3.  MUI Category Review - Reported in Under 4 Hours

By completing the acknowledgement survey at the end of this training, your electronic signature indicates you understand the following MUI categories and that they are to be reported within 4 hours per Frontier's policy - regardless of which MUI category they fall within.

Major Unusual Incidents (MUIs) - The Following MUST be

Reported in Under 4 Hours

Death:  the death of an individual by natural cause without suspicious circumstances, accidental, or with suspicious circumstances.  

Exploitation:  the unlawful or improper act of using an individual or an individual's resources for monetary, personal benefit, profit, or gain.

Failure to Report:  a person, who is required to report pursuant to section 5123.61 of the Revised Code, has reason to believe that an individual has suffered or faces a substantial risk of suffering any wound, injury, disability, or condition of such a nature as to reasonably indicate abuse, neglect, misappropriation, or exploitation that results in a risk to health and welfare of that individual, and such person does not immediately report such information to a law enforcement agency, a county 5123-17-02 4 board, or, in the case of an individual living in a developmental center, either to law enforcement or the department. Pursuant to division (C)(1) of section 5123.61 of the Revised Code, such report shall be made to the department and the county board when the incident involves an act or omission of an employee of a county board.

Misappropriation: depriving, defrauding, or otherwise obtaining the real or personal property of an individual by any means prohibited by the Revised Code, including Chapters 2911. and 2913. of the Revised Code.

Neglect: when there is a duty to do so, failing to provide an individual with medical care, personal care, or other support that consequently results in serious injury or places an individual or another person at risk of serious injury. Serious injury means an injury that results in treatment by a physician, physician assistant, or nurse practitioner.

Physical Abuse:  the use of physical force that can reasonably be expected to result in physical harm to an individual. Such physical force may include, but is not limited to, hitting, slapping, pushing, or throwing objects at an individual.

Prohibited Sexual Relations:  a developmental disabilities employee engaging in consensual sexual conduct or having consensual sexual contact with an individual who is not the employee's spouse, and for whom the developmental disabilities employee was employed or under contract to provide care or supervise the provision of care at the time of the incident.

Rights Code Violation: any violation of the rights enumerated in section 5123.62 of the Revised Code that creates a likely risk of harm to the health or welfare of an individual.

Sexual Abuse:  unlawful sexual conduct or sexual contact as those terms are defined in section 2907.01 of the Revised Code and the commission of any act prohibited by Chapter 2907. of the Revised Code (e.g., public indecency, importuning, and voyeurism) when the sexual conduct, sexual contact, or act involves an individual. 5123-17-02 5

Verbal Abuse:  the use of words, gestures, or other communicative means to purposefully threaten, coerce, intimidate, harass, or humiliate an individual.

Attempted Suicide:  a physical attempt by an individual that results in emergency room treatment, in-patient observation, or hospital admission.

Medical Emergency:  an incident where emergency medical intervention is required to save an individual's life (e.g., choking, back blows or CPR, use of an automated external defibrillator, or use of an epinephrine auto injector).

Missing Individual:  an incident that is not considered neglect and an individual's whereabouts, after immediate measures have been taken, are unknown and the individual is believed to be at or pose an imminent risk of harm to self or others. An incident when an individual's whereabouts are unknown for longer than the period of time specified in the individual service plan that does not result in imminent risk of harm to self or others shall be investigated as an unusual incident.

Peer-to-Peer Act: - any of the following incidents involving two individuals:

• Exploitation which means the unlawful or improper act of using another individual or another individual's resources for monetary or personal benefit, profit, or gain.

• Theft which means intentionally depriving another individual of real or personal property valued at twenty dollars or more or property of significant personal value to the individual.

• Physical act which means a physical altercation that:

  • Results in examination or treatment by a physician, physician assistant, or nurse practitioner; or 5123-17-026

  • Involves strangulation, a bloody nose, a bloody lip, a black eye, a concussion, or biting which causes breaking of the skin; or

  • Results in an individual being arrested, incarcerated, or the subject of criminal charges.

• Sexual act which means sexual conduct and/or contact for the purposes of sexual gratification without the consent of the other individual.

• Verbal act which means the use of words, gestures, or other communicative means to purposefully threaten, coerce, or intimidate the other individual when there is the opportunity and ability to carry out the threat.

Significant Injury:  an injury to an individual of known or unknown cause that is not considered abuse or neglect and that results in concussion, broken bone, dislocation, second- or third-degree burns, or that requires immobilization, casting, or five (5) or more sutures. Significant injuries shall be designated in the incident tracking system as either known or unknown cause.

Law Enforcement:  any incident that results in the individual served being tased, arrested, charged, or incarcerated.

Unanticipated Hospitalization:  any hospital admission or hospital stay over 24-hours that is not pre-scheduled or planned. A hospital admission associated with a planned treatment or pre-existing condition that is specified in the Individual Service Plan indicating the specific symptoms and criteria that require hospitalization need not be reported.

Unapproved Behavioral Support:  the use of a prohibited measure as defined in rule 5123:2-2-06 of the Administrative Code or the use of a restrictive measure implemented without approval of the human rights committee or without informed consent of the individual or the individual's guardian in accordance with rule 5123:2-2-06 of the 5123-17-02 7 Administrative Code, when use of the prohibited measure or restrictive measure results in risk to the individual's health or welfare. When use of the prohibited measure or restrictive measure does not result in risk to the individual's health or welfare, the incident shall be investigated as an unusual incident.

Immediately upon identification or notification of a Major Unusual Incident (MUI):

Take all reasonable measures to ensure the health and welfare of at-risk individuals.  Such measures shall include:

1. Immediate and ongoing medical attention, as appropriate;

2. Removal of an employee from direct contact with any individual when the employee is alleged to have been involved in physical abuse or sexual abuse until such time as the provider has reasonably determined that such removal is no longer necessary; and

3. Other necessary measures to protect the health and welfare of at-risk individuals.

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