After identifying a medication error, the nurse completes an incident report. The nurse correctly recognizes which true statements about the use of these documents? Select all that apply
A) The incident report should be placed with the client's medical records.
B) Incident reports provide a clear, concise recording of the situation that can be provided to the client's legal representative in the event of a lawsuit.
C) The incident report should include factual information about the incident.
D) The nurse should include her own personal perception about the cause of the incident in the report.
E) Completion of the incident report should be noted in the nurse's notes.
Ans: B, C
Feedback:
An accident, or injury, occurring in the hospital necessitates the filing of an incident report. The document remains confidential and is not part of the client's medical record. It completely describes all the aspects of the event that occurred. Specifically, the report should include the accident, client assessment, and interventions provided for the client. The report is used for internal review to improve the system to prevent similar errors and cannot be subpoenaed by a court of law.
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