Question

The nurse finds the client sitting on the floor, ensures the client's safety, completes an incident report, and notifies the health care provider of the incident. What should the nurse implement next?

A. Staple the incident report in the client's medical record.
B. Document the client events and follow-up nursing actions.
C. Provide a copy of the incident report to the provider and family.
D. Document in the client's medical record that the nurse sent a copy of the report to risk management.

Answer 1

The nurse should document the client's events and follow-up nursing actions in the medical record after ensuring safety and completing the incident report, maintaining confidentiality throughout the process.

Step-by-step explanation:

After ensuring the client's safety, completing an incident report, and notifying the health care provider of the incident on the floor, the nurse should next document the client's events and follow-up nursing actions in the client's medical record. This documentation includes details of the incident, the client's response, any injuries observed, interventions provided, and the notification of the health care provider. It is important to maintain confidentiality of the incident report, which should not be part of the client's public record or disclosed to unauthorized individuals. The nurse’s responsibility is to accurately record and communicate relevant clinical information to maintain continuing care and legal documentation without breaching the privacy and confidentiality of the incident report.