Adult Family Home Providers are receiving needless citations on the AFH Incident Log. I’m going to explain the difference between the Incident Log and an Incident Report, and what you need to know about that WAC so you don’t get cited. I’ll also share how I’ve used a detailed Incident Report form to help me deal with a very difficult family member.
Being a seasoned geriatric nurse, I tend to keep more detailed records. So a number of years ago, I “upgraded” the bare-bones State-provided Incident Log form into a more detailed 1-page “incident report” form that I completed and used in each resident’s chart following an incident.
I was proud of it! In that 1-page incident report, I documented details about each incident for that particular resident and kept it in that resident’s chart.
But… I ran into an issue when I got audited.
Although a more complete incident report is helpful in tracking the specifics of an incident and a good documentation practice, it’s NOT part of what the “Incident LOG” requirement is.
The Incident Log requirement in WAC 388-76-10220 is to track incident trends in general for ALL residents in your AFH. It doesn’t require much detail, only the essentials of WHO, WHAT, WHEN, and OUTCOME. This is to spot problematic trends, i.e., various residents suffering falls in the AFH, as well as suspected abuse, neglect, exploitation, etc.
Bottom line recap
The AFH Incident LOG – WAC 388-76-10220
- Required, similar to the AFH Fire Drill log (in fact, you might keep them in the same binder).
- Keep in your AFH Admin records; not needed in the Resident’s record
- Used to spot overall trends in the AFH.
- Part of your AFH’s legal record
- No need to have a lot of specifics
- Keep ONE form for all incidents in the AFH
Detailed Incident REPORT
- NOT required as part of 388-76-10220
- A good way to track and document the details and specifics of a resident who suffers an incident
- Can be kept in the actual resident’s record
- Not necessarily audited as part of the “Incident Log” requirement
- Could be audited as part of the resident’s record, to make sure everything is documented appropriately.
Another way to use your Incident Report form
Three years ago, I had a super-tough family member who caused a lot of “incidents” in my AFH, and I used my form to document all of them. When it came time to end the nonsense, it made a huge difference in showing her flagrant bad faith and willful negative interference in my AFH. I kept these reports in my own self-audit file, which is not subject to being audited, but that you can use to document and keep certain records such as this.
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Hope this helps. Feel free to leave your questions below.
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