New Policy??

So a hypothetical situation here...This is a homework question with a quick answer! Yes, I googled it but I must not be using the right search term because I can't find the answer. Anyway, say a child was released post op to her non custodial father, creating a JCAHO sentinel event. In my action plan I, of course, included the need for yet another new policy. Now, who would be the one to actually develop that policy? Would it be legal, risk, admitting, CEO/Admin, HR, or???

TY for your help
I'd say it's an admitting problem. They have the initial contact and the opportunity to get things sorted out before the fact. Of course legal will have to be consulted, but getting a clear, concise, understandable answer from a lawyer is something that I've never been able to do.

Sounds like a nursing issue...when we do admission in the Women & Children's Pavilion we find out and flag custody issues. The kiddo has to go home with only approved parent/gaurdian. Admitting is doing well to get the current address right on the face sheet, please don't trust them with an issue this big.Maybe instead of a new policy and yet another piece of paper, your crew needs an inservice.

as a pedi nurse I would have patients lie to me about who has custody. Therefore, the policy could be done as a nursing dept policy, but risk mgmt should certainly be involved to be certain state laws are followed.

risk management and legal.

Quote from greenfiremajickSo a hypothetical situation here...This is a homework question with a quick answer! Yes, I googled it but I must not be using the right search term because I can't find the answer. Anyway, say a child was released post op to her non custodial father, creating a JCAHO sentinel event. In my action plan I, of course, included the need for yet another new policy. Now, who would be the one to actually develop that policy? Would it be legal, risk, admitting, CEO/Admin, HR, or???TY for your help