Author Question: When documenting an incident in the nurse's notes, what should the nurse include? (Select all that ... (Read 60 times)

altibaby · **on:** Jul 11, 2018

When documenting an incident in the nurse's notes, what should the nurse include? (Select all that apply.)

a. Description of injury, including diagrams of injury placement
b. Date, time, and location of incident
c. Name of physician and family members notified
d. Chronological order of events of the incident
e. Confirmation that an incident report was initiated

Question 2

Hemostasis begins as soon as the injury occurs and a clot begins to form. The substance in the clot that holds the wound together is:

a. fibrin.
b. thrombin.
c. protime.
d. calcium.

atrochim · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, B, C, D
The documentation of the initiation of an incident report should not be included in the nurse's notes. Nurse's notes are part of the legal medical record; the incident report is not. To note that an incident report was initiated is a red flag that a problem has occurred.

Answer to Question 2

A
Fibrin in the clot begins to hold the wound together.