Disruptive Client Incident

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.

Policy

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.

Guidelines

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:

1. Complete a Disruptive Client Incident Report.
2. Email the Disruptive Client Incident Report to vthadmissionsstaff@vetmed.illinois.edu, vthadministration@illinois.edu and vthqaandrmcomm@vetmed.illinois.edu 
3. 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.
4. 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