Final answer:
In an incident report for a medication error, it is crucial to record the type and amount of medication involved, the client's room number, and a factual account of the event. The nurse's name and credentials, while important for accountability, are not the primary focus of the report, and the client's medical diagnosis is only relevant if it pertains to the error.
Step-by-step explanation:
When a nurse is completing an incident report for a medication error, certain information should be meticulously documented to ensure accurate reporting and facilitate any necessary follow-up. The information included should cover:
- The type and amount of medication involved in the incident.
- Clear identification of the patient, which may include the client's room number.
- Detailed circumstances surrounding the incident.
- Any immediate actions taken in response to the incident.
- A factual account of the event without assumptions or subjective opinions.
While the nurse's name and credentials are important for accountability, they are less important for the report itself, which should focus on the facts of the incident. Similarly, the client's medical diagnosis may not be relevant unless it directly pertains to the error. The primary goal is to record the specifics of the error in a way that helps prevent future incidents.