When the patient has had a fall while trying to climb out of bed, the nurse must carry out which task?
A) Complete an incident report as a risk management document.
B) Complete an incident report and add it to the medical record.
C) Document that an incident report was completed in the medical record.
D) Say nothing about the incident in the medical record.

Question

Quizplus · Accepted Answer

Incident reports are objective, nonjudgmental, factual reports of the occurrence and its consequences. The incident report is not part of a medical record but is considered a risk management or quality-improvement document. The fact that an incident report was completed is not recorded in the patient's medical record; however, the details of a patient incident are documented.

When the Patient Has Had a Fall While Trying to Climb