to get up. It was decided by Jill to head back home and call the Doctor. Jill contacted her service manager on the way.

    Jack and Jill arrived home at 11am.

    Jill called Dr Dan at 11.05am, who gave advice over the phone, to watch and apply ice. Ice was applied every ten minutes for ten minutes at a time over the next hour. Swelling and bruising appears to have stopped (12.30pm).

    The bruise is the size of a 20 cent piece and slightly raised. Jack presented as being ok and stated that he was keen to go back up the hill to get more water.

    We have planned the trip for another day.

Worker responsibility

You are often the first person to identify that an incident has occurred and you play a key role in responding promptly and appropriately to incidents.

When an incident occurs:

  • Respond – follow response plans for incidents
  • Safety first – ensure the safety of the person immediately
  • Care – provide appropriate care and supports immediately following the incident and throughout the management of the incident
  • Notify – notify service manager or other appropriate people (other staff, ambulance, police etc.)
  • Report – collect information, document and report via AIR.

In responding to incidents that involve abuse, neglect or the mistreatment of clients; the first priority of any response is to ensure that the needs and safety of the client is secured. Justice for victims is to be prioritised over the organisation’s reputation.

For all other incidents the health, safety and well-being of involved persons is to be responded to and support provided prior to reporting and recording the incident.

Important resources

Below are important resources for your role and incident management, have a look at these.

Acquired Injury Support Services employee handbook (Confluence) – By clicking on the relevant headings this handbook provides easy access to information that will support your role with Anglicare. Policies and procedures to assist your work are found here as well as forms that you may need for yourself or for supporting clients.

Anglicare Incident Reporting (AIR) – Here you can record and report a client incident and injury, report a hazard, a worker related incident, a compliment or complaint.

A message from Chris Jones

Incident management training quiz

Thank you for taking part in Anglicare’s Incident Management Training. Please complete the short quiz below to finish the training.