A nurse learns in orientation that an incident report does not "blame" anyone but concisely documents the events leading up to an occurrence. Which events would warrant completion of an incident report? (Select all that apply.)

a. The client is crying and distraught when he learns of a diagnosis of cancer.
b. An intravenous antibiotic given preoperatively does not infuse because of a faulty pump.
c. The nurse is unable to carry out orders written by the specialist because of illegibility.
d. A client falls while in the shower, although she was told not to get up alone.
e. The registered nurse is not available to complete the preoperative checklist.


ANS: B, C, D, E
Correct:
Nurses are legally bound to report critical incidents to their nurse managers, agency administration, and risk manager through a formal intra-agency document generally titled the "incident report." Circumstances under which an incident report should be filed include malfunction or failure of medical equipment.
Incorrect:
A client's emotional reaction to a life-threatening illness would fall within an acceptable client response and therefore would not be recorded as an "incident" or an "unusual occurrence."

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