LOGIN AT: http://www.therapservices.net Click on the upper right corner Secure Login box. THERAP HELP GUIDE LOGIN INFORMATION: Enter your login name and password. The Provider Code is: PRIDE-ND, must use a hyphen). Once you have logged in you will see an update screen from Therap that will provide you information about Therap training as well as provide you with information for when Therap may be down where they are updating the system. When you see a down system message, you will be unable to access any data in Therap, until the updates have been completed. To move to the next screen, simply hit the Dashboard button on the bottom lower right hand side of the screen.
DASHBOARD/MAIN MENU PAGE: Once you have logged in, you then should see what is called the First page (Menu page/dashboard). You will have different modules within Therap along the left hand side of the page (i.e. To Do ; Individual, Health, etc.). What you see on this side bar will depend on the type of access you have within Therap. The TO DO module lists any reports that have been generated that you may need to review. GENERAL EVENT REPORTS A General Event Report, also known as a GER, is a document that is used to track incidents of Injury; Medication Errors; Restraints Related to Behavior (physical restraints); Restraints Other (typically medication use on a PRN basis); Death and Other which are incidents that are out-of-the-ordinary in nature. These incidents are called Events as listed in the Therap report. All of the reports will share certain information such as Profile, General, and Event (think of this as a cover page for the rest of the report).
Reporting Incident using GER Most programs that use Therap, use the General Event Report (AKA GER ). This document is found on the INDIVIDUAL. Go to the General Event Report section and click NEW.
Select the appropriate program from the list (if you have access privileges on more than one program). Select the particular individual from the list. This will open a new GER form. In Profile Information area, the current date will be displayed by default.
1. HOWEVER ensure that the Report Date is the date that you entered the report into Therap (this may be a different date from the Event date). 2. Event Information In the Event Date field use the calendar button to select the date when the event occurred (it defaults to the current date). If the event occurred anywhere outside of the agency s physical location, choose the appropriate location from the drop-down menu in the 'If not at responsible program' section. Enter thorough information (as known) in the section: Describe what happened before the event Complete Location Address (if on site, you can check the box for same as program address and it will auto-fill)
3. Adding Event Choose the appropriate event type in the Add Event section. This will generate another window with a more specific event information form (Injury, Medication Error, Restraint Related to Behavior, Restraint Other, Death, Other) Example - Injury: You must complete all required fields marked with a red asterisk (*). If Other is chosen in any of the questions, you will need to specify in the If Other box. Click on the Body Diagram link in the Body Part(s) section, use the body diagram to select specific body part(s) affected by the injury. Provide as much detail in the Injury Summary section as is known. When complete, click on the Add button at the bottom of the form, this will add the injury information to the GER form.
The same process of selecting or ADDING an Event will be used if entering a GER for a Medication Error, Restraint Related to Behavior, Restraint Other, Death, or Other. After you have selected the Event a window will open and you will then be able to enter data into the report. MEDICATION ERROR EVENT - EXAMPLE You must complete all required fields marked with a red asterisk (*). If Other is chosen in any of the questions, specify in the If Other box. Give as much information as is known in the Reason for error section. When complete, click on the Add button at the bottom of the form. The Medication Error TYPE information box screen will display, items marked with a red asterisk are required. Charting Error: is when you forgot to sign off on the MAR, or signed off incorrectly. Omission: means exactly the same as if the medication was not given/assisted with, select this error type whenever the individual DID NOT get the medication. Order Expired: means that we can no longer assist with the medication until the MD writes a new order to continue the medication. Transcription Wrong Dose; Transcription Wrong Individual; Transcription Wrong Medication; Transcription Omission; Transcription Wrong Route; Transcription Wrong Time: you would select these ONLY if the prescribing physician made an error in how they wrote the
prescription OR the Pharmacy made an error in how they transcribed the prescription when they filled it. Wrong Dose: the dose that you assisted with is not the same dose that was prescribed, when you follow the three-way check, you must have all a match with 1) the prescription, 2) to the vial, 3) to the MAR. Wrong Individual: the person got someone else s medication. Wrong Medication: the person received the wrong medication. Wrong route: if the medication is to be taken orally, it can only be taken by mouth, if it is a topical it is applied on the skin; if it is an eye drop it is only to be assisted with by dropping in the eye. Wrong time: medication was given at the time it was supposed to be assisted with, i.e. if the medication was supposed to be assisted with in the evening but was assisted with in the morning, it was assisted with at the wrong time. Other: is only to be used when none of the above errors apply. Select the medication and it will fill in automatically in the fields.
