Subject: Academic Affairs


Revised: April 2021

Effective date: April 2021

Review date: April 2024

Responsible Party: LEVEL I: UAAC, GAAC; LEVEL II: Associate Dean for Academic Affairs

Introduction and Purpose:

Consistent with the College of Nursing’s core values of excellence, integrity, inclusion, collaboration, curiosity, and stewardship, the promotion of a fair and just culture of safety illustrates a priority for ensuring potentially harmful situations are addressed through leadership, measurement, risk identification and reduction, and teamwork (National Academy of Medicine, 2001).  


With the goal to seek a balance between accountability and creating an environment to learn from mistakes, faculty and students report significant unusual patient care, telehealth or simulated patient incidents in a timely manner. The reporting process provides an opportunity for practice reflection, continuous program quality improvement, and curricular assessment.  Data are analyzed on an aggregate level each semester to raise awareness, identify trends, and identify areas for improvement. 


  1. Unusual incidents involving student and/or faculty in college or university activities are reported to the course coordinator and the campus director via the Report of Unusual Incidents Form (Please fill in the name and email for each signing role listed on the form. Signers will receive an email inviting them to sign this document) no later than the end of the next work day.
  2. Unusual is defined as an unexpected event, an unexpected outcome, or any performance evaluation that results in an unsatisfactory clinical evaluation.
  3. For corresponding communicable exposures, see Report of Exposure to or Diagnosis of Communicable Diseases.
  4. Reporting includes verbal communication and the completion of an online report form and/or other appropriate documentation such as advising notes or clinical evaluation forms.
  5. The online report is generated by the faculty in collaboration with the student and is sent to the clinical faculty, course coordinator, clinical program lead, and campus director. A copy of the report is stored in the campus electronic folder, student’s electronic record, and sent to the Associate Dean for Academic Affairs.
  6. The Academic Programs office will complete analysis and make recommendations regarding unusual events each semester.
  7. Data to be collected:
    1. Date/time of Incident
    2. Location of incident
    3. Listing of who was involved in the incident including witnesses.
    4. Description of incident (Types)
      1. Unsatisfactory or blatant problem related to clinical evaluation
      2. Gross deviation from Standard of Practice
  • Near or actual medication errors or errors in process inappropriate for the student level,
  1. Needle sticks
  2. Patient fall or injury
  3. Inappropriate use of equipment
  • HIPAA or confidentiality violation
  • Occurrences that may impact public relations or relationships with clinical agencies.
  1. Other (consult with CD).
  1. Action taken (follow up reports as appropriate)
  2. Signatures: student, course coordinator, faculty supervisor, CD.
  1. In addition to the CON report, the filing of appropriate clinical agency reports will be completed and referenced on the CON report with additional consideration of the Professional Student Behavior policy or reporting to the MSU Risk and Safety department if indicated.

Internal control considerations, if applicable: N/A