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SENTINEL EVENTS
A Sentinel Event is an unplanned event that has resulted in an unexpected death or major
permanent loss of function unrelated to the patient’s illness or underlying condition.
SOME EXAMPLES OF SENTINEL EVENTS:
Object left in patient after surgery; surgery on wrong patient/wrong body part
Severe neonatal hyperbilirubinemia
Patient rape
Child abduction or discharge to
the wrong family
If you feel that a Sentinel Event or “near miss” has occurred, please notify Administration,
Risk Manager, or House Administrator IMMEDIATELY.
Your leader will provide the number for the Risk Management Hotline.
Policy STAT: Disclosure of Unanticipated Outcomes, Adverse Patient Event
Communication
Law Enforcement or Protective Custody
The purpose of the forensic policy is to provide safety guidelines for the care
of patients under law enforcement or protective custody, i.e. prisoners,
mentally disabled residents
What to do:
Admitting notifies the House Administrator when a patient requires law
enforcement or protective custody.
The House Administrator will notify the Security Officer on duty.
The ED charge nurse will notify the House Administrator,
Security as needed for
administrative, or Code Grey situations respectively.
All guarded patients are admitted to a private room.
Hospital personnel shall perform their assigned duties in the provision of care for the
prisoner.
Staff shall not socialize with issues beyond the patient’s personal healthcare needs.
The House Administrator will provide the Law Enforcement Officer with a copy of the
written “Guidelines for Law Enforcement and Protective Custody Personnel” (posted
on the intranet – Administrative Policy).
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