Disruptive Client Incident
VTH Policy #CliSvc106
Implementation Date: 5/20/2010
Date of Last Revision: 7/29/2022
Next Review Due: 7/2025
Reviewed by VTH Administrative Team: 5/4/2010
Reviewed by VTH Board: 5/20/2010; 11/2012
Reviewed by Legal Counsel: N/A
Reviewed by Biosecurity Subcommittee: N/A
Subject to modification by the VTH Director without approval.
It is the responsibility of all individuals working in the VTH to complete a Disruptive Client Incident Report for situations that warrant such action. This report should be completed when a client has behaved in a disruptive manner (either verbally or physically) with anyone (student, intern, resident, faculty, or staff) working in the VTH.
The purpose of this policy is to ensure the safety of hospital staff and students, encourage a non-threatening working environment and to provide documentation for both the VTH and potentially the police.
Procedure (if applicable)
When an incident occurs:
- Complete a Disruptive Client Incident Report.
- Email the Disruptive Client Incident Report to firstname.lastname@example.org, email@example.com and firstname.lastname@example.org
- In instances where the client’s animal is being transferred to another service area, the person completing the form should first notify the transfer receiving doctor in person and then send an email to the receiving service area’s group email address.
- Client will be flagged in the Health Information System.
Disruptive Client Incident Report Form - see below or find form on the Intranet
Definitions (if applicable)
Disruptive incident - an incident placing a person or property at risk that potentially requires or does require action by law enforcement authorities. An incident of suspicious or unusual nature that places people, animals, or property at risk.
Veterinary Teaching Hospital (VTH): The collective clinical services of the Large Animal Clinic, Midwest Equine, the Small Animal Clinic, and the Veterinary Medicine South Clinic.
Disruptive Client Incident Report
This report should be completed by the person reporting or involved in the incident not later than the end of the business day following the incident. The report shall be delivered to the hospital director or designee for appropriate distribution outside of those outlined in the policy.
A Disruptive Client Incident Report is defined as:
⦁ An incident placing a person or property at risk that potentially requires or does require action by law enforcement authorities.
⦁ An incident of suspicious or unusual nature that places people, animals, or property at risk.
Date of incident: ____________________________ Time of incident: ______________ a.m. p.m.
Person Completing Report: _____________________________________________________________________________
Other person(s) involved: _______________________________________________________________________________
Name of person(s) committing offense: ____________________________________________________________________
Act of disruption: ___ verbal ___ physical
Is person expected to return? ___ yes ___ no If so, when? ______________________________________________
Was law enforcement called? ___ yes ___ no
Was an arrest made? ___ yes ___ no
Was an emergency protection order written? ___ yes ___ no
Briefly describe the incident: ___________________________________________________________________________
For Office Use Only:
Action taken by director or designee in charge: _____________________________________________________________
Action taken by VTH Director or designee (check all that apply):
____ client dismissal letter ___ rDVM notified ___ dean’s office notified ___ all VTH notified
____ police contacted ____ filed in VTH office