A client gets out of bed following hip surgery, falls, and ...

[kaid0807]

A client gets out of bed following hip surgery, falls, and re-injures her hip. The nurse caring for her knows that it is her duty to make sure an incident report is filed.
 
  Which of the following statements accurately describes the correct procedure for filing an incident report?
 
  A) The physician in charge should fill out the report.
  B) The names of the staff involved should not be included.
  C) The reports are used for disciplinary action against the staff.
  D) The report should contain all the variables related to the incident.

Question 2

A nurse has taken a telephone order from a physician for an emergency medication. The dose of the medication is abnormally high. What should the nurse do next?
 
  A) Administer the medication based on the order
  B) Question the order for the medication
  C) Refuse to administer the medication
  D) Document concerns about the order

[amit]

Answer to Question 1

Ans: D
An incident report, also called a variance or occurrence report, is used by health care agencies to document the occurrence of anything out of the ordinary that results in, or has the potential to result in, harm to a patient, employee, or visitor. The nurse responsible for a potentially (or actually) harmful incident or who witnesses an injury is the one who fills out the incident form. This form should contain the complete name of the person or people involved and the names of all witnesses; a complete factual account of the incident; the date, time, and place of the incident; pertinent characteristics of the person or people involved (e.g., alert, ambulatory, asleep) and of any equipment or resources being used; and any other variables believed to be important to the incident. These reports are used for quality improvement and should not be used for disciplinary action against staff members.

Answer to Question 2

Ans: B
The nurse should question any physician order that is ambiguous, contraindicated by normal practice (such as an abnormally high medication dose), or contraindicated by the client's present condition. The nurse should not administer the medication, refuse to administer the medication without contacting the physician, or document concerns about the order without doing anything further.