The Safety Net
No discussion of Risk Management would be complete without a review of Risk Assessment processes. In order to have a thorough Risk Management program fully operational, one of the early tasks needed is to develop a process for assessing the risk status for individuals served by the program. Some individuals may be at no more risk than John Q. Citizen but others may be high risk because of medical problems, mobility difficulties, behavioral issues, or a lowered awareness of safety. Remember: Prevention is the number one priority
A Significant Risk is defined as any potential for serious health problems, injuries or emotional or psychological effects of abuse. (John will lose his eyesight if he bangs his forehead many more times.)
An Assessment may be a formal or an informal review of observations, history and caregiver insights to establish facts. It is best done by a full team of those who work with and know the individual. Example: (John has the potential to get lost if he gets into large crowds such as at fairgrounds or arenas; at his last physician visit, Dr. Abercrombie reported that if he bangs his forehead many more times or does so with severe force, there is a high probability that he will lose his eyesight; staff report that if he feels stressed-like when he is lost- he will bang his forehead).
An Intervention is a strategy that caregivers use to anticipate a potential problem that might come up. (Staff will maintain a 1:1 contact with John at all crowded events and will ensure that he takes a mini-talkie on these trips and that he wear his bright colored jacket with an Info -Card in his pocket with information about who to notify if he is lost and found. Over the next four weeks staff will teach John to use the mini talkie so that, if he is lost, he will contact staff and not panic).
Some indicators that teams should consider when deciding if a person is at significant risk include:
This is not intended to be a complete list or a complete explanation of Risk Assessment. It is a starting place to begin thinking about Risk Management, Assessment and Mitigation. It is the coming together of all three concepts that will lead to increased safety and well being for individual consumers. Watch this web site for new information every month.
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