If the medication has been given you can click Copy to as given and it will fill in automatically in the fields. If no medication was given and you selected OMISSION leave that section blank. DO NOT add the medication: AS GIVEN if you didn t assist with a medication. Select the date of the first error/ the last error, time of initial error and the number of errors. Click Add Error and it will display the error Select the cause of error.
Forgot to Send to Program Forgot to Take on Activity Medication Refused: if individual refused to take the medication. Medication Not Available Omission Unavoidable Pharmacy Error Staff Action/Inaction: this is the one most commonly selected as many errors are either omission or charting errors. Other Medical Attention required. Always mark Consult with Nurse. With every medication error the agency nurse needs to be contacted of an error. Prescriber Notified: Unless you speak directly to the doctor that has prescribed the medication (the person whose name is on the prescription/medication vial), you select NO in this section. Typically, the only time this is selected is if the agency nurse has called the prescribing doctor. Witness information: Leave it blank, we do not use witness reports. Select ADD
RESTRAINT RELATED TO BEHAVIOR EVENT - EXAMPLE Click Restraint Related to Behavior used only when you have physically restrained someone or had to use physical touch/restraint/release to stop a behavior from occurring. Do you want to create a 'Behavior Event Record'? Click No then click Next. We do not use this report.
Select the begin/end time and date for the restraint. How long did you have to put the person in the hold? Typically is less than one minute but can be more depending on the severity of the aggression. Select the appropriate checks that are applicable. Select the person who applied the restraint. Select the person removing (pertains to the person assisting). Select who checked Emergency Restraint Trauma Check within 24 hrs. Enter the Restraint Summary information: be specific in your description, be objective. Refrain from using words such as John became aggressive and was teasing others throughout the entire shift. You need to use descriptive words that all can understand. Do not give opinions or your
interpretation of the incident, provide ONLY facts. i.e. John was calling Suzy a cry baby and telling her that she needed to get out of his way or he was going to slap her face. Suzy didn t move away and John slapped Suzy across her left cheek and kicked her left shin. A basket hold was applied to John, (give the timeframe of the hold) and once John said that he was calm and was going to stop, the baskethold was released. Click Add when you have completed the report. RESTRAINT OTHER
The Restraint Other Event will be used anytime a PRN medication has been used to treat symptoms of anxiety, etc Select Chemical as the Restraint Type. Proceed with completing all information listed within the event. Then Add event.
OTHER EVENT - REPORT (Example: Person to person altercation, missing person, property damage, etc.) Click Other.
Follow the prompts when selecting Event Type as a drop down box will appear. Use the drop down menu to best describe what event type occurred. Witness menu is NOT used in any of the reports. When completed click Add
DEATH EVENT REPORT Select Event - Death Follow the prompts of the report. SUPERVISOR WILL walk you through this report if you need to complete it.
Once you have added an Event, you will be routed back to the original report. Abuse Suspected? Select NO, the risk management committee, will review and change if needed. Neglect Suspected? Select NO, the risk management committee, will review and change if needed. Exploitation Suspected? Select NO, the risk management committee, will review and change if needed. Notification Level: Select LOW Reported by and relationship to individual.
ADD NOTIFICATION: Ensure that you add notification if you have contacted anyone regarding the incident (i.e. nurse or pharmacy regarding medication error; Protection & Advocacy Services regarding ANE or Serious Events reports; supervisors; Guardians/family members). It is important that you list out the names and the time that you contacted these people. CORRECTIVE ACTION TAKEN: What was done to take care of the situation, any risk management steps that were taken, etc. PLAN OF FUTURE CORRECTIVE ACTIONS: What could be done to prevent a similar incident from reoccurring, recommendations for changes, etc
When the report is completed, hit the SUBMIT button and report will be published for others to see.