Monitoring of performance regarding actual or potential risks related to the following areas are conducted on an ongoing basis in different ways.

A) Staff knowledge and skills
The monitoring of staff knowledge and skills (e.g., EMTs, trained First Responders) is conducted through regular observation of performance by supervisors, through formal supervision meetings, through annual performance evaluations, and through at least 24 hours of training and staff development conducted each year. Training in emergency procedures is conducted quarterly, as required by DEEC regulations.

B) Level of staff participation
The monitoring of staff participation is accomplished through means described above in section A). Training in emergency procedures is conducted quarterly, as required by DEEC regulations.

C) Monitoring and inspection activities
As noted in other Environment of Care Plans, all utility systems at residential campuses are tested and/or inspected quarterly. Equipment is tested/inspected on a schedule recommended by the manufacturer. All facilities are inspected for safety and maintenance issues at least monthly.

D) Emergency and incident reporting
All incident reports, including reports related to emergency situations and physical restraints, are reviewed by supervisors, nursing staff, clinical staff, and program managers. Incidents which are not documented require follow up by supervisors, and incident reports which are not completed correctly or according to procedure, are returned for follow up by the supervisor.

Data on emergency incidents is maintained and is reviewed on a regular basis by the campus Improving Organizational Performance Committee and agency administration. Data on emergency events is reviewed on an as needed basis by the campus/program Environment of Care Committee.

E) Inspection, preventive maintenance and testing of equipment
As noted above in Section C), residential campus equipment is tested/inspected and maintained on a schedule recommended by the manufacturer.