• Injuries to the trunk of the body that indicate intentional rather than accidental harm. • Injury with a patterned appearance to it, i.e., marks from a belt or a ring. • Bruised skin from a grasp. • Patient/client reports an abusive incident. If there is cause to believe abuse, neglect, or exploitation of the patient/client has occurred by a staff member, representative, or contractor, it should be reported immediately to the manager and to the appropriate state office. Management will investigate the situation and report findings to the patient’s/client’s attending physician and to the appropriate agency according to state regulations. Review the following policy and procedure: Online Bookmark Title of Policy Provision of Care (PC) Abuse, Neglect, and Exploitation Pain Effective pain management is best achieved by a team approach involving patients/clients, families, and healthcare providers. The clinician should: • Discuss pain and its management with patients/clients and families. Encourage patients/clients to be active participants in their care. • Reassure patients/clients who are reluctant to report pain that there are many safe and effective ways to relieve pain. • Consider the cost of proposed drugs and technologies. • Share documented pain assessment and management with other clinicians treating the patient/client. • Know State/local regulations for controlled substances. Supplies The Agency stocks standard supplies. Any supplies used for a patient/client must be ordered by the physician and/or non-physician practitioner, either on the plan of care (POC) or on a verbal order. When a patient/client requires special supplies or large quantities of supplies, notify the person responsible for supplies immediately. Occasionally it may take several days to obtain certain items. Regulation requires that both routine and non-routine supplies be tracked by the Agency. This includes patient/client supplies and supplies used for maintaining standard precautions (i.e., Band-Aids, tape, gowns, masks, etc.).
