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SMQT Study Guide Already Graded A

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SMQT Study Guide Already Graded A+ Appendix Q: Determining Immediate Jeopardy Harm and Potential Harm Actual harm: Was there an outcome of harm? Potential harm: Is there a likelihood of potential harm? Immediacy: Is the harm or potential harm likely to occur in the very near future? Cul...

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  • August 15, 2024
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  • 2024/2025
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  • SMQT Study Already Graded A
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SMQT Study Guide Already Graded A+
Appendix Q: Determining Immediate Jeopardy



Harm and Potential Harm



Actual harm: Was there an outcome of harm?

Potential harm: Is there a likelihood of potential harm?

Immediacy: Is the harm or potential harm likely to occur in the very near future?

Culpability:

+ Did the entity know about the situation?

+ Should the entity have known about the situation?

+ Did the entity thoroughly investigate the circumstances?

+ Did the entity implement corrective measures?

+ Has the entity re-evaluated the measures to ensure the situation was corrected?



Failure to Protect from Abuse Triggers



Serious injuries such as head trauma or fractures

Non-consensual sexual interactions

Unexplained serious injuries that have not been investigated

Staff striking or roughly handling an individual

Staff yelling, swearing, gesturing, or calling an individual derogatory names

Bruises around the breast or genital area or suspicious injuries



Failure to Prevent Neglect Triggers



Lack of timely assessment of individuals after injury

Lack of supervision for individuals with known special needs

, Failure to carry out doctor's orders

Repeated occurrences such as falls that place individuals at risk of harm without intervention

Access to chemical and physical hazards by individuals who are at risk

Access to hot water of sufficient temperature to cause tissue injury

Non-functioning call system without compensatory measures

Unsupervised smoking by individuals with known safety risks

Lack of supervision of cognitively impaired individuals with known elopement risk

Failure to adequately monitor individuals with known severe self-injurious behavior

Failure to adequately monitor and intervene for serious medical/surgical conditions

Use of chemical/physical restraints without adequate monitoring

Improper feeding/positioning of individuals with known aspiration risk

Inadequate supervision to prevent physical altercations



Failure to Protect from Psychological Harm Triggers



Application of chemical/physical restraints without clinical indication

Presence of behaviors by staff such as threatening or demeaning resulting in displays of fear,
unwillingness to communicate, and recent or sudden changes in behavior by individuals

Lack of interventions to prevent individuals from creating an environment of fear



Failure to Protect from Undue Adverse Medication Consequences and/or Failure to Provide Medications
as Prescribed Triggers



Administration of medication to an individual with a known history of allergic reaction to that
medication

Lack of monitoring and identification of potential serious drug interactions, side effects, and adverse
reactions

Administration of contraindicated medications

Pattern of repeated medication errors without intervention

Lack of diabetic monitoring resulting in serious hypoglycemia or hyperglycemic reaction

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